Children's Home run by Turning Point Care Limited in Enfield

Inspection report for children‘s home - monitoring visit: SC010699 1 SC010699 Turning Point Care Ltd

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Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

A private provider owns and operates this home. The home’s statement of purpose states that it can provide care for five young people with emotional or behavioural difficulties. The manager was registered by Ofsted in May 2018.

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This monitoring visit

This children’s home was judged inadequate at the full inspection of 10 and 11 July 2019. As a result, three compliance notices relating to Regulations 12, 13 and 32 were issued.

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This monitoring visit

This visit sought to address compliance with the notice issued under Regulation 12. Ofsted considers that the home has taken insufficient steps towards addressing this requirement.

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This monitoring visit

One young person is resident in the home. Following the full inspection, his placing authority has undertaken weekly monitoring visits. The young person informed the inspector that he is happy in the home as it is ‘cool’. He stated that he understands the house rules, particularly around accessing video games. There are no reports of bullying in the home.

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This monitoring visit

The second young person who had been living at the home at the time of the full inspection moved on from the home shortly afterwards.

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This monitoring visit

The registered manager was not present during this visit. However, she phoned in to take part in a meeting attended by the inspector, deputy manager and a senior member of staff. The registered manager said that she accepted the findings of the recent full inspection and stated her committed to a programme of improvement.

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This monitoring visit

The home has recruited four new permanent members of staff since the last inspection. The deputy manager stated that the new staff have settled well and Inspection report for children‘s home - monitoring visit: SC010699 2 there have been no staff departures. One of the new members of staff holds the required management qualification in care, while another member of staff has recently enrolled to complete it.

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This monitoring visit

There are appropriate levels of staff to supervise the young person currently resident in the home.

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This monitoring visit

Risk assessment practice is variable. One young person’s risk assessment was revised on 22 August 2019. The assessment is of good quality with clear objectives and review dates. Concerningly, the assessment author is the only staff member to acknowledge having read through the assessment and there had been no update made to the young person’s behaviour management plan. These shortfalls limit an assessment of the impact of the care provided to young people and staff’s learning and development.

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This monitoring visit

The registered manager has reviewed the home’s safeguarding policy. Staff have received the updated policy and undertaken online safeguarding training. The registered manager plans to assess the impact of both the training and the policy during forthcoming supervision sessions.

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This monitoring visit

The deputy manager’s knowledge of safeguarding procedures continues to be a concern. During discussions with the inspector he was unable to evidence enough knowledge of basic procedures regarding the reporting of allegations made against staff. This is despite the deputy manager having attended recent training on the safeguarding of young people. The deputy manager acknowledged his lack of knowledge and said that he is presently seeking a programme of further training. More positively, the registered manager followed safeguarding procedures to carefully record and report a recent allegation made by a young person.

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Recent inspection history

Inspection date Inspection type Inspection judgement 10/07/2019 Full Inadequate 27/02/2019 Interim Declined in effectiveness 11/06/2018 Full Requires improvement to be good 08/01/2018 Interim Sustained effectiveness Inspection report for children‘s home - monitoring visit: SC010699 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 positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

help each child to develop socially aware behaviour;

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Requirement Due date

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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Requirement Due date

help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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Requirement Due date

communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and understanding;

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Requirement Due date

strive to gain each child’s respect and trust;

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Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the 30/09/2019 Inspection report for children‘s home - monitoring visit: SC010699 4 competence and skills to interpret these and develop positive relationships with children;

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Requirement Due date

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 same;

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Requirement Due date

de-escalate confrontations with or between children, or potentially violent behaviour by children;

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Requirement Due date

understand and communicate to children that bullying is unacceptable; and

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Requirement Due date

have the skills to recognise incidents or indications of bullying and how to deal with them.

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Requirement Due date

(Regulation 11 (1)(a)(b)(c)(2)(a)(i)(ii)(iii)(iv)(v)(viii)(ix)(x) (xi)(xii)(xiii))

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Requirement Due date

Specifically, in relation to ensuring that children feel listened to and are kept safe from bullying. Statement of purpose The registered person must—

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Requirement Due date

notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision.

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Requirement Due date

The registered person may only use devices for the monitoring or surveillance of children if—

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Requirement Due date

the monitoring or surveillance is for the purpose of safeguarding and promoting the welfare of the child concerned, or other children;

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Requirement Due date

the child’s placing authority consents in writing to the monitoring or surveillance;

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Requirement Due date

so far as reasonably practicable in the light of the child’s age and understanding, the child is informed in advance of the intention to do the monitoring or surveillance; and

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Requirement Due date

the monitoring or surveillance is no more intrusive than necessary, having regard to the child’s need for privacy. 30/09/2019 Inspection report for children‘s home - monitoring visit: SC010699 5 (Regulation 24 (1)(a)(b)(c)(d)) Other records

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Requirement Due date

Schedule 4 sets out the other information that the registered person must keep in relation to a children’s home.

