Children's Home run by All in one care Limited in Croydon

Inspection report children's home: 2547511 1 Registered provider: Allinonecare Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This is a privately run children’s home. The home is registered to provide care and accommodation for up to three children with learning disabilities. The provider states in their statement of purpose that they provide care for children with learning difficulties and disabilities.

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Information about this children’s home

The children’s home was registered with Ofsted in February 2020. This is the home’s first inspection. The registered manager was also registered in February 2021.

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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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Overall experiences and progress of

children and young people, taking into account

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inadequate

How well children and young people are helped and protected inadequate

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inadequate

The effectiveness of leaders and managers inadequate

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inadequate

There are serious and widespread failures that mean children are not protected or their welfare is not promoted or safeguarded. The care and experiences of children are poor, and they are not making progress.

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inadequate

Overall judgement at last inspection: not applicable

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inadequate

Enforcement action since last inspection: Ofsted has issued a suspension notice to the provider, effective from 28 May 2021. Inspection report children's home: 2547511 2

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inadequate

Leaders and managers fail to monitor the operation of the home effectively. They do not ensure that staff have the necessary skills and experience to support, safeguard and promote the well-being of children living in the home. As a result, children are at risk of harm and their care and experiences are poor.

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inadequate

Boundaries and house rules in the home are ineffective. Children get up when they choose to and go to bed when they want to. The inspector found that children do not get up until the afternoon and stay awake until the early hours of the morning, sometimes until 6am. In addition, staff play board games with the children until 4am. Children sleep in each other’s bedrooms and in the downstairs communal areas. Staff told the inspector that children smoke cannabis in the home.

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inadequate

Staff attempts to manage children’s behaviour are largely unsuccessful. Staff fail to confront children’s poor behaviour. Children living in the home have injured staff. One incident required a member of staff to attend hospital and receive treatment. Some staff are afraid when working in the home. During incidents of children’s unwanted behaviours, staff walk away, lock themselves in the office or sit in their cars parked outside.

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inadequate

Children have caused a substantial amount of damage to their home. For example, they have broken into the staff office and broken office computers, keyboards, printers and light switches. Children have torn up and set fire to their care records.

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inadequate

Contrary to the home’s statement of purpose, the inspector found no evidence of the stated ‘positive parenting model’ in place. Children told the inspector that staff swear at the children, threaten to spit in their faces and throw food at them. During the inspection, a child played an audio recording to the inspector. The inspector heard an expletive being used towards the child. The child alleged it was a member of staff. The registered manager was made aware of this recording by the child but took no action.

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inadequate

Children do not have a school place, or they refuse to attend. Staff provide children with limited informal learning opportunities in the home. As a result, children fail to achieve their educational expectations.

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inadequate

Staff do not conduct basic housekeeping checks or maintenance. The inspector found the children’s bath full of cold water that had not been drained, food in fridges five days out of date which was green, and mouldy potatoes. None of the home’s wall clocks work. A child’s bedroom window latch and curtain pole are broken. The child told the inspector that they had requested repairs. It is also noted that the responsible individual stated that the child kept changing her mind about their decoration of the room which is the reason the curtain pole remained unfixed. Inspection report children's home: 2547511 3 The inspector found limited evidence of children making progress while living in the home. A child’s ‘goals and progress’ record was not completed. As a result, the inspector relied on the registered manager’s responses. The inspector was told that a child had started to make their own lunch and was socialising more with the staff

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How well children and young people are helped and protected: inadequate

Medical administration records are disorganised, unclear, inconsistent, and unsafe. Staff administer children’s medication without essential training. Medication counts are inaccurate. A child’s prescribed treatment plan is not being followed. Records indicate that medication times are missed, or children are given more than is prescribed. Without regular medication, a child living in the home who has a life- threatening condition will suffer the effects of this condition. On at least one occasion, staff have not followed a child’s health plan, which sets out that staff must take the child to hospital if medication is refused. Staff’s disregard of the medical advice is dangerous practice and puts the child at risk of serious harm.

