Children's Home run by Care and Management Services Ltd in Birmingham

Inspection report for children’s home: SC470457 1 SC470457 Registered provider: Care And Management Services Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This privately owned children’s home provides care for up to three children who have complex behaviours as a result of their childhood experiences.

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Information about this children’s home

The manager registered with Ofsted in November 2020.

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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

Date of last inspection: 14 September 2021

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inadequate

Overall judgement at last inspection: good

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inadequate

Enforcement action since last inspection: none Inspection report for children’s home: SC470457 2

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Inspection date Inspection type Inspection judgement

14/09/2021 Full Good 15/06/2021 Full Inadequate 13/11/2019 Interim Improved effectiveness 01/04/2019 Full Good Inspection report for children’s home: SC470457 3

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inadequate

One child lives in the home. They have lived here for over a year. In a 12-month period, five children have moved into the home and six have left. Only one of these children had a planned move, which was a successful move into semi-independence accommodation. All other children’s time at the home ended abruptly. One child only lived at the home for eight days. Children have been consistently poorly matched by managers to the home, leaving them at risk of harm. As a result, Ofsted has issued a notice of restriction of accommodation, so that no more children can move into the home.

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inadequate

Children’s safety, experiences and progress have been compromised by poor leadership and management, and failure to take effective action to improve the quality of care in the home. As a result of these findings, three compliance notices have been issued, under regulation 10, regulation 12 and regulation 13.

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inadequate

Managers and staff fail to ensure that children have sufficient access to health and medical professionals to meet their needs. For example, health professional advice has not been sought for ongoing significant health concerns. As a result, health needs remain unmet which has a significant negative impact on well-being and a detrimental impact on physical health.

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inadequate

Staff fail to understand children’s health needs, and they are not skilled to meet children’s complex needs. Healthcare planning arrangements for children are poor. Managers do not ensure that children’s healthcare records reflect their health needs. Without this information, staff are not able to meet the children’s needs.

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inadequate

Children do not receive care that is planned effectively, as managers do not have their most up-to-date plans from the local authority. Managers fail to escalate requests effectively to the local authority for these plans. This disorganised approach to the care planning arrangements for children has contributed to the children’s needs not being fully understood by staff and managers.

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inadequate

The environment is extremely poor. Managers have not taken action to provide children with a clean and nurturing home, this includes staff failing to ensure children’s bedrooms are clean and tidy. Walls are damaged and in need of repair and decoration. This does not provide children with a hygienic, safe and comfortable place to live.

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inadequate

Children have progressed in education. For example, improvement in attendance at school after a significant period of non-attendance. Consequently, children are working towards positive educational outcomes. Staff support children to have fun days out. They enjoy days out to theme parks, local attractions and parks. Inspection report for children’s home: SC470457 4

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

Managers and staff fail to safeguard children. Serious incidents have occurred which have put children at risk of potential harm.

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

Children do not receive sufficient support and supervision to manage potential online risk. For example, despite staff being aware of a significant risks, they have failed to identify and put in place appropriate support to safeguard children and reduce risk. This significantly impacted on children’s safety and increased risk, for example resulting in access to unsafe online content. Following this serious incident, managers and staff implemented new strategies. However, it is too early to demonstrate if the new strategies are effective and embedded.

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

Managers and staff fail to follow the child protection procedures. Children have made allegations of harm about staff on a number of occasions. However, managers did not report these to statutory agencies. For example, following a head injury as the result of a restraint, the manager failed to take action to understand how this injury had happened or report it to the social worker or the local authority designated officer. Failure to follow child protection procedures leaves children at risk of harm.

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

Managers and staff do not follow appropriate procedures to protect children who go missing from the home. For example, staff have not actively searched for a child when they were missing from home. Managers and staff also fail to identify the significant risk posed for those at risk of criminal exploitation.

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

Restraint records do not contain all the essential information to meet regulation 35. For example, not all records include the duration of the hold or what action staff took to de-escalate the situation. In addition, there is no recorded evidence that staff and children have a debrief with someone independent of the incident, to reflect on what has happened. Managers have not identified these shortfalls and taken steps to address them. As a result, it is not clear whether restraint practice is safe and proportionate.