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Requirement Due date

maintain in the home the records in Schedule 4;

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Requirement Due date

ensure that the records are kept up to date; and

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Requirement Due date

retain the records for at least 15 years from the date of the last entry.

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Requirement Due date

Specifically, maintain the admissions and discharge register. 30/09/2019

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Requirement Due date

44: Independent person: visits and reports

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Requirement Due date

The independent person must provide a copy of the independent person’s report to—

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Requirement Due date

Specifically, in relation to ensuring that HMCI and the placing authority are kept up to date with what is happening at the home. 30/09/2019

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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 ) 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 any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for 30/09/2019 Inspection report for children‘s home - monitoring visit: SC010699 6 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 (“th 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.

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Requirement Due date

(Regulation 45 (1)(2)(a)(b)(c)(3)(4)(a)(b)(5)) The protection of children standard

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

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Requirement Due date

assess whether each child is at risk of harm, taking into account information in the child’s relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child;

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Requirement Due date

help each child to understand how to keep safe;

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Requirement Due date

have the skills to identify and act upon signs that a child is at risk of harm; and

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Requirement Due date

manage relationships between children to prevent them from harming each other.

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Requirement Due date

(Regulation 12 (1)(2)(a)(i)(ii)(iii)(iv))

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Requirement Due date

Specifically, in relation to ensuring that children’s risk assessments are regularly updated and that children are 30/09/2019* Inspection report for children‘s home - monitoring visit: SC010699 7 protected from bullying within the home. Behaviour management policies and records The registered person must ensure that—

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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”), a ), and of any other person present when the measure was used;

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Requirement Due date

the effectiveness and any consequences of the use of the measure; and

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Requirement Due date

a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure;

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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 authoris ed 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.

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Requirement Due date

(Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vii)(viii)(b)(i)(ii)(c))

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Requirement Due date

Specifically, in relation to the recording of any restraint or physical intervention with children. 30/09/2019

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Requirement Due date

Fitness of workers 30/09/2019* Inspection report for children‘s home - monitoring visit: SC010699 8 The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety.

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Requirement Due date

The registered person may only— employ an individual to work at the children’s home; or

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Requirement Due date

if an individual is employed by a person other than the registered person to work at the home in a position in which the individual may have regular contact with children, allow that individual to work at the home,

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Requirement Due date

if the individual satisfies the requirements in paragraph (3).

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Requirement Due date

the individual has the appropriate experience, qualification and skills for the work that the individual is to perform.

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Requirement Due date

(Regulation 32 (1)(2)(a)(b)(3)(b)) The quality and purpose of care standard

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Requirement Due date

The quality and purpose of care standard is that children receive care from staff who—

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Requirement Due date

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

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Requirement Due date

use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to—

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Requirement Due date

understand and apply the home’s statement of purpose;

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Requirement Due date

protect and promote each child’s welfare;

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Requirement Due date

treat each child with dignity and respect;

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Requirement Due date

provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s background; and

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Requirement Due date

help each child to understand and manage the impact of any experience of abuse or neglect. 30/09/2019 Inspection report for children‘s home - monitoring visit: SC010699 9 (Regulation 6 (1)(2)(b)(i)(ii)(iii)(iv)(v)(vii))

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Requirement Due date

Specifically, in relation to understanding the statement of purpose and ensuring that individual care plans are followed in partnership with placing authorities. The education standard

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Requirement Due date

The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

help each child to achieve the child’s education and training targets, as recorded in the child’s relevant plans;

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Requirement Due date

promote opportunities for each child to learn informally;

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Requirement Due date

help each child to attend education or training in accordance with the expectations in the child’s relevant plans; and that each child has access to appropriate equipment, facilities and resources to support the child’s learning.

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Requirement Due date

Specifically, in relation to ensuring that children are engaged in educational activities when they do not attend school and ensuring that children are transported to school in time for the start of lessons. 30/09/2019

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Requirement Due date

The health and well-being standard is that—

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Requirement Due date

the health and well-being needs of children are met.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

achieve the health and well-being outcomes that are recorded in the child’s relevant plans; and 30/09/2019 Inspection report for children‘s home - monitoring visit: SC010699 10 understand the child’s health and well-being needs and the options that are available in relation to the child’s health and well-being, in a way that is appropriate to the child’s age and understanding.