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How well children and young people are helped and protected: inadequate

During supervision, a member of staff reported concerns about the medication administration charts. She said that they were ‘confusing’. At a later staff team meeting, leaders and managers informed the staff that they would ‘formulate a new one’. This has not been followed up. As a result, leaders and managers have failed to ensure that staff concerns are addressed or that children are kept safe.

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How well children and young people are helped and protected: inadequate

Staff fail to protect children from harming each other. Children living in the home have hurt each other. A child has locked themselves in the toilet to stay safe. During episodes of increasingly challenging behaviour in the home a child told the inspector, ‘I do not feel safe, so I stay in my bedroom.’

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How well children and young people are helped and protected: inadequate

Leaders and managers fail to consider the impact of children moving into the home on the children already living there. As a result, children have had a negative impact on each other. They have colluded to go missing together and encouraged each other to engage in anti-social behaviour in the home.

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How well children and young people are helped and protected: inadequate

Children’s records inspected are of poor quality and important key documents are missing. Documents and other records are not signed, are incorrectly dated or undated. The registered manager was unclear of the interim recording system put in place since the earlier destruction of the children’s documents. As a result, records continue to be inconsistent.

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How well children and young people are helped and protected: inadequate

Risk assessments are not up to date. Strategies to minimise children’s risks include direct key-work sessions, however, children do not know who their key worker is. A member of staff did not know the frequency of the key-work sessions she conducts. The inspector found that the child had two key-work sessions in seven months, while another child had no key-work sessions to provide support around her specific risks. A child’s behaviour management plan is from a previous home they lived in, which shows a lack of due care and attention. Inspection report children's home: 2547511 4 Children do not know what their care plans are. They are not encouraged to read their plans, or to contribute to their care planning or their care reviews.

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How well children and young people are helped and protected: inadequate

Staff recruitment is not safe. Leaders and managers fail to follow their safe recruitment policies. Staff work in the home without the necessary recruitment checks. This means that children may be exposed to unsafe people working in their home.

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How well children and young people are helped and protected: inadequate

The registered manager does not inform Ofsted of all the significant incidents in the home or notification is delayed, which is contrary to regulatory requirements.

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How well children and young people are helped and protected: inadequate

There has been one recorded incident of physical restraint since the home opened. The use of the restraint was appropriate and helped to keep the child safe, however, the record fails to contain all regulatory recording requirements.

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The effectiveness of leaders and managers: inadequate

The leadership and management of the home is weak and ineffective. Leaders and managers lack a robust oversight of the operation of the home, the conditions of registration and regulatory requirements.

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The effectiveness of leaders and managers: inadequate

Staff do not have the necessary skills and expertise to meet the needs of the children living in the home. The home relies heavily on unqualified, inexperienced agency staff to function. The responsible individual told the inspector that a recruitment drive is under way.

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The effectiveness of leaders and managers: inadequate

Staff lack the training and skills to meet the particular needs of the children living in the home. Not all the staff working in the home have a suitable residential children’s home qualification. The home’s workforce development plan is not fit for purpose. It is out of date, not all employees are recorded, and employment start dates, and training certificate validity are incorrect. Despite the identified staff training needs, leaders and managers have failed to plan the necessary training.

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The effectiveness of leaders and managers: inadequate

Staff rotas record staff working for 24 hours or more without a break or working alone. These working patterns will leave staff tired and vulnerable. Rotas also show that, at times, there are inadequate staffing levels to support the children in the home. This is a significant shortfall that leaves children vulnerable and at risk of harm.

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The effectiveness of leaders and managers: inadequate

Furthermore, staff working in the home sometimes rely on other staff who are off duty to come in to help support them. Off duty staff are telephoned day or night to provide additional support. On one occasion, an off-duty member of staff attended at 4am. Staff said that they are used to these telephone calls to ‘help out’.