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

Managers have failed to ensure that the environment is safe for children with specific needs to live in. For example, for children with a with a history of setting fires, managers have failed to make arrangements to purchase fireproof bedding, curtains and a mattress despite these being identified in the fire risk assessment. In addition, managers have failed to ensure that a damaged smoke detector was repaired or that an electrical mains cable to the front door was secured. This lack of action by managers to ensure the maintenance of the premises leaves children at unnecessary risk of harm.

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

Children moving into the home have not been well matched with the children who already live there. There has been a lack of evaluation of the potential impact of the needs, risks and behaviours of children moving into the home on those already living there. Managers did not ensure they had all the information about children Inspection report for children’s home: SC470457 5 and potential risk prior to them moving into the home. In addition, when managers assessed staff should have specific training to meet a child’s need prior to admission this was not provided. Serious incidents occurred putting children at risk which resulted in police involvement in children’s lives and unplanned endings.

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

Managers have completed a review of the premises to assess the suitability and location of the home. However, it does not consider how to minimise risk to children from a nearby road. Additionally, the manager has not considered known information about the local area which could pose a potential risk. As a result, staff are not provided with all the necessary information they need to safeguard children when they are out in the community.

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

Managers have a lax approach to visitors to the home, which fails to safeguard children. For example, the manager told the inspector that visitors are not always signed into the home. In addition, staff allowed the inspector access to the home without confirming their identity and they were not asked to sign in until the inspector prompted this.

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The effectiveness of leaders and managers: inadequate

The manager registered with Ofsted in November 2020. He is experienced and holds some relevant qualifications for this role. He is currently completing the level 5 diploma in leadership and management for residential childcare. Despite his experience, significant shortfalls were identified at this inspection.

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The effectiveness of leaders and managers: inadequate

Leadership and management of the home is consistently weak. Managers’ monitoring and oversight are poor and ineffective and fail to keep children safe. Managers do not have good enough systems to review the quality of care and fully understand children’s experiences. The review of quality of care has not been completed since September 2021. Managers therefore do not have an understanding of potential risks to children and take steps to challenge poor practice and keep children safe.

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The effectiveness of leaders and managers: inadequate

The quality of staff supervision is poor and some staff do not receive regular supervision. Managers do not assess staff development and measure if staff understand their role to care for and to safeguard children effectively. Poor staff practice is not always challenged.

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The effectiveness of leaders and managers: inadequate

The disorganised approach to the care planning arrangements for children has contributed to the children’s needs not being fully understood by staff and managers. For example, managers have failed to ensure the healthcare needs of the child currently living at the home have been met. This does not promote children’s welfare.

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The effectiveness of leaders and managers: inadequate

Managers’ monitoring is ineffective and fails to protect children from harm. There has been no senior management presence in the home for a number of months. The responsible individual last visited the home over 12 months ago. They do not monitor, review and evaluate significant incidents, including physical interventions, effectively. Managers lack professional curiosity and fail to identify shortfalls. For Inspection report for children’s home: SC470457 6 example, managers did not explore the inaccuracies in the recording of an incident of physical intervention which resulted in an injury. Managers failed to report this to external safeguarding professionals as required. This puts children at risk.

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The effectiveness of leaders and managers: inadequate

Managers have failed to appoint an independent person to visit the home monthly. The last visit by an independent person took place in April 2022. This limits independent scrutiny of the effectiveness of the arrangements for caring for and protecting children.

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The effectiveness of leaders and managers: inadequate

Current staffing arrangements fail to provide children with consistent care. There has been a high staff turnover since the last inspection. Inspectors found that children had been cared for by 85 different agency staff over the inspection period. This does not help children to develop positive and healthy relationships with familiar adults who know them well.

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The effectiveness of leaders and managers: inadequate

Managers and staff do not have the necessary skills to care for vulnerable children with complex needs. For example, staff are not skilled to meet the current child’s complex needs and this child is having poor experiences. These shortfalls impact on children’s safety, experiences and well-being.