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Requirement Due date

Specifically, to encourage children to attend appointments but where they refuse to ensure that further medical advice is sought from a medical professional. The leadership and management standard

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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—

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Requirement Due date

lead and manage the home in a way that is consistent with the approach and ethos, and delivers the outcomes, set out in the home‘s statement of purpose;

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Requirement Due date

ensure that staff work as a team where appropriate; ensure that staff have the experience, qualifications and skills to meet the needs of each child;

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Requirement Due date

ensure that the home has sufficient staff to provide care for each child;

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Requirement Due date

ensure that the home‘s workforce provides continuity of care to each child;

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Requirement Due date

understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home;

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on—

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Requirement Due date

research and developments in relation to the ways in which the needs of children are best met; and

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Requirement Due date

feedback on the experiences of children, including complaints 30/09/2019* Inspection report for children‘s home - monitoring visit: SC010699 11 received; and

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Requirement Due date

use monitoring and review systems to make continuous improvements in the quality of care provided in the home.

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Requirement Due date

(Regulation 13 (1)(a)(b)(2)(a)–(f)(g)(i)(ii)(h)) Policies for the protection of children

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Requirement Due date

The registered person must prepare and implement a policy which—

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Requirement Due date

is intended to safeguard children accommodated in the children’s home from abuse or neglect; and

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Requirement Due date

sets out the procedure to be followed in the event of an allegation of abuse or neglect.

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Requirement Due date

The procedure to be followed in the event of an allegation of abuse or neglect must, in particular—

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Requirement Due date

provide for the prompt referral of an allegation about current or ongoing abuse or neglect in relation to a child to the placing authority and, if different, the local authority in whose area the home is located; and

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Requirement Due date

provide for records to be kept of an allegation of abuse or neglect, and the action taken in response.

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Requirement Due date

Specifically, in relation to ensuring that allegations are reported at the earliest opportunity and clear and concise records are kept. 30/09/2019

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Requirement Due date

*These requirements are subject to a compliance notice.

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Recommendations

 The children’s home must produce a children’s guide. The children’s guide must be made available to all children when their placement in the home is agreed (or on arrival at the home if the placement is made in an emergency) and must be age appropriate, provided in an accessible format and explained to each child to make sure they understand it. (‘Guide to the children’s homes regulations including the quality standards’, page 24, paragraph 4.21)  Ensure that staff have the skills and confidence to communicate easily and understand the importance of listening to, involving and responding to the children they care for. Inspection report for children‘s home - monitoring visit: SC010699 12 Staff should understand that they have a responsibility to observe, notice and respond to children who are expressing their views, acknowledging that it is not the sole responsibility of the child to ‘tell’. They should also understand how children might

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Recommendations

communicate their feelings through their behaviour, or non-verbally, especially where the child has a disability which does not allow them to communicate as others might. (‘Guide to the children’s homes regulations including the quality standards’, page 22, paragraph 4.10) Specifically, in relation to ensuring that children have opportunities to meet with staff for key-work sessions or on a one-to-one basis.  The registered person should only accept placements for children where they are satisfied that the home can respond effectively to the child’s assessed needs as recorded in the child’s relevant plans and where they have fully considered the impact that the placement will have on the existing group of children. The Statement of Purpose is an important document in the process of care planning as it sets out the needs of children the home is set up and equipped to care for. (‘Guide to the children’s homes regulations including the quality standards’, page 56, paragraph

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Recommendations

11.4)  Regulation 40 (4) requires the registered person to notify Ofsted and other relevant persons if one of the situations specified in Regulation 40 (4)(a)–(d) occurs, or if there is an incident relating to the protection, safeguarding or welfare of a child living in the home which the registered person considers to be serious (40 (4)(e)). (‘Guide to the children’s homes regulations including the quality standards’, page 63, paragraph 14.10)  The registered person must have systems in place so that all staff, including the manager, receive supervision of their practice from an appropriately qualified and experienced professional, which allows them to reflect on their practice and the needs of the children assigned to their care. (‘Guide to the children’s homes regulations including the quality standards’, page 61, paragraph 13.2)

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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: SC010699 13

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Children’s home details

Registered provider: Turning Point Care Ltd

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Children’s home details

Registered provider address: 206 Turners Hill, Cheshunt, Herts EN8 9DE

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Children’s home details

Responsible individual: Dawnette Legister

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Inspector

Barnaby Dowell, social care inspector Inspection report for children‘s home - monitoring visit: SC010699 14 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 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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