Children's home run by Mig House Residential Care Home Ltd

Inspection report children’s home: 1278873 1 Registered provider: Mig House Residential Care Home Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home provides care for up to six children with learning disabilities. It is a permanent home for up to four children and offers a short-breaks service for a maximum of two children at any one time.

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Information about this children’s home

The manager registered with Ofsted in September 2018.

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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 good

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good

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

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good

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report children’s home: 1278873 2

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Inspection date Inspection type Inspection judgement

05/10/2021 Full Good 28/01/2020 Full Good 05/02/2019 Full Good Inspection report children’s home: 1278873 3

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Overall experiences and progress of children and young people: good

Two children were living at the home at the time of this inspection. Children receive individualised good-quality care and support, which enhances their well-being and experiences.

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Overall experiences and progress of children and young people: good

Staff have strong relationships with children. Alternative communication approaches are used purposefully and to good effect. Interactions between the children and staff are filled with high mutual regard and warmth. As a result, children develop a sense of stability and improve their social and self-expression skills.

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Overall experiences and progress of children and young people: good

Children experience new opportunities that help them to become more independent. Staff help the children to develop these skills by using tailored prompting techniques throughout daily activities and self-care routines. Staff celebrate children’s milestones and ensure that children learn new skills in line with their stages of development. This personalised support ensures that children make meaningful progress in this area.

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Overall experiences and progress of children and young people: good

Children are engaging well in their education and have high attendance. Staff support children’s educational targets and maintain children’s learning experiences at the home. Staff have effective working relationships with the school staff. When issues arise for children, such as when there are delays in education transport, staff have reduced any potential barriers to children’s learning and provided the transport.

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Overall experiences and progress of children and young people: good

The home has recently been renovated to a good standard. The lounge has been extended, children’s bedrooms have been modernised and kitchens and bathrooms have been refitted. Some action is required to finalise these works as rooms lack homely finishes and decor, which creates a clinical feel in places. This detracts from what is otherwise a well-appointed home.

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Overall experiences and progress of children and young people: good

Children take part in a range of activities that meet their and preferences and interests. These include trips to the beach, zoos and country parks. However, recently, the level of activity has reduced. Although weekly planners are created for children, identified activities do not always take place.

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Overall experiences and progress of children and young people: good

One child’s food intake has not been monitored as well as it should be in line with their plans. This could lead to poorer health for the child if left unchecked.

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

Staff undertake good-quality training to help them to understand the additional risks to children with disabilities, as well as children’s communication support needs. The staff support the children with their social interactions through high supervision levels and consistent, familiar routines. This is an important protective factor in children feeling safer. Inspection report children’s home: 1278873 4 Proactive behaviour management strategies successfully reduce situations that can increase children’s anxiety. Staff have a good awareness of potential triggers and combine this with well-devised de-escalation approaches to minimise difficult incidents.

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

The manager carried out detailed risk assessments when children temporarily relocated to an alternative home during the recent refurbishments of this home. This ensured that any risks associated with moving in and out were well understood and managed during this time. Consequently, the disruption to children’s day-to-day experiences was reduced.

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

Systems to monitor health and safety arrangements are generally good. However, at the time of this inspection, one fire door did not self-close. The manager made immediate plans to have the door repaired as this posed a risk to children and staff in the event of a fire.

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The effectiveness of leaders and managers: good

The manager is experienced and qualified. She has created a positive team culture that maintains a persistent drive to improving children’s outcomes. The manager has an approachable style and is an excellent role model to staff.

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The effectiveness of leaders and managers: good

Staff are enthusiastic about the home and enjoy working there. Team morale is high. The staff value their personal development discussions in supervision meetings. The regular staff meetings ensure that effective communication and good support are embedded. Staff say that they feel well supported.

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The effectiveness of leaders and managers: good

Parents and professionals recognise children’s progress and the positive difference that staff’s support is making to their children’s lives. One social worker said that this support is ‘incredible’.

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The effectiveness of leaders and managers: good

Staff attend well-developed training that equips them with the skills and understanding to meet the children’s individual needs.

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The effectiveness of leaders and managers: good

The quality of external monitoring by the independent person has not sufficiently improved. One report was not submitted to Ofsted as required. The independent person has not consulted regularly enough with families and placing authorities. This is an important factor in understanding the strengths and development opportunities of the home as children have difficulties in expressing their own views and feelings.

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The effectiveness of leaders and managers: good

The manager has not reviewed the recent endings for two children who have moved on from the home. This is a missed opportunity for the manager to identify improvement areas as elements of these moves could have been more child focused. Inspection report children’s home: 1278873 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, 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 health and well-being standard is that—

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Requirement Due date

the health and well-being needs of children are met;

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Requirement Due date

children receive advice, services and support in relation to their health and well-being; and

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Requirement Due date

children are helped to lead healthy lifestyles.

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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

achieve the health and well-being outcomes that are recorded in the child’s relevant plans. (Regulation 10 (1)(a)(b)(c) (2)(a)(i)) 21 January 2023

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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

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. (Regulation 13 (1)(a)(b) (2)(f))

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Requirement Due date

In particular, review children’s placement endings to generate lessons learned and inform future practice. 28 January 2023 Inspection report children’s home: 1278873 6 When the independent person is carrying out a visit, the registered person must help the independent person—

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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.

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Requirement Due date

The independent person must provide a copy of the independent person’s report to—

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Requirement Due date

This requirement was raised at the last inspection and is restated. 31 January 2023

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Recommendations

 The registered person should provide a nurturing, homely and supportive environment that meets the needs of the children. In particular, the registered person should ensure that children’s bedrooms are personalised and the decoration reflects that of a family home. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 15, paragraph 3.9)  The registered person should ensure that children are consistently offered a wide range of activities at and outside of the home and are encouraged to participate in those activities. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 31, paragraph 6.5)  The registered person should ensure that staff actively monitor the arrangements to protect children. In particular, the registered person should ensure that the systems for monitoring fire protection measures are effective. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 42,

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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 children’s home: 1278873 7

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Children’s home details

Registered provider: Mig House Residential Care Home Limited

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Children’s home details

Registered provider address: 8 Bushwood, London E11 3AY

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Children’s home details

Responsible individual: Khairoonessah Dustagheer

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Inspectors

Mark Anderton, Social Care Inspector Mary Costello, Social Care Inspector Inspection report children’s home: 1278873 8 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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