Children's Home run by Cornwall Partnership NHS Foundation Trust in Cornwall

Inspection report for children's home - monitoring visit: SC432404 1 SC432404 Cornwall Partnership NHS Foundation Trust

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Information about this children’s home

The children’s home provides a short-breaks service for up to two children who have disabilities, complex individual needs and fragile health. This service is managed by an NHS foundation trust.

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This monitoring visit

At the previous inspection on 21 March 2017, this home was judged to have declined in effectiveness. A compliance notice was issued because of the home’s failure to comply with the protection of children standard. The purpose of this visit was to assess whether the requirements of the compliance notice have been met.

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This monitoring visit

The acting manager and staff are now clear about which safeguarding and child protection procedures to follow. Staff demonstrate a good understanding of the home’s and the organisation’s safeguarding procedures, which are now in line with ‘Working together to safeguard children’, 2015.

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This monitoring visit

The senior manager has reviewed the home’s medication procedures with the staff team to safeguard against medication errors. The system is now improved. The clinical lead has carried out further training on medication administration and is confident that staff are equipped with the full information required to carry out their roles effectively. The acting manager, alongside qualified nursing staff, now audits medication to ensure that she has oversight of the safe administration of medication. This audit is being developed to ensure that it covers all areas of medication administration.

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This monitoring visit

A new system is in place to supervise all staff effectively. This system is in its early stages of implementation and the impact is yet to be measured.

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This monitoring visit

The senior manager and acting manager have made progress against the requirement and actions set out in the compliance notice. Therefore, the compliance notice is now met. To support further improvements, a meeting has been arranged on 16 May 2017 involving Ofsted inspectors, the responsible individual and the Inspection report for children’s home - monitoring visit: SC432404 2 senior manager.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

21/03/2017 Interim Declined effectiveness 26/10/2016 Full Good 22/02/2016 Interim Sustained effectiveness 16/11/2015 Full Good Inspection report for children’s home - monitoring visit: SC432404 3

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Statutory requirements

This section sets out the actions that the registered person(s) must take to meet the Care Standards Act 2000, Children’s Homes (England) Regulations 2015 and the ‘Guide to the children’s homes regulations including the quality standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

(1) The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure:

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Requirement Due date

(2)(a) that staff: (i) assess whether each child is at risk of harm, taking into account information in the child’s relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child; (iii) have the skills to identify and act upon signs that a child is at risk of harm; (v) understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person; (vi) take effective action whenever there is a serious concern about a child’s welfare; (vii) are familiar with, and act in accordance with, the home’s child protection policies;

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Requirement Due date

(b) that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm;

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Requirement Due date

(e) that the effectiveness of the home’s child protection policies is monitored regularly. *02/05/2017

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Requirement Due date

13: The leadership and management standard

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Requirement Due date

In order to meet the leadership and management standard, the registered person should enable, inspire and lead a culture in relation to the children’s home that— 02/05/2017 Inspection report for children’s home - monitoring visit: SC432404 4 (a) helps children aspire to fulfil their potential; and (b) promotes their welfare. (2) In particular, the standard in paragraph (1) requires the registered person to— (a) lead and manage the home in a way that is consistent with the approach and ethos, and delivers the outcomes, set out in the home’s statement of purpose; (b) ensure that staff work as a team where appropriate; (c) ensure that staff have the experience, qualifications and skills to meet the needs of each child; (d) ensure that the home has sufficient staff to provide care for each child; (f) understand the impact that the quality of care provided in the home is having on the progress and experiences of each

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Requirement Due date

child and use this understanding to inform the development of the quality of care provided in the home; (g) demonstrate that practice in the home is informed and improved by taking into account and acting on— (ii) feedback on the experiences of children, including complaints received; (h) use monitoring and review systems to make continuous improvements in the quality of care provided in the home. In particular:  Ensure that management arrangements are robust.  Ensure that staff have regular, consistent and robust supervision.  Ensure that there is sufficient management monitoring and oversight of supervision, medication and care plan reviews to ensure children’s needs are met.  Record all complaints and concerns centrally and ensure that they are concluded with recommendations and review.  Ensure that communication takes place with social workers and other relevant professionals, prior to all care plan reviews.

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Requirement Due date

 Ensure care plan reviews focus on children’s full experiences and achievements. Additionally, ensure that care plans are updated when necessary.  Progress the home’s development plan so that young people have adequate play and sensory provision in Inspection report for children’s home - monitoring visit: SC432404 5 the garden.

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Requirement Due date

*These requirements are subject of a compliance notice.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: SC432404 6

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Children’s home details

Registered provider : Cornwall Partnership NHS Foundation Trust

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Children’s home details

Registered provider address : Fairview House, Corporation Road, Bodmin, Cornwall PL31 1FB

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Inspector(s)

Sarah Canto, social care inspector Inspection report for children’s home - monitoring visit: SC432404 7 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for looked after children, safeguarding and child protection.

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Inspector(s)

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Inspector(s)

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Inspector(s)

T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: http://www.gov.uk/ofsted

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