Children's home run by Tulip Care Two Limited in Redbridge

Inspection report for children's home - monitoring visit: SC411832 1 SC411832

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Tulip Care Two Limited

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This is a privately owned children’s home. The home’s statement of purpose states that it provides care and accommodation for up to four children with emotional and/or behavioural difficulties. The provider also runs an independent special school attached to the home.

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Information about this children’s home

The manager was registered by Ofsted in July 2019.

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Information about this children’s home

At the time of this visit, four girls, aged 10 to 17, lived in the home.

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This monitoring visit

The visit focused on how staff helped children to regulate their behaviours and, more specifically, on the use of physical interventions. The impact of COVID-19 (coronavirus) was considered and the progress in securing compliance with the requirements raised at the previous inspection was also reviewed.

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This monitoring visit

The visit identified no serious concerns relating to the safeguarding of children. All children said that they felt safe. The social workers who were contacted talked about the high-quality of care that children received. A parent said that the manager always dealt with any issues straight away.

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This monitoring visit

The leaders and managers demonstrated that they have taken comprehensive action to minimise any negative impact of the pandemic on the home. With input from the home’s psychologist, they have developed new individual risk assessments. These consider the impact of the pandemic-related restrictions on children’s emotions and behaviours. This is an example of a commendable practice.

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This monitoring visit

Staff changes have been unsettling for children and have had a negative impact on their experiences. One child talked about not wanting to build relationships with new staff because they might leave. She added that children worry when a staff member Inspection report for children's home - monitoring visit: SC411832 2 leaves that this might have something to do with the children being bad. Another child said that she did not have any adults to speak to.

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This monitoring visit

Children sometimes receive care from staff who do not know them well. The staff members spoken to had limited knowledge of the individual children in their care. One child said that the staff did not understand her. Another child said that staff should try harder to understand children’s emotions and feelings.

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This monitoring visit

Children receive care from staff who are not always qualified for the role. Out of 12 permanent staff members, three have a required qualification. The rest of the staff are still on probation and have not been enrolled on any courses leading to the required qualification. This includes four staff members who should have already qualified.

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This monitoring visit

The individual risk assessments and behaviour management plans provide insightful information on how to keep children safe and help them to develop more constructive behaviours. The leaders and managers favour a therapeutic approach and use of de-escalation when challenges arise.

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This monitoring visit

However, the level of physical intervention used in the home is high. There have been 30 physical interventions in the last 12 months. The sampled records show clearly that the staff used physical interventions for the right reasons - to protect children and adults. However, the records do not always provide detailed information of exactly what happened. In addition, debriefs with the children and the staff involved are not recorded as required. This means that a valuable opportunity for systematic analysis and learning is lost.

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This monitoring visit

The other records do not always show that the manager and staff paid enough attention to the detail. One child’s individual crisis management plan had another child’s name in three places.

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This monitoring visit

Ofsted did not receive the manager’s six-monthly review of the quality of care in a timely manner. The delay adversely affects Ofsted’s monitoring role. The report did not clearly include the views of parents, placing authorities and staff.

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This monitoring visit

The manager has taken action to address the requirements from the last inspection. The requirement regarding having a knowledge of the current gangs in the local area is now a recommendation. Making sure that staff are qualified is a repeated requirement. Three new requirements are also included in this report to support the home’s compliance with regulations and better outcomes for children. Inspection report for children's home - monitoring visit: SC411832 3

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Recent inspection history

Inspection date Inspection type Inspection judgement 03/12/2019 Full Good 12/03/2019 Interim Not judged 09/01/2019 Interim Not judged 19/03/2018 Interim Not judged Inspection report for children's home - monitoring visit: SC411832 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

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 work as a team where appropriate;

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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 has sufficient staff to provide care for 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

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)(b)(c)(d)(e)(h)) 1 June 2021

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Requirement Due date

The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety.

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Requirement Due date

employ an individual to work at the children’s home; or if an individual is employed by a person other than the 1 June 2021 Inspection report for children's home - monitoring visit: SC411832 5 registered person to work at the home in a position in which the individual may have regular contact with children, allow that individual to work at the home,

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Requirement Due date

if the individual satisfies the requirements in paragraph (3).

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Requirement Due date

the individual has the appropriate experience, qualifications and skills for the work that the individual is to perform;

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Requirement Due date

For the purposes of paragraph (3)(b), an individual who works in the home in a care role has the appropriate qualification if, by the relevant date, the individual has attained—

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Requirement Due date

the Level 3 Diploma for Residential Childcare (England) (“the Level 3 Diploma”); or

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Requirement Due date

a qualification which the registered person considers to be equivalent to the Level 3 Diploma.

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Requirement Due date

in the case of an individual who starts working in a care role in a home after 1st April 2014, the date which falls 2 years after the date on which the individual started working in a care role in a home. (Regulation 32 (1)(a)(b) (3)(b) (4)(a)(b) (5)(a))

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Requirement Due date

The registered person must keep the behaviour management policy under review and, where appropriate, revise it.

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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; 1 June 2021 Inspection report for children's home - monitoring visit: SC411832 6 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; 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 (2) (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c))

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Requirement Due date

Specifically, the registered person must ensure that the records are sufficiently detailed and that they evidence clearly that the appropriate debriefs with the child and the staff involved took place. Also, the registered person must review the behaviour management practices and the use of physical interventions, with the aim of reducing the frequency of situations in which staff have to intervene physically.

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Requirement Due date

supply to HMCI a copy of the quality of care review report within 28 days of the date on which the quality of care review is completed.

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Requirement Due date

The system referred to in paragraph (2) must provide for 1 June 2021 Inspection report for children's home - monitoring visit: SC411832 7 ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45 (4)(a) (5))

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Recommendation

 The registered person should ensure that the review of the suitability of the location of the home includes the identification of any risk of gangs in the locality and strategies for managing this. (‘Guide to the children’s homes regulations including the quality standards’, page 64, paragraph 15.1)

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Information about this inspection

The monitoring visit took place during the national lockdown that was in place due to a pandemic. The visit was entirely off site. The inspector spoke to all four children, two social workers, one parent, the responsible individual, the registered manager and two staff who were on duty on that day. The inspector also sampled some records.

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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: Tulip Care Two Limited

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Children’s home details

Registered provider address: 19-20 Bourne Court, Southend Road, Woodford Green, Essex IG8 8HD

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Inspector

Seka Graovac, Social Care Inspector Inspection report for children's home - monitoring visit: SC411832 8 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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