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The effectiveness of leaders and managers: inadequate

The home’s statement of purpose is not available on the home’s website and is not an accurate reflection of the home. The staffing structure is incorrect, while staff names and qualifications are missing. Children have been placed in the home who Inspection report children's home: 2547511 5 do not meet the home’s conditions of registration as set out and agreed during the home’s registration process. The responsible individual said that the statement of purpose was being reviewed.

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The effectiveness of leaders and managers: inadequate

The registered manager’s quality of care review does not include the feedback and opinions of the children living in the home. This is a missed opportunity to develop the service. Staff spoken with said that leaders and managers are approachable and easy to talk to. Inspection report children's home: 2547511 6

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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 quality and purpose of care standard is that children receive care from staff who—

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understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

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use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

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In particular, the standard in paragraph (1) requires the registered person to—

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understand and apply the home’s statement of purpose;

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understand and apply the home’s statement of purpose;

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protect and promote each child’s welfare;

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treat each child with dignity and respect;

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provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s background;

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help each child to understand and manage the impact of any experience of abuse or neglect;

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help each child to develop resilience and skills that prepare the child to return home, to live in a new placement or to live independently as an adult;

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provide to children living in the home the physical necessities they need in order to live there comfortably;

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Requirement Due date

provide to children personal items that are appropriate for their age and understanding; and 20 August 2021 Inspection report children's home: 2547511 7 make decisions about the day-to-day arrangements for each child, in accordance with the child’s relevant plans, which give the child an appropriate degree of freedom and choice. (Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(ix))

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Requirement Due date

The children’s views, wishes and feelings standard is that children receive care from staff who—

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develop positive relationships with them;

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take their views, wishes and feelings into account in relation to matters affecting the children’s care and welfare and their lives.

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In particular, the standard in paragraph (1) requires the registered person to—

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ascertain and consider each child’s views, wishes and feelings, and balance these against what they judge to be in the child’s best interests when making decisions about the child’s care and welfare;

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help each child to express views, wishes and feelings;

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help each child to understand how the child’s views, wishes and feelings have been taken into account and give the child reasons for decisions in relation to the child;

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regularly consult children, and seek their feedback, about the quality of the home’s care;

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Requirement Due date

help each child to understand how the child’s privacy will be respected and the circumstances when it may have to be limited;

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Requirement Due date

help each child to prepare for any review of the child’s relevant plans and to make the child’s views, wishes and feelings known for the purposes of that review; and

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Requirement Due date

make each child aware of and, if necessary, remind them of each of the matters in sub-paragraph (d)(i) to (iii); 20 August 2021 Inspection report children's home: 2547511 8 ensure that each child—

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Requirement Due date

is enabled to provide feedback to, and raise issues with, a relevant person about the support and services that the child receives;

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Requirement Due date

has access to the home’s children’s guide, and the home’s complaints procedure, when the child’s placement in the home is agreed and throughout the child’s stay in the home; and

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Requirement Due date

is given appropriate advocacy support. (Regulation 7 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(b)(i)(ii)(iii))

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The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.

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In particular, the standard in paragraph (1) requires the registered person to ensure—

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help each child to achieve the child’s education and training targets, as recorded in the child’s relevant plans;

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support each child’s learning and development, including helping the child to develop independent study skills and, where appropriate, helping the child to complete independent study;

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understand the barriers to learning that each child may face and take appropriate action to help the child to overcome any such barriers;

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help each child to understand the importance and value of education, learning, training and employment;

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promote opportunities for each child to learn informally;

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maintain regular contact with each child’s education and training provider, including engaging with the provider and the placing authority to support the child’s education and training and to maximise the child’s achievement; 20 August 2021 Inspection report children's home: 2547511 9 raise any need for further assessment or specialist provision in relation to a child with the child’s education or training provider and the child’s placing authority;

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Requirement Due date

help a child who is excluded from school, or who is of compulsory school age but not attending school, to access educational and training support throughout the period of exclusion or non-attendance and to return to school as soon as possible;

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Requirement Due date

help each child who is above compulsory school age to participate in further education, training or employment and to prepare for future care, education or employment;

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help each child to attend education or training in accordance with the expectations in the child’s relevant plans; and

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that each child has access to appropriate equipment, facilities and resources to support the child’s learning. (Regulation 8 (1) (2)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(ix)(x)(b))

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Requirement Due date

The health and well-being standard is that—

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the health and well-being needs of children are met;

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children receive advice, services and support in relation to their health and well-being; and

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children are helped to lead healthy lifestyles.

