Children's home run by Crystal Care Solutions Limited in Cheshire East

Inspection report for children‟s home – monitoring visit: SC477209 1 SC477209

p.1

Crystal Care Solutions Limited

Monitoring visit Inspected under the social care common inspection framework

p.1

Information about this children’s home

This home is registered to provide care for up to three young people. The home specialises in providing a therapeutic environment for young people who display sexually harmful behaviours. A private company manages this home.

p.1

Information about this children’s home

The home has been without a registered manager since 17 May 2019. A new manager has been appointed to the home. He took up post on 3 June 2019. He holds a level 5 qualification in leadership and management. The new manager has applied to register with Ofsted.

p.1

This monitoring visit

This children‟s home was judged inadequate at the last full inspection conducted on 5 and 6 June 2019. Two compliance notices were issued, and 10 requirements were raised.

p.1

This monitoring visit

The purpose of this monitoring inspection is to review the provider‟s action to meet the two compliance notices and 10 requirements. Six out of the 10 requirements are considered met. Two new requirements have been raised, and both compliance notices have been reissued.

p.1

This monitoring visit

Managers have taken action to review and update young people‟s risk assessments and staff are now clear about their responsibilities in safeguarding young people. Managers have also made improvements to the physical conditions in the home. This has included ensuring that young people have individualised personal space and that the home is a homely environment.

p.1

This monitoring visit

Staff are carrying out more relevant and sensitive work to help young people to better understand their circumstances. However, staff have failed to carry out specific work with one young person following a significant incident. This omission is a missed opportunity to help the young person to learn how to keep themselves safe Inspection report for children‟s home – monitoring visit: SC477209 2 in the future.

p.1

This monitoring visit

Managers have ensured that they notify Ofsted of significant incidents in a timely way. Managers have also introduced systems that support them to review the quality of care provided at the home. This includes consulting young people to make sure that their views are considered in the development of the service.

p.2

This monitoring visit

Despite this good progress, managers have failed to make sufficient progress in meeting the two compliance notices.

p.2

This monitoring visit

Managers have still not addressed shortfalls in staff training. For example, one member of staff who has worked at the home since 6 June 2019 has still not received fire safety training. This is despite the organisation‟s training and development policy stating that this must be completed on an employee‟s second working day at a home. Four members of staff have still not received training in the specialist therapeutic model of care offered by the service. Some members of staff are still waiting to receive training in how to keep young people safe online and how to respond to young people who may self-harm.

p.2

This monitoring visit

Managers are unable to demonstrate that all staff have received supervision in line with the organisation‟s policy. Managers are still not able to provide documentation evidence that four members of staff have received supervision since the last inspection. This was despite the manager‟s supervision matrix indicating that meetings have taken place during this period. This lack of clear, timely recording means that managers lack oversight of the support that is offered to staff.

p.2

This monitoring visit

Physical intervention records still lack basic information and have limited evaluation of incidents. These gaps mean that managers and staff cannot rely on these records to support learning following an incident.

p.2

This monitoring visit

Failures in the management of medication remain. Despite all staff receiving training in the care of medication since the last inspection, this increased knowledge has not been applied to practice. For example, on the day of the monitoring inspection, staff on duty had failed to correctly sign out one young person‟s medication. This means that staff do not clearly know when a young person has received their medication.

p.2

This monitoring visit

Staff have failed to take a young person for a planned medical assessment. This failure by staff to follow a young person‟s care plan demonstrates a lack of attention to detail in the care that staff should provide.

p.2

Recent inspection history

Inspection report for children‟s home – monitoring visit: SC477209 3

p.3

Inspection date Inspection type Inspection judgement

05/06/2019 Full Inadequate 07/11/2018 Full Good 08/11/2017 Full Good 22/03/2017 Interim Improved effectiveness Inspection report for children‟s home – monitoring visit: SC477209 4

p.3

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.

p.4

Requirement Due date

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

p.4

Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff help each child to achieve the health and well-being outcomes that are recorded in the child‟s relevant plans. (Regulation 10(1)(2)(a)(i)) 20/09/2019

p.4

Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

p.4

Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff help each child to understand how to keep safe. (Regulation 12 (1)(2)(a)(ii)) 20/09/2019

p.4

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.

p.4

Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff have the experience, qualifications and skills to meet the needs of each child. (Regulation 13(1)(2)(11))* 20/09/2019

p.4

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. (Regulation 23 (1)) 20/09/2019

p.4

Requirement Due date

The registered person must ensure that all employees receive practice-related supervision by a person with appropriate experience. (Regulation 33 (4)(b))* 20/09/2019

p.4

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 the name of the child; details of the child‟s behaviour leading to the use of the measure; the date, time and location of the use of the measure; a description of the 20/09/2019 Inspection report for children‟s home – monitoring visit: SC477209 5 measure and its duration; details of any methods used or steps taken to avoid the need to use the measure; the name of the person who used the measure (“the user”), and of any other person present when the measure was used; the effectiveness and any consequences of the use of the measure; and a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure.

p.4

Requirement Due date

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 5 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(3)(a)(b)(c))

p.5

Requirement Due date

*These requirements are subject to a compliance notice. Inspection report for children‟s home – monitoring visit: SC477209 6

p.5

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.

p.6

Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children‟s home – monitoring visit: SC477209 7

p.6

Children’s home details

Registered provider: Crystal Care Solutions Limited

p.7

Children’s home details

Registered provider address: Bank House, Market Square, Congleton, Cheshire CW12 1ET

p.7

Inspectors

Tracey Coglan Greig, social care inspector Joanna Warburton, social care inspector Inspection report for children‟s home – monitoring visit: SC477209 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.

p.7

Inspectors

If you would like a copy of this document in a different format, such as large print or Braille, please telephone 0300 123 1231, or email enquiries@ofsted.gov.uk . You may reuse this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit http://www.nationalarchives.gov.uk/doc/open-government-licence , write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gsi.gov.uk .

p.8

Inspectors

Interested in our work? You can subscribe to our monthly newsletter for more information and updates: http://eepurl.com/iTrDn .

p.8

Inspectors

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

p.8