Summary
Helen Simmons (lead), James Tallis
What we read, and from where
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- Inspection date verified
4 Aug 2022
- Inspectors verified
Helen Simmons, James Tallis
- Name on report verified
SC035500
- URN verified
SC035500
Deep dive
What this report says
In plain English
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Tone of the report
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In line with other reports of this type.
How the report reads, start to finish
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Strengths
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- There has been a robust response to advice from independent advisors and some positive changes have been introduced to start to improve the culture. p.6
- However, there are no serious or widespread failures that result in their welfare not being safeguarded or promoted. p.1
- Children said that they are enjoying improved positive relationships with staff, and the use of physical restraint has reduced significantly. p.5
- There is a sharper focus on management monitoring and oversight, establishment of a positive and caring culture, and clearer expectations of staff. p.6
- Some staff told inspectors that communication and joint working between the care and health teams needs to be improved to ensure that there is an effective wraparound service. p.6
Concerns
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Next steps
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- In particular, ensure that children are offered the opportunity to escalate their concerns to external agencies if they are unhappy about the outcome of their complaint. 30 September 2022 p.8
- Specifically, ensure that all staff follow the home’s prohibited items policy. 30 September 2022 p.8
- The registered provider must appoint a person to manage the children’s home if— p.8
- The registered person must ensure that all employees— p.9
- Specifically, ensure that staff supervision records fully reflect conversations about learning from significant incidents. 30 September 2022 p.9
- The registered person must ensure that an independent person visits the children’s home at least once each month. p.9
- When the independent person is carrying out a visit, the registered person must help the independent person— p.9
- A visit by the independent person to the home may be unannounced. p.9
What the report dwells on
Topics by how often they come up, coloured by how they are described. Open one for an example.
Progress & outcomes6
“They also spoke positively about the outcomes for children.” p.6
Anatomy of the report
How the report is built, against others of the same type and grade.
- Pages
- 12
- Words of findings
- 2,166
- longer than usual (typical 1049)
- Reading level
- Hard
- Flesch 46, typical 45
- Average sentence
- 17 words
- Next steps
- 8
- typical 5
- Hedged sentences
- 5%
- “some”, “not always”, “most”…
Where the words go
Full report text
Inspection report for secure children’s home: SC035500 1 SC035500 Registered provider: South Gloucestershire Council Full inspection Inspected under the social care common inspection framework
p.1
Information about this secure children’s home
This secure children’s home is managed by a local authority. It is approved by the Secretary of State to restrict children’s liberty. The home can accommodate up to 24 children aged between 10 and 18 years. There were nine children living at the home at the time of this inspection.
p.1
Information about this secure children’s home
All places available at the home are commissioned on a contractual basis by the Youth Custody Service (YCS). The YCS may, under certain circumstances, permit local authority children’s services to spot-purchase a vacant bed at the home, to enable a local authority to place a child on welfare grounds under section 25 of the Children Act 1989. Admission of any young person under section 25 of the Children Act 1989 who are under 13 years of age requires the approval of the Secretary of State.
p.1
Information about this secure children’s home
The commissioning of health services at this home is the statutory responsibility of NHS England under the Health and Social Care Act 2012. Education is provided on site in dedicated facilities.
p.1
Information about this secure children’s home
There has been no registered manager since 17 May 2022.
p.1
Overall experiences and progress of
children and young people, taking into account
p.1
requires improvement to be good
Children’s education and learning not judged Children’s health not judged How well children and young people are helped and protected requires improvement to be good
p.1
requires improvement to be good
The effectiveness of leaders and managers requires improvement to be good Inspection report for secure children’s home: SC035500 2 The secure children’s home is not yet delivering good help and care for children and young people. However, there are no serious or widespread failures that result in their welfare not being safeguarded or promoted.
p.1
requires improvement to be good
Overall judgement at last inspection: inadequate
p.2
Enforcement action since last inspection:
The home was judged inadequate at the last full inspection carried out on 20 to 22 April 2022. The YCS took the decision to stop placing children at the home. Following that inspection, Ofsted issued compliance notices in respect of regulation 13, the leadership and management standard, and regulation 20, relating to physical restraint.
p.2
Enforcement action since last inspection:
No additional enforcement action was taken following a monitoring visit conducted on 8 June 2022. The two compliance notices were judged as met. Inspection report for secure children’s home: SC035500 3
p.2
Inspection date Inspection type Inspection judgement
20/04/2022 Full Inadequate 08/06/2021 Full Good 20/04/2021 Full Inadequate 21/01/2020 Interim Declined in effectiveness Inspection report for secure children’s home: SC035500 4
p.3
improvement to be good
There have been improvements in the care and safety of children since the last full inspection. These are recent and not yet embedded. As a result, the impact on achieving consistently good care, experiences and outcomes for children currently living at the home, and any additional children who arrive when the restriction on admissions imposed by the YCS is lifted, is not yet known.
p.4
improvement to be good
Children are feeling safer and better cared for. One child told inspectors that, ‘It now feels like the staff want to help us.’ Children appreciate the support that they receive from staff and recognise that this is helping them to make progress.
