Children's home run by Crossway Services Limited in Liverpool

Inspection report children‟s home: SC460761 1 SC460761 Registered provider: Crossway Services Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This privately run children‟s home can accommodate one young person with emotional or behavioural difficulties.

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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 widespread failures that mean young people‟s welfare is not promoted and the care and experiences of young people are poor and they are not making progress.

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inadequate

Date of last inspection: 28 February 2017

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inadequate

Overall judgement at last inspection: sustained effectiveness

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Enforcement action since last inspection:

None. Inspection report children‟s home: SC460761 2

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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

 Young people do not receive effectively planned care. This is because, at the point of referral, the manager did not ensure that the home could meet the young person‟s needs.  The young person‟s records are not regularly updated and maintained in order to show how the young person is helped and protected. As a result, they do not adequately show how the young person has progressed or that everybody involved in their care is in agreement with the plans.  Risk assessments do not clearly identify all the risks faced by the young person. Therefore, members of staff cannot make all of the necessary arrangements to reduce the risk of any harm and help the young person to understand how to keep safe.  The home‟s day-to-day care is not arranged and delivered to keep the young person safe and to protect them from harm effectively.  Member of staff have not received training about bereavement and loss. This

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Key findings from this inspection

limits their ability to support the young person‟s emotional health well.  The arrangements for the young person‟s education and, in particular, how the home‟s staff were to support the young person when out of school were unclear. Members of staff did not have any information about the young person‟s academic ability and there was no educational timetable established to promote her education.  Young people‟s health plans are not kept up to date. They do not adequately address the young person‟s emotional health or what steps have been taken to ensure that good routines are in place to support the young person‟s good health.  The manager has not formally challenged the local authority about failing to share important information at the point of referral. In addition, the arrangements for the young person‟s transition to their new placement have not progressed after being given several dates to move. This has affected her

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Key findings from this inspection

emotional health.  The manager does not have sufficient management oversight of the home, as she is covering staffing shortfalls at other homes run by the company.  External complaints are not dealt with robustly. This does not ensure that good relationships are maintained in the community.  The home does not have a workforce plan. Therefore, the manager cannot demonstrate that the related requirements of regulation 16, schedule 1 are met.  Members of staff do not receive regular supervision in line with the home‟s statement of purpose. Further to this, the manager does not discuss research and practice issues at staff meetings. As a result, their practice is not formally Inspection report children‟s home: SC460761 3 informed or monitored.  The manager has not sent an updated statement of purpose to Ofsted. The manager did not take effective action when a serious concern was raised about the young person‟s welfare. In addition to this, the manager did not notify

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Key findings from this inspection

Ofsted of this concern. This does not ensure that the regulator is able to carry out its monitoring functions and ensure that all appropriate action is taken by the provider to safeguard young people.  The internal and external monitoring of the home is poor. The current arrangements have not identified the shortfalls raised at this inspection.

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Key findings from this inspection

 The home has mediated between young people and their parents. This resulted in one young person returning home.  Young people take part in a range of activities. This has helped a young person with her emotional health.  The young person‟s cultural needs have been addressed well. She now receives specialist treatments and products for her personal care. In addition to this, a diverse staff team cares for her. This means that she has been able to discuss her heritage and try different foods.  When concerns arose, the company responded quickly and additional staff were allocated to the home.

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Inspection date Inspection type Inspection judgement

28/02/2017 Interim Sustained effectiveness 08/12/2016 Full Good 16/02/2016 Full Good 05/11/2015 Interim Sustained effectiveness Inspection report children‟s home: SC460761 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

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

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)(b))

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Requirement Due date

This is specifically in relation to ensuring that electrical equipment and extension leads are not taken into the bathroom. 30/10/2017

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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-

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Requirement Due date

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 and help each child to understand how to keep safe:

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Requirement Due date

help each child to understand how to keep safe:

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Requirement Due date

take effective action whenever there is a serious concern about a child‟s welfare. (Regulation 12(1)(2)(a)(i)(ii)(vi))

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Requirement Due date

This is specifically in relation to ensuring that risk assessments are robust and include possible triggers for behaviour. Further to this, ensure meetings are convened as soon as possible to discuss any serious concerns that are identified and the actions for each party to 30/10/2017 Inspection report children‟s home: SC460761 5 take to safeguard the young person. 14: The care planning standard

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Requirement Due date

The care planning standard is that children-

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Requirement Due date

receive effectively planned care in or through the children‟s home.

