Children's Home run by Turning Point Care Limited in Enfield

Inspection report for children’s home: SC010699 1 SC010699 Registered provider: Turning Point Care Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

A private provider operates this home. The home provides care for up to five children with social and/or emotional difficulties.

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Information about this children’s home

The home registered with Ofsted in December 2001, and the manager registered in May 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: requires improvement to be good

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good

Enforcement action since last inspection: none Inspection report for children’s home: SC010699 2

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Inspection date Inspection type Inspection judgement

02/08/2022 Full Requires improvement to be good 16/12/2021 Interim Declined in effectiveness 25/08/2021 Full Requires improvement to be good 30/10/2019 Full Requires improvement to be good Inspection report for children’s home: SC010699 3

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Overall experiences and progress of children and young people: good

The overall quality of care planning and its impact on children’s progress and experiences are good. Children have made good progress in developing their independence skills and strategies to manage their difficult feelings. Professionals supporting children at the home provided positive feedback about the quality of care provided to children and the good progress that children have made as a result.

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Overall experiences and progress of children and young people: good

Children have individual positive behaviour support plans that identify behaviour management approaches that do not work for children, as well as de-escalation strategies. The plans are detailed and child-focused. Children are supported by enthusiastic, committed and empathic staff, who have a relentless focus on helping children to achieve their goals.

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Overall experiences and progress of children and young people: good

One child is making good progress in education, and staff have arranged work experience to support the child’s career ambitions. However, not all children are in education. Although staff are persistent in encouraging and supporting children to engage in education, this requires a more robust, joined-up approach, with support from relevant professionals.

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Overall experiences and progress of children and young people: good

Children engage in a range of recreational activities, such as singing lessons and horse riding. Achievements are celebrated, and children receive certificates in their areas of progress.

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Overall experiences and progress of children and young people: good

Children are enabled to develop and sustain trusting and consistent relationships with staff. This has created a positive environment for children to flourish and has promoted stability and a sense of permanency and belonging for children. Children feel empowered to share their concerns, wishes and feelings.

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Overall experiences and progress of children and young people: good

Children are helped to understand their day-to-day arrangements through individualised daily planners. Children’s weekly meetings provide them with opportunities to influence decisions about their care, such as preferred menu choices and how the home should be decorated.

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Overall experiences and progress of children and young people: good

Children are in good physical health and access specialist services when required. Staff support children to take medication to ensure that their health needs are met.

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

Children are protected and feel safe. Their vulnerabilities have reduced through staff understanding their individual risks and developing plans to address these. For example, missing-from-home episodes and challenging behaviour incidents have significantly reduced. Inspection report for children’s home: SC010699 4 Staff promote positive behaviour through providing incentives and rewarding children with additional treats, such as an extra take aways or recreational activities. Children are helped to regulate their behaviour through staff understanding their triggers. This helps staff anticipate and respond effectively to likely behaviours and use creative strategies to prevent incidents happening.

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

Children’s risk assessments detail their vulnerabilities and strategies to reduce risk and potential harm. Safeguarding professionals also support children to address vulnerabilities, such as child sexual exploitation and substance misuse. However, children’s plans do not outline whether contact with parents is supervised or not.

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

Restraint is only used to keep children and others safe. All restraint incidents are clearly recorded and comprehensive debriefs are provided to children so they are helped to understand and manage their behaviour. More recently, staff have also received debriefs. Children receive appropriate consequences, such as the loss of an activity, to encourage them to take responsibility for their behaviour.

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

Missing-from-home procedures are followed when children are missing or are absent for longer than expected.

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

Staff understand child protection and whistle-blowing procedures, and they know who they need to consult when they have concerns. This includes referrals to the local authority designated officer.

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The effectiveness of leaders and managers: good

Leaders have created an environment for staff to deliver good-quality care to children. Staff are supported by an experienced, effective and skilled registered manager. Leaders and managers are aspirational for children and are persistent in their approach to ensure children’s needs are met. Managers can demonstrate the positive impact that living at the home has had on children’s progress. This is supported by external agencies connected to the children.

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The effectiveness of leaders and managers: good

The manager attends multi-agency meetings to share information about the children’s needs to inform their plans. This ensures that children receive effective and timely support when needs change.

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The effectiveness of leaders and managers: good

Children enjoy stability and consistency of care due to the stable staff team. This promotes trusting and reliable relationships that support children to share their wishes and feelings. External professionals supporting the children report: ‘They have demonstrated that they are able to personalise the care for this young person in a way that allows the young person to express her own wishes and feelings but also understands the measures taken to keep them safe’.

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The effectiveness of leaders and managers: good

The staff induction programme and learning opportunities are comprehensive and ensure that staff are equipped with the knowledge and skills needed to care for the children effectively. Staff receive additional training specific to the needs of the children living in the home. Inspection report for children’s home: SC010699 5 Staff receive monthly supervision that focuses on children’s experiences as well as providing opportunities for staff to reflect on the impact of their work. Staff receive annual appraisals, and career progression is encouraged when staff have ambitions to progress their careers in the organisation.

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The effectiveness of leaders and managers: good

Robust recruitment processes ensure that only suitable people are employed to work at the home.

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The effectiveness of leaders and managers: good

Leaders and mangers have made good progress in addressing the shortfalls identified at the assurance inspection in February 2023.

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Recommendations

 The registered person should ensure that the home is a nurturing, supportive and safe environment. In particular, attend to the stained carpet on the stairs and landing area. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 15, paragraph 3.9)  The registered person should ensure that children’s plans are amended to reflect current family-time arrangements. In particular, clearly recording whether contact with parents is supervised or not. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 58, paragraph 11.15)  The registered provider should ensure that children make measurable progress towards achieving their educational potential. In particular, to help the child who is currently not in education or training to access educational and training opportunities through escalating and addressing this lack of provision with the placing local authority. (‘Guide to the Children’s Homes Regulations, including the

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Recommendations

quality standards’, page 24, paragraph 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: SC010699 6

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Children’s home details

Responsible individual: Dawnette Legister

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Inspector

Nicki Shaw, Social Care Inspector Inspection report for children’s home: SC010699 7 inspects 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 looked after children, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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