Children's Home run by Osei Minkah Care Ltd in Wolverhampton

Inspection report for children’s home - monitoring visit: 1277449 1

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Osei Minkah Care Limited

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This provider is registered to provide care and accommodation to five children and young people with learning disabilities and/or mental disorders. The home is dual registered with the Care Quality Commission (CQC).

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Information about this children’s home

A qualified registered manager is in post.

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This monitoring visit

The home was inspected on 3 and 4 December 2019 and judged inadequate in all areas. This was the home’s second inadequate judgement since being registered with Ofsted in 2018. The focus of this monitoring inspection was to review progress made against the compliance notice that was issued following the last full inspection in relation to physical interventions and to review the progress made to improve the conditions in the home. The remaining requirements and recommendations will be reviewed in subsequent inspections and therefore remain in place.

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This monitoring visit

The monitoring inspection found that not all the steps in the compliance notice have been met. The quality of physical intervention records continues to be variable. Some recent improvements have been made, due to the registered manager very recently implementing a new proforma for staff to complete. These new records show that children and young people are offered debriefs following a restraint and staff record what has happened before, during and after the incident. However, the registered manager is still failing to consistently review physical interventions that have taken place. The registered manager is not always documenting her oversight and staff are not always receiving debriefs following a restraint incident. The registered manager has started to develop an auditing system that provides a generic overview of physical interventions. This lacks analysis and still does not ensure that restraint records comply with regulation.

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This monitoring visit

Inspection report for children’s home - monitoring visit: 1277449 2 The registered manager has failed to take sufficient action when a child alleged she had been hurt by staff during a physical intervention. The registered manager has not taken reasonable steps to review or investigate this incident. As such, the registered manager has not taken effective action or followed the home’s child protection procedures.

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This monitoring visit

The registered manager is in the early stages of developing some monitoring systems. These need to be fully implemented and the effectiveness tested out at the next full inspection.

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This monitoring visit

Since the last inspection, Ofsted has not received any reports from the home’s independent visitor. The home did not have an independent person visit the home in December 2019. The registered manager needs to ensure that the home has a visit each month, to help drive improvement and monitor practice and comply with the children’s homes regulations.

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This monitoring visit

Some improvements to the home’s environment have been made. However, these improvements have not gone far enough. One young person’s bedroom is in a poor condition. The ensuite bathroom is unusable due to the damage caused, a window is boarded up, personal items including clothing are all over the floor and staff have not cleaned graffiti off the bedroom walls. Another young person’s ensuite bathroom is dirty. Staff have not intervened and cleaned areas that have become dirty, allowing children and young people to live in inadequate conditions.

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This monitoring visit

A downstairs communal bathroom has a broken shower and no shower screen. This was identified at the last inspection and has not yet been rectified. Some windows at the front of the home are boarded up, due to the glass being damaged, and have not yet been replaced. This looks unsightly and does not provide children, young people or staff with a positive environment to live in.

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This monitoring visit

Furniture and soft furnishings are minimal in the communal areas, due to the level of damage caused by a young person. As a result, children and young people are living in an environment that is not comfortable and does not meet their basic needs.

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This monitoring visit

Despite these ongoing concerns, children and young people continue to make progress. One young person is working towards living semi-independently and has been given the responsibility of having his own mobile phone. Another young person has become gradually more settled in the home. This has resulted in staff reducing the number of physical interventions they use to manage the young person’s behaviour.

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This monitoring visit

Ofsted has issued three compliance notices. This is to support the registered manager to bring about improvements to the quality of care provided to children and young people. Inspection report for children’s home - monitoring visit: 1277449 3

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Recent inspection history

Inspection date Inspection type Inspection judgement 03/12/2019 Full Inadequate 27/08/2019 Full Inadequate Inspection report for children’s home - monitoring visit: 1277449 4

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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

In particular, the standard in paragraph (1) requires the registered person to— ensure that the premises used for the purposes of the home are designed and furnished so as to— meet the needs of each child; and enable each child to participate in the daily life of the home. (Regulation 6(2)(c)(i)(ii))* 13/03/2020

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure— that staff take effective action whenever there is a serious concern about a child’s welfare; and are familiar with, and act in accordance with, the home’s child protection policies. (Regulation 12(2)(a)(vi)(vii))* 13/03/2020

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure— that the premises used for the purposes of the home are located so that children are effectively safeguarded. (Regulation 12 (2)(1)(c)) 10/01/2020

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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— promotes their welfare. Ensure that staff have the experience, qualifications and skills to meet the needs of each child; and use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(b)(c)(h)) 31/01/2020

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Requirement Due date

The care planning standard is that children receive effectively planned care in or through the children’s home. (Regulation 14 (1)(a)) 31/01/2020

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Requirement Due date

The registered person must ensure that— within 48 hours of the use of the measure of control, discipline or restraint the registered person, or a person who 13/03/2020 Inspection report for children’s home - monitoring visit: 1277449 5 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))* Schedule 4 sets out the other information that the registered person must keep in relation to a children’s home. The registered person must— maintain in the home the records in Schedule 4. (Regulation 37 (1)(2)(a))

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Requirement Due date

This relates to the details of staff including, agency staff being included on the rota, when they work in the home. 31/01/2020

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Requirement Due date

The registered person must ensure that an independent person visits the children’s home at least once each month. The independent person must provide a copy of the independent person’s report to HMCI. (Regulation 44 (1)(7)(a)) 31/01/2020

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Requirement Due date

*These requirements are subject to a compliance notice.

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Recommendations

 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. Professionally qualified staff employed by the home, e.g. teachers or social workers, should be provided with relevant professional or clinical supervision by an appropriately qualified and experienced professional. (‘Guide to the children’s homes regulations including the quality standards’, page 61, paragraph 13.2) This relates to the quality of the written record of supervision.  As set out in regulations 31-33, the registered person is responsible for maintaining good employment practice. They must ensure that recruitment, supervision and performance management of staff safeguards children and minimises potential risks to them. (‘Guide to the children’s homes regulations

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Recommendations

including the quality standards’, page 61, paragraph 13.1x) This relates to the recruitment checks of staff who were provided by the local authority to work in the home.

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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.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: 1277449 6

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Children’s home details

Registered provider: Osei Minkah Care Ltd

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Children’s home details

Registered provider address: Trilogy Suite 9, Church Street, Wednesfield, Wolverhampton, Staffordshire WV11 1SR

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Inspectors

Lisa O’Donovan, social care inspector Inspection report for children’s home - monitoring visit: 1277449 7 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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