Children's home run by Pathway Care Solutions Ltd in Nottingham

Inspection report for children’s home - monitoring visit: SC406063 1 SC406063

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Pathway Care Solutions Ltd

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This home is owned by a large private company. The children who live here have either physical or learning disabilities. The home’s statement of purpose states that the home provides a high standard of care, educational support and accommodation for up to five children and young people aged between six and 19 years.

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Information about this children’s home

The manager has been registered with Ofsted since May 2019. Five children were living at the home at the time of this monitoring visit.

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This monitoring visit

Ofsted is aware of the challenges that COVID-19 (coronavirus) is currently posing to those we regulate. During this monitoring visit, the inspector took into consideration the impact of any measures being taken to slow the spread of COVID-19 by the home. Monitoring of this home was carried out remotely.

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This monitoring visit

The monitoring visit was carried out in response to concerns identified in the monthly regulation 44 reports. In addition, the home has not been inspected since December 2019. The concerns identified by the regulation 44 visitor relate to medication errors, a safeguarding incident and children’s access to Wi-Fi.

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This monitoring visit

During 2020, there were six medication errors, the last being in November 2020. The manager has investigated every medication error and has made several changes to the medication administration procedure. The changes have been discussed in team meetings and the manager has met with every staff member individually to ensure that they understand the procedure. Staff said that the new processes were better and had made recording clearer and easier.

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This monitoring visit

Safeguarding concerns are reported to the appropriate agencies in a timely manner. One safeguarding concern resulted in the designated officer agreeing to the home Inspection report for children’s home - monitoring visit: SC406063 2 carrying out an internal investigation. The investigation was thorough, documented fully and showed good decision-making. This internal investigation led to the manager identifying several shortfalls in staff practice. As a result, the safeguarding policy has been updated and discussed in team meetings, and various resources have been used to enhance staff understanding. The responsible individual has designed a safeguarding audit tool that will be used to assess safeguarding practice. This has been designed to help managers identify any further areas for development.

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This monitoring visit

The responsible individual and staff confirmed that the Wi-Fi signal in the home does occasionally drop out for a few minutes at a time. Specialist advice has been sought, but, due to the rural location of the home, the signal cannot currently be improved. Most of the children are not affected by this as they do not spend a significant amount of time doing activities that need internet access. One child does use her tablet most days and can become frustrated when the Wi-Fi stops working. Her risk assessment outlines how staff should support her when this happens.

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This monitoring visit

At the last full inspection, a requirement relating to the monitoring of the quality of care by the manager was raised. The manager now seeks feedback from other people, such as parents and social workers. This helps the manager to identify what the home is doing well and what it needs to improve on. The previous requirement has therefore been met. The recommendation made at the last inspection was not considered during this visit and has been carried forward. No further requirements or recommendations have been made following this visit.

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Recent inspection history

Inspection date Inspection type Inspection judgement 02/12/2019 Full Good 23/08/2018 Full Good 05/09/2017 Full Outstanding 09/02/2017 Interim Improved effectiveness Inspection report for children’s home - monitoring visit: SC406063 3

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Recommendations

 The registered person should ensure that a record of supervision is kept for staff, including the manager. The record should provide evidence that supervision is being delivered in line with regulation 33(4)(b). It is good practice for a note of the content and outcomes of supervision sessions to be kept and to ensure that both the person giving the supervision and the staff member being supervised have a copy of the record. (‘Guide to the children’s homes regulations including the quality standards’, page 51, paragraphs 13.3 and 13.4)

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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: Pathway Care Solutions Ltd

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Children’s home details

Registered provider address: Atria, Spa Road, Bolton BL1 4AG

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Inspector

Alison Marshall, Social Care Inspector Inspection report for children’s home - monitoring visit: SC406063 4 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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