Children's Home run by Enhanced Young Persons Care Limited in Middlesbrough

Inspection report for children’s home - monitoring visit: SC455864 1 SC455864

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Enhanced Young Persons Care Limited

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

The home is owned and operated by a private organisation. It is registered to provide care for up to eight children with social, emotional or mental health difficulties and/or mental health disorders, excluding learning disabilities.

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Information about this children’s home

The suitably qualified manager registered with Ofsted in March 2018.

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Information about this children’s home

Due to COVID-19 (coronavirus), at the request of the Secretary of State, we suspended all routine inspections of social care providers on 17 March 2020.

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Information about this children’s home

We last visited this setting on 4 March 2021 to carry out a monitoring visit. The report is published on our website.

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This monitoring visit

This home received a monitoring visit on 4 March 2021. The inspector found breaches of regulation that affected the well-being of children. Ofsted issued two compliance notices at that time. These were in relation to the monitoring of the home by the registered manager and to providing staff with relevant training to enable them to meet children’s needs. Ofsted also made five further requirements. Two of these requirements were repeated from a monitoring visit in November 2020, as the inspector did not have the opportunity to review these during the monitoring visit in March 2021. Currently, five children are living in the home.

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This monitoring visit

The purpose of this visit was to monitor the progress made in respect of the two compliance notices that were issued in March 2021 and to consider the provider’s actions to address the additional five regulatory breaches. Leaders and managers have taken insufficient action to meet the compliance notices and one of the requirements. Ofsted has raised a further requirement as a result of this visit. Inspection report for children’s home - monitoring visit: SC455864 2 Staff have completed some training to help them to understand the impact of trauma on children. However, this training has been minimal. This learning has not been reinforced or underpinned, for example through discussion in supervision sessions and team meetings. Consequently, staff do not manage violent or unacceptable behaviours effectively or consistently. They do not take into account the children’s ability to understand what is happening. Children are not yet cared for

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This monitoring visit

by adults who understand their experiences of trauma and who use this knowledge to respond to their difficulties effectively. As a result, the compliance notice previously made is reissued.

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This monitoring visit

The registered manager’s monitoring of the home remains ineffective. Oversight continues to focus on data and there is little evaluation of the impact of the quality of care on children. The registered manager does not analyse and respond to patterns of behaviour. Consequently, care planning for children is based around specific issues rather than meeting their overall needs. The compliance notice previously made has been reissued.

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This monitoring visit

Ineffective planning means that children do not always move on from the home successfully. Care plans for children do not consistently reflect their individual needs or take account of how these needs change as children grow up. As a result, some children leave the home suddenly, even when they have lived there for several years. Such outcomes have a negative effect on children’s self-worth.

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This monitoring visit

The quality of the oversight of physical restraint records is poor. The registered manager and senior staff do not consistently evaluate the effectiveness of these interventions. They do not ensure that these records are fully completed within timescales, include debriefs with staff and discussions with children. When they do, their oversight is not always accurate. The registered manager’s monitoring of these incidents does not place children at the centre of practice. This means that leaders and managers do not recognise when staff practice must change to ensure that children’s needs are met.

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This monitoring visit

There are some improvements in the registered manager’s leadership of the home. All new staff now have their employment references verified before they begin work. All staff, including those who usually work at night, have regular supervision of their practice. As a result, children are cared for by staff who are being helped to be safer and more effective carers.

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This monitoring visit

Children’s relationships with staff and with each other are generally positive. These relationships help them to enjoy living in the home. Furthermore, children can now go into the kitchen freely and the registered manager is taking other steps to make the home more homely.

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This monitoring visit

Children continue to attend school regularly and benefit socially as well as academically from this routine and structure. With the relaxation of COVID-19 restrictions, children are attending more activities, including those in the local Inspection report for children’s home - monitoring visit: SC455864 3 community. Children feel strongly that this is their home. This helps them to develop a sense of identity.

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Recent inspection history

Inspection date Inspection type Inspection judgement 20/08/2019 Full Good 18/07/2018 Full Good 07/03/2018 Interim Sustained effectiveness 25/04/2017 Full Good Inspection report for children’s home - monitoring visit: SC455864 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, the 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—

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Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children;

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Requirement Due date

are provided with supervision and support to enable them to understand and manage their own feelings and responses to the behaviour and emotions of children, and to help children to do the same; and

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Requirement Due date

de-escalate confrontations with or between children, or potentially violent behaviour by children. (Regulation 11 (1)(b)(c) (2)(a)(ix)(x)(xi))

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Requirement Due date

This requirement is repeated from the previous monitoring visit. 30 May 2021

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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

promotes their welfare. 30 May 2021 Inspection report for children’s home - monitoring visit: SC455864 5 In particular, the standard in paragraph (1) requires the registered person to—

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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; 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)(e)(f)(h))

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Requirement Due date

This requirement is repeated from the previous monitoring visit.

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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; and

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Requirement Due date

have a positive experience of arriving at or moving on from the home. (Regulation 14 (1)(a)(b))

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Requirement Due date

This requirement is repeated from the monitoring visit in November 2020. 30 May 2021

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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

the effectiveness and any consequences of the use 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 30 May 2021 Inspection report for children’s home - monitoring visit: SC455864 6 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)(vii)(b)(i)(ii)(c))

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Requirement Due date

*These requirements are subject to a compliance notice.

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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: Enhanced Young Persons Care Limited

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Children’s home details

Registered provider address: 1 Fox Street, Sunderland Road, Gateshead NE10 0BD

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Inspectors

Jane Titley, Social Care Inspector Paula Shepherd, Social Care Inspector Inspection report for children’s home - monitoring visit: SC455864 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 children looked after, 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: www.gov.uk/ofsted

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