Children's Home run by Bristol City Council in Bristol

Inspection report children‟s home: SC034184 1 SC034184 Registered provider: Bristol City Council

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This children‟s home is registered to provide long-term care and accommodation for up to five young people who have experienced adverse childhood experiences that have led to an associated trauma and presenting complex behaviours. The home is operated by a local authority.

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Information about this children’s home

The manager registered with Ofsted in November 2018.

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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 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: declined in effectiveness

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good

Enforcement action since last inspection: none Inspection report children‟s home: SC034184 2

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Inspection date Inspection type Inspection judgement

19/03/2019 Interim Declined in effectiveness 07/08/2018 Full Good 28/02/2017 Interim Sustained effectiveness 28/06/2016 Full Requires improvement Inspection report children‟s home: SC034184 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

In particular, the standard in paragraph (1) requires the registered person to ensure that staff help each child to—

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Requirement Due date

achieve the health and well-being outcomes that are recorded in the child‟s relevant plans;

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Requirement Due date

take part in activities, and attend any appointments, for the purpose of meeting the child‟s health and well-being needs. (Regulation 10 (2)(a)(i)(iii)) 14/09/19

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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 full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 2. (Regulation 32 (1)(3)(d)) 14/09/19

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Requirement Due date

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—

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Requirement Due date

details of the child‟s behaviour leading to the use of the measure;

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Requirement Due date

the date, time and location of the use of the measure;

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Requirement Due date

a description of the measure and its duration;

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Requirement Due date

details of any methods used or steps taken to avoid the need to use the measure;

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Requirement Due date

the name of the person who used the measure (“the user”), and of any other person present when the measure was used; 14/09/19 Inspection report children‟s home: SC034184 4 the effectiveness and any consequences of the use of the measure;

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Requirement Due date

and 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”)—

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Requirement Due date

has spoken to the user about the measure; and

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Requirement Due date

has signed the record to confirm it is accurate; and

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Requirement Due date

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)(ii)(iii)(iv)(v)(vi)(vii)(b)(i)(ii)(c))

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Overall experiences and progress of children and young people: good

Young people make progress in their education and social development because of the consistent and nurturing care provided by staff. For example, one young person who has excellent school attendance recently sat her General Certificate of Secondary Education exams. She has a place at college for September to study hair and makeup. Another young person has been supported by staff to attend an alternative provision and described it as being much better than his previous school where he was unhappy.

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Overall experiences and progress of children and young people: good

Staff ensure that internal care plans are user friendly; aims and objectives are very clear and in line with statutory care plans. Young people‟s wishes and feelings are central to their care plans. Staff listen and respond to young people‟s requests to ensure that they feel valued. Consequently, young people achieve because staff provide clear guidance and boundaries and promote positive experiences.

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Overall experiences and progress of children and young people: good

Staff have warm and positive relationships with young people. Young people feel able to talk with staff about their worries or when they feel unwell. For example, staff ensure that young people access sexual health services and have practical support when needed. Some young people attend routine health appointments. However, some young people do not consistently attend the dentist and opticians or other appointments to help with their behaviour. If staff do not effectively engage young people to attend their appointments, this could impact on their health and well-being in adulthood.

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Overall experiences and progress of children and young people: good

Young people take part in a range of activities inside and outside the home, including bowling, drama groups, trips to the cinema, baking and cycling. Staff promote healthy living and ensure that young people eat a nutritious diet and stay active. For example, all young people have passes for the local gym and are attending or starting to attend. Staff Inspection report children‟s home: SC034184 5 also educate young people about a balanced diet.

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

Young people are safe because of living at this home. There have not been any complaints or allegations against staff since the last inspection. Young people said that they do not have any worries or issues, when asked during this inspection. One young person shared that he feels safe and that staff are nice.

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

Staff have a good understanding of safeguarding procedures and take effective action to safeguard young people. Staff show professional curiosity and prioritise young people‟s safety outside of the home. For example, staff like to meet young people‟s friends and family, set clear curfew times and regularly check in with young people when they are away from the home.

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

Staff use physical restraint as a last resort, and since the last inspection there have been only two incidents of physical restraint. The manager has good oversight of the incidents; however, she has not reviewed them within the required timescales. Managers do not ensure that restraint records are completed to a good enough standard. This is because staff are not debriefed properly or within the timescales. Records do not clearly state the restraint used or details of how staff de-escalated the situation. Staff are not learning from incidents or considering how to improve future practice.

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The effectiveness of leaders and managers: good

The registered manager is experienced and well respected by staff. She is described as approachable and caring. The manager is supported by experienced and dedicated assistant managers who work well as a team to provide consistent care and boundaries to young people.

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The effectiveness of leaders and managers: good

Staff take part in regular team meetings in which they prioritise the needs of young people. They share ideas and discuss practical issues that affect young people. This demonstrates that staff work together to provide a high quality of care to young people. Staff are up to date with mandatory training and receive refresher training and information on child protection, the „Prevent‟ duty and the exploitation of children. Staff, therefore, have the necessary skills and experience to care for young people.

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The effectiveness of leaders and managers: good

Managers ensure that staff receive frequent and meaningful supervision. Staff also have clinical supervision in groups. This enables staff to reflect on their practice, to consider areas of improvement and ways in which they can continually deliver individualised and nurturing care to young people.

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The effectiveness of leaders and managers: good

The manager ensures that the staff team is providing care in line with the statement of purpose. She has a good level of monitoring and oversight and has completed a well- written evaluation of the quality of care provided in the home. Her development plan is meaningful, and the actions are likely to improve the quality of care in the home. Inspection report children‟s home: SC034184 6 Managers ensure that staff who have previously lived abroad have the necessary international safety checks in place. The manager ensures that risk assessments for staff are completed where needed. However, a reference sampled for a staff member during this inspection was not recorded as verified. In another file for a longer-serving staff member, references were missing. Identify checks were missing on one file. Gaps in employment also need improved oversight to ensure that young people are safeguarded.

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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

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: SC034184 7

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Children’s home details

Registered provider address: Director of Legal Services, City Hall, College Green, Bristol BS1 5TR

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Inspector

Anna Gravelle, social care inspector Inspection report children‟s home: SC034184 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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