Children's Home run by Jigsaw Therapeutic Care Limited in Nottinghamshire

Inspection report children’s home: 2490994 1 Registered provider: Jigsaw Therapeutic Care Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home is owned by an independent organisation which looks after children who are presenting with emotional and/or behavioural difficulties, from the ages of 10 to 17 years. The home offers care and accommodation for up to three children.

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Inspection date: 5 March 2020

Date of last inspection: 15 October 2019

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Inspection date: 5 March 2020

Enforcement action since last inspection: none Inspection report children’s home: 2490994 2

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children 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 declined in effectiveness.

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children and young people since the most recent full inspection

Children are making some progress in the home. They are being supported to engage in education and activities. Children have positive relationships with the adults caring for them. Staff care about the children and know them well. However, there has been a serious incident of bullying in the home. This has had a negative impact on a child’s experiences. No work has been carried out with the children involved in the bullying. This does not support children to understand the impact of their behaviour on others.

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children and young people since the most recent full inspection

Behaviour management strategies are not carefully thought through. Sanctions are not meaningful or relevant to the behaviour displayed. Children receive sanctions that do not support them to understand the impact of their behaviour. Children have received sanctions for being absent from the home. Another child received a sanction after being arrested by the police, as a further consequence to their behaviour. Sanctions usually involve the loss of something, such as an activity or the use of games consoles. This has, on occasion, led to further incidents in the home.

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children and young people since the most recent full inspection

All children have risk assessments and support plans in place. The standard of these plans is inconsistent. One child’s plan is very detailed and includes staff responses to specific behaviours. Another child’s plan does not contain the same level of detail. Not all plans are updated regularly. Staff do not always complete paperwork such as daily records when at work. This means that essential information may not always be recorded on the day that it happened. Staff have access to the online recording system and can complete work at home on their personal mobile phones and devices. The home’s confidentiality and data protection policies do not reflect this practice. They do not give clear guidance to staff about how to ensure that children’s records are kept safe and confidential.

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children and young people since the most recent full inspection

The systems and processes for the safe administration of medication are poor. Records are not clear, and medication administered is not recorded accurately. There are occasions when records indicate that medication has been missed. This means that children may not have been given their prescribed medication. This could have a significant impact on the health and well-being of children in the home. Auditing is not effective and errors in recording have not been identified during audits. The training received in relation to medication administration is insufficient and has not supported staff to have safe practice when recording, administering and auditing medication. This places children at risk of harm.

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children and young people since the most recent full inspection

Incidents in the home have not always been managed appropriately and on occasion, police assistance has been requested. On one occasion, a child was Inspection report children’s home: 2490994 3 arrested for criminal damage and assault on staff, despite being involved in self- injurious behaviour during the incident.

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children and young people since the most recent full inspection

Children who have been reported as missing or absent have, on occasion, been left in unsafe environments. For example, a child was left overnight as it was not deemed safe for staff to collect them. Police had refused to support staff in collecting the child. There has been no discussion with the police to agree a strategy should this happen again.

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children and young people since the most recent full inspection

Health and safety at the home is not always promoted. On the day of the inspection, there was broken glass from fairy lights and a broken tree branch on the driveway. Children went out for a bicycle ride without appropriate safety equipment, such as cycling helmets. The manager and staff did not understand the safety implications of this practice. In places, there has been damage to the home which has not been repaired, such as in the lounge, which has no curtains or curtain pole. This does not promote a consistent, homely environment in an otherwise nice home.

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children and young people since the most recent full inspection

The independent visitor for the home has not provided monthly reports to Ofsted. This means that the regulatory body has not had clear oversight of the home. The reports have not always identified shortfalls in the home, such as the safe administration of medication.

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children and young people since the most recent full inspection

Most staff do not have a qualification in residential childcare. While many staff have transferrable skills, few staff have residential childcare experience. This is a contributing factor in the staff’s lack of experience and skill in managing incidents in the home and implementing good behaviour management strategies. Inspection report children’s home: 2490994 4

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Inspection date Inspection type Inspection judgement

15/10/2019 Full Good Inspection report children’s home: 2490994 5

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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 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— that staff—

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Requirement Due date

understand and communicate to children that bullying is unacceptable; and

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Requirement Due date

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

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Requirement Due date

(Regulation 11(1)(a)(b)(c)(2)(a)(xii)(xiii)) 01/06/2020

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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—

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Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm.

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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

helps children aspire to fulfil their potential; and promotes their welfare. 01/06/2020 Inspection report children’s home: 2490994 6 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;

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Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child.

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Requirement Due date

(Regulation 13(1)(a)(b)(2)(a)(c)) The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children’s home.

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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.

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Requirement Due date

The independent person must provide a copy of the independent person’s report to—

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Recommendations

 Regulation 19 (2) details sanctions that are prohibited in behaviour management. Any sanctions used to address poor behaviour should be restorative in nature, to help children recognise the impact of their behaviour on themselves, other children, the staff caring for them and the wider community. In some cases, it will be important for children to make reparation in some form to anyone hurt by their behaviour and the staff in the home should be skilled to support the child to understand and carry it out. (‘Guide to the children’s homes regulations including the quality standards’, page 46, paragraph 9.38) Inspection report children’s home: 2490994 7

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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

Inspectors have looked closely at the experiences and progress of children and young people, 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: 2490994 8

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Children’s home details

Registered provider: Jigsaw Therapeutic Care Limited

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Children’s home details

Registered provider address: 33 Meadow Road, Beeston, Nottingham, Nottinghamshire NG9 1JQ

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Inspector

Sarah Orriss, Social Care Inspector Inspection report children’s home: 2490994 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 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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