Children's Home run by One To One Crisis Intervention Ltd in Devon

Inspection report for children’s home - monitoring visit: 1231066 1

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One To One Crisis Intervention Ltd

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This service provides one-to-one care for children who may have social and/or emotional difficulties. In addition, care can be provided for children with some learning needs.

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Information about this children’s home

The manager has been in post since October 2020. They are not yet registered with Ofsted.

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This monitoring visit

This visit took place virtually. There is currently one child living in the home, they were spoken to as part of this inspection. This provision was last inspected in June 2019.

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This monitoring visit

This visit was undertaken due to increasing notifiable incidents. In addition, the registered manager has not been in day-to-day control of this home since October 2020. They have continued to mentor and support the new manager. There has been a significant delay in the manager making an application to Ofsted. At the time of this visit, no application had been received.

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This monitoring visit

The arrangements in respect of medication management are not wholly effective. This has led to avoidable incidents where a child has accessed and taken medication. Managers have not acted quickly enough to reduce the risk of this happening again.

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This monitoring visit

Records in respect of medication are weak. There are examples where there is no record of who gave medication when. Managers cannot satisfy themselves that all medication can be accounted for. Inspection report for children’s home - monitoring visit: 1231066 2 Staff have some significant and, at times, dangerous incidents to manage. Despite this, physical intervention is not commonplace and is used mainly to prevent serious risk of harm. Records of these incidents are unclear and not always in line with regulation. This prevents robust management oversight and prevents them understanding the impact on children.

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This monitoring visit

The information provided to staff about children’s presenting risks is insufficient. This obstructs staff in understanding and managing risks consistently. Some staff who work between this provision and others do not receive practice-related supervision from the manager. This has led to some ambiguity in respect of expectations.

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This monitoring visit

Not all staff have received training to help them support children and better manage risk. Staff stated that their managers are supportive. They have opportunities to talk about practice and consider what they can do to improve.

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This monitoring visit

Staff are dedicated and motivated to ensure that children are provided with good care and support. Children have developed positive relationships with staff. Children talk to staff about their worries and concerns. Staff invest time in the children to understand how they are feeling so that they can act to help them.

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This monitoring visit

Staff respondwhen children are not receiving the support or services they need. For example, one child is now accessing education nearer to home due to appropriate challenge and determination from the staff.

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This monitoring visit

Staff advocate well for children and ensure their needs are met. For example, a recent challenge to have a medication review resulted in a reduction in prescribed medicines for one child.

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This monitoring visit

Staff help children to spend more quality time with their families. Children appreciate this.

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This monitoring visit

Good communication takes place between staff and other agencies. Decisions are discussed and made with the best interests of the child in mind. This ensures that all agencies understand and respond to children’s needs.

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Recent inspection history

Inspection date Inspection type Inspection judgement 18/06/2019 Full Good 24/09/2018 Full Good 23/02/2018 Interim Improved effectiveness 03/07/2017 Full Good Inspection report for children’s home - monitoring visit: 1231066 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 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

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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;

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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

ensure that the home’s workforce provides continuity of care to each child;

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Requirement Due date

understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home;

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on—

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Requirement Due date

research and developments in relation to the ways in which the needs of children are best met; 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)(a)(b) (2)(a)(c)(e)(f)(g)(i)(h)) 05/02/2021 Inspection report for children’s home - monitoring visit: 1231066 4 In particular, ensure that staff are provided with training to support them to confidently and effectively meet children’s identified needs; ensure that managers have good oversight of incidents and concerns for children and ensure parenting reflects ongoing and emerging needs; and improve monitoring and reviewing systems so that the child’s journey is fully understood, and care is quickly adapted to meet children’s needs.

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Requirement Due date

The care planning standard is that children—

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Requirement Due date

receive effectively planned care in or through the children’s home. (Regulation 14 (1)(a))

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Requirement Due date

In particular, ensure that children’s records are updated as soon as is necessary and that they are current and meaningful. 05/02/2021

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Requirement Due date

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

In particular the registered person must ensure that—

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Requirement Due date

medicines kept in the home are stored in a secure place so as to prevent any child from having unsupervised access to them; and

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Requirement Due date

a record is kept of the administration of medicine to each child. (Regulation 23 (1) (2)(a)(c))

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Requirement Due date

In particular, ensure that children cannot gain access to medication and ensure that medication is always accounted for both in and outside of the home. Ensure that records are accurate and up to date. 05/02/2021

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Requirement Due date

The registered person must ensure that all employees—

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Requirement Due date

undertake appropriate continuing professional development;

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Requirement Due date

receive practice-related supervision by a person with appropriate experience. (Regulation 4 (a)(b))

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Requirement Due date

In particular, ensure staff moving between different homes receive practice-related supervision relevant to the children they support and home in which they work. 05/02/2021 Inspection report for children’s home - monitoring visit: 1231066 5 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)(vi)(vii)(viii)(b)(i)(ii)(c))

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Requirement Due date

In particular, ensure that staff understand when physical intervention should be recorded as such, and ensure any form of physical intervention that happens at home or elsewhere is recorded effectively. Ensure that meaningful 05/02/2021 Inspection report for children’s home - monitoring visit: 1231066 6 debriefs take place with children and staff to ensure lessons can be learned and practice adapted where necessary.

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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.

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Children’s home details

Registered provider: One To One Crisis Intervention Ltd

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Children’s home details

Registered provider address: 5 Newton Road, Kingsteignton, Newton Abbot, Devon TQ12 3AL

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Inspector

Tracey Ledder, Social Care Inspector Inspection report for children’s home - monitoring visit: 1231066 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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Inspector

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Inspector

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Inspector

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