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In particular, the standard in paragraph (1) requires the registered person to ensure—

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achieve the health and well-being outcomes that are recorded in the child’s relevant plans;

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understand the child’s health and well-being needs and the options that are available in relation to the child’s health and well-being, in a way that is appropriate to the child’s age and understanding;

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Requirement Due date

take part in activities, and attend any appointments, for the purpose of meeting the child’s health and well-being needs; and 20 August 2021 Inspection report children's home: 2547511 10 understand and develop skills to promote the child’s well- being. (Regulation 10 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(iv))

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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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In particular, the standard in paragraph (1) requires the registered person to ensure—

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meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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help each child to develop socially aware behaviour;

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encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and understanding;

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help each child to understand, in a way that is appropriate according to the child’s age and understanding, personal, sexual and social relationships, and how those relationships can be supportive or harmful;

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help each child to develop the understanding and skills to recognise or withdraw from a damaging, exploitative or harmful relationship;

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strive to gain each child’s respect and trust;

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understand how children’s previous experiences and present emotions can be communicated through behaviour and have 20 August 2021 Inspection report children's home: 2547511 11 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;

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Requirement Due date

de-escalate confrontations with or between children, or potentially violent behaviour by children;

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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. (Regulation 11 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(ix)(x)(xi)(xii)(xiii))

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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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assess whether each child is at risk of harm, taking into account information in the child’s relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child;

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help each child to understand how to keep safe;

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have the skills to identify and act upon signs that a child is at risk of harm;

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manage relationships between children to prevent them from harming each other;

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understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

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take effective action whenever there is a serious concern about a child’s welfare; and 20 August 2021 Inspection report children's home: 2547511 12 are familiar with, and act in accordance with, the home’s child protection policies. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(iv)(v)(vi)(vii))

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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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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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ensure that staff work as a team where appropriate;

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

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ensure that the home has sufficient staff to provide care for each child;

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ensure that the home’s workforce provides continuity of care to each child. (Regulation 13 (1)(a)(b) (2)(a)(b)(c)(d)(e)) 20 August 2021

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The care planning standard is that children—

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receive effectively planned care in or through the children’s home; and

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have a positive experience of arriving at or moving on from the home.

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In particular, the standard in paragraph (1) requires the registered person to ensure—

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that children are admitted to the home only if their needs are within the range of needs of children for whom it is intended that the home is to provide care and accommodation, as set out in the home’s statement of purpose. (Regulation 14 (1)(a)(b) (2)(a)) 20 August 2021 Inspection report children's home: 2547511 13 The registered person must—

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keep the statement of purpose under review and, where appropriate, revise it; and

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notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision.

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Requirement Due date

If a home has a website, the registered person must ensure that a copy of the statement of purpose is published on that website unless the registered person considers that such publication would prejudice the welfare of children in the home.

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Requirement Due date

Subject to paragraph (6), the registered person must ensure that the home is at all times conducted in a manner which is consistent with its statement of purpose. (Regulation 16 (3)(a)(b) (4) (5)) 20 August 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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In particular the registered person must ensure that—

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

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medicine which is prescribed for a child is administered as prescribed to the child for whom it is prescribed and to no other child; and

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a record is kept of the administration of medicine to each child.

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Paragraph (2) does not apply to medicine which—

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is stored by the child for whom it is provided in such a way that other persons are prevented from using it; and

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may be safely self-administered by that child. (Regulation 23 (1) (2)(a)(b)(c) (3)(a)(b)) 20 August 2021

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

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The registered person may only— 20 August 2021 Inspection report children's home: 2547511 14 employ an individual to work at the children’s home; or

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Requirement Due date

if an individual is employed by a person other than the 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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if the individual satisfies the requirements in paragraph (3).

