Children's Home run by Westgate Lifestyle Project Limited in Hounslow

Inspection report children‘s home: SC409851 1 SC409851 Registered provider: Westgate Lifestyle Project Limited

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This children‘s home is registered to care for up to four young people with emotional and/or behavioural difficulties. A private provider owns and operates the home.

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Overall experiences and progress of

children and young people, taking into account

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inadequate

How well children and young people are helped and protected inadequate

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inadequate

The effectiveness of leaders and managers inadequate

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inadequate

There are serious and widespread failures that mean young people are not protected, experiences of young people are poor and they are not making progress.

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inadequate

Date of last inspection: 26 September 2016

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inadequate

Overall judgement at last inspection: Sustained effectiveness

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Key findings from this inspection

This children‘s home is inadequate because:

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Key findings from this inspection

 Behaviour management is ineffective and inconsistent.

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Key findings from this inspection

 There is evidence of widespread cannabis use by young people in the home. Inspection report children‘s home: SC409851 2 Staff fail to challenge this behaviour sufficiently.

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Key findings from this inspection

 Safeguarding is poor and managers fail to report notifiable incidents.

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Key findings from this inspection

 Key care-planning decisions, such as a reduction in staff supervision levels, are taken without any form of risk assessment or the knowledge of the placing local authority, leaving young people at risk.

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Key findings from this inspection

 Some young people say that they feel scared and unsettled by the behaviours of their peers at night.

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Key findings from this inspection

 The poor behaviours of young people have resulted in areas of the home, such as the living room, being locked during the day and therefore inaccessible to young people.

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Key findings from this inspection

 Inadequate and unsafe admission practices result in young people being placed who exhibit concerning behaviours that unsettle other children living at the home. Such placements are in contravention of the home‘s statement of purpose.

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Key findings from this inspection

 Some young people do not engage well in their learning and staff are not diligent in promoting their education.

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Key findings from this inspection

 Managers and staff fail to provide young people with appropriate structure and routines.

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Key findings from this inspection

 Activity planning is poor, with just one activity arranged in the months of July and August.

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Key findings from this inspection

 Managers and staff do not receive formal supervision. This means that the management of the home lacks direction and staff lack guidance.

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Key findings from this inspection

 A high staff turnover and use of agency staff limit the development of the staff team and exacerbate the inconsistencies in the behaviour management of young people.

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Key findings from this inspection

 Monitoring of the home by managers is poor. Ofsted has not received a monitoring report from the home‘s manager since December 2015.

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Key findings from this inspection

 Staff support young people to maintain contact with relatives, even if they live some distance away.

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Key findings from this inspection

 Staff help young people to access specialist support services such as the child and adolescent mental health services (CAMHS). Inspection report children‘s home: SC409851 3

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Inspection date Inspection type Inspection judgement

26/09/2016 Interim Sustained effectiveness 25/05/2016 Full Requires improvement 07/12/2015 Interim Improved effectiveness 04/08/2015 Full Good Inspection report children‘s home: SC409851 4

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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

A responsible individual must— have the capacity, experience and skills to supervise the management of the home. (Regulation 26 (7) (b)) 01/10/17

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Requirement Due date

The registered person must ensure that all employees— receive practice related supervision by a person with appropriate experience. (Regulation 33 (4) (b)) 01/10/2017

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Requirement Due date

The registered person must ensure that all employees have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33 (4) (c)) 01/10/2017

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Requirement Due date

The registered person must keep the statement of purpose under review and where appropriate revise it. (Regulation 16 (2) (c)) 01/10/2017

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Requirement Due date

The registered person must recruit staff using recruitment procedures that are designed to ensure children‘s safety.

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Requirement Due date

ensure that full and satisfactory information is available in relation to previous employment history. (Regulation 32 (3) (d)) 01/10/2017

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Requirement Due date

The registered person must ensure that an independent person visits the children‘s home at least once each month.

