Children's home run by Cornwall Partnership NHS Foundation Trust in Cornwall

Inspection report children’s home: SC428956 1 SC428956 Registered provider: Cornwall Partnership NHS Foundation Trust

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The service provides short-break care for up to two children each night. Children who are referred to this service live with their parents. Children have learning disabilities and/or challenging behaviours and may also have some ongoing healthcare needs. The service is managed by an NHS foundation trust.

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Information about this children’s home

The registered manager has been in post since May 2013.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers good

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good

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

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good

Date of last inspection: 25 February 2019

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good

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report children’s home: SC428956 2

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Inspection date Inspection type Inspection judgement

25/02/2019 Full Good 21/12/2017 Full Good 20/03/2017 Interim Sustained effectiveness 12/12/2016 Full Good Inspection report children’s home: SC428956 3

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Recommendations

 The registered person should ensure that staff can access appropriate facilities and resources to support their training needs and should understand the key role they play in the training and development of staff in the home. (‘Guide to the children’s homes regulations including the quality standards’, page 53, paragraph 10.11)  For children’s homes to be nurturing environments that meet the needs of their children, they will, in most cases, be homely, domestic environments. Children’s homes must comply with relevant health and safety legislations (alarms, food hygiene etc.); however, in doing so, homes should seek as far as possible to maintain a domestic feel rather than ‘institutional’ impression. (‘Guide to the children’s homes regulations including the quality standards’, page 15, paragraph 3.9)

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Overall experiences and progress of children and young people: good

The decor of this home is not homely. However, the staff team provides a welcoming environment for children and families.

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Overall experiences and progress of children and young people: good

There is a long-standing staff team. This provides important consistency for children with complex needs.

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Overall experiences and progress of children and young people: good

On a few occasions, staff have provided children with support which is over and above the expectations of their roles. This has been a significant help at a difficult time for one child.

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Overall experiences and progress of children and young people: good

Children are provided with varied experiences which they may not have been able to access previously. These include trips to local soft-play areas, parks and other local attractions.

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Overall experiences and progress of children and young people: good

The introduction process for children and families who are new to the home is of a high standard. Staff spend a great deal of time learning about the children.

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Overall experiences and progress of children and young people: good

Feedback received during the inspection process from parents and professionals was very positive overall.

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Overall experiences and progress of children and young people: good

During the inspection, staff were seen to interact warmly with a child who had come to stay. These staff had an in-depth knowledge of the child. The child was visibly delighted by cuddles and the voices of the staff who were caring for them. Inspection report children’s home: SC428956 4

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How well children and young people are helped and protected: good

Safeguarding practice is of a high standard. Staff strongly advocate for the outcomes that are in the best interests of children. Staff also challenge other professionals effectively, when needed.

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How well children and young people are helped and protected: good

The use of physical intervention is appropriate. Staff seek to use the least restrictive practice possible.

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How well children and young people are helped and protected: good

There has been one significant medication error. This was well managed, and the appropriate action was taken. Learning opportunities were also identified and actioned.

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How well children and young people are helped and protected: good

There has been one internal investigation. This was well managed and completed in a timely manner. The matter has been safely concluded.

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How well children and young people are helped and protected: good

Not all recording systems are purposeful. This means that out-of-date information could hinder staff in accessing current information.

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How well children and young people are helped and protected: good

Information sharing with parents and professionals is good overall. However, important information is not always shared effectively.

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How well children and young people are helped and protected: good

Only one child is monitored by a visual aid overnight. This is appropriate to ensure the safety of the child.

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How well children and young people are helped and protected: good

One body map of suspected accidental bruising was seen during the inspection. This document did not clarify if any further actions were needed.

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The effectiveness of leaders and managers: good

The registered manager has provided stable management of the home for several years. Management oversight of practice is good.

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The effectiveness of leaders and managers: good

The registered manager ensures that opportunities to learn from incidents are taken. This learning is consistently shared with the staff team.

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The effectiveness of leaders and managers: good

Team meetings are purposeful forums that are used to explore the complex needs of children and how to meet these needs effectively.

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The effectiveness of leaders and managers: good

There have been no new staff at the home for nearly five years. Therefore, recruitment has not been explored during this inspection.

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The effectiveness of leaders and managers: good

Supervision of staff is regular and focused upon the needs of children. As identified in the previous inspection, there are no staff development plans. Mandatory training is kept up to date and some staff have undertaken additional training. Inspection report children’s home: SC428956 5 The registered manager supports staff to work collaboratively. This promotes important shared ownership of practice within the team.

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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.

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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: SC428956 6

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Children’s home details

Registered provider address: Trust Head Office, Carew House, Beacon Technology Park, Dunmere Road, Bodmin PL31 2QN

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Inspector

Polly Soper: social care inspector Inspection report children’s home: SC428956 7 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.

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Inspector

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Inspector

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Inspector

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