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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

that children are admitted to the home only if their needs are within the range of children for whom it is intended that the home is to provide care and accommodation, as set out in the home‟s statement of purpose. (Regulation 14(1)(a)(2)(a)) 30/10/2017

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Requirement Due date

The health and well-being standard is that –

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Requirement Due date

children are helped to lead healthy lifestyles

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Requirement Due date

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

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Requirement Due date

that staff help each child to achieve the health and well-being outcomes that are recorded in the child‟s relevant plans. (Regulation 10(a)(i))

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Requirement Due date

This is specifically in relation to ensuring that the young person‟s health plan is kept up to date and ensuring it includes all of the known information within it, including young people‟s emotional health. 30/10/2017

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Requirement Due date

The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.

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Requirement Due date

In particular, the standard in paragraphs (1) and (2) requires the registered person to ensure-

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Requirement Due date

that staff help each child to achieve the child‟s education and training targets, as recorded in the child‟s relevant plans:

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Requirement Due date

promote opportunities for each child to learn informally:

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Requirement Due date

maintain regular contact with each child‟s education and training provider. (Regulation 8(1)(a), (2)(a)(i)(v)(vi))

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Requirement Due date

This is specifically in relation to securing young people‟s personal education plans (PEP). Further to this, to liaise with the identified 30/10/2017 Inspection report children‟s home: SC460761 6 schools to secure recent school reports and educational work for the young person to complete while away from school and to have an educational timetable within the home. 5: Engaging with the wider system to ensure children‟s needs are met

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Requirement Due date

In meeting the quality standards, the registered person must, and must ensure that staff-

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Requirement Due date

If the registered person considers, or staff consider, a placing authority‟s or relevant person‟s performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child‟s needs are met in accordance with the child‟s relevant plans. (Regulation 5(c))

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Requirement Due date

This is specifically in relation to evidencing that robust challenges are made around the lack of information at the point of referral, identifying a new placement and that return interviews are completed. 30/10/2017

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Requirement Due date

13: The leadership and management standard

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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-

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Requirement Due date

In particular, the standard the standard in paragraphs (1) and (2) requires the registered person to-

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on research and developments in relation to the ways in which the needs of children are best met. (Regulation 13(1)(2)(g))

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Requirement Due date

This is specifically in relation to using research to inform practice within staff meetings. 30/10/2017

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Requirement Due date

13: The leadership and management standard

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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-

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Requirement Due date

In particular, the standard the standard in paragraphs (1) requires the registered person to-

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Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child. (Regulation 13(1)(2)(c))

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Requirement Due date

This is specifically in relation to staff having bereavement training. 30/10/2017

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Requirement Due date

13: The leadership and management standard 30/10/2017 Inspection report children‟s home: SC460761 7 The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children‟s home

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Requirement Due date

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

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Requirement Due date

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. (Regulation 13(2)(f))

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Requirement Due date

This is specifically in relation to ensuring that young people‟s progress is recorded in their documents. 13: The leadership and management standard

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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

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Requirement Due date

In particular, the standard the standard in paragraphs (1) requires the registered person to-

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Requirement Due date

lead and manage the home in a way that is consistent with the approach and ethos, delivers the outcomes, set out in the home‟s statement of purpose. (Regulation 13(2)(a))

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Requirement Due date

This is specifically in relation to the manager being able to demonstrate that they are in day-to-day charge of the home. 30/10/2017

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Requirement Due date

The registered person must ensure that all employees receive practice- related supervision. (Regulation 33(4)(b)) 30/10/2017

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Requirement Due date

The registered person must keep the statement of purpose under review and, where appropriate, revise it; and notify HMCI of any revisions and send a copy of the revised statement within 28 days of the revision. (Regulation 16(3)(a)(b)) 30/10/2017

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Requirement Due date

The registered person must ensure that a record is made of any complaint, the action taken in response, and the outcome of any investigation. (Regulation 39(3)) 30/10/2017 Inspection report children‟s home: SC460761 8 40: Notification of a serious event

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if-

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Requirement Due date

there is any other incident relating to a child, which the registered person considers to be serious. (Regulation 40(4)(e)) 30/10/2017

