Children's Home run by Destiny House in Harrow

Inspection report children’s home: SC038906 1 SC038906 Registered provider: Destiny House

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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 private home provides care and accommodation for up to eight young people who may have emotional and/or behavioural difficulties.

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Information about this children’s home

Inspection dates: 30 November to 1 December 2017

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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 children and young people are not protected or their welfare is not promoted or safeguarded.

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inadequate

Overall judgement at last inspection: Inadequate

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Enforcement action since last inspection:

On 15 September 2017, Ofsted issued three statutory requirement enforcement notices to the registered person/manager. The statutory requirement enforcement notices related to:

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Enforcement action since last inspection:

 failure to comply with Regulation 13 of the Children’s Homes (England) Regulations 2015 – the leadership and management standard;  failure to comply with Regulation 37 of the Children’s Homes (England) Regulations 2015 – other records with respect to children’s homes; in Inspection report children’s home: SC038906 2 particular, register of children and staff roster;  failure to comply with Regulation 40 of the Children’s Homes (England) Regulations 2015 – notifications.

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Enforcement action since last inspection:

The registered person was required to comply with all three enforcement notices by 1 October 2017.

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Enforcement action since last inspection:

On 2 October 2017, Ofsted conducted a monitoring visit to check whether the registered person had complied with the enforcement notices. This visit concluded that the provider had met one compliance notice and partially met two.

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Enforcement action since last inspection:

On 2 November 2017, Ofsted conducted a second monitoring visit to check whether the registered person had complied with the enforcement notices. This visit concluded that the registered person continued to fail to comply with Regulation 13 of the Children’s Homes (England) Regulations 2015 – the leadership and management standard.

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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

 The home is not managed well.  The service is failing to meet the relevant regulations, quality standards and to follow good practice. This results in young people receiving a quality of care that is inadequate.  The registered person/manager has failed to take effective actions to secure compliance with requirements that were raised at the last inspection.  The registered person/manager has failed to comply with the statutory requirement enforcement notice that was issued by Ofsted on 15 September 2017 regarding the leadership and management standard. In particular, the registered person has continued to fail to provide clear and up-to-date policies, procedures and guidance to staff.  The registered person/manager’s continued noncompliance with legislation raises questions about the home’s capacity for improvement under her leadership and management, and her suitability to remain registered with

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Key findings from this inspection

Ofsted.  The registered person/manager’s monitoring is ineffective.  The independent visitor’s monitoring is ineffective.  Record keeping in the home is ineffective. The home does not keep a log of Inspection report children’s home: SC038906 3 allegations made against the people who work there. The registered person has failed to maintain records of all allegations made against the staff members and the management of the home.  The arrangements for dealing with allegations against the management and staff are not effective. A completion of the current investigation is 12 weeks overdue.  The registered person/manager does not work in effective partnership with other professionals to safeguard children and promote their welfare. This places children at risk of harm.  The home’s risk management practices are not robust. This places children at risk of harm.  The home does not demonstrate that issues related to control and care are

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Key findings from this inspection

always considered in a balanced way.  The safeguarding practices in the home are risk averse and highly controlling. These practices do not promote young people’s progress in developing better self-regulation and resilience to risks.  Despite high levels of CCTV surveillance, young people are not allowed to enter the kitchen without staff being present. This means that they are not able to get any drinks from the kitchen, including water, independently.  The impact of the home’s behaviour management practices on young people’s behaviours is varied.  The registered person/manager has continued to provide inconsistent and misleading information about what this children’s home provides.  The insensitivity around the use of language and the inappropriate messages that the home sometimes gives raise concerns about the home’s overall ethos.  It is not clear how the registered person/manager and staff promote young

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Key findings from this inspection

people’s knowledge and understanding of other beliefs and prepare them for life in diverse British society.  Young people look forward to living somewhere else.

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Key findings from this inspection

 Young people said that they feel safe in the home.  Young people relate well to some staff members.  Young people are supported to progress in their studies.  The home celebrates young people’s attainments. This has a positive impact on their self-esteem and sense of achievement.  The consistency of the management and staff have brought an element of stability to the young people’s lives. Inspection report children’s home: SC038906 4  The team cohesion is strong.  In response to the requirements, all staff have had a supervision meeting recently and had their individual performance reviewed.

