Children's home run by Crossways Care Ltd in Tewkesbury

Inspection report for children’s home - monitoring visit: SC443079 1 SC443079

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Information about this children’s home

This children’s home was registered in March 2012 to provide care and accommodation for up to three young people, irrespective of gender, who may have emotional and/or behavioural difficulties. The home is run by a company that runs several other children’s homes and a small, specialised school in the area. In 2013, the company was purchased by a larger national organisation, but it retains its local corporate identity.

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Recent inspection history

Inspection date Inspection type Inspection judgement 23/05/2017 Full Inadequate 15/11/2016 Interim Declined in effectiveness 13/05/2016 Full Good 11/02/2016 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: SC443079 2

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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

The leadership and management standard The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children’s home that helps children aspire to fulfil their potential; and promotes their welfare. In particular, the standard in paragraph requires the registered person to 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; ensure that staff work as a team where appropriate; ensure that staff have the experience, qualifications and skills to meet the needs of each child; understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home; demonstrate that practice in the home is informed and improved by taking into account and

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Requirement Due date

acting on research and developments in relation to the ways in which the needs of children are best met; and feedback on the experiences of children, including complaints received; and use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13(1)(a)(b)(2)(1)(a)(b)(c)(f)(g)(I)(ii)(h)) 07/07/2017

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Requirement Due date

Children’s case records The registered person must maintain records ("case records") for each child which are kept up to date; and are signed and dated by the author of each entry. (Regulation 36(1)(a)(c)) 07/07/2017

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Requirement Due date

Notification of a serious event The registered person must notify HMCI and each other relevant person without delay if there is any other incident relating to a child which the registered person considers to be serious. (Regulation 40(e)) 07/07/2017 Inspection report for children’s home - monitoring visit: SC443079 3 The quality and purpose of care standard The quality and purpose of care standard is that children receive care from staff who understand the children’s home’s overall aims and the outcomes it seeks to achieve for children; use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential. In particular, the standard in paragraph (1) requires the registered person to protect and promote each child’s welfare; treat each child with dignity and respect; provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s

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Requirement Due date

background; help each child to understand and manage the impact of any experience of abuse or neglect; help each child to develop resilience and skills that prepare the child to return home, to live in a new placement or to live independently as an adult; provide to children living in the home the physical necessities they need in order to live there comfortably; protect and promote each child’s welfare; treat each child with dignity and respect; provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s background; help each child to understand and manage the impact of any experience of abuse or neglect; help each child to develop resilience and skills that prepare the child to return home, to live in a new placement or to live independently as an adult; provide to children living in the home the physical necessities they need in order to live there comfortably. (Regulation

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Requirement Due date

6(1)(a)(b)(2)(ii)(iii)(iv)(v)(vi)(vii)(vii)(c)(I)(ii)) 07/07/2017

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Requirement Due date

The health and well-being standard The health and well-being standard is that children are helped to lead healthy lifestyles. In particular, the standard in paragraph (1) requires the registered person to ensure that staff help each child to achieve the health and well- being outcomes that are recorded in the child’s relevant plans. (Regulation 10(1)(c)(2)(a)(I)) 07/07/2017

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Requirement Due date

The positive relationships standard The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on an understanding about acceptable behaviour. In particular, the standard in paragraph (1) requires the registered person to ensure that staff meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans help each child to develop and practise skills to resolve conflicts positively and without harm to anyone. (Regulation 11(1)(b)(2)(a)(iv)) 07/07/2017 Inspection report for children’s home - monitoring visit: SC443079 4 Statement of purpose The registered person must compile in relation to the children’s home a statement ("the statement of purpose") which covers the matters listed in Schedule 1. The registered person must keep the statement of purpose under review and, where appropriate, revise it; and notify HMCI of any revisions and send HMCI a copy of the revised statement

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Requirement Due date

within 28 days of the revision. (Regulation 16(1)(3)(a)(b)) 07/07/2017

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Requirement Due date

The protection of children standard The protection of children standard is that children are protected from harm and enabled to keep themselves safe. In particular, the standard in paragraph (1) requires the registered person to ensure 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. (Regulation 12(1)(2)(b)) 07/07/2017

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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. At the previous inspection in May 2017, eight statutory requirements were made. The purpose of this monitoring visit is to review the action taken by the registered manager in respect of the requirements made. The monitoring visit included speaking with the registered manager and the newly appointed head of quality for the company’s residential services. Brief discussions and observations took place with the two young people living in the home. Records and a number of new monitoring tools were scrutinised during the inspection. The inspector found that the registered manager, with the support of her senior management team, had taken swift action to address the immediate concerns in relation to the living environment and the monitoring and auditing of the home. As a result, the young people are now living in a home that is very comfortable, clean

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Information about this inspection

and homely. There is much evidence of how the young people have influenced the changes. Their bedrooms, while still in the process of being decorated, now reflect their personalities. The kitchen is now very well decorated with a working wood- burning fire and new furniture. Cupboards on the walls replace shelves. This means that items once removed from the kitchen, because young people had used them as missiles or they were considered unsafe, are now safely and appropriately stored. Updated assessments evidence that risks are now managed rather than being Inspection report for children’s home - monitoring visit: SC443079 5 avoided. An up-to-date and well-considered development plan outlines the work that is ongoing with timescales for completion that are reasonable. Observation of one young person during the inspection confirmed their excitement at a new carpet being laid and the changes taking place in their living room. Further deliveries of

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Information about this inspection

furniture are planned for the coming week, including outside adventure play apparatus. The registered manager has provided regular updates to the local authority and Ofsted during this period. In doing so, both have remained updated, with not just notifiable events, but also the progress and improvements taking place in the home. A particular strength of the registered manager has been her ability to reflect on the findings of the full inspection. Weaknesses identified in respect of the monitoring and reviewing of the home and the progress of young people are the focus of her attention. A new behaviour mapping tool introduced by the head of quality, while in its infancy, looks to provide the registered manager with a means to scrutinise patterns and trends across the home. A new training matrix format confirms a wide range of training courses. Through supervision, all staff have identified the training and learning that they need to be

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Information about this inspection

able to better support young people with challenging and complex behaviours. The introduction of on-site support from the company play therapist and child and adolescent mental health services (CAMHS) means that, while aggressive behaviours from the young people and the use of physical intervention continue, both are reducing. Further training and a more collaborative approach to behaviour management is required. However, the manager and staff are feeling more confident about how to support the young people. Key-worker sessions to ensure that the young people have opportunities to share their thoughts, feelings and worries have improved. However, further work is necessary to ensure that all details of key-worker sessions are recorded. Records scrutinised confirm that staff are exploring sensitive and challenging issues with young people, for example self-harm and mental health. Consultation with CAMHS is

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Information about this inspection

to continue in order to embed practices and improve the staff’s understanding of risk and behaviour management. A further full inspection will assess the home environment, the young people’s experiences and progress, and the leadership and management of the home. Inspection report for children’s home - monitoring visit: SC443079 6

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Children’s home details

Registered provider address: Crossways Care Ltd, Unit B2, Elmbridge Court, Cheltenham Road East, Gloucester, Gloucestershire GL3 1JZ

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Children’s home details

Responsible individual: Christine Cameron

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Inspector

Linda Bond, social care inspector Inspection report for children’s home - monitoring visit: SC443079 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 children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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