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The effectiveness of leaders and managers: inadequate

Managers fail to ensure records are factual and well maintained. For example, the full names of staff working at the home are not on the rota. Additionally, not all children’s case records, agency profiles and records of staff supervisions were able to be accessed during the inspection. Information is not readily available to review now or if needed in the future.

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The effectiveness of leaders and managers: inadequate

The statement of purpose does not accurately contain the details of the manager or staff working in the home. A lack of oversight means that the manager has failed to notice that relevant and vital information is missing.

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The effectiveness of leaders and managers: inadequate

Partner agencies have mixed views about the service. Some professionals are pleased with the care provided to children. However, others recognise that the manager and staff fail to safeguard children effectively and are not helping children to continue to make progress and achieve their full potential. Despite this, the inspector received positive feedback from a child about their experiences of living in this home. Inspection report for children’s home: SC470457 7

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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 quality and purpose of care standard is that children receive care from staff who—

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Requirement Due date

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

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Requirement Due date

use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

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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

ensure that the premises used for the purposes of the home are designed and furnished so as to—

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Requirement Due date

enable each child to participate in the daily life of the home. (Regulation 6 (1)(a)(b) (2)(c)(i)(ii))

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Requirement Due date

This specifically relates to the registered person ensuring that the environment is homely, safe and well maintained for children. 15 January 2023

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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;

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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; 15 January 2023 Inspection report for children’s home: SC470457 8 understand the child’s health and well-being needs and the options that are available in relation to the child’s health and well-being, in a way that is appropriate to the child’s age and understanding. (Regulation 10 (1)(a)(b) (2)(a)(i)(ii))

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Requirement Due date

This specifically relates to seeking professional health advice in relation to children’s needs and to ensuring that plans are in place to support children, in line with their local authority plans.

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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

are familiar with, and act in accordance with, the home’s child protection policies.

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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 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. (Regulation 12 (1) (2)(a)(i)(iii)(v)(vi)(vii)(b)(d)) 15 January 2023 Inspection report for children’s home: SC470457 9 This specifically relates to ensuring that safeguarding procedures are followed and regulatory bodies are notified.

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Requirement Due date

It also relates to ensuring that risk assessments have clear strategies and guidance on how to manage and respond to risk.

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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 promotes their welfare.

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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

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)(h))

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Requirement Due date

This specifically relates to management oversight and monitoring and auditing tools to ensure these are in place and effective. 15 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 promotes their welfare.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to— Inspection report for children’s home: SC470457 10 ensure that the home has sufficient staff to provide care for each child;

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Requirement Due date

ensure that the home’s workforce provides continuity of care to each child. (Regulation 13 (1)(a)(b) (2)(d)(e))

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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. (Regulation 14 (1)(a)(b) (2)(a))

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Requirement Due date

This specifically relates to ensuring that all local authority documents are requested and that the matching of children is robust. 15 January 2023

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Requirement Due date

The registered person must compile in relation to the children’s home a statement ("the statement of purpose") which covers the matters listed in Schedule 1.

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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 (1) (3)(a)(b))

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Requirement Due date

This specifically relates to ensuring the statement of purpose is updated and sent to HMCI within timescales. 15 January 2023

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Requirement Due date

If the registered provider is an individual, the individual must undertake such continuing professional development as is necessary to ensure that the individual has the skills needed for carrying on the children’s home. 15 January 2023 Inspection report for children’s home: SC470457 11 If the registered provider is an organisation, the organisation must ensure that the responsible individual undertakes such continuing professional development as is necessary to ensure that the responsible individual has the skills needed for supervising the management of the home.

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Requirement Due date

If the registered provider is a partnership, the partnership must ensure that one of the partners undertakes such continuing professional development as is necessary to ensure that the partner has the skills needed for carrying on the home.

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Requirement Due date

The registered manager must undertake such continuing professional development as is necessary to ensure that the registered manager has the skills needed for managing the home. (Regulation 29 (1) (2) (3) (4))

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Requirement Due date

The manager must ensure all necessary training is completed. The responsible individual must have effective oversight of the home and support the manager’s development.

