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

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

p.1

Monitoring visit Inspected under the social care common inspection framework

p.1

Information about this children’s home

 A private provider operates this home.  The home provides care for up to five children.  The provider states in its statement of purpose that the home accommodates children with emotional and/or behavioural difficulties.  The manager has been registered with Ofsted since May 2018.

p.1

This monitoring visit

This children’s home was judged inadequate at the full inspection on 10 and 11 July 2019. As a result, three compliance notices relating to Regulations 12, 13 and 32 were issued. A monitoring visit on 30 August 2019 inspected the home’s compliance with Regulation 12 and found that the leaders and managers had taken insufficient steps towards addressing this requirement. On 12 September 2019, a restriction of accommodation notice was issued to prevent the home from admitting any further children or young people. This restriction notice came into effect on 16 September 2019 and is effective until 9 December 2019. This visit was to monitor compliance with Regulations 13 and 32. The visit also reviewed the compliance notice issued under Regulation 12 and considered what further steps the leaders and managers had taken to meet this requirement. This monitoring visit found a much-improved position. The registered manager has

p.1

This monitoring visit

devised an improvement plan to continue to develop the service. All children’s risk assessments and behaviour management plans are now up to date. The registered manager and staff have attended risk assessment and behaviour management training and consultation on 17 September 2019. As a result of this training, the registered manager has revised the behaviour management plans and risk assessments. The manager and the staff have learned from this training to be Inspection report for children‘s home - monitoring visit: SC010699 2 less problem-focused and to develop and praise good behaviours more. The registered manager accepts the findings of the full inspection and the recent monitoring visit. She has proposed changes to the management structure to support an improvement plan. The deputy manager will spend the next year focused on his own training, to include leadership, management and safeguarding training. During

p.1

This monitoring visit

this time, an experienced senior team member will act up as the deputy manager. This senior team member has clearly demonstrated her knowledge about child protection processes and knows how and when to report safeguarding concerns. She holds a level 5 diploma in leadership and management. The registered manager has put a new system in place to oversee staff training and to ensure that update training is completed. All staff hold the level 3 diploma or are working towards achieving this qualification. Discussions with staff members and a review of staff files indicated good access to training. Face-to-face safeguarding training is booked for November 2019 and January 2020, although all staff have now completed online training. Supervision records evidence regular supervision which is reflective and more focused on practice. Staff appraisals and probationary reviews have been completed or are scheduled to take place.

p.2

This monitoring visit

Monitoring at the home has improved and regular reports have been sent to Ofsted. This allows the regulator to know what is happening at the home. The registered manager has improved the systems within the home to allow better monitoring and oversight of the quality of care. Various simple measures have been taken which have improved how the staff team works together and with the children. These include clear rotas, regular house meetings and a communications book. Feedback from children and from other professionals indicates a much-improved service, with clearer routines and improving organisation and oversight. Comments such as ‘significantly improved’, ‘happy, settled and enjoying school life’ and ‘talks positively about relationships with staff’ support this.

p.2

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

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

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

p.3

Requirement Due date

an understanding about acceptable behaviour; and

p.3

Requirement Due date

positive responses to other children and adults.

p.3

Requirement Due date

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

p.3

Requirement Due date

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

p.3

Requirement Due date

help each child to develop socially aware behaviour;

p.3

Requirement Due date

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

p.3

Requirement Due date

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

p.3

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;

p.3

Requirement Due date

strive to gain each child’s respect and trust;

p.3

Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children; 27/10/2019 Inspection report for children‘s home - monitoring visit: SC010699 4 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;

p.3

Requirement Due date

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

p.4

Requirement Due date

understand and communicate to children that bullying is unacceptable; and

p.4

Requirement Due date

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

p.4

Requirement Due date

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

p.4

Requirement Due date

This is specifically in relation to ensuring that the children feel listened to and are kept safe from bullying. The registered person may only use devices for the monitoring or surveillance of children if—

p.4

Requirement Due date

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

p.4

Requirement Due date

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

p.4

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

p.4

Requirement Due date

the monitoring or surveillance is no more intrusive than necessary, having regard to the child’s need for privacy.

p.4

Requirement Due date

(Regulation 24 (1)(a)(b)(c)(d)) 27/10/2019

p.4

Requirement Due date

The registered person must complete a review of the quality of care provided for children (“a quality of care review”) at least once every 6 months.

p.4

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—

p.4

Requirement Due date

the quality of care provided for children; 27/10/2019 Inspection report for children‘s home - monitoring visit: SC010699 5 the feedback and opinions of children about the children’s home, its facilities and the quality of care they receive in it; and

p.4

Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

p.5

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 (“the quality of care review report”).

p.5

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

p.5

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.

p.5

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.

p.5

Requirement Due date

(Regulation 45 (1)(2)(a)(b)(c)(3)(4)(a)(b)(5)) The registered person must ensure that—

p.5

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.5

Requirement Due date

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

p.5

Requirement Due date

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

p.5

Requirement Due date

a description of the measure and its duration;

p.5

Requirement Due date

details of any methods used or steps taken to avoid the need to use the measure; 27/10/2019 Inspection report for children‘s home - monitoring visit: SC010699 6 the name of the person who used the measure (“the user”), and of any other person present when the measure was used;

p.5

Requirement Due date

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

p.6

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.6

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.6

Requirement Due date

has spoken to the user about the measure; and

p.6

Requirement Due date

has signed the record to confirm it is accurate; and

p.6

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.

p.6

Requirement Due date

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

p.6

Requirement Due date

This is specifically in relation to the recording of any restraint or physical intervention with children. The quality and purpose of care standard is that children receive care from staff who—

p.6

Requirement Due date

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

p.6

Requirement Due date

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

p.6

Requirement Due date

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

p.6

Requirement Due date

understand and apply the home’s statement of purpose;

p.6

Requirement Due date

protect and promote each child’s welfare; 27/10/2019 Inspection report for children‘s home - monitoring visit: SC010699 7 treat each child with dignity and respect;

p.6

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.7

Requirement Due date

help each child to understand and manage the impact of any experience of abuse or neglect.

p.7

Requirement Due date

(Regulation 6(1)(2)(b)(i)(ii)(iii)(iv)(v)(vii))

p.7

Requirement Due date

This is specifically in relation to understanding the statement of purpose and ensuring that individual care plans are followed in partnership with placing authorities.

p.7

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)  Staff should have the skills and confidence to communicate easily and understand the importance of listening to, involving and responding to the children they care for. 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 communicate their feelings through their behaviour, or non-verbally especially where the child has a

p.7

Recommendations

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) This is 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 11.4)  Regulation 40(4) requires the registered person to notify Ofsted and other

p.7

Recommendations

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 Inspection report for children‘s home - monitoring visit: SC010699 8 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)

p.7

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.8

Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children‘s home - monitoring visit: SC010699 9

p.8

Children’s home details

Responsible individual: Dawnette Legister

p.9

Inspector

Christine Kennet, social care inspector Inspection report for children‘s home - monitoring visit: SC010699 10 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.

p.9

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.10

Inspector

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

p.10

Inspector

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

p.10