Children's home run by Total Care Matters Limited in Nottingham

Inspection report children’s home: SC414296 1 SC414296 Registered provider: Total Care Matters Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

The home is registered to provide care and accommodation for up to three young people. The home caters for males and females who have social, emotional and behavioural difficulties. The home has been developed to cater for young people who are ready for the transition into independent living.

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Information about this children’s home

The manager was registered with Ofsted on 15 August 2016.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers outstanding

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good

The children’s home provides effective services that meet the requirements for good.

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good

Date of last inspection: 22 February 2018

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good

Overall judgement at last inspection: improved effectiveness

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good

Enforcement action since last inspection: none Inspection report children’s home: SC414296 2

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Inspection date Inspection type Inspection judgement

22/02/2018 Interim Improved effectiveness 11/07/2017 Full Good 14/12/2016 Interim Improved effectiveness 25/04/2016 Full Requires improvement Inspection report children’s home: SC414296 3

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Overall experiences and progress of children and young people: good

Young people who have experienced numerous placement breakdowns become stable. They begin to make excellent progress in many areas of their lives.

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Overall experiences and progress of children and young people: good

The majority of young people enjoy positive relationships with a staff team which understands their complex needs well. A social worker said, ‘They are offering them everything they need. I’m really pleased because I did not think the placement was going to work, but it has.’

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Overall experiences and progress of children and young people: good

Young people’s emotional well-being is seen as a priority by all the staff and managers. Therapy is being accessed by some young people. Additionally, regular and ongoing advice from a therapist helps staff to understand the underlying causes of young people’s complex behaviours. This ensures that young people are cared for in a sensitive and nurturing way. This approach is a key strength of the home.

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Overall experiences and progress of children and young people: good

Staff are aspirational and encourage young people to understand the importance of education. Young people who have a history of poor school attendance are now fully engaging in school. All young people’s attendance levels are now above 90%.

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Overall experiences and progress of children and young people: good

Young people’s health needs are promoted. Young people are encouraged to take regular exercise and eat healthy food. For one young person in particular, this has significantly improved their health and fitness. When a need is identified, the staff and managers are proactive and access the appropriate service without delay. For example, referrals have been made to a dietician, mental health services and other specialist health services.

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Overall experiences and progress of children and young people: good

Staff and managers understand the importance of promoting contact between young people and their families. They work hard to arrange and facilitate good-quality visits that are child-centred. A social worker said, ‘It is the best residential placement that I know. Staff are really committed to young people.’

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

Young people feel safe in the home. One young person said, ‘It is a very happy home. I would give it eight out of 10.’

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

Comprehensive risk assessments, which are regularly reviewed and updated, assist in ensuring young people’s safety and protection. When incidents do occur, robust management oversight ensures that the correct safeguarding procedures are followed. A strong approach to multi-agency working ensures that young people’s difficulties and vulnerabilities are not only identified but addressed thoroughly.

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

The manager consistently reviews incidents of restraint. Staff debriefings are carried out. In addition, young people’s views and feelings are ascertained. This ensures that any Inspection report children’s home: SC414296 4 learning from these incidents takes place. The frequency of restraint reduces as young people settle into the home.

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

One young person has dramatically reduced the frequency that she goes missing. Also, when incidents do occur, they are for shorter periods of time. This is significant progress.

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

Effective and regular key-work sessions are carried out with young people. These sessions focus upon specific safeguarding concerns relevant to young people. These sessions enable young people to openly discuss their views and begin to have a better understanding of the consequences of their behaviours.

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The effectiveness of leaders and managers: outstanding

The manager is very experienced. He is in the process of completing the mandatory management qualification.

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The effectiveness of leaders and managers: outstanding

The management team is tenacious and passionate about providing high-quality care. Its members are highly proactive. The managers are strong and effective advocates for young people.

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The effectiveness of leaders and managers: outstanding

Managers lead by example. They spend considerable periods of time engaged with young people while remaining focused upon their management responsibilities. All staff are extremely positive about the style of management in the home. Staff feel supported and valued. One member of staff said, ‘The management team members are really amazing. They are always there if you need them. They understand the demands of the job. They are hands on. I love working here.’

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The effectiveness of leaders and managers: outstanding

Reflective practice is a strength of the home. The manager allows staff to openly consider areas of their practice that require change or improvement. This promotes genuine professional development and improves the care offered to young people.

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The effectiveness of leaders and managers: outstanding

Case records are outstanding. Regular management review ensures that standards of recording remain high. Quality assurance systems are highly effective and enable young people’s progress to be tracked. These systems help the home to improve.

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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 Inspection report children’s home: SC414296 5 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: SC414296 6

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Children’s home details

Registered provider: Total Care Matters Limited

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Children’s home details

Registered provider address: 230 Bathley Street, Nottingham NG2 2ER

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Inspector

Davinia Lawton, social care regulatory inspector Inspection report children’s home: SC414296 7 achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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