Children's Home run by Midas Manors Ltd in Bradford

Inspection report for children’s home: 2693113 1 Registered provider: Midas Manors Ltd Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is owned and managed by a private provider. The home is registered to care for up to two children with social and emotional difficulties. There is currently one child living at the home.

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Information about this children’s home

The home and manager have been registered with Ofsted since 12 September 2022.

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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: not applicable

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inadequate

Enforcement action since last inspection: not applicable Inspection report for children’s home: 2693113 2

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Inspection date Inspection type Inspection judgement

Not previously inspected Inspection report for children’s home: 2693113 3

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inadequate

One child has moved into the home since it registered with Ofsted. The child has only been at the home for a short period of time. However, there are significant shortfalls in the safety and protection of children. Consequently, despite some progress for the child, their overall experiences are inadequate.

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inadequate

The child was introduced to the home and staff before moving in. The child visited the home and met the staff team during their four-week transition into the home. The transition included the home’s staff working alongside hospital staff. However, the child’s plans did not include the input from medical professionals when considering risk within the home.

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inadequate

The staff support the child on a two-to-one basis in line with the court order. The time spent together is helping the child to build relationships with the staff. The child said that she likes the staff and observations in the home support this view. The child is not engaged in any formal education at this time to allow them time to settle into the home.

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inadequate

The child has been promptly registered with health services. Staff have supported the child to attend routine health appointments, including the optician. This helps to ensure that the child’s physical health needs are met. Mental health services were involved in the care of the child before moving into the home. However, the manager did not ensure that this support was in place for when the child moved into the home. This has affected the staff’s ability to understand and respond to the child’s needs.

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inadequate

Activities are promoted by staff. The child has enjoyed going to the cinema and shopping trips. This has helped to build their confidence and have experiences in the community. One parent said: ‘Even in this short time of being at the home, I can see [child] is getting [their] confidence back.’

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inadequate

The child is supported to maintain positive relationships with their family. Staff make family members feel welcome at the home. This has enabled the child to spend quality time with their family.

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inadequate

The staff have started to work with specialist mental health services. This is starting to help them understand the child’s individual needs better.

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

The physical environment has not been adapted sufficiently to keep the child safe in the home. The child has been exposed to ligatures and risks from glass photo Inspection report for children’s home: 2693113 4 frames in their bedroom, which they have used to self-harm. This has led to the child requiring hospital treatment.

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

Risk assessments are poor. The home’s risk assessment had not been updated to address the potential risks in the home. The child’s risk assessments do not adequately reflect their significant needs. In addition, the location risk assessment has not been considered to ensure that the risks in the vicinity can be managed if the child was missing from the home.

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

There have been no instances of the child going missing from home since their placement, but the child does have a history of going missing and the risks are high. However, information about the actions staff should take and details about the child have not been shared with safeguarding partners. The police have not been provided with information to ensure that their response would be adequate if the child went missing from home. This is not good safeguarding practice and reduces the ability of the police to locate the child quickly, respond to the child’s individual risks and to keep them safe.

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

Poor practice when administering the child’s medication led to the child accessing their medication. Staff administered the daily dose, but the child ingested a further dose. Staff did not seek medical advice and proceeded to administer further medication before settling the child for bed. Delay in informing the on-call manager resulted in delayed medical treatment for the child.

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

Medication records are not clear. Staff do not ensure that the records they make provide clarity about the dosage administered. The quantity of medication remaining is also not clear.

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

Staff use restraint when there is risk of harm to the child. However, post-incident debriefs with the child have not always taken place with someone other than the person involved in the hold. This can reduce the child’s opportunity to share their experiences and identify any learning.

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

Staff are employed following a safer recruitment process. Experienced staff work alongside those with less experience. This helps to mitigate the impact of staff who are new to their role.

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The effectiveness of leaders and managers: inadequate

The home is managed by a suitably qualified and experienced manager. However, despite a lengthy transition to support the child moving into the home, the known risks have not been fully considered. This has led to significant and widespread shortfalls in practice.

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The effectiveness of leaders and managers: inadequate

The members of the new staff team have only worked together for a few weeks since the home became registered. They receive supervision and team meetings have occurred. This has included a team meeting with specialist health services Inspection report for children’s home: 2693113 5 input. This is helping staff to feel supported and develop their understanding of how best to meet the needs of the child.

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The effectiveness of leaders and managers: inadequate

Staff prepared for the admission of the child and completed relevant training to better understand the child’s needs. This includes training relating to self-harm, child exploitation and safeguarding. However, gaps in the staff knowledge and understanding about children with attachment difficulties, significant risk-taking behaviours and mental health needs have led to poor practice and serious incidents resulting in harm.

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The effectiveness of leaders and managers: inadequate

The manager’s system for monitoring helps her to keep the health and safety checks under review. She also has systems for monitoring records and staff practice in the home. While these have not been effective in identifying some of the gaps in staff practice and recording, the manager has subsequently reflected on the learning from these incidents with the staff. This is helping them to become more established as a team and work better together to ensure that the same issues are not repeated.

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The effectiveness of leaders and managers: inadequate

Professionals working with the child are satisfied with communication from the manager. The manager updates the placing authority about incidents. This can help review the child’s needs and support multi-agency working. Inspection report for children’s home: 2693113 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

*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

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; and

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Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm;

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Requirement Due date

that the premises used for the purposes of the home are designed, furnished and maintained so as to protect each child from avoidable hazards to the child’s health.

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Requirement Due date

(Regulation 12 (1) (2)(a)(i)(iii)(v)(vi)(b)(d))

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Requirement Due date

The registered person must ensure that the home environment has been risk-assessed, taking into consideration the specific needs of the child at the home. 31 December Inspection report for children’s home: 2693113 7 The registered person must ensure that the location of the home has been risk-assessed, taking into consideration the specific risks identified for the child.

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Requirement Due date

The registered person must ensure that risk assessments relating to children who go missing from home are up to date. The police and safeguarding partners must have copies of this up-to-date information.

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Requirement Due date

The registered person must ensure that when managing incidents, staff work in line with procedures. Managers must reassure themselves that staff have the skills to meet children’s needs and that knowledge from training is understood and reflected in practice.

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Requirement Due date

The registered person must ensure that guidance for administering and monitoring medication is clear. Records should inform staff of the quantity and time to administer medication. Recording of quantities should be consistent, to enable any errors to be easily identified.

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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)(c)) This relates specifically to children being debriefed following a physical intervention. 31 December

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Requirement Due date

* These requirements are subject to a compliance notice. Inspection report for children’s home: 2693113 8

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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: 2693113 9

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Children’s home details

Registered provider address: 10 Joseph Street, Holme Lane, Bradford BD4 0PT

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Children’s home details

Responsible individual: Alison Serefoglou

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Inspector

Sadie Mulkeen, Social Care Inspector Inspection report for children’s home: 2693113 10 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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