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Requirement Due date

When the independent person is carrying out a visit, the registered person must help the independent person— if they consent, to interview in private such of the children, their parents, relatives and persons working at the home as the 01/10/2017 Inspection report children‘s home: SC409851 5 independent person requires; and to inspect the premises of the home and such of the home‘s records (except for a child‘s case records, unless the child and the child‘s placing authority consent) as the independent person requires. (Regulation 44 (1) (2) (a)) Staffing of children‘s homes

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Requirement Due date

The registered person must ensure that— at all times, at least one person on duty at the home has a suitable first aid qualification. (Regulation 31 (2) (a)) 01/10/2017

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if— a child is involved in or subject to or suspected of being involved in or subject to sexual exploitation; an incident requiring police involvement occurs in relation to the child which the registered person considers to be serious. (Regulation 40 (4) (a) (b)) 01/10/2017

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system of monitoring, reviewing and evaluating— the quality of care provided for children; the feedback and opinions of children about the children‘s home, its facilities and the quality of care they receive in it; and any actions that the registered person considers necessary in order to improve or maintain the quality of care provided to children. (Regulation 45 (2) (a) (b) (c) (d)) 01/10/2017

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Requirement Due date

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— that staff— 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.

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Requirement Due date

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) (a) (i) (b))

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Requirement Due date

In particular, in relation to the lack of specialist risk 01/10/2017 Inspection report children‘s home: SC409851 6 assessments, care plans and monthly reports. The quality and purpose of care standard

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Requirement Due date

In order to meet the quality and purpose of care standard, the registered person must ensure— that the premises used for the purposes of the home are designed and furnished to meet the needs of each child. (Regulation 6 (2) (c) (i))

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Requirement Due date

In particular, the fire damage to the door in the bedroom should be repaired. 01/10/2017

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Requirement Due date

Behaviour management policies and records

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Requirement Due date

The registered person must prepare and implement a policy ("the behaviour management policy") which sets out— How appropriate behaviour is to be promoted in the children‘s home. (Regulation 35 (1) (a))

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Requirement Due date

In particular, the need for staff to have clear guidance concerning challenging the use of cannabis and enforcing consistent boundaries in the home. 01/10/2017

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on— (a) mutual respect and trust;

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Requirement Due date

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. (Regulation 11 (2) (i))

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Requirement Due date

In particular, to provide a programme of constructive activities when young people are on holiday or not in education and employment. 01/10/2017

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Requirement Due date

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.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to— lead and manage the home in a way that is consistent with the 01/10/2017 Inspection report children‘s home: SC409851 7 approach and ethos, and delivers the outcomes, set out in the home‘s statement of purpose; ensure that the home has sufficient staff to provide care for each child; ensure that the home‘s workforce provides continuity of care to each child. (Regulation 13 (2) (a) (d) (e))

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Requirement Due date

In particular, address the high staff turnover and consequent lack of consistency for young people. Children‘s case records

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Requirement Due date

The registered person must maintain records (―case records‖) for each child which: are kept up to date. (Regulation 36 (1) (b)) 01/10/2017

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Recommendations

 Ensure the registered person only accepts placements for children where they are satisfied that the home can respond effectively to the child‘s assessed needs as recorded in the child‘s relevant plans and where they have fully considered the impact that the placement will have on the existing group of children. (‗Guide to the children‘s homes regulations including the quality standards‘, page 56, paragraph 11.4)

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Recommendations

 Make sure that any sanctions used to address poor behaviour should be restorative in nature, to help children recognise the impact of their behaviour on themselves, other children, and staff caring for them and the wider community. In some cases it will be important for children to make reparation in some form to anyone hurt by their behaviour and the staff in the home should be skilled to support the child to understand this and carry it out. (‗Guide to the children‘s homes regulations, including the quality standards‘, page 46, paragraph 9.38)