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Requirement Due date

The registered person must prepare and implement a policy ("the behaviour management policy") which sets out—

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Requirement Due date

how appropriate behaviour is to be promoted in the children’s home; and

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Requirement Due date

the measures of control, discipline and restraint which may be used in relation to children in the home.

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Requirement Due date

The registered person must keep the behaviour management policy under review and, where appropriate, revise it.

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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

details of the child’s behaviour leading to the use of the measure;

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Requirement Due date

the date, time and location of the use of the measure; 15 January 2023 Inspection report for children’s home: SC470457 12 a description of the measure and its duration;

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Requirement Due date

details of any methods used or steps taken to avoid the need to use the measure;

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Requirement Due date

the name of the person who used the measure ("the user"), and of any other person present when the measure was used;

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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

a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure;

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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 (1)(a)(b) (2) (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c)(iv))

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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

The registered provider must ensure that all case records are readily available in the home. 15 January 2023 Inspection report for children’s home: SC470457 13 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.

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Requirement Due date

A notification made under this regulation—

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Requirement Due date

the other persons, bodies or organisations (if any) who or which have been notified; and any actions taken by the registered person as a result of the matter;

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Requirement Due date

must be made or confirmed in writing. (Regulation 40 (4)(a)(b)(c)(d)(i)(ii)(e)) 15 January 2023

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Requirement Due date

The registered person must ensure that an independent person visits the children’s home at least once each month.

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Requirement Due date

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; and

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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. 15 January 2023 Inspection report for children’s home: SC470457 14 A visit by the independent person to the home may be unannounced.

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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—

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Requirement Due date

children are effectively safeguarded; and

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Requirement Due date

the conduct of the home promotes children’s well-being.

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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. (Regulation 44 (1) (2)(a)(b) (3) (4)(a)(b) (5))

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Requirement Due date

An independent visitor must be appointed and reports sent to HMCI within timescales.

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Requirement Due date

The registered person must complete a review of the quality of care provided for children ("a quality of care review") at least once every 6 months.

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system for monitoring, reviewing and evaluating—

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Requirement Due date

the quality of care provided for children;

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Requirement Due date

the feedback and opinions of children about the children’s home, its facilities and the quality of care they receive in it; and

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Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

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Requirement Due date

After completing a quality of care review, the registered person must produce a written report about the quality of care review and the actions which the registered person intends to take as a result of the quality of care review ("the quality of care review report").

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Requirement Due date

The registered person must— 15 January 2023 Inspection report for children’s home: SC470457 15 supply to HMCI a copy of the quality of care review report within 28 days of the date on which the quality of care review is completed; and

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Requirement Due date

make a copy of the quality of care review report available on request to a placing authority, if the placing authority is not the parent of a child accommodated in the home.

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Requirement Due date

The system referred to in paragraph (2) must provide for ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45 (1) (2)(a)(b)(c) (3) (4)(a)(b) (5))

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Requirement Due date

The quality of care review report must be sent to HMCI within timescales.

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Requirement Due date

The registered person must review the appropriateness and suitability of the location of the premises used for the purposes of the children’s home at least once in each calendar year taking into account the requirement in regulation 12(2)(c) (the protection of children standard).

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Requirement Due date

When conducting the review, the registered person must consult, and take into account the views of, each relevant person. (Regulation 46 (1) (2))

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Requirement Due date

This specifically relates to ensuring local risks are identified and strategies put in place to support staff to manage these risks. Additionally, the location review must be updated after significant events or concerns. 15 January 2023

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Requirement Due date

*These requirements are subject to a compliance notice.

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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: SC470457 16

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Children’s home details

Registered provider: Care And Management Services Limited

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Children’s home details

Registered provider address: Park Business Centre, Hastingwood Industrial Park, Wood Lane, Birmingham B24 9QR

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Inspectors

Marianne Grandfield, Social Care Inspector Sam Dulay-Kainth, Social Care Inspector Inspection report for children’s home: SC470457 17 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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