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Requirement Due date

44: Independent person: visits and reports

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Requirement Due date

The independent person‟s must produce a report about a visit (“the independent person‟s report”) which sets out, in particular, the independent person‟s opinion as to whether –

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Requirement Due date

the conduct of the home promotes children‟s well-being. (Regulation 44(40)(b)) 30/10/2017

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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 for monitoring, reviewing and evaluating-

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Requirement Due date

The quality of care provided to children;

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Requirement Due date

the feedback and opinions of children about the children‟s home, its facilities and the quality of care they receive in it; and

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Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided. (Regulation 45(2)(a)(b)(c)) 30/10/2017

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Recommendations

 The registered person should have a workforce plan which can fulfil the workforce related requirements of regulation 16, schedule 1 (paragraphs 19 and 20). („Guide to the children‟s homes regulations including the quality standards‟, page 53, paragraph 10.8)  All children‟s case records must be kept up to date. („Guide to the children‟s homes regulations including the quality standards‟, page 62, paragraph 14.3) This is specifically in relation to ensuring that young people‟s files are in good order.  The registered person should build a strong safeguarding culture in the home. („Guide to the children‟s homes regulations including the quality standards‟, page 43, paragraph 9.8) This is specifically in relation to ensuring that all visitors‟ are informed about the emergency evacuation procedure. Inspection report children‟s home: SC460761 9  The registered person should review the appropriateness and suitability of the

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Recommendations

location and premises of the home at least once a year. („Guide to the children‟s homes regulations including the quality standards‟, page 64, paragraph 15.1) In particular, the crime statistics for the area should be evaluated to address any known risks that may affect young people. Further to this, the registered person must ensure that they consider the location review when completing impact risk assessments on new admissions to the home.  Ensure that case records are kept up-to-date and signed by the author. („Guide to the children‟s homes regulations including the quality standards‟, page 62, paragraph 14.3) This is specifically in relation to ensuring that the manager, social worker and staff have signed all records.

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Overall experiences and progress of children and young people: inadequate

The current standards of care and support provided at this home mean that the young person‟s safety, health, emotional well-being and education needs are not met.

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Overall experiences and progress of children and young people: inadequate

Young people have been placed at this home without their needs being fully assessed or understood. The manager informed the inspector that the local authority had failed to share important information about the risks that might materialise when the young person was emotionally vulnerable, which did not help. Nevertheless, the manager did not follow the home‟s own statement of purpose and did not ensure that they had all the necessary information to make an informed decision about whether the home was able to meet the needs of the young person. In particular, those caring for the young person did not understand her emotional vulnerability at a time when she was facing significant loss and attachment issues. Staff are not trained in important areas such as bereavement and loss, and were therefore not adequately skilled to respond to a young person who was struggling emotionally. This led to serious risk-taking behaviour, such as

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Overall experiences and progress of children and young people: inadequate

fire starting and self-harm. In addition, staff did not manage the young person‟s feelings and anxiety around night-time routines effectively, but rather chose to let the young person sleep on a couch downstairs for eight weeks.

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Overall experiences and progress of children and young people: inadequate

The manager subsequently acknowledged that the home‟s staff were unable to meet this level of need. However, there has been a delay in identifying a suitable therapeutic placement for the young person to move to. This has been very unsettling for the young person, who said that she was very unhappy about being let down. She said, „They have told me that I will definitely move this Friday, but I am not sure about anything.‟ This does not ensure that the young person‟s emotional health is well cared for and that they have stability. In addition to this, the manager has not formally challenged the local authority about its actions.

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Overall experiences and progress of children and young people: inadequate

A diverse staff team promotes young people‟s cultural heritage. This has meant that young people are able to ask questions and learn about their own cultural needs, for Inspection report children‟s home: SC460761 10 example prior to coming to this home the current young person had not understood that she needed to take extra care of her skin and hair. Members of staff have provided the young person with relevant information about a range of issues, from hair and skincare to experiencing and enjoying new and varied meal options. The young person said, „I make a really good goat curry.‟

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Overall experiences and progress of children and young people: inadequate

The young person‟s files are not structured well, and old information has not been archived. This does not help to ensure that members of staff have the most up-to-date information to allow them to care for the young person. In addition to this, the author, manager and the social worker have not signed several documents. This does not show that all parties are in agreement with the plans. Further to this, staff members have undertaken numerous consultation sessions with the young person about their wishes, feelings and views regarding their health, safety and education. However, staff have not used this information to inform and, if necessary, change the young person‟s plans. This limits the home‟s ability to demonstrate the progress that the young person has made.