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Recommendations

 Challenge the child‘s education provider if the child does not receive sufficient support to progress as outlined in their relevant plans. Act as effective advocates for or on behalf of a child who may be experiencing difficulties with education as a good parent would do. (‗Guide to the children‘s homes regulations including the quality standards‘, pages 27-28, paragraphs 5.11-5.12)

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Recommendations

 For children‘s homes to be nurturing and supportive environments that meet the needs of their children, they will, in most cases, be homely and domestic environments. Children‘s homes must comply with relevant health and safety legislations (alarms, food hygiene etc.); however, in doing so, homes should seek as far as possible to maintain a domestic rather than ‗institutional‘ impression. (‗Guide to the children‘s homes regulations including the quality standards‘, page 15, paragraph 3.9) Inspection report children‘s home: SC409851 8  The behaviour management strategy should be understood and applied at all times by staff, and must be kept under review and revised where appropriate. (‗Guide to the children‘s homes regulations including the quality standards‘, page 46, paragraph 9.34)

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Recommendations

 Devise a workforce plan which can fulfil the workforce related requirements of regulation 16, schedule 1 (paragraphs 19 and 20) The plan should:

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Recommendations

- detail the necessary management and staffing structure, (including any staff commissioned to provide health and education), the experience and qualifications of staff currently working within the staffing structure and any further training required for those staff, to enable the delivery of the home‘s Statement of Purpose; - detail the processes and agreed timescales for staff to achieve induction, probation and any core training (such as safeguarding, health and safety and mandatory qualifications); - detail the process for managing and improving poor performance;

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Recommendations

The plan should be updated to include any new training and qualifications completed by staff while working at the home, and used to record the ongoing training and continuing professional development needs of staff – including the home‘s manager. This is also with reference to ensuring staff training in radicalisation and refresher training in safeguarding. (‗Guide to the children‘s homes regulations including the quality standards‘, page 53, paragraph 10.8)

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Recommendations

 Ensure the children‘s guide contains contact details for the Office of the Children‘s Commissioner. (‗Guide to the children‘s homes regulations including the quality standards‘, page 23, paragraph 4.23)

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Recommendations

 Demonstrate every effort to achieve continuity of staffing to prevent disruption to children‘s attachments. (‗Guide to the children‘s homes regulations including the quality standards‘, page 51, paragraph 10.1)

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Recommendations

 Keep records detailing all individual incidents when children go missing from the home (regulation 36 (schedule 3 (14))). This information should be shared with the placing authority and, where, appropriate with the child‘s parents. Evaluation of missing incidents should be undertaken to identify any gaps in training, skills or knowledge for staff or to record and retain evidence of what worked well. This evaluation should inform the review of the quality of care. (‗Guide to the children‘s homes regulations including the quality standards‘, pages 45-46, paragraph 9.31)

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Recommendations

 Encourage young people to see the home‘s records as ‗living documents‘ supporting them to view and contribute to the record in a way that reflects their voice on a regular basis. (‗Guide to the children‘s homes regulations including the quality standards‘, page 58, paragraph 11.19) Inspection report children‘s home: SC409851 9  Ensure the provision of support to sustain or regain confidence in education and engagement in suitable structured activities. (‗Guide to the children‘s homes regulations including the quality standards‘, page 27, paragraph 5.5)

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Overall experiences and progress of children and young people: inadequate

Young people are at risk in the home. Staff are unable to challenge or manage behaviours effectively. In the words of one staff member, ‗behaviour is uncontrollable‘.

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Overall experiences and progress of children and young people: inadequate

Drug misuse is evident in the home. During this inspection, evidence of cannabis use was seen in one young person‘s bedroom and by young people when outside of the home; staff fail to challenge or sanction such behaviour. Cannabis use renders the young people difficult to engage and apathetic. Furthermore, young people were observed to swear at staff but then receive incentives/pocket money from staff a short time later. Staff make no attempts to discuss rude and confrontational attitudes.

