Children's Home run by Platinum Services for Children (Residential Care) Ltd in Staffordshire

Inspection report for children's home: 2503915 1 Registered provider: Platinum Services For Children (Residential Care) Ltd Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This is one of two homes owned by an independent provider. The home, which Ofsted registered in June 2019, cares for up to three children with emotional needs who may have challenges with their behaviour and are likely to have experienced trauma.

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Information about this children’s home

The home has been without a registered manager since 28 January 2022. There is a new manager in post who commenced with the service on 11 April 2022. She has submitted her application to Ofsted to be registered.

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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 and young people are not protected or their welfare is not promoted or safeguarded.

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inadequate

Overall judgement at last inspection: good

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inadequate

Enforcement action since last inspection: none Inspection report for children's home: 2503915 2

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Inspection date Inspection type Inspection judgement

11/05/2021 Full Good 05/02/2020 Full Good Inspection report for children's home: 2503915 3

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inadequate

There is currently one child living in the home, and two children have left since the last inspection. The children who have left did so because managers and staff could not meet their needs. These were known needs when the children arrived at the home. The matching for one child who has moved on from the home was not sufficient.

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inadequate

The home environment is tired in places and there are some areas of disrepair. For example, there is a hole in the kitchen ceiling, paint peeling on windowsills and a fire door is not safe, which has been this way for several months. One room in the home was being locked to prevent children accessing it without any reason until two months ago. The interim manager, since arriving at the home, has acted swiftly to begin addressing issues in the environment. However, this should have been done sooner by the registered provider. This does not help children to feel valued and to have pride in their home.

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inadequate

Children’s views and wishes are not taken into account and their needs are ignored. When a child wanted to make a complaint, they were refused access to a phone. When children make allegations of harm, become upset or are restrained, they are not consulted to be offered support. This isolates children and does not help them reflect after difficult events.

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inadequate

Staff respond to children in a punitive way. This has made children distressed and led to unnecessary restraints happening because of how upset children have become. The new manager recognises this is an area of needed improvement, but these changes have not yet been embedded into practice. This prevents children from emotionally and socially making progress.

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inadequate

Leaders and staff do not communicate clearly with other agencies to improve children’s well-being. While professionals speak positively of the home, this is based on the limited information they have. For example, one social worker felt a child was being well supported in the home, but when one child’s incidents and risks were discussed with them by the inspector, they had not been made aware of the concerns. This means that risks for children are not being properly addressed, leaving children unprotected.

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inadequate

Despite everything that is happening in the home, a child is regularly attending education, and the school has given good feedback about their academic progress and the staff team’s engagement with them. The child reports that they view staff in the home as being like family for them. This shows that there are some positive relationships between staff and children in the home despite the shortfalls. Inspection report for children's home: 2503915 4

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

Staff do not keep children safe in restraint incidents. In some incidents, staff ignore children’s plans for supporting their behaviour, leading to children becoming distressed and then restraints being carried out which lack skill. In these incidents, children have been inappropriately held and have made allegations of harm about this. This has not been addressed by leaders, and children have not been spoken to. Restraint records and records of all incidents are poor. This is putting children at risk of serious harm.

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

When children go missing, staff do not take sufficient action to keep them safe. For example, in one incident, when a child was at high risk of exploitation, staff did not check where a child was going when they went out, and they did not drop the child at a safe address. Managers do not put plans in place that are clear to help staff know what to do when children go missing. There are missing episodes which are missing from records so cannot be evaluated. Return home interviews are not done and managers have not challenged this.

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

Staff do not act effectively to prevent children from harming one another. In one incident, due to the lack of proper supervision of children, one child fled the home to get away from another child and they were found in a dangerous place. The manager did not effectively review or address staff practice shortfalls in this incident or speak with children afterwards.

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

In self-harm incidents, staff offer children reassurance, but they do not remove items of risk to prevent further harm. In an incident, this led to a child taking an item into school and harming themselves again. The plans have not been updated from this to reflect new strategies to help staff keep children safe, and there has not been any review with professionals to better safeguard children.

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

Managers do not investigate allegations to ensure staff are safe to work with children. In incidents reviewed during the inspection, social workers were not notified that children had made allegations, investigations were not held relating to staff members’ practices and children were not consulted by leaders. This causes unnecessary upset for children and stops their home from being a safe space for them.

