Clare Lodge

Inspection report for children’s home - monitoring visit: SC033362 1 SC033362

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Peterborough City Council

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This secure children’s home is operated by a local authority and is approved by the Secretary of State to restrict young people’s liberty. The children’s home can accommodate up to 17 children who are aged between 10 and 17. It provides care for children accommodated under section 25 of the Children Act 1989, who are placed by local authorities. Admission of any young person under section 25 of the Children Act 1989 who is under 13 years of age, requires the approval of the Secretary of State. The commissioning of health services at this home is the statutory responsibility of NHS England under the Health and Social Care Act 2012. Education is provided on- site in dedicated facilities. The registered manager has managed the home since May 2013.

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This monitoring visit

Ofsted inspected this home on 16 and 17 July 2019 and judged the service to be inadequate. As a result of this inspection, Ofsted served two compliance notices on 25 July 2019.

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This monitoring visit

A monitoring inspection visit took place on 3 September 2019. This visit found that most elements of the compliance notices were met. However, a further compliance notice was served to address the remaining shortfalls. This compliance notice relates to the leadership and management of the home.

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This monitoring visit

The purpose of this monitoring inspection was to review the progress that the provider has made in meeting the steps that were set out in the last compliance notice served.

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This monitoring visit

The registered persons and the management team have addressed the serious Inspection report for children’s home - monitoring visit: SC033362 2 shortfalls found at the last monitoring inspection. This meets the steps set out in the compliance notice.

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This monitoring visit

All children’s written risk assessments are up to date. The communications systems have improved. This ensures that the children’s individual risk assessments reflect any changes. The risk assessments are discussed by the staff at each shift handover. This ensures that the staff are clear about the identified risks for each child and take appropriate action to keep the children safe.

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This monitoring visit

The number of single separation and managing away incidents has significantly reduced. There is a clear rationale to use these methods of control to support a child’s behaviour and to keep them safe. This rationale is in line with the home’s policy. Managers review these practices. Overall, there is sufficient detail in the single separation plans and the records. The registered manager continues to monitor these records to ensure that the practices used are appropriate.

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This monitoring visit

There has been a full audit of all the recruitment checks and information about the agency staff working at the home. This demonstrates that the required information is obtained. This ensures that all the agency staff who work with the children are checked for their suitability.

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This monitoring visit

The remaining requirements and recommendations made at the last full inspection are reinstated. These will be checked at the next full inspection.

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Recent inspection history

Inspection date Inspection type Inspection judgement

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Recent inspection history

16/07/2019 Full Inadequate 30/01/2019 Interim Improved effectiveness 22/05/2018 Full Requires improvement to be good 16/01/2018 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: SC033362 3

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Statutory Requirements

This section sets out the actions that the registered persons 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 persons must comply within the given timescales.

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Requirement Due date

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

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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 (d))

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Requirement Due date

In particular, ensure that the health team’s resources are sufficient to meet the needs of the service. 07/10/2019

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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

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

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Requirement Due date

enable each child to participate in the daily life of the home. (Regulation 6 (1)(a)(b)(2)(c)(i)(ii)) 07/10/2019

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Requirement Due date

The children’s views, wishes and feelings standard is that children receive care from staff who—

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Requirement Due date

develop positive relationships with them;

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Requirement Due date

engage with them; and 07/10/2019 Inspection report for children’s home - monitoring visit: SC033362 4 take their views, wishes and feelings into account in relation to matters affecting the children’s care and welfare and their lives. (Regulation 7 (1)(a)(b)(c)) The enjoyment and achievement standard is that children take part in and benefit from a variety of activities that meet their needs and develop and reflect their creative, cultural, intellectual, physical and social interests and skills.

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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

develop the child’s interests and hobbies;

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Requirement Due date

participate in activities that the child enjoys and which meet and expand the child’s interests and preferences; and

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Requirement Due date

that each child has access to a range of activities that enable the child to pursue the child’s interests and hobbies. (Regulation 9 (1)(2)(a)(i)(ii)(b)) 07/10/2019

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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. (Regulation 10 (1)(a))

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Requirement Due date

In particular, complete a control audit of the clinical treatment room and undertake regular infection control checks. 07/10/2019

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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

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

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Requirement Due date

children are helped to lead healthy lifestyles.

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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. (Regulation 10 (1)(a)(b)(c)(2)(a)(i)) 07/10/2019 Inspection report for children’s home - monitoring visit: SC033362 5 In particular, arrangements for managing medicines must be safe and effective. Managers must have better oversight of the arrangements to reduce the risk of errors in administration. 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

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding. (Regulation 11 (1)(a)(b)(c)(2)(a)(iii)) 07/10/2019

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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—

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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; 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. (Regulation 13 (1)(b)(2)(a)(h)) 07/10/2019

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Requirement Due date

Subject to paragraph (5) of Regulation 22, the registered person must ensure that children are provided at all reasonable times with access to the following facilities which they may use without reference to persons working in the home—

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Requirement Due date

a telephone on which to make and receive telephone calls in private. 07/10/2019 Inspection report for children’s home - monitoring visit: SC033362 6 (Regulation 22 (3)(a))

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Requirement Due date

In particular, ensure that the telephone system is in full working order at all times. 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’), 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 authorised 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. (Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c)) 07/10/2019 Inspection report for children’s home - monitoring visit: SC033362 7 In particular, ensure that the records of all incidents of restraint are monitored in a timely manner, that members of staff record when they have had to restrain a child and that there are meaningful debriefings when these incidents have occurred.

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Recommendations

 Ensure that the ethos of the home supports each child to learn. (‘Guide to the children’s homes regulations including the quality standards’, page 29, paragraph 5.18) In particular, in conjunction with centre managers, review the mixing policy to ensure that children benefit from whole-school activities and that higher level learners are enabled to mix with their peers.  Ensure that the ethos of the home supports each child to learn. (‘Guide to the children’s homes regulations including the quality standards’, page 29, paragraph 5.18) In particular, monitor closely the work of the new student support team so that children who are not attending school are able to receive quality education in their units.  Ensure that the ethos of the home supports each child to learn. (‘Guide to the children’s homes regulations including the quality standards’, page 29, paragraph 5.18) In particular, improve movements between lessons so that children arrive

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Recommendations

punctually and are ready to learn.  The registered person is responsible for ensuring that each child’s day-to-day health and well-being needs are met. (‘Guide to the children’s homes regulations including the quality standards’, page 33, paragraph 7.3) In particular, assess the children’s speech and language needs and make appropriate referrals.  The registered person should seek to establish a diverse staff team with a range of interests, skills and experiences. (‘Guide to the children’s homes regulations including the quality standards’, page 52, paragraph 10.6) In particular, ensure that staff training records are up to date, to demonstrate staff members’ skills and experience.

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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. This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: SC033362 8

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Children’s home details

Registered provider: Peterborough City Council

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Children’s home details

Registered provider address: Chief Executive, Town Hall, Bridge Street, Peterborough PE1 1PJ

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Children’s home details

Responsible individual: Wendi Ogle-Welbourn

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Inspectors

Natalie Burton, social care inspector Inspection report for children’s home - monitoring visit: SC033362 9 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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Inspectors

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Inspectors

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Inspectors

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

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