Children's home run by Nestlings Care BC Limited in Trafford

Inspection report for children’s home - monitoring visit: SC473473 1 SC473473

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Nestlings Care Ltd

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

The home is registered to accommodate three young people who have a mental disorder. The home is privately owned.

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Information about this children’s home

The home provides specialist care and treatment for young people aged between 10 year and 18 years old. The team is made up by an experienced manager, registered mental health nurses, residential support workers, clinical psychologist, occupational therapist and a consultant child and adolescent psychiatrist.

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Information about this children’s home

The home is also registered with the Care Quality Commission (CQC). A report on how the home meets the fundamental standards of quality and safety is available from the CQC.

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This monitoring visit

During the interim inspection visit to the home on 23 January 2019, Ceri Evans and Sarah Billett, social care regulatory inspectors, found that safeguarding practice at this home was not sufficiently robust. A large number of failings were identified. These included shortfalls in safeguarding practice and significant weaknesses in leadership and management. These factors considerably undermined young people’s safety and well-being.

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This monitoring visit

Since the last inspection, robust action has been taken to improve safeguarding practice and strengthen the effectiveness of the home’s leadership and management.

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This monitoring visit

The protection of children compliance notice required the provider to ensure that staff can identify risks and take effective action to reduce the risk of harm. In Inspection report for children’s home - monitoring visit: SC473473 2 response to this, the provider has implemented a detailed improvement plan. This includes reviewing and updating all risk assessments. As a result, the quality of risk assessments has improved, as they now fully capture changing circumstances and provide very clear guidance for staff to follow.

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This monitoring visit

Additional training for all staff has been successfully implemented. Further training is planned to be completed by May 2019, which includes safeguarding and child protection. This ensures that staff have the necessary skills, confidence and knowledge to provide safe and effective care.

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This monitoring visit

Team meetings have been undertaken in consultation with the clinical team, and improvements have been made to the induction and supervision of staff. This means that staff have increased opportunities to reflect on and be guided in their practice.

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This monitoring visit

Quality assurance systems are now more effective in highlighting errors in records, such as those of significant incidents and physical restraint reports. Because of this, the manager can identify shortfalls in practice and has addressed them quickly and effectively.

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This monitoring visit

An examination of the recruitment files showed improvements in practice, which now follows the ‘safer recruitment’ guidelines. This ensures that only suitably checked and vetted individuals work at the home.

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This monitoring visit

The provider has taken steps to ensure that the premises are maintained to protect each child from harm. This means that young people live in a homely and safe environment.

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This monitoring visit

The home is compliant with the two regulations that were subject to compliance notices. However, Ofsted will assess how well these improvements have been embedded in practice at the next full inspection.

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Recent inspection history

Inspection date Inspection type Inspection judgement 23/01/2019 Interim Declined in effectiveness 26/09/2018 Full Good 27/11/2017 Full Good 22/03/2017 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: SC473473 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 registered person must maintain records (‘case records’) for each child which include the information and documents listed in Schedule 3 in relation to each child; are kept up to date; and are signed and dated by the author of each entry. (Regulation 36 (1)(a)(b)(c)) 22/03/2019

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Requirement Due date

The care planning standard is that children— receive effectively planned care in or through the children’s home; and have a positive experience of arriving at or moving on from the home. (Regulation 14 (1)(a))

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Requirement Due date

In particular, ensure that children are admitted to the home only if their needs are within the range of needs of children whom it is intended that the home is to provide care and accommodation, as set out in the home’s statement of purpose. 22/03/2019

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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.

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Children’s home details

Unique reference number: SC473473 Inspection report for children’s home - monitoring visit: SC473473 4 Provision sub-type: Children’s home

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Children’s home details

Registered provider address: 185 Grove Lane, Hale, Altrincham, Cheshire WA15 8LU

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Children’s home details

Responsible individual: Anthony Thompson

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Inspector

Ceri Evans, social care inspector Sarah Billett, Social care inspector Inspection report for children’s home - monitoring visit: SC473473 5 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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Inspector

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Inspector

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Inspector

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