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The effectiveness of leaders and managers: inadequate

The home has been without a manager since 28 January 2022. Between then and the arrival of the new manager on 11 April 2022, there has been virtually no managerial oversight in the home. There were multiple missing records in the home for the period this inspection covers. Senior leaders informed Ofsted during the inspection that they had not been overseeing management or staff activities in the home since the last inspection and therefore did not know where these records would be. This means that practice standards are not quality assured, which leaves children at risk of being cared for poorly. Inspection report for children's home: 2503915 5 The new manager, who started on 11 April 2022, has submitted her application for registration. The new manager was not verified as being suitably qualified, and they do not have the required experience to meet regulation 28. There were some gaps in their and other employee’s recruitment checks at the start of their employment.

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The effectiveness of leaders and managers: inadequate

This leaves staff vulnerable as their practice is not being led by skilled leaders.

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The effectiveness of leaders and managers: inadequate

The oversight of the manager and senior leaders on a thematic basis is poor. There has been no system in place to monitor the care of children, and no senior leaders have been offering guidance to managers. The new manager has just started to implement a monitoring system, but this does not consider shortfalls identified in this inspection nor any actions to rectify them. The most recent quality of care review did not consider the views of children currently living in the home and did not evaluate children’s care.

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The effectiveness of leaders and managers: inadequate

Oversight from leaders in incidents is inadequate. When there have been safeguarding incidents, these are not evaluated by managers, and when there have been serious shortfalls in staff practice, managers have concluded the care is good. After incidents, staff do not have debriefs from managers and neither do children. Staff have shared that, until the new manager arrived, this was non-existent. This results in poor practice being persistent and staff feeling devalued.

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The effectiveness of leaders and managers: inadequate

Staff supervision records are poor and for several months staff have not been having regular supervision to evaluate their care of children. Supervision records that have been viewed are practice related but do not sufficiently challenge where there are shortfalls in staff practice.

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The effectiveness of leaders and managers: inadequate

Staff are not skilled to meet the needs of children. For example, staff have not all had training around missing from care, sexualised behaviours and independence planning to help them care properly for children in the home. This results in children not being offered care which meets their needs.

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The effectiveness of leaders and managers: inadequate

The location risk assessment does not include information on hazards or previously identified risks in the local area for children. The statement of purpose has not been sent to Ofsted when it has been updated. This further demonstrates poorly organised care by leaders.

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The effectiveness of leaders and managers: inadequate

Despite the shortfalls in the new managers skills and experience they have made some positive changes since commencing their post. For example, she has started having team meetings where staff are upskilled and children’s meetings where there is evidence of discussions with children. However, this is not enough to tackle the widespread failings across all areas. Inspection report for children's home: 2503915 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

In meeting the quality standards, the registered person must, and must ensure that staff—

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Requirement Due date

seek to involve each child’s placing authority effectively in the child’s care, in accordance with the child’s relevant plans;

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Requirement Due date

seek to secure the input and services required to meet each child’s needs;

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Requirement Due date

if the registered person considers, or staff consider, a placing authority’s or a relevant person’s performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child’s needs are met in accordance with the child’s relevant plans; and

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Requirement Due date

seek to develop and maintain effective professional relationships with such persons, bodies or organisations as the registered person considers appropriate having regard to the range of needs of children for whom it is intended that the children’s home is to provide care and accommodation. (Regulation 5 (a)(b)(c)(d))

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Requirement Due date

This specifically relates to the registered person ensuring that information is shared with professionals about children’s risks and that professionals are challenged if there are gaps in the progression of children’s plans. 24 July 2022

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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 24 July 2022 Inspection report for children's home: 2503915 7 registered person to ensure—

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Requirement Due date

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

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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; and

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Requirement Due date

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

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Requirement Due date

This specifically relates to the registered person ensuring that staff understand children’s behaviours, linked to their past trauma, and that they use this understanding when managing their behaviour and that where children’s behaviour is impacting on each other, the staff have the skills to help de-escalate situations.

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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

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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Requirement Due date

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

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Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare; and

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Requirement Due date

are familiar with, and act in accordance with, the home’s child protection policies. (Regulation 12 (1) (2)(a)(i)(ii)(vi)(vii))

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Requirement Due date

This specifically relates to the registered person ensuring that they produce clear plans to help staff manage risks and 24 July 2022 Inspection report for children's home: 2503915 8 that staff and managers use these and the following safeguarding procedures to keep children safe.