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Overall experiences and progress of children and young people: inadequate

Staff do not challenge young people. During the inspection young people received money from staff for ‗hair products‘. However, on their return to the home shortly afterwards the young people were clearly under the influence of an unknown substance and did not provide staff with a receipt for hair products or any other expenditure. This occurred despite staff being aware of young people‘s current substance and alcohol misuse. When sanctions are imposed, young people report that these are inconsistent and dependent on the staff member involved. In addition, sanctions are largely financial in nature and do not address the cause of the presenting behaviour effectively.

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Overall experiences and progress of children and young people: inadequate

Poor behaviour affects the home environment. Managers recently closed off one communal area due to concerns over young people damaging property and hiding unapproved visitors. The home is lacking basic furniture. The home does not have a dining table around which young people can socialise over mealtimes. There are no pictures on the walls of the home and the main refrigerator is damaged. The kitchen is largely devoid of accessible food. Young people say that they have limited access to snacks and use their own money to purchase food from the local shop when they feel hungry.

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Overall experiences and progress of children and young people: inadequate

Poor levels of staff care result in inadequate outcomes for young people. Of the five young people who have left the home since the last full inspection, two were moved to secure accommodation due to their worsening behaviours.

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Overall experiences and progress of children and young people: inadequate

Staff fail to provide young people with constructive activities. There is no evidence of the use of daily planners in the home. Only one activity has been arranged during the months of July and August and the long summer holidays. These concerns are echoed by one relative who comments, ‗They don‘t do anything with him, he doesn‘t get anything to eat and they just let him sleep all day and smoke.‘ Young people report Inspection report children‘s home: SC409851 10 repeated trips to the gymnasium and the cinema and no discussion in the home about any form of holiday or other activities. Such poor activity planning means that young people do not have regular opportunities to engage in meaningful pastimes, it raises the chances of them becoming bored and further increases the risk of young people misusing cannabis.

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Overall experiences and progress of children and young people: inadequate

Young people‘s levels of achievement in education are mixed. One young person completed three GCSE examinations this summer. As a result, an education professional thanked the staff at the home for their ‗relentless efforts in achieving this‘. However, another young person has been without an educational programme since his arrival at the home; there is currently no plan for the resumption of education for this young person in September. These periods of inactivity result in young people experiencing delays in improving their learning and increase the risk of them engaging in negative and antisocial behaviour.

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Overall experiences and progress of children and young people: inadequate

Consultation with young people is limited. Young people display a good knowledge of the home‘s complaint procedure, they have access to some advocacy services and attend regular residents‘ meetings. However, the voice of young people is lacking in case recordings, care plans and risk assessments. This limits an assessment of their effectiveness and impact. In addition, the children‘s guide requires updating and does not contain the contact details for the children‘s commissioner. This restricts young people from an important source of support.

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Overall experiences and progress of children and young people: inadequate

Staff support young people to enjoy safe and managed contact with friends and relatives. This includes transporting young people long distances to spend time with family. This acts as an important source of support.

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Overall experiences and progress of children and young people: inadequate

Staff try to support healthy living. Escorted trips to the gymnasium are offered. Young people enjoy good access to primary care services, such as general practitioners. Staff push for swift access to appointments with CAMHS to ensure that young people have access to the help that they require.

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Overall experiences and progress of children and young people: inadequate

There is some evidence of slight improvements in behaviours. A few young people say that they have ‗chilled a bit‘ since arriving at the home. They point to close staff support on managing their emotions and developing their social skills.

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How well children and young people are helped and protected: inadequate

Safeguarding in the home is inadequate and young people are at high risk. Some young people report feeling scared at night. They are worried by their peers making noises and failing to settle. This disturbs their sleeping routines and results in young people living in an unsettled environment that leaves them tired and restless.

