Children's Home run by 4 Pure Heart Limited in Bury

Inspection report for children’s home - monitoring visit: 2630055 1 Registered provider: 4 Pure Heart Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

This home is operated by a private provider.

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Information about this children’s home

It is registered to provide care for up to three children. At the time of the visit, there was one child living in the home.

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Information about this children’s home

There is a manager in post who registered with Ofsted in January 2022.

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This monitoring visit

This home was judged inadequate at the full inspection on the 8 and 9 June 2022. Following this inspection, Ofsted issued three compliance notices in respect of regulation 12, the protection of children standard, regulation 13, the leadership and management standard and regulation 14, the care planning standard.

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This monitoring visit

Ofsted also issued a notice restricting accommodation at the home. This notice had immediate effect from 13 June 2022 until 11 September 2022.

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This monitoring visit

During this monitoring visit, inspectors confirmed that the registered provider had complied with the conditions in the restriction notice.

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This monitoring visit

Risk management plans have been reviewed and changes have been made to improve the format of these. However, staff are not yet provided with sufficiently clear guidance to manage the child’s risks and behaviours. Furthermore, not all staff have read the child’s plans, which does not evidence that they understand how to support the child and keep them safe. Inspection report for children’s home - monitoring visit: 2630055 2 Records of significant events do not clearly state the safeguarding actions taken by staff. Furthermore, not all safeguarding incidents are documented in the home. Staff did not record a significant event appropriately, and it is not clear what actions the staff member took to keep the child safe.

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This monitoring visit

Staff do not always take effective action in response to safeguarding incidents. On one occasion, staff did not seek medical advice when a child banged their head during an incident. On another occasion, staff did not follow the agreed strategies when the child left the home. Although the manager has reviewed records for these incidents, they have not addressed the shortfalls in staff practice. Poor staff practice and ineffective management oversight does not safeguard the child.

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This monitoring visit

The manager has implemented additional monitoring to review the quality of the care provided to the child. Despite these additional measures, the manager has failed to identify or address shortfalls. For example, the manager and staff have failed to provide the child with appropriate structure and boundaries. This lack of stability does not help the child to feel safe or cared for. Poor routines are having a negative effect on the child’s daily experiences and are not supporting the child to maintain a healthy lifestyle.

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This monitoring visit

Staff have completed training since the last visit. However, the manager has failed to ensure that this training has improved the knowledge and skills of the staff team. Some staff members have completed multiple online courses on the same day. This does not demonstrate that training undertaken has been meaningful, or that staff have reflected on training to ensure that they can implement this in their practice. Staff have also not received training in some areas that are specific to the needs of the child in the home, such as self-harm training.

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This monitoring visit

The deputy manager undertakes supervision with the staff. Although the quality and regularity has improved, further work is required to strengthen this practice. For example, when it is identified that further training is required for staff, or they have raised concerns about care practices, these have not been addressed within an appropriate timescale. This means that opportunities for the manager to develop staff practice have been missed and ineffective staff practice has continued.

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This monitoring visit

Managers have undertaken a theoretical exercise to support improvement in the admissions process. The format for impact risk assessments has been reviewed; however, this must be further improved to ensure that admission processes are sufficiently robust.

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This monitoring visit

The manager has sought feedback from external agencies, which has been positive. The manager has also consulted with the child regularly, to get their feedback about the home. External monitoring must be further improved to ensure that the child can regularly share their views with an independent person. Inspection report for children’s home - monitoring visit: 2630055 3 During this visit, inspectors did not look at the requirements and recommendations that were made at the last visit. Therefore, these are restated below.

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This monitoring visit

A case review was held following this visit. It was the decision of the case review to issue further notices in respect of regulation 12, the protection of children standard and regulation 13, the leadership and management standard.

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This monitoring visit

It was the decision of the case review that a further compliance notice in respect of regulation 14, the care planning standard, would not be issued at this time due to the restriction notice remaining in place. Inspection report for children’s home - monitoring visit: 2630055 4

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Inspection date Inspection type Inspection judgement

08/06/2022 Full Inadequate Inspection report for children’s home - monitoring visit: 2630055 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, the Children’s Homes (England) Regulations 2015 and the ‘Guide to the Children’s Homes Regulations, including the quality standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults.

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

help each child to develop socially aware behaviour;

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

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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Requirement Due date

that each child is encouraged to build and maintain positive relationships with others. (Regulation 11 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(iv)(v)(b)) 31 July 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. 4 September 2022 Inspection report for children’s home - monitoring visit: 2630055 6 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

help each child to understand how to keep safe;

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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

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

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Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(v)(vi))

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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 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;

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on— 4 September 2022 Inspection report for children’s home - monitoring visit: 2630055 7 feedback on the experiences of children, including complaints received; 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)(a)(c)(f)(g)(ii)(h))

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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.

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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)) 4 September 2022

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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)) 31 July 2022

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Requirement Due date

the privacy of children is appropriately protected. (Regulation 21(a)) 31 July 2022

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Requirement Due date

The registered person must maintain records ("case records") for each child which— 31 July 2022 Inspection report for children’s home - monitoring visit: 2630055 8 include the information and documents listed in Schedule 3 in relation to each child; and

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Requirement Due date

are kept up to date. (Regulation 36 (1)(a)(b))

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Requirement Due date

This relates to all of the records outlined in Schedule 3.

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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

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Requirement Due date

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

Specifically, that staff rotas record the actual hours worked by staff. 31 July 2022

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Requirement Due date

The registered person must ensure that the following items, which may be kept in electronic form, are kept in an accessible manner—

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Requirement Due date

placement plans for children who are not looked after (see regulation 18);

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Requirement Due date

the policy for safeguarding children (see regulation 34);

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Requirement Due date

the policy for preventing bullying (see regulation 34);

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Requirement Due date

the missing child policy (see regulation 34);

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Requirement Due date

the behaviour management policy (see regulation 35);

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Requirement Due date

records of the use of measures of control, discipline or restraint (see regulation 35);

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Requirement Due date

children’s case records (see regulation 36); 31 July 2022 Inspection report for children’s home - monitoring visit: 2630055 9 other records (see regulation 38);

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Requirement Due date

the procedure for considering complaints (see regulation 39); and

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Requirement Due date

records of complaints (see regulation 39). (Regulation 38 (a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k))

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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. (Regulation 39 (3)) 31 July 2022

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

an incident requiring police involvement occurs in relation to a child which the registered person considers to be serious;

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Requirement Due date

there is an allegation of abuse against the home or a person working there;

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Requirement Due date

a child protection enquiry involving a child —

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Requirement Due date

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

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Requirement Due date

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)) 31 July 2022

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Requirement Due date

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

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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

support each child’s learning and development, including helping the child to develop independent study skills and, 31 July 2022 Inspection report for children’s home - monitoring visit: 2630055 10 where appropriate, helping the child to complete independent study;

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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. (Regulation (8) (1) (2)(a)(ii)(vii))

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Requirement Due date

*These requirements are subject to a compliance notice.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: 2630055 11

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Children’s home details

Registered provider: 4 Pure Heart Limited

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Children’s home details

Registered provider address: Atlantic Business Centre, Atlantic Street, Altrincham WA14 5NQ

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Inspectors

Emma Thornton, Social Care Inspector Mrs Michelle Edge, Regulatory Inspection Manager Inspection report for children’s home - monitoring visit: 2630055 12 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspectors

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Inspectors

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Inspectors

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