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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

ensure that staff have the experience, qualifications and skills to meet the needs of 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)(c)(f)(h))

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Requirement Due date

This specifically relates to the registered person ensuring that they have a clear system in place to understand and monitor the care of children and that any areas where there may be shortfalls in staff practice or skills are addressed to improve care. 24 July 2022

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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.

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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 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. 24 July 2022 Inspection report for children's home: 2503915 9 that arrangements are in place to—

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Requirement Due date

ensure the effective induction of each child into the home. (Regulation 14 (1)(a)(b) (2)(a)(b)(i))

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Requirement Due date

This specifically relates to the registered person ensuring that children are appropriately matched to other children and to the staff skills in the home before they move in and that any risks identified in the matching process are properly considered and plans put in place to manage these.

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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))

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Requirement Due date

The registered person must ensure they send any updated copies of the statement of purpose to Ofsted when this is reviewed. 24 July 2022

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Requirement Due date

Restraint in relation to a child is only permitted for the purpose of preventing—

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Requirement Due date

injury to any person (including the child);

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Requirement Due date

serious damage to the property of any person (including the child); or

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Requirement Due date

Restraint in relation to a child must be necessary and proportionate. (Regulation 20 (1)(a)(b) (2))

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Requirement Due date

This specifically relates to the registered person ensuring that a child’s liberties are not restricted and that restraint is not used unless absolutely necessary and any rationale for such is clearly recorded. 24 July 2022

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Requirement Due date

the privacy of children is appropriately protected;

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Requirement Due date

children can access all appropriate areas of the children’s home’s premises; and

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Requirement Due date

any limitation placed on a child’s privacy or access to any 24 July 2022 Inspection report for children's home: 2503915 10 area of the home’s premises—

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Requirement Due date

is intended to safeguard each child accommodated in the home;

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Requirement Due date

is kept under review and, if necessary, revised; and

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Requirement Due date

allows children as much freedom as is possible when balanced against the need to protect them and keep them safe. (Regulation 21 (a)(b)(c)(i)(ii)(iv))

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Requirement Due date

This specifically relates to the registered person ensuring that areas of the children’s home are not locked off for children without just cause.

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Requirement Due date

If the Regulatory Reform (Fire Safety) Order 2005(a) applies to the home—

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Requirement Due date

the registered person must ensure that the requirements of that Order and any regulations made under it, except for article 23 (duties of employees), are complied with in respect of the home. (Regulation 25 (2)(b))

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Requirement Due date

This specifically relates to the registered person ensuring that any recommendations made within fire risk assessments by qualified professionals to ensure the home is protected as far as possible from fire are actioned in a timely way to ensure the environment is safe. 24 July 2022

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Requirement Due date

A person may only manage a children’s home if—

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Requirement Due date

the person is of integrity and good character;

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Requirement Due date

having regard to the size of the home, its statement of purpose, and the number and needs (including any needs arising from any disability) of the children—

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Requirement Due date

the person has the appropriate experience, qualification and skills to manage the home effectively and lead the care of children; and

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Requirement Due date

the person is physically and mentally fit to manage the home; and

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Requirement Due date

full and satisfactory information is available in relation to the person in respect of each of the matters in Schedule 2. 24 July 2022 Inspection report for children's home: 2503915 11 For the purposes of paragraph (1)(b)(i), a person has the appropriate experience and qualification if the person has—

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Requirement Due date

within the last 5 years, worked for at least 2 years in a position relevant to the residential care of children; and

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Requirement Due date

worked for at least one year in a role requiring the supervision and management of staff working in a care role. (Regulation 28 (1)(a)(b)(i)(ii)(c) (2)(a)(b))

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Requirement Due date

This specifically relates to the registered person ensuring that any manager appointed to manage the children’s home has worked for at least two years in a position relevant to residential children’s care.

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Requirement Due date

An individual may only carry on a children’s home if the individual satisfies the requirements in paragraph (5).

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Requirement Due date

the individual is of integrity and good character;

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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;

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Requirement Due date

the individual is mentally and physically fit to carry on the home; and

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Requirement Due date

the individual is financially fit to carry on the home.

