Children's Home run by Turning Point Care Limited in Enfield

Inspection report for children's home: SC010699 1 SC010699 Registered provider: Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

A private provider operates this home. The home provides care and accommodation for up to five children with social and/or emotional difficulties.

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Information about this children’s home

The manager has been registered with Ofsted since May 2018.

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Inspection date: 16 December 2021

Judgement at last inspection: requires improvement to be good

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Inspection date: 16 December 2021

Enforcement action since last inspection: none Inspection report for children's home: SC010699 2

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children and young people since the most recent full inspection

This home was judged requires improvement to be good at the last full inspection. At this interim inspection, Ofsted judged that it has declined in effectiveness.

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children and young people since the most recent full inspection

Since the last inspection, children have made some progress. Children’s episodes of going missing from the home and staff supervision levels to help manage children’s complex behaviours and risks have reduced. Children spend more time socialising with staff, and there have been no episodes of restraint used to manage any challenging behaviours. A child spoken with during the inspection said that they feel safe.

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children and young people since the most recent full inspection

Despite this, leaders and managers fail to support children and help them to keep safe. Staff do not follow the home’s missing-from-home procedures and records are inadequate and inconsistent. On one occasion staff were unaware that a child was missing from the home. Staff failed to identify how or when the child went missing. They issued an inaccurate missing-from-home report to the police, approximately 24 hours late. This placed the child at significant risk in the community.

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children and young people since the most recent full inspection

A child has suffered verbal abuse from a member of staff. Records describe the member of staff as ‘combative’. The child complained to staff, and told the inspector, ‘Nothing ever gets done.’ Staff supervision records identified that the member of staff did not have supervision to address the issues for three months. The registered manager told the inspector that the member of staff had recently been dismissed.

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children and young people since the most recent full inspection

Fire drill records are poor and, at times, appear to lack purpose. This weakness compromises fire safety in the home.

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children and young people since the most recent full inspection

As a result of staff vacancies and staff sickness, alongside short-notice staff shift cancellations, a reliance on agency staff has continued. Furthermore, permanent staff are working longer hours, sometimes for 24 hours without sleep. A member of staff said that this was ‘tiring’. The registered manager said, ‘The last few months have been challenging.’ The registered manager said that she would not accept any new placements until more staff are recruited.

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children and young people since the most recent full inspection

Staff training details are not up to date. As a result, the inspector was unable to confirm that all the staff team have the necessary skills to meet the needs of the children living in the home. Rotas show that staff who have not had restraint training work together on shifts. This may place them, and the children, in a vulnerable position.

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children and young people since the most recent full inspection

Leaders’ and managers’ oversight of the home’s recording systems is inadequate. The inspector found many poor, incomplete and inconsistent records, for example, daily logs lacking detail and staff signatures. The home’s admission and discharge Inspection report for children's home: SC010699 3 register and staff recruitment records do not contain all the required regulatory detail.

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children and young people since the most recent full inspection

Leaders and managers have met three of the requirements set at the last inspection. However, three requirements have not been met, and are restated. As a result of this interim inspection, a further six requirements have been raised. Inspection report for children's home: SC010699 4

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Inspection date Inspection type Inspection judgement

25/08/2021 Full Requires improvement to be good 30/10/2019 Full Requires improvement to be good 10/07/2019 Full Inadequate 27/02/2019 Interim Declined in effectiveness Inspection report for children's home: SC010699 5

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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. (Regulation 13 (1)(a)(b) (2)(a)(b)(c)(d)(e))

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Requirement Due date

In particular, leaders and managers must ensure that all staff undertake the necessary training to fulfil their roles. 22 February 2022

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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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Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm. (Regulation 12 (1) (2)(b)) 22 February 2022 Inspection report for children's home: SC010699 6 In particular, leaders and managers must ensure children are reported missing in line with their care and safety plans.

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Requirement Due date

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

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Requirement Due date

notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision. (Regulation 16 (3)(a)(b)) 22 February 2022

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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

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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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Requirement Due date

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

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Requirement Due date

the individual is of integrity and good character;

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 2. (Regulation 32 (1) (2)(a)(b) (3)(a)(b)(c)(d))

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Requirement Due date

In particular, leaders and managers must ensure that staff recruitment files are complete in line with matters in Schedule 2, namely, with recent employer references and full employment histories, including a satisfactory explanation of any gaps in employment. 22 February 2022 Inspection report for children's home: SC010699 7 After consultation with the fire and rescue authority, the registered person must—

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Requirement Due date

ensure, by means of fire drills and practices at suitable intervals, that persons working at the home and, so far as reasonably practicable, children are aware of the procedures to followed in case of fire. (Regulation 25 (1)(d))

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Requirement Due date

In particular, leaders and managers must ensure that fire drill records are accurate, and that children who are new to the home experience fire drill procedures in a timely manner. 22 February 2022

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Requirement Due date

The registered person must maintain records (“case records”) for each child which—

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Requirement Due date

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

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Requirement Due date

are signed and dated by the author of each entry. (Regulation 36 (1)(a)(b)(c)) 22 February 2022

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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; and

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Requirement Due date

have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33 (4)(a)(b)(c))

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Requirement Due date

In particular, leaders and managers must ensure that staff supervision is undertaken in line with the home’s supervision policy. 22 February 2022

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Requirement Due date

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

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Requirement Due date

maintain in the home the records in Schedule 4;

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Requirement Due date

ensure that the records are kept up to date; and 22 February 2022 Inspection report for children's home: SC010699 8 retain the records for at least 15 years from the date of the last entry. (Regulation 37 (1) (2)(a)(b)(c))

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Requirement Due date

In particular, leaders and managers must ensure that children’s addresses prior to arrival at the home and their discharge addresses when they leave are recorded.

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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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Requirement Due date

develop positive relationships with them;

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Requirement Due date

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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Requirement Due date

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

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Requirement Due date

ensure that an explanation is given to each child as soon as reasonably practicable after the child’s arrival about—

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Requirement Due date

how to make a complaint or representations in relation to the home or the care the child receives and how any such complaint or representations will be dealt with. (Regulation 7 (1)(a)(b)(c) (2)(d)(ii)) 22 February 2022

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Information about this inspection

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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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 for children's home: SC010699 9

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Registered provider address:

Responsible individual: Dawnette Legister

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Inspector

Victoria Jones, Social Care Inspector Inspection report for children's home: SC010699 10 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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