Children's home run by Positive Individual Proactive Support Limited

Inspection report children’s home: 1267402 1 Registered provider: Positive Individual Proactive Support Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home is owned and run by a private provider. The home is registered to accommodate one child or young person. The home was registered in April 2018, and this is its first full inspection. The manager has been registered with Ofsted since April 2018 and is a registered nurse.

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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 requires improvement to be good

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good

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

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good

Overall judgement at last inspection: not applicable

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good

Enforcement action since last inspection: none Inspection report children’s home: 1267402 2

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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. In particular, the standard in paragraph (1) requires the registered person to ensure– that staff– assess whether each child is at risk of harm, taking into account information in the child’s relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child. In particular, complete risk assessments relating to activities outside the home and risks relating to missing from home. (Regulation 12(1), (2)(a)(i)) 30/11/2018

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Requirement Due date

The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety. The requirements are that– the individual has the appropriate experience, qualification and skills for the work that the individual is to perform. In particular, ensure that the whole staff team achieve their necessary qualifications. (Regulation 32(1), (3)(b)) 30/11/2018

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Recommendations

 A record of supervision should be kept for staff, including the manager. The record should provide evidence that supervision is being delivered in line with regulation 33(4)(b). (‘Guide to the children’s homes regulations including the quality standards’, page 61, paragraph 13.3)  Regulations 35–39 detail the records that must be kept in children’s homes. All children’s case records (regulation 36) must be kept up to date and stored securely whilst they remain in the home. Case records must be kept up-to-date and signed and dated by the author of each entry. Children’s case records must be kept for 75 years from the date of birth of the child, or if the child dies before the age of 18, for 15 years from the date of his or her death. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraph Inspection report children’s home: 1267402 3 14.3)  Staff should be familiar with the home’s policies on record keeping and

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Recommendations

understand the importance of careful, objective, and clear recording. Staff should record information on individual children in a non-stigmatising way that distinguishes between fact, opinion and third-party information. Information about the child must always be recorded in a way that will be helpful to the child. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraph 14.4)  The registered person should have a system in place so that all serious events are notified, within 24 hours, to the appropriate people. The system should cover the action that should be followed if the event arises at the weekend or on a public holiday. Notification must include details of the action taken by the home’s staff in response to the event. (‘Guide to the children’s homes regulations including the quality standards’, page 63, paragraph 14.13) Inspection report children’s home: 1267402 4

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Overall experiences and progress of children and young people: good

The home is warm and welcoming. It is purpose built, and the young person has personalised the main living areas and her bedroom. This gives the young person a sense of belonging and security. The young person has made good progress since starting to live here. Previous behaviours that were causing a high level of concern have been significantly reduced. The young person has grown in confidence. She is encouraged and empowered by staff to voice her views. The staff are child focused and know the young person well. In addition, the young person trusts all the staff to care for her and listen to her. The young person’s complex health needs are managed well. Staff competently administer medication and there are no errors. Staff respond effectively when the young person’s health deteriorates and seek immediate medical support. The young person has specialist support from a multidisciplinary team of professionals.

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Overall experiences and progress of children and young people: good

Communication between everyone is good and ensures that the care that she receives is both targeted and relevant to her changing health and emotional needs. The young person has gone from home schooling and isolation to attending college regularly. This has boosted her self-esteem and improved her social circle. The young person is excited about her future and has goals and plans. The young person has been helped to repair fractured relationships with family members. This has resulted in an increase in contact with members of the family who are important to her. This both ensures that the young person maintains her identity and supports the development of healthy relationships with her family.

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

The young person trusts the staff to keep her safe, and she says that this is the best placement that she has ever been in. She values the staff and the manager, and says that they understand her. Staff balance risk and safety well, and this allows the young person to enjoy normal teenage pursuits. However, if safety measures need to be used, staff know what to do and competently use this knowledge to keep the young person safe. The young person understands her own areas of risk and responds well to the clear and consistent boundaries. As a result, there has been a significant reduction in the need to use physical intervention. The young person does not go missing. There is no specific risk assessment in relation to being missing from home or undertaking activities in the community. However, staff Inspection report children’s home: 1267402 5 know what the missing from home protocol is and when to use it.

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

The young person will tell staff when she does not feel safe, in particular if she feels that she may be at risk of self-harming. This shows her own understanding of risk as well as the trust she has developed with staff. Although the staff team is large, they all respond in the same way. This provides the young person with consistency and stability. There have been no incidents of self-harm in three months. There has been one incident in this inspection period where the young person’s health was at risk. This was fully investigated and measures were put in place to avoid a repeat occurrence. There have been no further incidents.

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The effectiveness of leaders and managers: requires improvement to be good

The manager is new to her role as a children’s home manager. Her level of understanding and learning is increasing, yet requires some improvement. There are some errors with paperwork, for example there is a need to improve accessibility to important documents for staff. The manager can identify areas of weakness and has put measures in place to improve them. There is no separate place to record significant incidents. Although they are recorded, the records are difficult to locate. This is the same for key-worker sessions. They are undertaken and show the use of reflective practice, but records are lost in the daily notes. The physical intervention logs are confusing to read and do not indicate a full debriefing. The form is being revised and staff are being trained in recording. Staff say that they have regular supervision. They feel supported, and the manager is always accessible and visible. However, records of the discussions are not always made.

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The effectiveness of leaders and managers: requires improvement to be good

The manager has a plan to rectify this. The staff team is stable, with a mixture of experience and expertise. However, none of them have the qualifications necessary to work in a children’s home. All staff are due to commence their diploma level 3 in January 2019. This will increase their knowledge and improve their practice further. The staff and manager know the plan for the young person and work well together to achieve it. They provide consistency and stability, and are focused on helping the young person to achieve her goals. The manager is quick to challenge the placing authority. When paperwork is missing, she chases it and appropriately escalates her concern if she does not receive a response. The manager makes good use of constructive criticism. The independent visitor identifies s gaps in service and the manager makes an effort to rectify the issues. This shows the manager’s commitment to improving the service provided to the young person.

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The effectiveness of leaders and managers: requires improvement to be good

Inspection report children’s home: 1267402 6

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the difference made to the lives of children and young people. They watched how professional staff work with children and young people and each other and discussed the effectiveness of help and care provided. Wherever possible, they talked to children and young people and their families. In addition, the inspectors have tried to understand what the children’s home knows about how well it is performing, how well it is doing and what difference it is making for the children and young people 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: 1267402 7

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Children’s home details

Registered provider: Positive Individual Proactive Support Limited

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Children’s home details

Registered provider address: Endeavour House, 12 Ellerbeck Way, Stokesley, Middlesbrough TS9 5JZ

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Inspector

Abigail Maspero, social care inspector Inspection report children’s home: 1267402 8 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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