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Requirement Due date

satisfy the requirements in paragraph (5)(a) to (c); and

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Requirement Due date

have the capacity, experience and skills to supervise the management of the home, or the homes, in respect of which the responsible individual is nominated. (Regulation 26 (1) (2) (5)(a)(b)(c)(d) (7)(a)(b))

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Requirement Due date

This specifically relates to the registered provider ensuring that any appointed responsible individual in the organisation has the skills and capacity to properly oversee the manager’s practice. 24 July 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

The registered person may only— 28 July 2022 Inspection report for children's home: 2503915 12 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.

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Requirement Due date

The registered person may permit an individual to start work at the home despite the fact that the requirement in paragraph (3)(d) has not been met if—

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Requirement Due date

the registered person has taken all reasonable steps to obtain full information about each of the matters in Schedule 2 in respect of the individual, but the enquiries in relation to any of the matters in paragraphs 3 to 6 of Schedule 2 are incomplete;

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Requirement Due date

full and satisfactory information in respect of the individual has been obtained in relation to the matters in paragraphs 1 and 2 of Schedule 2;

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Requirement Due date

the registered person considers that the circumstances are exceptional; and

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Requirement Due date

the registered person ensures that the individual is appropriately supervised while carrying out the individual’s duties, pending receipt of any outstanding information on the matters in paragraphs 3 to 6 of Schedule 2, which is then considered satisfactory by the registered person.

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Requirement Due date

The registered person must take reasonable steps to ensure that any individual who is working at the home and who does not fall within paragraph (2)(a) and (b) is appropriately Inspection report for children's home: 2503915 13 supervised while carrying out the individual’s duties. (Regulation 32 (1) (2)(a)(b) (3)(a)(b)(c)(d) (7)(a)(b)(c)(d) (8))

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Requirement Due date

This specifically relates to the registered person ensuring that verification is sought in references where staff have previously worked with children or vulnerable people and that no member of staff commences employment at the home without at least the checks required under schedule 2 in paragraphs 1 and 2 as per regulation.

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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;

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Requirement Due date

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;

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Requirement Due date

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 24 July 2022 Inspection report for children's home: 2503915 14 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))

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Requirement Due date

Subject to paragraph (6), the registered person must establish a procedure for considering complaints made by or on behalf of children.

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Requirement Due date

In particular, the procedure must provide that no person who is the subject of a complaint takes any part in its consideration or investigation, except at the informal resolution stage if the registered person considers it appropriate.

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Requirement Due date

The registered person must ensure that a record is made of any complaint, the action taken in response, and the outcome of any investigation.

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Requirement Due date

The registered person must ensure that no child is subject to any reprisal for making a complaint or representation.

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Requirement Due date

The registered person must supply to HMCI, at HMCI’s request, a statement containing a summary of any complaints made during the preceding twelve months and the action that was taken in response to each complaint. (Regulation 39 (1) (2) (3) (4) (5))

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Requirement Due date

This specifically relates to the registered person ensuring that records of complaints, actions and investigations are all recorded and that children are supported to complain whenever they wish to do so. 24 July 2022

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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 24 July 2022 Inspection report for children's home: 2503915 15 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.

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Requirement Due date

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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Requirement Due date

This specifically relates to the registered person ensuring that regulation 45 review consults with children living in the home and relevant professionals and suitably evaluate and review the quality of care given to children over the past six months.

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Requirement Due date

The registered person must review the appropriateness and suitability of the location of the premises used for the purposes of the children’s home at least once in each calendar year taking into account the requirement in regulation 12(2)(c) (the protection of children standard).

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Requirement Due date

When conducting the review, the registered person must consult, and take into account the views of, each relevant person. (Regulation 46 (1) (2))

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Requirement Due date

This specifically relates to the registered person ensuring that hazards which are in close proximity to the home that may pose a risk to children are considered in the manager’s location risk assessment and that past risks identified in the area to previous children are used to inform this area risk assessment to help protect future children in the home. 24 July 2022 Inspection report for children's home: 2503915 16 *These requirements are subject to a compliance notice.

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Recommendation

 The registered person should ensure that staff are familiar with the home’s policies on record-keeping and understand the importance of careful, objective and clear recording. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 62, paragraph 14.4)

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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: 2503915 17

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Children’s home details

Registered provider: Platinum Services For Children (Residential Care) Ltd

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Children’s home details

Registered provider address: Union House, 111 New Union Street, Coventry, West Midlands CV1 2NT

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Children’s home details

Responsible individual: Leonard Pattinson

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Inspector

Fiona Roche, Social Care Inspector Inspection report for children's home: 2503915 18 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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