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Inspection date Inspection type Inspection judgement

22/08/2017 Full Inadequate 27/03/2017 Interim Improved effectiveness 28/09/2016 Full Requires improvement 25/01/2016 Interim Sustained effectiveness Inspection report children’s home: SC038906 5

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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

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

seek to develop and maintain effective professional relationships with such persons, bodies or organisations as the registered person considers appropriate having regard to the range of needs of children for whom it is intended that the children's home is to provide care and accommodation. (Regulation 5 (d)) 01/02/2018

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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—

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Requirement Due date

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

help each child to understand how to keep safe. (Regulation 12 (1 ) (2) (i) (ii))

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Requirement Due date

In particular, the registered person must ensure robustness of risk assessments while helping children to understand the risks and build on safer behaviours. 01/02/2018

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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— 01/02/2018 Inspection report children’s home: SC038906 6 promotes their welfare. (Regulation 13 (1) (b)) The leadership and management standard

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Requirement Due date

In particular, the leadership and management standard 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, and delivers the outcomes, set out in the home's statement of purpose. (Regulation 13 (2) (a)) 01/02/2018

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Requirement Due date

In particular, the leadership and management standard 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 (2) (c))

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Requirement Due date

In particular, the registered person must demonstrate that staff members have had appropriate training in first aid and food hygiene. 01/02/2018

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Requirement Due date

In particular, the leadership and management standard 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 (2) (g))

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Requirement Due date

In particular, the registered person must ensure that the home’s policies, procedures and practices are in line with current legislation and good practice guidance. 01/02/2018

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Requirement Due date

In particular, the leadership and management standard requires the registered person to—

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Requirement Due date

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (2) (h)) 01/02/2018

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Requirement Due date

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. 01/02/2018 Inspection report children’s home: SC038906 7 If a home has a website, the registered person must ensure that a copy of the statement of purpose is published on that website unless the registered person considers that such publication would prejudice the welfare of children in the home.

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Requirement Due date

Subject to paragraph (6), the registered person must ensure that the home is at all times conducted in a manner which is consistent with its statement of purpose. (Regulation 16 (1) (4) (5))

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Requirement Due date

In particular, the registered person must ensure that the statement of purpose provides clear and accurate information about the service and is published on the home’s website. Fitness of workers

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Requirement Due date

The registered person must ensure that an individual who works in the home in a care role has the appropriate qualification (a) the Level 3 Diploma for Residential Childcare (England) ("the Level 3 Diploma". (Regulation 32 (4 (a))

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Requirement Due date

In particular, the registered person must ensure that the evidence of staff’s qualifications is available. 01/02/2018

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Requirement Due date

The registered person must prepare and implement a policy which—

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Requirement Due date

is intended to safeguard children accommodated in the children's home from abuse or neglect; and sets out the procedure to be followed in the event of an allegation of abuse or neglect.

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Requirement Due date

The registered person must ensure that the procedure to be followed in the event of an allegation of abuse or neglect must, in particular—

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Requirement Due date

provide for the prompt referral of an allegation about current or ongoing abuse or neglect in relation to a child to the placing authority and, if different, the local authority in whose area the home is located;

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Requirement Due date

provide for the prompt referral of an allegation about past abuse or neglect in relation to a child to the placing authority and, if different, the local authority in whose area the alleged abuse or neglect occurred;

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Requirement Due date

describe how and to whom staff are to report, without delay, 01/02/2018 Inspection report children’s home: SC038906 8 any concern about abuse or neglect of a child. (Regulation 34 (1) (a) (b) (2) (b) (c) (f))

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Requirement Due date

In particular, the registered person must ensure that a clear policy and procedure is implemented in practice. Policies for the protection of children

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Requirement Due date

The registered person must make sure that the procedure to be followed in the event of an allegation of abuse or neglect must, in particular—

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Requirement Due date

provide for records to be kept of an allegation of abuse or neglect, and the action taken in response. (Regulation 34 (2) (d))

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Requirement Due date

In particular, the registered person must ensure that records are kept of any allegations of abuse. 01/02/2018

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Requirement Due date

The registered person must complete a review of the quality of care provided for children ("a quality of care review") at least once every 6 months.

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Requirement Due date

After completing a quality of care review, the registered person must produce a written report about the quality of care review and the actions which the registered person intends to take as a result of the quality of care review ("the quality of care review report").

