Children's home run by Positive Individual Proactive Support Limited

Inspection report children‟s home: 1267402 1 Registered provider: Positive Individual Proactive Support Limited Interim 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, when the manager was also registered with Ofsted.

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Information about this children’s home

Enforcement action since last inspection: none

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and young people since the most recent full inspection

This home was judged good at the last full inspection.

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and young people since the most recent full inspection

At the interim inspection, Ofsted judges that it has sustained effectiveness.

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and young people since the most recent full inspection

Since the last inspection, the registered manager has taken steps to address all the previous requirements and recommendations. Risk management is better, in that there are now more detailed risk assessments which give instructions for staff to follow. This helps to promote the safety and well-being of the young person.

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and young people since the most recent full inspection

The manager and staff are also now undertaking the necessary training for their roles. This is helping to equip the staff team with the knowledge and skills to better meet the needs of the young person.

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and young people since the most recent full inspection

The same young person is living at the home. They are continuing to make good progress and remain settled. The young person has trusting relationships with staff and Inspection report children‟s home: 1267402 2 a strong sense of belonging. The manager and staff team have an excellent understanding of the young person‟s complex health and emotional needs. This provides safe care for the young person, whose physical health requires careful management and control.

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and young people since the most recent full inspection

The young person has been developing independent living skills and has researched the different medication administration procedures available for their condition. Consequently, the young person is now able to self-medicate, which gives them some control over their life.

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and young people since the most recent full inspection

The young person is still enrolled at college, but has reduced the subjects that they are studying as a result of ongoing ill health and increased anxiety at not keeping up with their studies. This pragmatic approach by the manager gives the young person a better quality of life, alongside them fulfilling their wish of going to college. Spare time is used to keep active, such as going to the gym with staff or going walking. This helps to keep the young person fit, with improved health as a result.

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and young people since the most recent full inspection

The young person has benefited from improved emotional health, and any incidents, such as self-harming behaviour, have significantly decreased. There has only been one episode since the last inspection. The need for any physical intervention has reduced, as a result. The quality of recording has improved, but staff do not clearly record positive handling incidents. This will help to improve the quality of monitoring the use of such practice to identify potential triggers .

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and young people since the most recent full inspection

The manager still lacks experience and knowledge in respect of the children‟s homes regulations. This has resulted in her undertaking no quality of care review since the home was registered. She also has no system for seeking feedback from others to improve the service. The manager has a lack of understanding about care planning regulations. This would make it difficult for her to advocate on behalf of the young person and challenge other professionals when necessary.

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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. Inspection report children‟s home: 1267402 3

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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

In order to complete a quality of care review the registered person must establish and maintain a system for monitoring, reviewing and evaluating–

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Requirement Due date

the quality of care provided for children;

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Requirement Due date

the feedback and opinions of children about the children‟s home, its facilities and the quality of care they receive in it; and

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Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

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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; and

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Requirement Due date

make a copy of the quality of care review report available on request to a placing authority, if the placing authority is not the parent of a child accommodated in the home.

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Requirement Due date

The system referred to in paragraph (2) must provide for ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45(1), (2)(a)(b)(c), (3), (4)(a)(b), (5)) 31/05/2019

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Recommendations

 The home should play a full part in promoting the best interests of the child, proactively advocating for the child to ensure that others play their role and deliver the high-quality support that is needed. („Guide to the children‟s homes regulations including the quality standards‟, page 11, paragraph 2.4) In particular, ensure that the manager and staff receive training about care proceedings and care planning regulations to understand the processes involved and responsibility of others in the child‟s care. Inspection report children‟s home: 1267402 4  Records of restraint must be kept and should enable the registered person and staff to review the use of control, discipline and restraint to identify effective practice and respond promptly where any issues or trends of concern emerge. The review should provide the opportunity for amending practice to ensure it meets the needs of each child. („Guide to the children‟s homes regulations

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Recommendations

including the quality standards‟, page 49, paragraph 9.59) Specifically, the records should clearly outline the details of the child‟s behaviour leading to the use of the measure; the specific time of the restraint; and clear details of the physical intervention used. This will assist the manager in monitoring each incident.

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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

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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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 5

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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

Tina Ruffles, social care inspector Inspection report children‟s home: 1267402 6 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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Inspector

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Inspector

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Inspector

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