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How well children and young people are helped and protected: inadequate

Staff recruitment practice is not safe. For example, one recently recruited member of staff did not have their references verified. This shortfall poses a risk to the safety and welfare of young people, as the suitability of the member of staff has not been confirmed. Inspection report children‘s home: SC409851 11 Managers fail to inform Ofsted of serious incidents as required by regulations. Ofsted did not receive a notification of a serious allegation from a young person in July 2017. In addition, a vulnerable young person was missing for three nights without managers informing Ofsted. This prevents key information sharing between professionals and the appropriate monitoring of the home by Ofsted.

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How well children and young people are helped and protected: inadequate

Risk assessments are inadequate and, in some cases, non-existent. One young person arrived in June 2017 with a plan which specifies that he requires exclusive supervision by two staff members during the day. However, this young person is consistently unsupervised during the day and is able to come and go from the home without staff challenge. The young person was observed to be in the home solely with the interim manager and another young person. This was despite him making a serious threat to physically harm the interim manager two weeks previously. The absence of the level of required supervision is without the knowledge of the placing authority. This is despite assurances by managers of the home at a professionals‘ meeting that direct staff supervision levels would remain as two to one. The case file for the young person does not contain any monthly reports, care plans or risk assessments to justify the dramatic

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How well children and young people are helped and protected: inadequate

reduction in supervision. This places the young person, staff and the wider community at risk of harm.

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How well children and young people are helped and protected: inadequate

Communication from managers and staff with key professionals is poor. Placing authorities state that they do not receive monthly reports on young people. This limits their knowledge of the attainment and progress of young people.

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How well children and young people are helped and protected: inadequate

Staff attempt to engage with the wider community to safeguard young people. Local police visit the home to speak to young people about risk factors in the local area. Staff introduce young people to local shopkeepers on arrival to inform them of their age, in an attempt to limit their access to cigarettes. When staff become aware of shopkeepers who sell cigarettes to young people who are underage, they are reported to the police. On one occasion, staff removed a fake identification from a young person who had access to alcohol and cigarettes in the local community.

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How well children and young people are helped and protected: inadequate

Incidents of going missing are low. Staff support young people well when they go missing from the home. This includes proactively searching known local areas and speaking with relatives and friends. Staff actively pursue independent return to care interviews with placing authorities.

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The effectiveness of leaders and managers: inadequate

Leaders and managers fail to run the home effectively. Leaders and managers do not provide staff with the guidance that they require to look after young people safely. This results in poor outcomes for young people, who live in a home that is unsettled and unsafe.

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The effectiveness of leaders and managers: inadequate

Leaders and managers failed to submit an action plan following the last full inspection in May 2016. Many of the concerns from that inspection remain. The registered manager Inspection report children‘s home: SC409851 12 indicated that she wished to resign her post in February 2017 and formally resigned her position with Ofsted in May 2017; she remains the responsible individual.

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The effectiveness of leaders and managers: inadequate

Succession planning and support for managers is poor. An interim manager has been in post since May 2017. She is undertaking a management qualification, which she plans to complete by May 2018. Ofsted has not received an application for registration from the interim manager. This is the interim manager‘s first management position in residential care; she is inexperienced and needs close support. However, since arriving at the home, the interim manager has not received any formal supervision or appraisal of her performance. The finance manager also states that he has not received any formal supervision or appraisal for two years.

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The effectiveness of leaders and managers: inadequate

Management arrangements are inadequate. The interim manager‘s role is limited by confusion and lack of clarity as to her management responsibilities. Social care professionals comment on the responsible individual attending a recent meeting and introducing herself as the manager for the home, but then referring to herself as the registered manager in subsequent correspondence. The interim manager does not have access to the staff files nor a budget for activities; this role is held by the finance manager. However, and despite not formally supervising staff members, the finance manager has sole access to individual staff files. The current management structure limits the interim manager‘s ability to provide for the needs of young people. In addition, the responsible individual says that she has no access to the internal email system and is unable to execute her role effectively. These concerns have not been addressed by the

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The effectiveness of leaders and managers: inadequate

management group effectively; only two management meetings have occurred in the last year.

