Children's Home run by Bramley Care Limited in Surrey

Interim inspection report children’s home: SC028505 1 SC028505 Registered provider: Bramley Care Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is registered to accommodate four young people. The home is privately owned and is one of four children’s homes run by the service provider. The home is a semi-independent provision that offers a service to boys who may have experienced some form of abuse, and who have been involved in perpetrating abusive behaviour themselves. All young people have access to the organisation’s specialist therapeutic service and education establishment.

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Judgement at last inspection: requires improvement to be good

Date of last inspection: 19 February 2019

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Judgement at last inspection: requires improvement to be good

Enforcement action since last inspection: none

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and young people since the most recent full inspection

This home was judged requires improvement to be good at the last full inspection. At the interim inspection, Ofsted judges that it has declined in effectiveness.

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and young people since the most recent full inspection

Four requirements were made at the last inspection. Three are being repeated. There has been a lack of effective implementation and scrutiny by managers, resulting in continued shortfalls.

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and young people since the most recent full inspection

One requirement made at the last inspection has been addressed. This was in relation to ensuring that any gaps in staff employment histories are fully explored and explained prior to staff working in the home. This has been done, and any gaps in employment are now fully reviewed prior to staff commencing work. Interim inspection report children’s home: SC028505 2 At the last inspection, a requirement was put in place in relation to ensuring that all members of staff were aware of potential hazards around the home. In particular, there had been poor management of smoking, resulting in flammable materials being placed near and inside a plastic bucket that was being used as a receptacle for cigarette ends. The continued poor approach to the management of smoking in the grounds results in an unsightly environment and continues to pose a fire risk. The requirement made at the last inspection relating to this matter is therefore repeated.

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and young people since the most recent full inspection

At the last inspection, a requirement was made relating to ensuring that the recording of medication administration is accurate. At this inspection, it was found that key staff do not identify or respond to medication errors in a timely manner. They have not recognised the potential risks of harm to young people when medication has been missing, and there has been a delay in seeking advice from health professionals when this has occurred.

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and young people since the most recent full inspection

At this inspection, it was noted that a door to the rear of the building was locked and there was no key in place to ensure unrestricted exit in an emergency. Members of staff identified the door as a fire exit and stated that a member of staff on shift has access to the key to help escape via this route if needed. This practice was put in place due to challenges posed by a young person who had left the home in March. The continued use of this measure had not been reviewed or reconsidered since his discharge and was therefore an unnecessary restriction on the remaining young people. Interim inspection report children’s home: SC028505 3

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Inspection date Inspection type Inspection judgement

19/02/2019 Full Requires improvement to be good 11/10/2017 Full Outstanding 20/12/2016 Interim Improved effectiveness 19/07/2016 Full Good Interim inspection report children’s home: SC028505 4

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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.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure— 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. (Regulation 12 (1)(2)(d))

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Requirement Due date

This is with regards to ensuring that potential risks are identified and reduced by members of staff. 15/08/2019

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Requirement Due date

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— use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b)(2)(h))

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Requirement Due date

This is in relation to ensuring that shortfalls and potential risks are identified and addressed by the registered manager. 15/08/2019

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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. In particular the registered person must ensure that—

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Requirement Due date

medicines kept in the home are stored in a secure place so as to prevent any child from having unsupervised access to them; medicine which is prescribed for a child is administered as 15/08/2019 Interim inspection report children’s home: SC028505 5 prescribed to the child for whom it is prescribed and to no other child; and a record is kept of the administration of medicine to each child.

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Requirement Due date

Paragraph (2) does not apply to medicine which— is stored by the child for whom it is provided in such a way that other persons are prevented from using it; and may be safely self-administered by that child. (Regulation 23 (1)(2)(a)(b)(c)(3)(a)(b))

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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 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’. Interim inspection report children’s home: SC028505 6

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Children’s home details

Registered provider: Bramley Care Limited

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Children’s home details

Registered provider address: Nicholas House, Riverfront, Enfield, Essex EN1 3FG

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Inspectors

Paul Taylor, social care inspector Daniel Healy, social care inspector Interim inspection report children’s home: SC028505 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 looked after children, safeguarding and child protection.

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Inspectors

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Inspectors

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Inspectors

T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: http://www.gov.uk/ofsted

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