Children's Home run by 4 Pure Heart Limited in Bury

Inspection report for children's home: 2630055 1 Registered provider: 4 Pure Heart Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home is operated by a private provider. It is registered to provide care for up to two children who may experience social and emotional difficulties.

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Information about this children’s home

At the time of the inspection, there was one child living in the home.

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Information about this children’s home

The registered manager post is vacant. There is a manager in post who has not yet applied to register with Ofsted.

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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 that children and young people are not protected and their welfare is not promoted or safeguarded and the care and experiences of children and young people are poor and they are not making progress.

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inadequate

Date of last inspection: 9 November 2022

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inadequate

Overall judgement at last inspection: inadequate

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Enforcement action since last inspection:

This home was judged inadequate at the last inspection on 18 and 19 October 2022. Following that inspection, Ofsted issued a notice restricting accommodation at the home. This notice had immediate effect from 10 November 2022 until 2 February 2023. Inspection report for children's home: 2630055 2 A monitoring visit was carried out on 22 December 2022 to monitor the provider’s compliance with the restriction of accommodation notice. The provider had complied with the conditions of the notice. Inspection report for children's home: 2630055 3

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Inspection date Inspection type Inspection judgement

09/11/2022 Full Inadequate 08/06/2022 Full Inadequate Inspection report for children's home: 2630055 4

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inadequate

Managers and staff are not delivering good-quality care that is in line with the child’s relevant plans. Furthermore, poor safeguarding practice and ineffective leadership and management at the home are having a significant detrimental impact on the child’s experiences and progress.

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inadequate

The manager and staff do not have a good understanding of the child’s educational needs. Home school tutoring is available for the child at home. However, there are no expectations for the child to complete this. During this inspection, the child visited a local beauty and hairdressing salon in school hours. This does not demonstrate that the manager and staff prioritise the child’s education or support the child to achieve.

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inadequate

Leaders and the manager do not provide the staff team with sufficient information about the child’s health needs. Health documentation is poor and does not include all relevant details. Consequently, the child has not been supported to attend health appointments required to meet their needs.

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inadequate

The manager and staff consider the child’s wishes and feelings in some areas of her life. However, when the child made a complaint about staff in relation to not receiving their medication, staff did not take action to address this.

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inadequate

The manager and staff recognise the importance of the child having regular and meaningful time with family and friends. The child has been able to recently stay overnight with family members. This is helping the child to rebuild important relationships.

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

Safeguarding practice in this home is not sufficiently robust and does not promote the safety and welfare of the child.

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

Leaders, the manager and staff have not taken effective action to safeguard the child from the risks that the internet can pose. The child has unsupervised access to the internet. Leaders, the manager and staff do not recognise the risks to the child or implement age-appropriate boundaries around the use of the internet. This lack of knowledge and action does not safeguard the child.

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

Staff do not establish age-appropriate boundaries for the child. This is specifically around the child’s routines and wearing appropriate clothing for their age. This does not provide the child with structure and boundaries to support the child’s emotional and behavioural development. Inspection report for children's home: 2630055 5 There was a poor response from staff in relation to an incident of self-injurious behaviour. Staff did not review this incident effectively to identify if practice can improve to reduce this risk to the child. This does not safeguard the child. Furthermore, leaders, the manager and staff do not support the child to develop effective coping strategies to try and reduce any incidents reoccurring.

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

Medication records do not include all relevant details. This includes the amount of medication administered and the time given. The manager and staff were unaware of what medication the child required and could not provide evidence that medication had been consistently administered. Medication practice in the home is unsafe.

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

Risk management plans are ineffective as they do not contain relevant and current information about the child’s known risks. Some identified risks, such as the risk to the child using the internet, are not clearly assessed. Staff spoken to were not clear about the required strategies to minimise risks in relation to the child. This lack of knowledge does not safeguard the child.

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

The child does not receive consistent help and support to develop their understanding of how to keep safe. Staff have not completed any meaningful work with the child to address their risks and vulnerabilities in relation to healthy relationships or internet safety.

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

The manager and staff do not ensure that the home is maintained to an acceptable level of cleanliness. Poor standards of hygiene were observed by the inspector in both the child’s bedroom and bathroom. Although this was brought to the attention of the manager and staff, immediate action was not taken to rectify the concerns raised.

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The effectiveness of leaders and managers: inadequate

The registered manager post is vacant. There is a manager in post who has not yet applied to register with Ofsted. Staff spoken to said that the new manager is supportive. They identified some improvements that the manager had made in the home. However, there was limited evidence to demonstrate the changes made.

