Children's home run by Partnerships in Care 1 Limited

Inspection report for children’s home - monitoring visit: 1247390 1

p.1

Partnerships in Care 1 Limited

Monitoring visit Inspected under the social care common inspection framework

p.1

Information about this children’s home

The home can provide care for up to eight children and young adults. Its specialism is to provide care to children and young adults who have mental health difficulties and who self-harm.

p.1

Information about this children’s home

The home is part of a large national private organisation. This organisation has its own clinical team.

p.1

Information about this children’s home

The manager has been registered with Ofsted since January 2019.

p.1

Information about this children’s home

The home is also registered with the Care Quality Commission.

p.1

This monitoring visit

This children’s home was judged inadequate at the full inspection on 23 and 24 July 2019. Following that inspection, one compliance notice was issued, namely Regulation 6: the quality and purpose of care standard. Seven statutory requirements were also set.

p.1

This monitoring visit

At this monitoring visit, the inspector found that sufficient action has been taken to meet the compliance notice. A further full inspection will take place to determine the progress against the requirements.

p.1

This monitoring visit

Immediately following the previous inspection, the provider submitted a request to voluntarily cancel their registration with Ofsted and remain solely registered with the Care Quality Commission. At the time of the monitoring visit, children continued to live in the home, and leaders and managers had no plan for how they would effectively implement their de-registration with Ofsted. This hinders their ability to fully achieve their statement of purpose. Inspection report for children’s home - monitoring visit: 1247390 2 Action to improve the quality of the home is starting to take shape. Refurbishment has commenced and is ongoing. The relocation of the clinic room better promotes the privacy and dignity of children. Children told inspectors that they prefer the new layout of the home and have been involved in making decisions about the decor.

p.1

This monitoring visit

Sufficient progress has been made to enable understanding of the actions and outcomes of safeguarding referrals. The registered manager has prioritised the understanding of the progress of all open safeguarding referrals. These updates are communicated sensitively to children.

p.2

This monitoring visit

Leaders and managers have taken effective action to review the missing from home protocols. An agreement has been reached with other professionals about the responsibility of independent return home interviews. Despite this, inspectors found one occurrence where a child has been missing from home and no return home interview took place.

p.2

This monitoring visit

A full review of the referral, assessment and admission process is complete. New procedures detail how leaders and managers will consider the suitability of new children moving into the home. This includes they ways in which they will review the child’s progress and escalate any concerns where they feel they can no longer meet the child’s needs. The effectiveness of this review is yet to be tested, as no new children have moved into the home.

p.2

This monitoring visit

Leaders and managers have improved the protocols for the administration of controlled medication administered on an as-and-when-required basis (pro re nata). The review includes more information about the purpose of the medication and child’s health needs.

p.2

Recent inspection history

Inspection date Inspection type Inspection judgement 23/07/2019 Full Inadequate 20/02/2019 Interim Sustained effectiveness 26/09/2018 Full Requires improvement to be good 05/01/2018 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: 1247390 3

p.2

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.3

Requirement Due date

5: Engaging with the wider system to ensure children’s needs are met

p.3

Requirement Due date

In meeting the quality standards, the registered person must, and must ensure that staff—

p.3

Requirement Due date

seek to involve each child’s placing authority effectively in the child’s care, in accordance with the child’s relevant plans;

p.3

Requirement Due date

seek to secure the input and services required to meet each child’s needs;

p.3

Requirement Due date

if the registered person considers, or staff consider, a placing authority’s or a relevant person’s performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child’s needs are met in accordance with the child’s relevant plans; and

p.3

Requirement Due date

seek to develop and maintain effective professional relationships with such persons, bodies or organisations as the registered person considers appropriate having regard to the range of needs of children for whom it is intended that the children’s home is to provide care and accommodation. (Regulation 5 (a)(b)(c)(d)) 30/10/2019

p.3

Requirement Due date

6: The quality and purpose of care standard *

p.3

Requirement Due date

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

p.3

Requirement Due date

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

p.3

Requirement Due date

use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential. 30/10/2019 Inspection report for children’s home - monitoring visit: 1247390 4 In particular, the standard in paragraph (1) requires the registered person to—

p.3

Requirement Due date

understand and apply the home’s statement of purpose;

p.4

Requirement Due date

understand and apply the home’s statement of purpose;

p.4

Requirement Due date

protect and promote each child’s welfare;

p.4

Requirement Due date

treat each child with dignity and respect;

p.4

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;

p.4

Requirement Due date

provide to children living in the home the physical necessities they need in order to live there comfortably;

p.4

Requirement Due date

ensure that the premises used for the purposes of the home are designed and furnished so as to—

p.4

Requirement Due date

enable each child to participate in the daily life of the home;

p.4

Requirement Due date

make decisions about the day-to-day arrangements for each child, in accordance with the child’s relevant plans, which give the child an appropriate degree of freedom and choice. (Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iii)(iv)(vii)(ix) and (c)(i)(ii))

p.4

Requirement Due date

The health and well-being standard is that— the health and well-being needs of children are met;

p.4

Requirement Due date

children receive advice, services and support in relation to their health and well-being; and

p.4

Requirement Due date

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—

p.4

Requirement Due date

that staff help each child to— 30/10/2019 Inspection report for children’s home - monitoring visit: 1247390 5 achieve the health and well-being outcomes that are recorded in the child’s relevant plans. (Regulation 10 (1)(a)(b)(c) and (2)(a)(i))

p.4

Requirement Due date

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

p.5

Requirement Due date

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

p.5

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;

p.5

Requirement Due date

help each child to understand how to keep safe;

p.5

Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

p.5

Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare; and

p.5

Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm. (Regulation 12 (1)(2)(a)(i)(ii)(v)(vi) and (b)) 30/10/2019

p.5

Requirement Due date

13: The leadership and management standard

p.5

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—

p.5

Requirement Due date

helps children aspire to fulfil their potential; and promotes their welfare.

p.5

Requirement Due date

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

p.5

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; 30/10/2019 Inspection report for children’s home - monitoring visit: 1247390 6 ensure that staff have the experience, qualifications and skills to meet the needs of each child;

p.5

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;

p.6

Requirement Due date

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

p.6

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.

p.6

Requirement Due date

In particular the registered person must ensure that—

p.6

Requirement Due date

medicine which is prescribed for a child is administered as prescribed to the child for whom it is prescribed and to no other child. (Regulation 23 (1) and (2)(b)) 30/10/2019

p.6

Requirement Due date

35: Behaviour management policies and records

p.6

Requirement Due date

within 5 days of the use of a measure of control, discipline or restraint in relation to a child in the home, 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)(c)) 30/10/2019

p.6

Requirement Due date

*These requirements are subject to a compliance notice.

p.6

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: 1247390 7

p.6

Children’s home details

Registered provider: Partnerships in Care 1 Limited

p.7

Children’s home details

Registered provider address: Unit 2, Imperial Place, Maxwell Road, Borehamwood WD6 1JN

p.7

Inspectors

Nicola Lownds, social care inspector Paula Lahey, regulation inspection manager Inspection report for children’s home - monitoring visit: 1247390 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