Children's Home run by One To One Crisis Intervention Ltd in Devon

Inspection report children’s home: 1259216 1 Registered provider: One to One Crisis Intervention Ltd

p.1

Full inspection Inspected under the social care common inspection framework

p.1

Information about this children’s home

The home provides care and accommodation for one child who may have emotional and/or behavioural difficulties and/or learning difficulties.

p.1

Information about this children’s home

The registered manager is responsible for solely managing this home and works directly with the child as part of the care team.

p.1

Information about this children’s home

Inspection dates: 26 to 27 September 2019

p.1

Overall experiences and progress of

children and young people, taking into account

p.1

good

How well children and young people are helped and protected requires improvement to be good

p.1

good

The effectiveness of leaders and managers requires improvement to be good

p.1

good

The children’s home provides effective services that meet the requirements for good.

p.1

good

Date of last inspection: 26 November 2018

p.1

good

Overall judgement at last inspection: good

p.1

good

Enforcement action since last inspection: not applicable Inspection report children’s home: 1259216 2

p.1

Inspection date Inspection type Inspection judgement

26/11/2018 Full Good 10/01/2018 Full Outstanding

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.2

Requirement Due date

13: The leadership and management standard 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.2

Requirement Due date

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

p.2

Requirement Due date

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

p.2

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;

p.2

Requirement Due date

ensure that staff work as a team where appropriate;

p.2

Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child;

p.2

Requirement Due date

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

p.2

Requirement Due date

ensure that the home’s workforce provides continuity of care to each child. (Regulation 13 (1)(a)(b)(2)(a)(b)(c)(d)(e)) 18/10/2019

p.2

Requirement Due date

20: Restraint and deprivation of liberty Restraint in relation to a child is only permitted for the purpose of preventing— 18/10/2019 Inspection report children’s home: 1259216 3 injury to any person (including the child);

p.2

Requirement Due date

serious damage to the property of any person (including the child); or

p.3

Requirement Due date

a child who is accommodated in a secure children’s home from absconding from the home.

p.3

Requirement Due date

Restraint in relation to a child must be necessary and proportionate. (Regulation 20 (1)(a)(b)(c)(2)) 35: Behaviour management policies and records The registered person must ensure that—

p.3

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—

p.3

Requirement Due date

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

p.3

Requirement Due date

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

p.3

Requirement Due date

a description of the measure and its duration;

p.3

Requirement Due date

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

p.3

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;

p.3

Requirement Due date

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

p.3

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;

p.3

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’)—

p.3

Requirement Due date

has spoken to the user about the measure; and

p.3

Requirement Due date

has signed the record to confirm it is accurate; and 18/10/2019 Inspection report children’s home: 1259216 4 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)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c)(iv))

p.3

Overall experiences and progress of children and young people: good

The registered manager works as part of the care team and ensures that children receive good-quality, personalised and nurturing care. Excellent attention is given to assessing children before they come to live at the home. This includes gathering information from a variety of sources and meeting the child several times. This enables the manager and staff team to make considered decisions and to plan effectively for the child’s care.

p.4

Overall experiences and progress of children and young people: good

There is a good understanding of the current child’s complex needs. The manager and staff team have been creative in their thinking and have worked hard to help the child to feel settled and cared for and develop a sense of belonging. For example, he has been provided with a range of sensory items, has been allowed to have pets and encouraged to choose decorative items for the home.

p.4

Overall experiences and progress of children and young people: good

The child’s placement plan is clear and thorough. Ongoing discussions take place with the child, which are recorded and which demonstrate the positive and nurturing care he is receiving. Smart targets are being identified and arrangements are in place for the child to have play and horse therapy. The child’s diet has been carefully considered, not only in relation to healthy eating, but also the impact this may have on his behaviour. He is being provided with homely, nutritious, additive-free meals.

p.4

Overall experiences and progress of children and young people: good

The child is continuing to attend the school he has previously attended and where teaching staff know him well. The manager has established a close working relationship with the school and communication is free-flowing and open.

p.4

Overall experiences and progress of children and young people: good

The child’s social worker is impressed with the manager and the care they are providing.

p.4

Overall experiences and progress of children and young people: good

The physical environment is homely, attractive and comfortable. The child has personalised his bedroom and is encouraged to enjoy playing in the house and garden.

p.4

improvement to be good

The management of the child’s behaviour is not consistently good. This is due to the home having an inexperienced staff team. For example, not all staff fully understand the distinction between playfulness and what constitutes a restrictive physical practice. Inspection report children’s home: 1259216 5 Occasionally too, staff have separated themselves from the child, which is inappropriate given his young age and complex emotional needs. The manager is fully aware of these incidents and is working extremely hard to disseminate her knowledge and skills to her inexperienced team. She is leading by example, has good monitoring and oversight and is effectively challenging practice that requires improvement.

p.4

improvement to be good

Some physical interventions are being used. Mostly these are low-level breakaway techniques or guides. Some restrictive restraints have been used but these have been proportionate and for the purpose of keeping the child and others safe from harm. During this inspection, the inspector clarified that if the manager is involved in a restraint, another senior manager in the company must provide a debriefing and management oversight of the incident to reflect on any lessons learned.

p.5

improvement to be good

When a child has gone missing the manager and staff have been diligent in searching and trying to keep in touch with the child and returning them home safely. Return home interviews have taken place and the manager has sought to identify how the child can be influenced to be safer.

p.5

improvement to be good

The manager and staff have a good understanding of their safeguarding roles and responsibilities. Staff are suitably trained and have good access to leaders and managers in the company for support and advice. Where any concerns arise, children’s safety and well-being are placed at the centre of decision-making and robust action is taken. Appropriate referrals are made to the local authority.

p.5

improvement to be good

Staff recruitment is thorough and follows safer recruitment expectations.

p.5

The effectiveness of leaders and managers: requires improvement to be good

The registered manager is suitably qualified and a proficient practitioner. She has an intuitive and holistic approach and clearly demonstrates to her team what good parenting looks like. She has high expectations and is committed to providing children with positive experiences and nurturing care. She is supporting her team members to develop their own skills to ensure that the quality of care provided is consistently good.

p.5

The effectiveness of leaders and managers: requires improvement to be good

Currently only the manager is suitably qualified. The remaining staff are undertaking their level 3 qualification in residential childcare. All staff have had an induction, including mandatory training, and are being supported through regular practice-related supervision. Clinical support and further training are planned, which will include attachment awareness and related topics, which are needed as priorities given the age and complex needs of the child living in the home.

p.5

The effectiveness of leaders and managers: requires improvement to be good

The child is currently supported by two carers. Due to a vacancy, some shifts have been covered by staff from one of the company’s other children’s homes. The manager has endeavoured to minimise the impact of this shortfall by using a small number of additional staff and choosing staff with a good level of experience and skills. A new appointment has been made that will provide a full staff team. Inspection report children’s home: 1259216 6 The manager maintains comprehensive, clear and up-to-date records. She is conscientious about her role and ensures that she puts the child in her care at the centre of her decision-making.

p.5

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.

p.6

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: 1259216 7

p.6

Children’s home details

Registered provider: One to One Crisis Intervention Ltd

p.7

Children’s home details

Registered provider address: 5 Newton Road, Kingsteignton, Newton Abbot, Devon TQ12 3AL

p.7

Inspector

Norma Welsby, social care inspector Inspection report children’s home: 1259216 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.

p.7

Inspector

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

Inspector

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

p.8

Inspector

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

p.8