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The effectiveness of leaders and managers: inadequate

The provider has failed to ensure that all staff have the knowledge, skills and experience to safely care for the child. Although staff had attended training in key areas such as internet safety, staff have not taken effective action to safeguard the child from the risks that the internet pose.

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The effectiveness of leaders and managers: inadequate

Some professionals spoken to report that some staff keep them updated and communicate well. However, one professional raised a concern about the ability of staff to implement age-appropriate boundaries for the child.

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The effectiveness of leaders and managers: inadequate

Staff do not have practice-based supervision and are not encouraged to reflect on incidents in the home. This poor practice is not driving improvements in the quality of care provided to the child. Inspection report for children's home: 2630055 6 The provider has not ensured that the home’s workforce provides continuity of care to the child, due to be a high turnover of staff. However, staff who have been employed for a long time do care about the child and said that they are frustrated by the continued changes made.

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The effectiveness of leaders and managers: inadequate

The management team does not used monitoring systems to continually review the quality of care provided to the child. The team does not review and evaluate all significant incidents in the home. Consequently, staff continue to use practice that is ineffective, and changes to care practices are not implemented. This is a missed opportunity to learn from incidents and prevent these from reoccurring.

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The effectiveness of leaders and managers: inadequate

Further to this inspection, a number of the requirements were restated as action had not been taken to meet the breaches in the Children’s Homes (England) Regulations 2015.

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The effectiveness of leaders and managers: inadequate

At the end of the inspection, the provider submitted an application to cancel the home’s registration. Inspection report for children's home: 2630055 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 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

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

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

promote opportunities for each child to learn informally;

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Requirement Due date

help a child who is excluded from school, or who is of compulsory school age but not attending school, to access educational and training support throughout the period of exclusion or non-attendance and to return to school as soon as possible. (Regulation 8 (1) (2)(a)(i)(iii)(iv)(v)(viii))

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Requirement Due date

In particular, leaders and managers must ensure that they provide age-appropriate routines, structure and boundaries which support the child’s engagement in education. 6 March 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; and 6 March 2023 Inspection report for children's home: 2630055 8 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;

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Requirement Due date

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)(c) (2)(a)(i)(ii))

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Requirement Due date

Specifically, leaders and managers must ensure that the child’s health needs are understood and that there are clear plans in place to ensure that staff are meeting these needs.

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Requirement Due date

Leaders and managers must ensure that staff understand what medication children are prescribed and in what circumstances this must be administered.

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Requirement Due date

Further to this, leaders and managers must ensure that staff help the child to understand the impact of harmful substances on their health and well-being.

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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

help each child to understand how to keep safe;

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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

take effective action whenever there is a serious concern about a child’s welfare. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(vi)) 6 March 2023 Inspection report for children's home: 2630055 9 In particular, leaders and managers must ensure that the child’s risk assessments clearly identify the risks to the child and the actions staff must take to reduce these risks.

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Requirement Due date

Further to this, leaders and managers must ensure that staff follow these risk assessments and take effective action to keep the child safe from harm.

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Requirement Due date

Leaders and managers must ensure that staff help the child understand how to keep safe.

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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

ensure that staff have the experience, qualifications and skills to meet the needs of each child;

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Requirement Due date

ensure that the home’s workforce provides continuity of care to 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)(c)(e)(f)(h))

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Requirement Due date

In particular, leaders and managers must ensure that staff reflect on training, through supervision and team meetings, to ensure that they understand how this training is relevant and that it must inform and improve their practice.

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Requirement Due date

Further to this, leaders and managers must ensure that there is effective oversight of children’s records and significant incidents. 6 March 2023

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Requirement Due date

The care planning standard is that children— 6 March 2023 Inspection report for children's home: 2630055 10 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 each child’s relevant plans are followed. (Regulation 14 (1)(a)(b) (2)(c))

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Requirement Due date

In particular, leaders and managers must ensure that children’s relevant plans, such as local authority care plans and child looked after health plans, are used to inform the home’s plans for the child’s care.

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Requirement Due date

In addition, leaders and managers must ensure that outcomes and actions from care planning meetings have an appropriate and timely response to ensure that the child’s needs are being met.

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Requirement Due date

The registered person must ensure that all employees—

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Requirement Due date

receive practice-related supervision by a person with appropriate experience; and

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Requirement Due date

have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33 (4)(b)(c)) 6 March 2023

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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: 2630055 11

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Children’s home details

Registered provider: 4 Pure Heart Limited

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Children’s home details

Registered provider address: Atlantic Business Centre, Atlantic Street, Broadheath, Altrincham, Cheshire WA14 5NQ

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Inspector

Emma Thornton, Social Care Inspector Inspection report for children's home: 2630055 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.

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Inspector

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Inspector

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Inspector

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