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Requirement Due date

supply to HMCI a copy of the quality of care review report within 28 days of the date on which the quality of care review is completed. (Regulation 45 (1) (3) (4) (a)) 01/02/2018

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Recommendations

 Staff should provide a nurturing environment that is welcoming, supportive, and which provides appropriate boundaries in relation to their behaviour. Homes must also meet children’s basic day to day needs and physical necessities. Staff should seek to meet the child’s basic needs in the way that a good parent would, recognising that many children in residential care have experienced environments where these needs have not been consistently met – doing so is an important aspect of demonstrating that the staff care for the child and value them as an individual. (Guide to the children’s homes regulations including the quality Inspection report children’s home: SC038906 9 standards’, page 15, paragraph 3.7) In particular, ensure the environment is suitably maintained.  Any individual appointed to carry out visits to the home as an independent person must make a rigorous and impartial assessment of the home’s arrangements for

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Recommendations

safeguarding and promoting the welfare of the children in the home’s care. (Guide to the children’s homes regulations including the quality standards’, page 65, paragraph 15.5)

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Overall experiences and progress of children and young people: inadequate

Young people live in a home that is not led and managed well. They do not receive a satisfactory quality of care and support. The service that they receive does not meet legislative requirements and does not follow good practice guidance. The inadequate safeguarding arrangements increase risks to young people of not being protected and safeguarded adequately. The inadequate leadership and management of the home increase risks to young people of not having their welfare and well-being promoted effectively. There are concerns about the registered person/manager’s willingness to work in effective collaboration with other professionals. There are concerns about the home’s overall ethos; in particular, how the registered person/manager and staff promote young people’s positive choices, self-regulation and independence.

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Overall experiences and progress of children and young people: inadequate

The home does not demonstrate how it enables young people to build their skills to manage their own safety. The care and control are not balanced effectively. Social workers from different local authorities expressed concerns about this. The home has developed a culture of strong control and intensive visual surveillance and supervision of young people. Additional to high one-to-one support, cameras are in use in all communal areas of the home, including the lounge/dining area and the kitchen. One social worker commented how the high levels of control reflect the staff’s high anxiety, rather than the actual need of the young person.

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Overall experiences and progress of children and young people: inadequate

Young people are not allowed to access the kitchen on their own. One young person, in particular, was unhappy about this. The young person was not able to get water for themselves from the fridge without having to ask staff for it. At times, this young person felt ignored. The young person’s ‘all about me’ information states that they know the benefits of keeping healthy by drinking water. It is not clear how the registered person and staff help young people to develop healthy lifestyles and independence, and reduce the need for a highly restrictive environment.

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Overall experiences and progress of children and young people: inadequate

Both young people who currently live in the home said some positive things about their experiences. They feel safe in the home. They relate well to some staff members. The consistency of the management and staff have brought an element of stability to the young people’s lives. However, both young people are looking forward to moving to live somewhere else. One young person was missing the freedom and outdoor activities that come with living in the countryside. The other young person wanted to explore their dual Inspection report children’s home: SC038906 10 racial heritage and identity more and was hoping to live in a white foster family.

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Overall experiences and progress of children and young people: inadequate

The home has a strong Christian ethos. Young people have good opportunities to practice the Christian faith but it is not clear how staff promote young people’s knowledge and understanding of other beliefs and prepare them for life in diverse British society. One young person was unhappy that they were unable to celebrate Halloween. The registered person/manager told the inspectors that this was due to the high risks involved in ‘trick or treating’. The staff did not help the young person to mark this, originally pagan but now widely celebrated, festival in any other way, despite the young person’s interest and strongly expressed wish. A staff member said that the young person had the opportunity to mark All Saints’ Day at the church.

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Overall experiences and progress of children and young people: inadequate

Young people live in a physically safe environment. However, some aspects of the home need attention. For example, the inbuilt wardrobe is damaged in one of the bedrooms, and the bedroom doors are stained heavily. The home has compiled a long list of maintenance tasks. The registered person/manager said that a full refurbishment would be completed by March 2018.

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Overall experiences and progress of children and young people: inadequate

The strongest areas of progress that young people have made since living in this home relate to their learning. One young person is in a mainstream school and has high attendance. This young person has recently passed two GCSEs in music and drama. The young person is hoping to leave school with 11 GCSEs and is working towards this. The other young person has been out of education for six years. This young person is currently not enrolled at any school. However, the young person is engaging well with the staff in the home. This is a great step forward for the young person, who is making good progress in reading, writing and counting. The registered person/manager and staff celebrate young people’s attainments. This has a positive impact on the young people’s self-esteem and sense of achievement.