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Overall experiences and progress of children and young people: inadequate

The manager and staff are not sufficiently proactive in ensuring that the educational needs of young people are consistently met. On being informed that a young person was suspended from school, the manager did not contact the school for further information about the reasons or to secure other relevant information, such as previous reports and a copy of the personal education plan. The home‟s staff were therefore unaware of the young person‟s level of academic ability so that they could provide the appropriate support. A new provision has been identified and an initial assessment has been completed. However, there is currently no contingency plan, should this setting not materialise, neither has an educational timetable been put in place to support her education in the intervening period. This does not ensure that good routines are maintained and that the young person receives the statutory level of education.

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Overall experiences and progress of children and young people: inadequate

While the transition to a new placement has stalled for the current young person, the previous young person was successfully supported to return home to his parents. This was made possible because the home worked closely with the young person‟s parents and professionals. The manager and staff worked hard to mediate and build improved relationships that led to increased contact and, finally, a planned return home, where he is now doing well.

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Overall experiences and progress of children and young people: inadequate

There are good contact arrangements in place for the currently placed young person to see her family and those who are important to her. Therefore, relationships are maintained, supported and safe. The staff also sensitively supported the young person to see her mother every day at the hospital. As a result, she was able to spend quality time with her mother.

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Overall experiences and progress of children and young people: inadequate

Young people enjoy a variety of activities, for example going to the cinema and the gym, cooking and walking. The currently placed young person particularly likes to go to theme parks. She said, „I love fast rides and I have been to most of the theme parks. It has taken my mind off things.‟ This shows that young people are offered opportunities to be purposefully engaged and to experience new activities while engaging in the community. Inspection report children‟s home: SC460761 11

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

The young person says that she has good relationships with members of staff. However, the difficulties regarding the time that it has taken to secure a new placement and how this has been communicated to the young person have affected her relationship with others, including the manager. This young person says that this experience has affected her emotional health and her ability to form trusting attachments.

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

The lack of multi-agency working has affected the quality of the home‟s risk assessments and the staff‟s ability to keep the young person safe. Two recent matters have raised concern about the vulnerability of young people, specifically with regard to a concern about the sharing of inappropriate images on a mobile phone and an ongoing investigation regarding child sexual exploitation. There are no agreed actions for staff to take, should an incident occur. For example, regarding the use of a mobile phone, consideration should be given to discussing concerns with relevant safeguarding professionals as soon as is practical, given the implications of young people sharing inappropriate images via social media or mobile phones.

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

A risk assessment about the inappropriate use of a young person‟s mobile says that the young person should not have a mobile phone or have access to the internet. However, it does not set out the actions that members of staff should take if the young person were to access these in the community or if there is a concern about any possible content. This further impeded because two different formats are being used. One format does not identify triggers that members of staff need to be aware of to divert unacceptable behaviour. The manager said that the youth offending service is undertaking sessions with the young person around these issues. However, the manager has not liaised with the service youth offending service effectively. Therefore, the home has not identified what information it can discuss with the young person and no additional work has been completed at the home to complement or enhance any other

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

work that is being undertaken to safeguard the young person. This does not ensure that risk assessments are effective in reducing or minimising risks.

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

The young person has been reported missing from the home on two occasions. Members of staff followed the local authority‟s protocol for reporting these incidents. Records show that suitable action was taken to ensure that the young person returned safe and well. Initially, the home asked an independent service to conduct the return interview. The social worker said that she did not want this, as the local authority undertakes its heir own. However, the interview has not been conducted, yet the manager has not challenged the local authority about it. This does not ensure that young people have the opportunity to speak with someone independent of the home and that any possible reasons for going missing are explored.

