Children's Home run by New Horizons (Stockport) Limited in Tameside

Inspection report for children’s home - monitoring visit: 2591888 1 Registered provider: New Horizons (Stockport) Limited

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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 company. It is registered to provide care for up to four children who may have needs that relate to their disabilities and/or a sensory impairment.

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Information about this children’s home

The manager registered with Ofsted in October 2022.

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This monitoring visit

Since the assurance inspection on 5 January 2023, leaders and managers have not taken sufficient action to address the shortfalls identified in the compliance notices issued under regulation 13 (the leadership and management standard) and regulation 20 (restraint and deprivation of liberty).

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This monitoring visit

Children are not consistently being offered medical attention following the use of physical interventions, which means that staff cannot assure themselves that the children have not been harmed during incidents.

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This monitoring visit

There have been improvements in the model of debriefs used for children with communication difficulties. However, children are not receiving debriefs consistently and the staff are not revisiting this with children on occasions when children have refused to engage. This means that children do not always have the option to express their feelings.

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This monitoring visit

The manager’s evaluation of incidents does not always identify the gaps in staff practice and records. This makes it difficult to assess whether physical interventions used are necessary, proportionate and meet regulation. Inspection report for children’s home - monitoring visit: 2591888 2 Not all staff have received the appropriate physical intervention training, and the manager is using a combination of two models. There are discrepancies in which physical interventions are agreed to be used to keep children safe. As a result, staff are using holds that they are not trained in.

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This monitoring visit

Leaders and managers have not recorded the steps that they have taken to improve staff knowledge around safeguarding children and acting on allegations regarding the use of restraint.

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This monitoring visit

A case review was held on 16 February 2023. The compliance notices have not been met. The requirements made following the previous inspection will be reviewed at the next full inspection. Inspection report for children’s home - monitoring visit: 2591888 3

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Inspection date Inspection type Inspection judgement

25/05/2022 Full Requires improvement to be good 16/11/2021 Full Requires improvement to be good 24/08/2021 Full Inadequate Inspection report for children’s home - monitoring visit: 2591888 4

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Statutory requirements

This section sets out the actions that the registered person(s) must take to meet the Care Standards Act 2000, the Children’s Homes (England) Regulations 2015 and the ‘Guide to the Children’s Homes Regulations, including the quality standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

*Restraint in relation to a child is only permitted for the purpose of preventing—

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Requirement Due date

injury to any person (including the child);

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Requirement Due date

serious damage to the property of any person (including the child).

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Requirement Due date

Restraint in relation to a child must be necessary and proportionate. (Regulation 20 (1)(a)(b) (2)) 3 March 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 that—

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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 work as a team where appropriate;

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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

demonstrate that practice in the home is informed and improved by taking into account and acting on—

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Requirement Due date

feedback on the experiences of children, including complaints received; and

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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)(b)(c)(g)(ii)(h)) 3 March 2023 Inspection report for children’s home - monitoring visit: 2591888 5 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

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;

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Requirement Due date

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

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Requirement Due date

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 12 February 2023 Inspection report for children’s home - monitoring visit: 2591888 6 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.

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Requirement Due date

Paragraph (3) does not apply in relation to restraint that is planned or provided for as a matter of routine in the child’s EHC plan or statement of special educational needs. (Regulation 35 (1)(a)(b) (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(c) (4))

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Requirement Due date

This relates specifically to recording the use of a mechanical restraint where this is not included in the child’s education, health and care plan.

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Requirement Due date

the privacy of children is appropriately protected;

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Requirement Due date

children can access all appropriate areas of the children’s home’s premises; and

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Requirement Due date

any limitation placed on a child’s privacy or access to any area of the home’s premises—

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Requirement Due date

is intended to safeguard each child accommodated in the home;

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Requirement Due date

is kept under review and, if necessary, revised; and

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Requirement Due date

allows children as much freedom as is possible when balanced against the need to protect them and keep them safe. (Regulation 21 (a)(b)(c)(i)(ii)(iii)(iv))

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Requirement Due date

This relates specifically to the use of bedroom door alarms and en-suite bathrooms being locked. 12 February 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

The registered person must— 12 February 2023 Inspection report for children’s home - monitoring visit: 2591888 7 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 (3)(a)(b))

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Requirement Due date

This relates specifically to keeping the statement of purpose under review and submitting any changes to Ofsted.

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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

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

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. (Regulation 45 (1) (3) (4)(a))

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Requirement Due date

This relates specifically to the manager completing and submitting to Ofsted a quality of care review within timescales. 12 February 2023

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Requirement Due date

*These requirements are subject to a compliance notice.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: 2591888 8

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Children’s home details

Registered provider: New Horizons (Stockport) Limited

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Children’s home details

Registered provider address: 154-156 Buxton Road High Lane, Stockport, Cheshire SK6 8EA

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Inspectors

Kerri Lynch-Mahoney, Social Care Regulatory Inspector Sylvia Eboigbe, Regulatory Inspection Manager Inspection report for children’s home - monitoring visit: 2591888 9 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspectors

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Inspectors

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Inspectors

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