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Overall experiences and progress of children and young people: inadequate

Young people have opportunities to engage in various activities within the home and outside. For example, a young person visited the British Library with a staff member on the day of the inspection. The other young person is a keen dancer.

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Overall experiences and progress of children and young people: inadequate

The impact of the home’s behaviour management practices on young people’s behaviours is varied. One young person continued to engage in challenging behaviours in the home and the community, until recently. Since being put on electronic curfew, this young person has stopped going missing from the home, and their behaviour has improved.

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

The registered person/manager does not work in effective partnership with other professionals to safeguard young people. The registered person does not always respond positively to legitimate requests for information sharing. A young person’s youth offending social worker asked for information about a particular place where the young person often goes. This request for information was made following concerns that the Inspection report children’s home: SC038906 11 young person might be used by unscrupulous adults to deal with illegal substances. The registered person/manager has failed to respond in any way to the email that the youth offending social worker sent on 17 November 2017, seeking information as soon as possible. The registered person/manager told the inspectors that she has already shared this information with the police. She did not see a need to share it again with the youth offending social worker. The registered person/manager does not believe that the young

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

person is involved in gangs or is being groomed by them. The reason she gives for this view is that the young person does not find it easy to maintain relationships and friendships. The information on this young person’s file indicates that other professionals have concerns about the possible negative social influences on this young person.

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

The arrangements for dealing with allegations against the registered person/manager and staff do not protect and safeguard young people effectively. The home has recently adopted child protection and safeguarding policies and procedures that were written by an external contractor. However, the policies and procedures have not been implemented. None of the staff members have read them. The procedure for dealing with allegations of abuse states that the contact details for the local authority designated safeguarding officer are posted on the noticeboard in the main hall. This is not the case. The contact details are not displayed anywhere in the home. The policy states that it has been submitted to the Local Safeguarding Children’s Board and the designated officer for dealing with allegations, for consideration and comments. This is not the case. The written policies, and conversations with the staff, show a lack of clarity regarding the

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

distinction between a complaint and an allegation. At the inspection, a staff member was not confident about to whom they should report an allegation of physical abuse against the registered person/manager.

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

The home’s practices relating to the process for dealing with allegations against staff and management of the home raise concerns. The registered person/manager does not keep a log of safeguarding and child protection concerns. This undermines the accountability and quality assurance of the home. No records were available relating to the allegations that are currently being investigated. The completion of this investigation is 12 weeks overdue. The local authority’s allegations manager designated officer expressed concerns about the time taken to complete this investigation, the registered person/ manager’s unprofessional practices and the lack of her insight about the seriousness of the matter. Ofsted has a concern about the independence of the independent investigator whom the home appointed. The registered person/manager indicated that this person was also due to become her deputy in the home, subject to satisfactory

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

The risk management practices in the home are not robust. New concerns do not always trigger a review of the risk management plans. For example, a risk assessment related to fire-setting has not been completed following an incident with a lighter. However, a staff member said that the risk of fire-setting resulted in this young person being banned from the kitchen. There was nothing in the young person’s risk management plan that specified not having free access to the kitchen as a safeguarding strategy. The young person indicated that they were not allowed into the kitchen unsupervised prior to the incident with a lighter. The registered person/manager indicated that this young person Inspection report children’s home: SC038906 12 was not allowed into the kitchen due to hygiene reasons.

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

The registered person/manager is the only person with a current food hygiene certificate. The registered person/manager said that she was the only person in the home who prepares food.

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

The safeguarding practices in the home are risk averse and highly controlling. These practices do not promote young people’s progress in developing better self-regulation and resilience to risks. The home’s recently adopted policy on safeguarding young people lists the lack of opportunity for obtaining drinks and snacks as one of the signs of institutional abuse. When questioned about young people not being allowed to enter the kitchen if they wanted to get themselves a drink of water, the registered person pointed out that they could get water from the sink in the bathroom/lavatory. She stated that the water coming from these taps is perfectly safe and drinkable. She did not seem to understand why this might not be consistent with the ethos of a good children’s home.

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The effectiveness of leaders and managers: inadequate

The registered person/manager has continued to fail to provide and manage this children’s home in line with legislation and good professional standards. The children’s home has continued to breach the compliance notice that Ofsted issued under section 22A of the Care Standards Act 2000, on 15 September 2017. The progress in achieving compliance with this enforcement notice and the other requirements that were raised at the last inspection is unacceptably slow. The slow progress questions the registered person/manager’s capacity to secure improvement and her suitability to remain registered with Ofsted.

