Children's home run by Nugent Care 2019 in Liverpool

Inspection report for children’s home – monitoring visit: SC371267 1 SC371267

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99 Edge Lane, Edge Hill, Liverpool L7 2PE

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

The home is operated by a voluntary organisation and is registered for up to 36 children and young people between the ages of 7 and 19 years who have a range of special educational needs that require either a residential-only provision or residential and specialist school provision.

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Information about this children’s home

The manager has been registered with Ofsted since March 2018.

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This monitoring visit

At the full inspection on 15 and 16 August 2018, the home was judged inadequate. Several shortfalls were identified, including the registered manager’s and staff’s lack of awareness and understanding of serious safeguarding matters. Notably, that the registered manager and staff did not recognise, assess and respond appropriately to potential risks. The lack of robust safeguarding practice compromised young people’s welfare and safety. Additionally, poor leadership and management practice impacted adversely on the quality of care and support provided to young people. The registered manager’s ineffective monitoring of the service did not identify the decline in the quality of care and protection provided by the staff team. Two compliance notices were issued under section 22A of the Care Standards Act 2000; regulation 12, the help and protection of children standard, and regulation 13, the leadership and management

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This monitoring visit

standard. On 24 September 2018, Lisa Mulcahy and Marina Tully, social care regulatory inspectors, completed an unannounced monitoring visit. The purpose of this monitoring visit was to assess the progress made by the provider to meet the two compliance notices. The registered manager has taken sufficient steps to improve safeguarding practice Inspection report for children’s home – monitoring visit: SC371267 2 at the home. Risk assessments are now more robust and identify more clearly the full range of young people’s needs and vulnerabilities. The revised risk assessments now provide staff with improved guidance on what action they must take when a young person is at risk of significant harm, for example from child exploitation, self- harm and unsafe internet use. Young people have benefited from having their bedrooms deep-cleaned and painted where required, which is motivating young people to keep their personal space clean

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This monitoring visit

and tidy. Consequently, the cleanliness and conditions of young people’s bedrooms have improved significantly. To sustain this progress, the manager has introduced incentives for young people to keep their bedrooms clean and tidy. The home improvements and staff’s regular bedroom checks are making the home a safer environment in which to live. Staff provide young people with regular support that is targeted to the young person’s individual needs, for example online safety, fire safety and anti-bullying. Young people benefit from improved key-work sessions with staff and they are learning how to keep themselves and others safe. Furthermore, the manager now reviews, evaluates and responds to complaints made by young people. Consequently, young people now feel valued and listened to. Improved monitoring systems are helping the manager to identify and act to address shortfalls. Management audits of medication, restrictive physical intervention and fire

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This monitoring visit

drills have been introduced. This has helped to improve and develop the home. Expert advice and guidance have been commissioned in relation to the management of medication and fire safety. Additionally, staff receive clear management direction and support. As a result, the quality of and consistency in care has improved. No further enforcement action is planned. However, a further inspection will take place to review how these improvements are being embedded into the home’s practice and to ensure that the home’s ongoing development is sustained.

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Inspection date Inspection type Inspection judgement

15/08/2018 Full Inadequate 05/07/2017 Full Good 01/02/2017 Interim Sustained effectiveness 14/09/2016 Full Good Inspection report for children’s home – monitoring visit: SC371267 3

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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 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 paragraph (1) requires the registered person to ensure that staff— help a child who is excluded from school, or who is of compulsory school age but not attending school, to access educational and training support throughout the period of exclusion or non-attendance and to return to school as soon as possible. (Regulation 8 (1)(2)(a)(viii)) 21/09/2018

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Requirement Due date

The health and well-being standard is that the health and well-being needs of children are met; children receive advice, services and support in relation to their health and well- being; and children are helped to lead healthy lifestyles.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff help each child to—

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Requirement Due date

achieve the health and well-being outcomes that are recorded in the child’s relevant plans;

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Requirement Due date

understand the child’s health and well-being needs and the options available in relation to the child’s health and well- being, in a way that is appropriate to the child’s age and understanding; and understand and develop skills to promote the child’s well-being. (Regulation 10(1)(a)(b)(2)(a)(I)(ii)(iv)) 21/09/2018

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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— mutual trust and respect; an understanding about acceptable behaviour; and positive responses to other children and adults.

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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— 21/09/2018 Inspection report for children’s home – monitoring visit: SC371267 4 meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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Requirement Due date

help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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Requirement Due date

communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and understanding;

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Requirement Due date

strive to gain each child’s respect and trust; understand and communicate to children that bullying is unacceptable; and

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Requirement Due date

have the skills to recognise incidents or indications of bullying and how to deal with them. (Regulation 11(1)(2)(i)(iii)(iv)(v)(viii)(xii)(xiii)) 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

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; have the skills to identify and act upon signs that a child is at risk of harm; understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

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Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare;

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Requirement Due date

are familiar with, and act in accordance with, the home’s child protection policies; 21/09/2018 Inspection report for children’s home – monitoring visit: SC371267 5 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; and

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Requirement Due date

that the premises used for the purposes of the home are designed, furnished and maintained so as to protect each child from avoidable hazards to the child’s health; and

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Requirement Due date

that the effectiveness of the home’s policies is monitored regularly. (Regulation 12(1)(2)(a)(i)(ii)(iii)(iv)(b)(d)(e)) 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—

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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;

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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;

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on— feedback on the experiences of children, including complaints received;

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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 (1)(2)(a)(f)(g)(ii)(h)) 21/09/2018

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Requirement Due date

children can access all areas of the children’s home’s premises. (Regulation 21(a)) 21/09/2018

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Requirement Due date

The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children’s home.

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Requirement Due date

In particular, the registered person must ensure that—

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Requirement Due date

medicine which is prescribed for a child is administered as 21/09/2018 Inspection report for children’s home – monitoring visit: SC371267 6 prescribed to the child for whom it is prescribed and to no other child; and that a record is kept of the administration of medicine to each child. (Regulation 23 (1)(2)(b)(c)) The registered person must keep the behaviour management policy under review and, where appropriate, revise it.

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Requirement Due date

The registered person must ensure that within 24 hours of the use of a measure of control, discipline or restraint in relation to a child in the home, a record is made which includes—

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Requirement Due date

details of the child’s behaviour leading to the use of the measure;

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Requirement Due date

a description of the measure and its duration; details of any methods used or steps taken to avoid the need to use the measure;

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Requirement Due date

the effectiveness and any consequences of the use of the measure; and

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Requirement Due date

a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure;

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Requirement Due date

Also ensure that, within 48 hours of the use of the measure, the registered person, or a person who is authorised by the registered person to do so (‘the authorised person’) has spoken to the user about the measure; and has signed the record to confirm it is accurate; and within five days of the use of the measure, the registered person or the authorised person adds to the record confirmation that they have spoken to the child about the measure. (Regulation 35 (2)(3)(a)(ii)(iv)(v)(vii)(viii)(b)(i)(ii)(c)) 21/09/2018

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home – monitoring visit: SC371267 7

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Children’s home details

Provision sub-type: Residential special school

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Children’s home details

Registered provider address: 99 Edge Lane, Edge Hill, Liverpool L7 2PE

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Children’s home details

Responsible individual: Gary Thistlewood

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Inspectors

Lisa Mulcahy, social care inspector Marina Tully, social care inspector Inspection report for children’s home – monitoring visit: SC371267 8 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspectors

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Inspectors

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Inspectors

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