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the individual is of integrity and good character;

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

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the individual is mentally and physically fit for the purposes of the work that the individual is to perform; and

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full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 2.

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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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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; or

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in the case of an individual who was working in a care role in a home on 1st April 2014, 1st April 2016.

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Requirement Due date

The registered person may defer the relevant date if the individual—

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does not work, or has not worked, in a care role in a home for a prolonged period; or Inspection report children's home: 2547511 15 works, or has worked, in a care role in a home on a part- time basis. (Regulation 32 (1) (2)(a)(b) (3)(a)(b)(c)(d) (4)(a)(b) (5)(a)(b)(6)(a)(b))

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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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details of the child’s behaviour leading to the use of the measure;

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the date, time and location of the use of the measure;

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a description of the measure and its duration;

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details of any methods used or steps taken to avoid the need to use the measure;

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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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the effectiveness and any consequences of the use of the measure; and

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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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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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has spoken to the user about the measure; and

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has signed the record to confirm it is accurate; and

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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)(v)(vi)(vii)(viii)(b)(i)(ii)(c)) 20 August 2021 Inspection report children's home: 2547511 16 The registered person must maintain records (“case records”) for each child which—

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include the information and documents listed in Schedule 3 in relation to each child;

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are signed and dated by the author of each entry.

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if the child dies before attaining the age of 18, for 15 years from the date of the child’s death;

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in cases not falling within sub-paragraph (a), for 75 years from the child’s date of birth;

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securely in the children’s home during the period when the child to whom the case records relate is accommodated there; and

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in a secure place after the child has ceased to be accommodated in the home. (Regulation 36 (1)(a)(b)(c) (2)(a)(b)(c)(d)) 20 August 2021

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Schedule 4 sets out the other information that the registered person must keep in relation to a children’s home.

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maintain in the home the records in Schedule 4;

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ensure that the records are kept up to date; and

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retain the records for at least 15 years from the date of the last entry. (Regulation 37 (1) (2)(a)(b)(c)) 20 August 2021

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The registered person must notify HMCI and each other relevant person without delay if—

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a child is involved in or subject to, or is suspected of being involved in or subject to, sexual exploitation;

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an incident requiring police involvement occurs in relation to a child which the registered person considers to be serious; 20 August 2021 Inspection report children's home: 2547511 17 there is an allegation of abuse against the home or a person working there;

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a child protection enquiry involving a child —

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concludes (in which case, the notification must include the outcome of the child protection enquiry); or

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there is any other incident relating to a child which the registered person considers to be serious. (Regulation 40 (4)(a)(b)(c)(d)(i)(ii)(e))

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Requirement Due date

The registered person must complete a review of the quality of care provided for children (“a quality of care review”) at least once every 6 months.

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system for monitoring, reviewing and evaluating—

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Requirement Due date

the quality of care provided for children;

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Requirement Due date

the feedback and opinions of children about the children’s home, its facilities and the quality of care they receive in it; and

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Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

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Requirement Due date

After completing a quality of care review, the registered person must produce a written report about the quality of care review and the actions which the registered person intends to take as a result of the quality of care review (“the quality of care review report”).

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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; and

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Requirement Due date

make a copy of the quality of care review report available on request to a placing authority, if the placing authority is not the parent of a child accommodated in the home. 20 August 2021 Inspection report children's home: 2547511 18 The system referred to in paragraph (2) must provide for ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45 (1) (2)(a)(b)(c) (3) (4)(a)(b) (5))

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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: 2547511 19

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Children’s home details

Registered provider: Allinonecare Limited

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Children’s home details

Registered provider address: 26 Thorney Lane South, Iver, Buckinghamshire SL0 9AE

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Children’s home details

Registered manager: Shehnaz Hamid-Mahmood

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Inspector

Victoria Jones, Social Care Inspector Inspection report children's home: 2547511 20 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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