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

In general, the young person‟s behaviour is good. The home‟s recording format sets out all of the necessary information required by the Children‟s Homes Regulations 2015 if either a restraint or sanction were to occur. In addition to this, members of staff have received training in holding young people safely, as well as in behaviour management and de-escalation skills. The young person has received several positive awards for Inspection report children‟s home: SC460761 12 attending appointments, helping around the home and good behaviour. These include trips to theme parks, extra pocket money and beauty products. The young person said, „It is great when they see you are trying.‟ As a result, the young person‟s behaviour has improved.

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

On the day of inspection, the inspector observed that an extension lead was going from the young person‟s bedroom into the bathroom. A CD player was on the side of the bath. A member of staff and the manager said that they were not aware that she had done this. However, the young person said, „I always listen to music when I am in the bath.‟ This action poses a serious risk to the young person‟s health. Alternative arrangements that are safe must be urgently considered to ensure the young person‟s safety and welfare. In addition to this, visitors to the home are not routinely taken through the fire evacuation procedure. This is especially important, given the associated concerns about young people‟s risk-taking behaviours, such as fire starting.

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The effectiveness of leaders and managers: inadequate

The manager was registered with Ofsted in June 2017. She has a leadership and management qualification and several years‟ experience of working with young people. There is a stable staff team at the home. Due to concerns around the young person‟s and staff‟s safety, staffing levels were increased. To offer consistency of care, the manager has made efforts to ensure that the same agency staff are used. However, there are shortfalls in staffing across the company‟s homes. This is due to several young people requiring increased levels of support, in addition to staff vacancies. The company has tried to recruit new staff, but with limited success. As a result, the manager has been covering staffing shortfalls across the company. This means that she has not been in day-to-day charge of the home, and this has led to a lack of oversight.

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The effectiveness of leaders and managers: inadequate

The home was taken over by a new company in February 2017. The statement of purpose has been updated, but has not been sent to Ofsted. This does not ensure that Ofsted is aware of any revisions to the statement of purpose or whether the ethos of the home has changed. In addition to this, when serious concerns have arisen, the manager has not notified Ofsted. Therefore, Ofsted was not aware of the incident and the actions taken to ensure the young person‟s safety. At the point of the new referral, the manager did not use the home‟s location risk assessment to assess any known risks that may affect the young person. Insufficient consideration was given to ensuring that the young person was placed in a safe environment that met their needs.

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The effectiveness of leaders and managers: inadequate

Staff meetings are held regularly, but the manager does not use these meeting to discuss research and practice issues effectively. This does not ensure that staff have the opportunity to discuss new research, legislation or amendments to policies and procedures. This is a missed opportunity to reflect on how these affect or change the care that they provide to young people. In conjunction with this, members of staff do not receive regular supervision. This means that their practice is not formally discussed so that they have the opportunity to address their development needs.

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The effectiveness of leaders and managers: inadequate

The home has information about the staffing structure, including each staff member‟s Inspection report children‟s home: SC460761 13 experience, qualifications and timescales to progress through induction and probation periods, and the frequency of supervisions. Further to this, there is a policy for managing and improving poor performance and a separate training matrix. However, this information is in different documents throughout the home. Therefore, there is no coherent workforce plan that captures all of this information in one document.

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The effectiveness of leaders and managers: inadequate

The responses to complaints that are raised are variable. Positively, the young person said: „The manager was excellent in helping me to make a complaint about my social worker. I got a new one and she is good.‟ This shows that the young person was supported to raise her concerns and was happy with the outcome. In contrast to this, the home has received two external complaints from a neighbour. They have not been formally recorded. Therefore, it is unclear what action was taken and whether the complainant was satisfied with the outcome.

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The effectiveness of leaders and managers: inadequate

The internal and external monitoring of the home is ineffective. The reports list dates of information, but do not evaluate the quality of the information provided. In addition, the management has have not consulted with a range of professionals or parents to identify what the home can improve on or what it does well. This does not ensure that the home has sufficient information to improve and develop the service. As a result, the independent visitor and the manager had not identified most of the shortfalls within this report. In contrast to this, the responsible individual had identified that the independent visitor‟s reports were not robust. A new service will be undertaking these visits in October 2017.

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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, 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 whom 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: SC460761 14

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Children’s home details

Registered provider: Crossway Services Limited

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Children’s home details

Registered provider address: Rouse House, 2 Wyther Lane, Leeds LS5 3BT

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Inspector(s)

Pam Nuckley, social care inspector Inspection report children‟s home: SC460761 15 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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