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The effectiveness of leaders and managers: inadequate

The registered person/manager has contracted an external company to provide policies and procedures that are up to date with current legislation and follow good practice guidance. However, the registered person/manager has failed to read any of those documents, quality assure them and amend them in line with the gaps that were identified in two Ofsted monitoring reports. Staff were made aware of the new policies and procedures at the team meetings. However, the great majority of these policies and procedures have not been read by anybody who works in this home. According to the home’s own records, out of 81 policies and procedures, 72 have not been read by anyone who works in this home. The registered person/manager said that staff would be reading these policies in the next few months, one by one. No schedule is in place; for example, prioritising policies and procedures that relate to safeguarding.

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The effectiveness of leaders and managers: inadequate

The home’s policy on notifying Ofsted of significant events still refers to the legislation that was revoked on 1 April 2015. The schedule attached to the policy refers to prostitution of children. Describing child sexual exploitation as prostitution is judgemental and inappropriate for the ethos of a children’s home.

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The effectiveness of leaders and managers: inadequate

The insensitivity around the use of language and the inappropriate messages that the home sometimes conveys show in other ways as well. On the young people’s Inspection report children’s home: SC038906 13 noticeboard, a message is displayed referring to parents as ‘stupid’ parents. Another message states: ‘Only half the patients who enter an abortion clinic come out alive’. The young person said that the registered person/manager told him that if he didn’t sleep at night, the devil would get into his head.

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The effectiveness of leaders and managers: inadequate

The registered person/manager has continued to provide inconsistent and misleading information about what this children’s home provides. The statement of purpose clearly states that the home is not registered as a school. However, the home’s website states that the core services include schooling facilities at the home up to key stage 4 on all curriculum subjects. The home employs an education support worker who is a qualified teacher. Their job description specifies a number of teaching tasks, including: identifying clear teaching objectives and specifying how they will be taught and assessed. Ofsted social care inspectors have shared the information around the home’s provision of education with the Ofsted unregistered schools department, for further consideration.

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The effectiveness of leaders and managers: inadequate

The home’s statement of purpose is not published on the home’s website. This document continues to provide conflicting information about the staff members qualifications. The registered person/manager was unable to demonstrate that all staff files contain documentary evidence of their qualifications. This includes the registered person/ manager’s own qualifications. The registered person/manager told Ofsted that she had a diploma in social work and a Master’s degree in business administration. She was unable to produce certificates to evidence this. First-aid certificates were available only for the registered person/manager and one other staff member. The registered person/ manager stated that the home had five first-aiders.

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The effectiveness of leaders and managers: inadequate

The home’s indoor heated swimming pool has remained non-operational since 2011. Listing it in the guide to the home for young people as one of the facilities offered risks them being disappointed when they come to live in the home.

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The effectiveness of leaders and managers: inadequate

The home is not monitored effectively. The registered person/manager has failed to send the six-monthly review of the quality of care report to Ofsted for the period March to September 2017. This report was due to be received by Ofsted by the end of October 2017. The report that the registered person/manager was in the process of completing contained undue optimism for a service that has continued to fail to meet the Children’s Homes (England) Regulations 2015 and Quality Standards. In the concluding comments, the registered person/manager wrote about the home having maintained good rating.

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The effectiveness of leaders and managers: inadequate

Despite the significant shortfalls in the leadership and management of the home, staff team cohesion is strong. A staff member described the registered person/manager and the team members as very supportive towards each other. This person felt that the home was organised well; staff treated young people as if they were their own children and that staff approached each day as ‘a happy day’.

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The effectiveness of leaders and managers: inadequate

Ofsted receives independent visitor’s monitoring reports on a monthly basis. Bearing in mind that the main purpose of the independent monitoring visits is to report whether children and young people are effectively safeguarded, some of these visits were very short. For example, the visit on 28 September 2017 lasted 35 minutes. The independent Inspection report children’s home: SC038906 14 visitor has failed to highlight any of the shortfalls identified at this inspection, the previous full inspection and two recent monitoring visits.

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The effectiveness of leaders and managers: inadequate

The registered person/manager has addressed successfully some of the requirements raised at the last inspection. All staff have had a supervision meeting and review of their individual performance.

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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 differences 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 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: SC038906 15

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Inspectors

Seka Graovac, social care inspector Christine Kennet, social care inspector Inspection report children’s home: SC038906 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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Inspectors

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Inspectors

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Inspectors

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

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