Children's home run by Nestlings Care BC Limited in Trafford

Inspection report for children's home: SC473473 1 SC473473 Registered provider: Nestlings Care Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This is a specialist therapeutic and rehabilitative home for up to three children who may have mental health issues or display challenging behaviours and who may pose a risk to themselves and to others.

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Information about this children’s home

The home is registered with Ofsted and the Care Quality Commission.

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Information about this children’s home

The home does not currently have a registered manager in place.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers requires improvement to be good

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good

The children’s home provides effective services that meet the requirements for good.

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good

Date of last inspection: 14 September 2021

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good

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report for children's home: SC473473 2

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Inspection date Inspection type Inspection judgement

14/09/2021 Full Good 18/06/2019 Full Good 23/01/2019 Interim Declined in effectiveness 26/09/2018 Full Good Inspection report for children's home: SC473473 3

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Overall experiences and progress of children and young people: good

The children’s home is homely, warm and comfortable. Children’s bedrooms are personalised to their individual tastes. The children say they like their rooms and enjoy spending time in them on their own, as well as with the other children in the communal areas of the home. This ensures that the children’s basic safety and physical needs are met.

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Overall experiences and progress of children and young people: good

A multi-disciplinary team supports children’s physical and mental health needs. Children have access to regular therapeutic support provided by a psychologist. The therapy is not tied to a single discipline and is adapted to the needs of the individual child. This helps to ensure that children are supported with their mental health needs and contributes to a reduction in incidences of physical intervention. A professional said, ‘This is a good place for [name of child]. She is progressing well.’

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Overall experiences and progress of children and young people: good

The children have individualised plans that aim to increase their independence and engagement with the world while simultaneously ensuring their safety. Staff are aware of children’s patterns, routines and behaviours. This means that staff can offer support and divert them to different activities if they notice that they are becoming unhappy.

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Overall experiences and progress of children and young people: good

Staff and children have comfortable relationships with each other. Some agency staff are used in the home, but there is always a member of staff the children know on duty. Leisure interests and activities are promoted, such as baking, craft activities and fun days out together. Children choose their meals and are often involved in cooking the evening meal together with staff. Children have fun with staff. This means that they are enjoying themselves and building up their confidence.

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Overall experiences and progress of children and young people: good

Some of the children in the home are not yet accessing education and are not completing educational activities during the daytime. This means that they do not have a settled daytime routine and are missing the opportunity to learn and socialise with their peers.

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

There are clear routines to ensure that children are kept safe. The system for managing medication and ensuring there are no errors in dispensing medication is excellent. The manager and staff know the children well, and there are individualised safety plans in place, which are detailed and personalised.

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

The staff have access to advice and support from mental health nurses and a registered manager 24 hours a day, if needed, so they can be supported in a crisis. The children are physically kept safe. These measures will contribute to a feeling of security and well-being for the children. Inspection report for children's home: SC473473 4 Incidences of self-harm are reducing over time. There are clear strategies in place to prevent this, including frequent observations of the children. Some of the children have deprivation of liberty orders to help keep them safe. This necessitates the locking of external doors. Staff balance the needs of all the children in the home by ensuring that they have the right level of care for their needs.

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

There have been several physical interventions. These incidents have been recorded. However, records associated with the debriefs from these physical interventions are quite brief, and children and staff are not always spoken to. This may hamper staff’s understanding and analysis of these incidents.

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good

The home has been without a registered manager for some months. A person was appointed but left before they registered with Ofsted. A registered manager from another home in the group has been supporting staff and children. A new manager has recently been appointed but is not yet registered with Ofsted. This change of managers will have been confusing for the children.

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good

Some permanent staff have left, and while recruitment is ongoing, some agency staff are working with the children. The manager has ensured that there is always a member of staff on shift that the children know. However, some agency staff have not had the benefit of supervision to help them reflect on the impact of their work with the children.

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good

There is a manager’s monitoring system in place to ensure that the manager can learn from incidents and practice, but this has not yet been implemented.

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good

One professional spoken to said that they had been frustrated at the lack of communication from staff. A parent also said that communication needed to improve. It is important for family members and professionals associated with the children to be kept fully up to date with how the children are progressing. This will enable them to work in partnership with the staff at the home to achieve the best results for the children.

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good

Equality and diversity are promoted well. Children’s individual cultural needs are met with regards to food preparation and learning about their chosen faith. Staff embrace the opportunity to support children to celebrate their religious festivals. Inspection report for children's home: SC473473 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

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

a description of the measure and its duration;

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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

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

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Requirement Due date

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)(iv)(vii)(b)(i)(ii)(c))

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Requirement Due date

This specifically relates to staff recording and seeking the views of the child, offering some analysis of the intervention and offering a debrief to the adults involved. 11 November

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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

that staff— 11 November Inspection report for children's home: SC473473 6 help each child to achieve the child’s education and training targets, as recorded in the child’s relevant plans;

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

The registered person should ensure that they enable, inspire and lead 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

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

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b) (2)(f)(h))

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Requirement Due date

In particular, ensure that staff have access to regular supervision and training that relates to the needs of the children in the home and enables them to meet those needs. Ensure that the monitoring and review systems are implemented and that important updates are communicated to parents and professionals. 11 November Inspection report for children's home: SC473473 7

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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: SC473473 8

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Children’s home details

Registered provider: Nestlings Care Limited

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Children’s home details

Registered provider address: Suite 4, 1 Derby Street, Leigh, Lancashire WN7 4PF

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Children’s home details

Responsible individual: Anthony Thompson

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Inspector

Cathy Wilkins, Social Care Inspector Inspection report for children's home: SC473473 9 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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