p.4
improvement to be good
Children know how to complain if they are unhappy about any aspect of their care. Complaints are taken seriously, and children receive feedback about how complaints have been investigated, and the outcome. However, children are not offered the opportunity to escalate their concerns to external agencies if they are unhappy about the outcome of their complaint. As a result, there is a risk that children may not be confident that their voice has been fully heard.
p.4
improvement to be good
Children’s bedrooms contain personal items that reflect their interests and identity. Some of the living areas are sterile and lacking a more homely feel. Additionally, some of the outside spaces that children can see from their bedrooms have been neglected. Consequently, children are not experiencing an environment that is as comfortable and homely as possible.
p.4
improvement to be good
Staff understand and implement children’s care and support plans, which are written in collaboration with children. As a result, staff are looking after children and keeping them safe in line with their preferences and are helping children to achieve goals which are important to them.
p.4
improvement to be good
Staff understand the importance of predictable routines for children. Children are supported to engage in education and their attendance and progress improves from their starting points. Activities are planned around the education timetable and children can participate in a range of activities that they enjoy. During the inspection, children joined in a football match against staff. Staff also recognise the importance of ensuring that children have new experiences to expand their interests and learning. In one example, a child entered a poem into a national competition and was successful in having their work published. Children’s achievements are recognised and celebrated.
p.4
improvement to be good
An inclusive culture that promotes equality and diversity enables children to explore their developing sense of identity. Carefully planned intervention programmes teach children skills that improve their life chances. For example, they learn how to manage their emotions and how to build and maintain healthy relationships. Inspection report for secure children’s home: SC035500 5 Following incidents of physical restraint, healthcare staff meet with the children to check on their welfare and well-being. The system for recording and reporting any concerns raised by children has been improved and promotes children’s safety.
p.4
Children’s education and learning: not judged
The recommendation in relation to children’s education and learning made at the last full inspection in April 2022 will be considered at the next full inspection.
p.5
improvement to be good
Since the last inspection, there has been one safeguarding concern that was appropriately reported to the child’s placing authority. Managers did not receive a response, despite repeated requests. However, the escalation process was not actioned in a timely way. There has been no impact on the safety and well-being of the child, but there has been an avoidable delay in reaching a resolution. During the inspection, managers took immediate action to escalate the concern to senior staff in the placing authority. They have also put a system in place with the intention of ensuring that concerns are escalated in a timely way in the future.
p.5
improvement to be good
Safeguarding and security procedures prohibit certain items from being brought into the secure children’s home. Several staff and a senior leader were observed wearing smart watches. This has the potential to risk compromising the privacy and protection of children, though there was no evidence of any impact at this point.
p.5
improvement to be good
Managers are in the process of reviewing the incentive scheme; a scheme that intends to assist children to develop improved social skills and behaviour. In the meantime, children speak positively about the current scheme and how it helps them. They say it encourages them to behave in more responsible and considerate ways and assists them to take manageable steps towards an increasing amount of independence.
p.5
improvement to be good
Children said that they are enjoying improved positive relationships with staff, and the use of physical restraint has reduced significantly. There have been two incidents since the last inspection. Improved management monitoring and oversight identified poor practice in relation to one incident and an investigation has begun. The other incident demonstrated safe and proportionate practice.
p.5
improvement to be good
Single separation (where children are locked in an area when they meet the legal criteria of being a significant risk to themselves or others) has been appropriately used twice with children since the last inspection. Staff understand the legal criteria that determine when single separation can be used, and this is further evidenced through good records. Staff ensure that single separation ends at the earliest opportunity. Inspection report for secure children’s home: SC035500 6 Managers are encouraging staff to respond to incidents in a way that promotes reflection and learning for the child. The use of sanctions is kept to a minimum, and a restorative approach supports children to have a positive experience of learning how to make amends for their mistakes.
p.5
good
There has been no registered manager since May 2022. The interim manager, who is in day-to-day charge of the home, has not yet applied to be registered with Ofsted.
p.6
good
Children and staff speak positively about the impact the interim manager has had on the home in the short time he has been in post. There is a sharper focus on management monitoring and oversight, establishment of a positive and caring culture, and clearer expectations of staff. It is too early to determine whether there will be consistency and longer-term positive impact.
p.6
good
The independent person has not been providing a rigorous level of scrutiny. Ofsted had not received reports since January 2022. After requesting and reviewing reports directly from managers, it became clear that the independent person did not identify the failings found by inspectors at the last inspection, some of which were of a safeguarding nature. When inspectors pointed out shortfalls in the independent person’s arrangements, the interim manager took action to raise these concerns.
p.6
good
Staff receive regular supervision and training that is relevant to the needs of the children that they are looking after. However, supervision records do not demonstrate opportunities for staff to fully discuss significant incidents. As a result, there are missed opportunities to embed learning from incidents and ensure that staff understand how to reduce the risk of similar incidents happening again. This requirement was made at the last inspection and is restated.