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The effectiveness of leaders and managers: inadequate

Internal monitoring of the home by leaders and managers is extremely poor. Ofsted has not received any form of management monitoring report since December 2015. This shortfall limits Ofsted‘s ability to gain regular oversight of the service. Management recording mechanisms of behaviours, such as when young people go missing from the home, are poor and prevent analysis of any patterns or trends.

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The effectiveness of leaders and managers: inadequate

Leaders and managers hamper the ability of independent visitors to monitor the home effectively. The most recent independent visitor ceased employment in June 2017; managers described him as being ‗too rigid‘. The former independent visitor told the inspector that managers would not give him contact details for the allocated social workers for young people in the home and he felt that his concerns were not addressed or acknowledged by managers. The home is presently seeking a new independent visitor and no further reports have been received by Ofsted.

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The effectiveness of leaders and managers: inadequate

Staff turnover is high. Nine members of staff have left since the last full inspection in May 2016. The home is lacking a workforce development plan, limiting the ability of managers to form a plan to train and nurture a permanent staff team.

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The effectiveness of leaders and managers: inadequate

Apart from the management team, the most senior member of staff commenced employment in April 2017. The constant upheaval created by staff turnover, coupled with a high use of agency staff, is confusing to young people and results in Inspection report children‘s home: SC409851 13 inconsistencies in behaviour management.

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The effectiveness of leaders and managers: inadequate

Training fails to equip staff with all the skills that they require. The rota indicates that none of the staff on some shifts have the required first aid qualification, further placing young people at risk of harm.

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The effectiveness of leaders and managers: inadequate

Important policies and procedures are out of date. The behavioural management policy and safeguarding policy do not cover significant areas of risk, such as the sexual exploitation of young people and guidance for staff on challenging the use of cannabis in the home. This is of particular concern, given the inexperience of the staff team.

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The effectiveness of leaders and managers: inadequate

The statement of purpose is out of date. It was most recently updated in December 2015. This results in a lack of information and clarity for placing professionals as to the aims and objectives of the home and the skills of the staff team.

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The effectiveness of leaders and managers: inadequate

Admission procedures are unsafe. One young person was recently admitted who exhibits the types of challenging behaviours that should prevent them from being accepted into the home, according to the statement of purpose. Furthermore, one child was admitted recently despite the placement being deemed inappropriate by the interim manager. The interim manager says that she was ‗overruled‘ by the finance manager. The interim manager was clear that the home could not meet the needs of the young person concerned.

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The effectiveness of leaders and managers: inadequate

Case files indicate a lack of rigorous challenge by managers to placing local authorities. Managers fail to challenge local authorities when they do not provide plans for education and other key services to young people.

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The effectiveness of leaders and managers: inadequate

Managers do not maintain the home in a good state of repair. Damage to a bedroom door, following a fire setting incident on 31 July 2017, is still to be rectified. This presents an unpleasant environment for young people.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the difference made to the lives of children and young people. They watched how professional staff work with children and young people and each other and discussed the effectiveness of help and care provided. Wherever possible, they talked to children and young people and their families. In addition, the inspectors have tried to understand what the children‘s home knows about how well it is performing, how well it is doing and what difference it is making for the children and young people who it is trying to help, protect and look after.

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Information about this inspection

Using the ‗Social care common inspection framework‘, this inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service, how it meets the core functions of the service as set out in legislation, and to consider how well it complies with the Children‘s Homes (England) Regulations 2015 and the ‗Guide to the children‘s homes regulations including the quality standards‘. Inspection report children‘s home: SC409851 14 Inspection report children‘s home: SC409851 15

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Children’s home details

Registered provider: Westgate Lifestyle Project Limited

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Inspector

Barnaby Dowell, social care inspector Inspection report children‘s home: SC409851 16 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

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Inspector

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Inspector

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