Children's home run by Roseberry Specialist Care Centres Ltd in Sunderland

Inspection report children’s home: SC430002 1 SC430002 Registered provider: Roseberry Specialist Care Centres Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is run by a private organisation. It is registered to provide care and accommodation for up to six children and young people who have learning and/or physical disabilities. There is a permanent, registered manager in post. He has managed this home since November 2018.

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Information about this children’s home

Enforcement action since last inspection: none

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and young people since the most recent full inspection

This home was judged good at the last full inspection. At the interim inspection, Ofsted judges that it has sustained effectiveness.

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and young people since the most recent full inspection

The children’s experience of moving into the home is good. The manager plans for each child’s move, enabling their needs to be fully explored and understood by the staff. The care provided to the children is helping them to achieve positive outcomes. For example, children are trying new activities or re-experiencing things that they used to enjoy doing, like playing football, going swimming and competing in horse dressage. The children are achieving in education. Each child’s curriculum to tailored to their needs and abilities. One child is developing their motor skills through cooking and sewing classes. The teacher said, ‘The improvement in [Child’s name] motor skills is remarkable, everyone is delighted about her achievement.’ The children have complex behaviours and medical conditions. The staff understand Inspection report children’s home: SC430002 2 each child’s needs and provide individualised support to them. Self-injurious behaviours

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and young people since the most recent full inspection

such as biting, scratching and head banging are identified and risk managed with strategies implemented to reduce potential harm to the children and others involved. Specialist equipment, such as arm guards, are available to aid the staff protection, whilst more person-centred approaches are used with the children to prevent self-injury. Physical intervention prevents significant injury to children and others. These incidents are well recorded by the staff and highlight the nurturing care provided to the children in crisis. Irrespective of the children’s complex communication needs, the staff ensure that children’s views are gained and debriefs recorded. However, the manager’s overview and debriefs with the staff do not consistently detail any reflection about the staff’s practices. New staff have been recruited in response to some staff leaving. The new team members are supported by their colleagues and the manager and have transferable

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and young people since the most recent full inspection

knowledge and skills that they are using within their role. However, not all of the new staff have completed ligature training, but they always work alongside an experienced colleague. The manager takes effective action to address poor care practices. Lessons have been learned and changes made to policies and procedures in response to a recent medication error. On one occasion, a child’s allegation during a restraint was not shared with the local authority’s designated officer. However, the staff ensured that this concern was immediately shared with the senior team, the regulator and other professionals inclusive of the child’s social worker. The records are transparent and identify that the female staff member did not purposefully touch the child’s chest, but occurred as a response to pulling down the child’s top to maintain their dignity during the intervention. Other staff were witnesses. The registered manager and deputy manager work in partnership and have a shared

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and young people since the most recent full inspection

understanding and overview of the home. Progress has been made against most of the previous requirements and recommendations set at the last inspection. However, the staff are not receiving regular formal supervision. This is a missed opportunity for the manager to develop his staff and their care practices and identify any issues or required developments for the team. Therefore, this requirement will be carried forward.

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Inspection date Inspection type Inspection judgement

30/04/2019 Full Good 08/01/2019 Full Good 28/02/2018 Interim Declined in effectiveness 20/06/2017 Full Good Inspection report children’s home: SC430002 3

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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.

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Requirement Due date

The registered person must ensure that all employees— receive practice-related supervision by a person with appropriate experience. (Regulation 33(4)(b)) This is with particular reference to the staff receiving quality and reflective practice supervision. 22/01/2020

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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")— has spoken to the user about the measure; and has signed the record to confirm it is accurate. (Regulation (35)(b)(i)(ii)) In particular, ensure that the manager’s overview of this record is comprehensive to enable any lessons to be learned. 22/01/2020

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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) This is with particular reference to ensuring that staff receive training relating to ligature training in response to self-harming behaviours.  Children must be listened to and enabled to report any allegations at the earliest opportunity. Staff should report any allegation of abuse immediately to a senior manager within the home. Any allegation of harm or abuse must be addressed in line with the home’s child protection policy. (‘Guide to the children’s homes regulations including the quality standards’, page 44, paragraph 9.17) This is with particular reference to how decisions are made that an allegation has been made

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Recommendations

and thus to ensure that information about allegations are appropriately shared with the local authority’s designated officer.

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Information about this inspection

Inspection report children’s home: SC430002 4 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

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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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’.

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Children’s home details

Registered provider: Roseberry Specialist Care Centres Limited

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Children’s home details

Registered provider address: Lakeside House, Kingfisher Way, Stockton-On-Tees, County Durham TS18 3NB

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Inspector

Jennifer Fenlon, social care inspector Inspection report children’s home: SC430002 5 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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