Children's home run by N H Care Limited in Birmingham

Inspection report for children’s home - monitoring visit: SC446152 1 SC446152

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NH Care Limited

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 provide care and accommodation for three children who have learning disabilities and/or emotional and social difficulties. The home is privately owned.

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Information about this children’s home

The registered manager left on 11 January 2019. A new manager started in post on 2 July 2019. He intends to submit an application to register.

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Information about this children’s home

A restriction of accommodation notice has been issued. The notice came into effect on 11 June 2019 and runs until 2 September 2019.

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This monitoring visit

At a full inspection on 5 and 6 June 2019, the home was judged inadequate. As a result of the inspection findings, Ofsted issued a restriction of accommodation notice and four compliance notices.

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This monitoring visit

A monitoring visit was conducted on 16 July 2019. At this visit, inspectors found that the progress to address the compliance notices was slow. Consequently, only one of the four compliance notices had been met. Two new shortfalls were identified. These related to the safe administration of medication and the recording of physical restraints. As a result of this inspection, three compliance notices were re-issued and there were two new compliance notices.

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This monitoring visit

The purpose of this visit is to check that the service has complied with the restriction of accommodation notice and to evaluate the provider’s progress in meeting the five compliance notices.

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This monitoring visit

The provider has continued to comply with the restriction of accommodation notice. Inspection report for children’s home - monitoring visit: SC446152 2 Consequently, two children remain living at the home.

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This monitoring visit

Inspectors found that some progress has been made in addressing the compliance notices. As result, three of the five compliance notices are now met.

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This monitoring visit

 The manager has taken action to update and review children’s risk assessments. Children’s risk assessments are now clear about the arrangements for individual staff to lone work with children and about how staff should respond to the risk of a child going missing from care.  The manager has reviewed children’s daily plans in consultation with each child and their social workers. Children’s plans now include agreed progress goals and timescales for review. Staff have carried out direct work with children covering topics such as bullying and child sexual exploitation.  Managers have ensured that the three physical interventions that have happened since the last inspection have been recorded in accordance with regulation.  Managers now have systems in place that allow them to monitor and review children’s progress. However, shortfalls still remain in the overall monitoring of the quality of care. For example, the manager did not notice that a child’s

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This monitoring visit

bed was broken and that there were gaps in the recording of the administration of medication.  Significant shortfalls in the administration of medication continue. For example, guidance on how to apply a steroid cream to treat a child’s skin condition remains unclear.

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Recent inspection history

Inspection date Inspection type Inspection judgement 05/06/2019 Full Inadequate 07/11/2018 Full Good 12/07/2017 Full Good 20/12/2016 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: SC446152 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 health and well-being standard is that the health and well-being needs of children are met. (Regulation 10 (1)(a)) 28/08/2019

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on mutual respect and trust and positive responses to other children and adults. In particular, the standard in paragraph (1) requires the registered person to ensure that staff meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans; help each child to develop and practise skills to resolve conflicts positively and without harm to anyone; strive to gain each child’s respect and trust; understand how children’s previous and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children; are provided with supervision and support to enable them to understand and manage their own feelings and responses to the behaviour and emotions of children, and to help children to do the

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Requirement Due date

same; de-escalate confrontations with or between children, or potentially violent behaviour by children; that each child is encouraged to build and maintain positive relationships with others. (Regulation 11 (1)(a)(c)(2)(i)(iv)(viii)(ix)(x)(xi)(b)) 28/08/2019

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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. 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)(2)(a)(h))* 23/09/19

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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 a record is kept of the administration of medicine to each child. 23/09/19 Inspection report for children’s home - monitoring visit: SC446152 4 (Regulation 23 (1)(2)(c))* The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety. (Regulation 32 (1)(3)) 28/08/2019

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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)) 28/08/2019

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Requirement Due date

The registered person must maintain in the home the records in schedule 4. (Regulation 37 (2)(a)) 28/08/2019

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Requirement Due date

The registered person must ensure that a record is made of any complaint, the action taken in response and the outcome of any investigation. (Regulation 39 (3)) 28/08/2019

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if there is an allegation of abuse against the home or a person working there. (Regulation 40 (4)(c)) 28/08/2019

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Requirement Due date

*These requirements are subject to a compliance notice.

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Recommendations

 Staff should be familiar with the home’s policies on record keeping and understand the importance of careful, objective, and clear recording. Staff should record information on individual children in a non-stigmatising way that distinguishes between fact, opinion and third-party information. Information about the child must always be recorded in a way that will be helpful to children. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraph 14.4)

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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. Inspection report for children’s home - monitoring visit: SC446152 5

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Children’s home details

Registered provider address: 3 Shetland Close, Birmingham, Warwickshire B16 0RF

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Inspectors

Alison Cooper, social care inspector Mrs Debbie Bond, social care inspector Inspection report for children’s home - monitoring visit: SC446152 6 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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Inspectors

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Inspectors

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Inspectors

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