p.6
good
There are sufficient staff in number to look after the children and meet their needs. The minimum ratios are always two children to one member of staff on duty. This is appropriate to care safely for children. Managers have demonstrated that they are aware that staffing ratios may need to increase if children with more complex needs move into the home.
p.6
good
Some staff told inspectors that communication and joint working between the care and health teams needs to be improved to ensure that there is an effective wraparound service. Working closely with external professionals is given high priority. Other professionals spoken to during the inspection reported effective joint working. They also spoke positively about the outcomes for children. However, some reported that practical arrangements around communication could be improved. During the inspection, managers introduced a system to address this. Inspection report for secure children’s home: SC035500 7 Managers demonstrate that they recognise the criticisms and comments about the service as an opportunity to learn, reflect and improve. There has been a robust response to advice from independent advisors and some positive changes have been introduced to start to improve the culture. Inspection report for secure children’s home: SC035500 8
p.6
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.
p.8
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—
p.8
Requirement Due date
helps children aspire to fulfil their potential; and
p.8
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to—
p.8
Requirement Due date
demonstrate that practice in the home is informed and improved by taking into account and acting on—
p.8
Requirement Due date
feedback on the experiences of children, including complaints received. (Regulation 13 (1)(a)(b) (2)(g)(ii))
p.8
Requirement Due date
In particular, ensure that children are offered the opportunity to escalate their concerns to external agencies if they are unhappy about the outcome of their complaint. 30 September 2022
p.8
Requirement Due date
the privacy of children is appropriately protected. (Regulation 21 (a))
p.8
Requirement Due date
Specifically, ensure that all staff follow the home’s prohibited items policy. 30 September 2022
p.8
Requirement Due date
The registered provider must appoint a person to manage the children’s home if—
p.8
Requirement Due date
there is no registered manager in respect of the home; and
p.8
Requirement Due date
is an organisation or a partnership; 30 September 2022 Inspection report for secure children’s home: SC035500 9 does not satisfy regulation 28; or
p.8
Requirement Due date
is not, or does not intend to be, in day-to-day charge of the home. (Regulation 27 (1)(a)(b)(i)(ii)(iii))
p.9
Requirement Due date
The registered person must ensure that all employees—
p.9
Requirement Due date
receive practice-related supervision by a person with appropriate experience. (Regulation 33 (4)(b))
p.9
Requirement Due date
Specifically, ensure that staff supervision records fully reflect conversations about learning from significant incidents. 30 September 2022
p.9
Requirement Due date
The registered person must ensure that an independent person visits the children’s home at least once each month.
p.9
Requirement Due date
When the independent person is carrying out a visit, the registered person must help the independent person—
p.9
Requirement Due date
if they consent, to interview in private such of the children, their parents, relatives and persons working at the home as the independent person requires; and
p.9
Requirement Due date
to inspect the premises of the home and such of the home’s records (except for a child’s case records, unless the child and the child’s placing authority consent) as the independent person requires.
p.9
Requirement Due date
A visit by the independent person to the home may be unannounced.
p.9
Requirement Due date
The independent person must produce a report about a visit ("the independent person’s report") which sets out, in particular, the independent person’s opinion as to whether—
p.9
Requirement Due date
children are effectively safeguarded; and
p.9
Requirement Due date
the conduct of the home promotes children’s well-being.
p.9
Requirement Due date
The independent person’s report may recommend actions that the registered person may take in relation to the home and timescales within which the registered person must consider whether or not to take those actions.
p.9
Requirement Due date
The independent person must provide a copy of the independent person’s report to— 30 September 2022 Inspection report for secure children’s home: SC035500 10 HMCI;
p.9
Requirement Due date
upon request, the local authority for the area in which the home is located;
p.10
Requirement Due date
the registered provider and, if applicable, the registered manager; and
p.10
Requirement Due date
the responsible individual (if one is nominated).
p.10
Requirement Due date
(Regulation 44 (1) (2)(a)(b) (3) (4)(a)(b) (5) (7)(a)(b)(c)(d)(e))
p.10
Recommendations
The registered person should ensure that the ethos of the home supports each child to learn. In particular, managers should embed and secure the new monitoring and tracking tools into the work of the school so that the increased shared understanding this provides informs the planning of the curriculum for each child, and, formalise the careers programme so that it can be tailored to the needs of individual children based on their aspirations and plans. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 29, paragraph 5.18)
p.10
Recommendations
The registered person should seek, as far as possible, that the home maintains a domestic rather than ‘institutional’ impression. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 15, paragraph 3.9)
p.10
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 secure children’s home: SC035500 11
p.10
Secure children’s home details
Registered provider: South Gloucestershire Council
p.11
Secure children’s home details
Registered provider address: South Gloucestershire Adults, Children’s and Health, PO box 1955, Bristol BS37 0DE
p.11
Inspectors
Helen Simmons, Social Care Inspector Shaun Common, Senior Officer – Secure Estate James Tallis, Social Care Inspector Pauline Higham, Senior HMI – Quality Assurance Manager Inspection report for secure children’s home: SC035500 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.
p.11
Inspectors
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p.12
Inspectors
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p.12
Inspectors
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p.12
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