Social care · Social care assurance visit
Children's Home run by Horizon Care and Education Group Limited in Leicestershire
Summary
Thirza Smith (lead), Emma Dacres
What we read, and from where
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- Group verified
Horizon Care and Education Group Limited
- Inspection date verified
1 Aug 2023
- Inspectors verified
Emma Dacres, Thirza Smith
- Name on report verified
1251076
- URN verified
1251076
Deep dive
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Strengths
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Concerns
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No strong criticism found.
Next steps
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- The quality and purpose of care standard s that children receive care from staff who— p.5
- This relates to ensuring that the home provides a 22 December Assurance inspection report for children's home: 1251076 6 homely environment, meeting the needs of the children by having appropriate equipment and furniture for them to live comfortably. p.5
- Additionally, ensure that children’s bedrooms are personalised, in line with their wishes. p.5
- This is also in relation to ensuring that children have access to and use of communal areas of the home, inside and outside. p.6
- This relates to ensuring that the home’s indoor and outdoor areas are safe and suitable to meet the needs of the children. p.6
- This is also in relation to ensuring that risk assessments and one-to-one sessions are regular, up to date and in line with children’s care plans. 22 December p.6
- This relates to ensuring that ongoing quality assurance of all records is completed on a regular basis. p.7
- This is also in relation to ensuring that there are sufficient staff in place. p.7
What the report dwells on
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Leadership & governance3
“She is making changes to management processes and has recruited new staff.” p.3
Anatomy of the report
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- Pages
- 10
- Words of findings
- 1,240
- longer than usual (typical 479)
- Reading level
- Hard
- Flesch 49, typical 47
- Average sentence
- 17 words
- Next steps
- 8
- typical 4
- Hedged sentences
- 0%
- “some”, “not always”, “most”…
Where the words go
Full report text
Assurance inspection report for children's home: 1251076 1 Registered provider: Horizon Care and Education Group Limited
p.1
Inspected under the social care common inspection framework
p.1
Information about this children’s home
The home is owned by a private organisation. It provides care for up to four children with learning disabilities.
p.1
Information about this children’s home
There is no registered manager. The acting manager has submitted their application to register with Ofsted.
p.1
Information about this children’s home
Judgement at last inspection: requires improvement to be good
p.1
Information about this children’s home
Enforcement action since last inspection: none
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Information about this inspection
At this inspection, the inspectors evaluated:
p.1
Information about this inspection
the care of children the safety of children the effectiveness of leaders and managers. Inspectors have looked closely at the experiences and progress of children, using the social care common inspection framework. This assurance 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’. Assurance inspection report for children's home: 1251076 2
p.1
Findings from the inspection
We did not identify any serious or widespread concerns in relation to the care or protection of children at this assurance inspection.
p.2
The care of children
The home has been without a registered manager since March 2023. However, an interim manager is now in place. Since the last inspection, there has been an improvement in the quality of care provided to children. Children living at the home are happy and settled.
p.2
The care of children
Improvements have been made to how staff consult with children to find out their views, wishes and feelings. Steps are being taken to further enhance communication with the children, such as personalised short stories that describe social situations . For example, using a story specific to them, one child has been supported to choose new curtains for their bedroom. This helps children to feel heard, valued and cared for.
p.2
The care of children
The staff show genuine commitment to supporting children. The children have positive relationships with the staff. Staff speak about children with enthusiasm, warmth and care. This has supported children to build secure and meaningful relationships with a core team of staff that they know, trust and rely on. One family member said their child has made significant progress in many areas, some of which they never thought would be possible.
p.2
The care of children
Children are provided with regular activities of their choice, which they enjoy. However, some of these opportunities have been limited due to the lack of available full-time staff. Holidays have been planned for each child. Staff encourage children to access community activities which match their interests. This supports children’s confidence and self-esteem to grow.
p.2
The care of children
Improvements have been made to the environment. The garden is now better used. Children’s bedrooms are beginning to be personalised. The manager has plans for a sensory area. Although there have been some improvements to the home, the quality of the general facilities remains poor. There is still work to be completed in the home. This is planned, but projects have been slow to progress.
p.2
The safety of children
Staff have a good understanding of safeguarding processes. If staff witness poor practice, they know how to escalate this appropriately. There has been one incident that was not reported promptly. However, in response, the manager has since taken the required action. There are no serious shortfalls in the safe care of children at the home. Assurance inspection report for children's home: 1251076 3 When necessary, staff have used physical intervention in response to children’s unsafe behaviour. Physical intervention is used appropriately and is well documented. However, debriefs are not consistently held with children. This is necessary to ascertain children’s wishes and feelings. The manager is in the process of implementing a new system to provide individualised short stories that describe social situations to help children understand and learn from them. This is a new process that needs to be embedded.
p.2
The safety of children
Children’s risk assessments are not reviewed regularly. This means that important information is not consistently available to new staff. This is needed to keep children safe. The manager is aware of what developments are needed to improve risk assessments and is taking steps to address this shortfall.
p.3
The safety of children
Core staff members manage challenging situations effectively and are skilled in de- escalation. However, new and agency staff do not have the required training. For example, not all new staff are trained in physical intervention. This limits the ability of new staff to support the team during behavioural incidents. However, training is planned, and the manager is aware of the urgency of this.
p.3
The safety of children
Staff recruitment is carried out in accordance with safer recruitment protocols and procedures. The home has relied on the use of agency staff at times. Agency staff are not always appropriately and safely recruited. The manager has recognised that improvements are required in the delivery, recording and induction of agency staff.
p.3
The effectiveness of leaders and managers
The home had a period of instability before the new manager was appointed in May 2023. The manager is committed to making a positive difference to children’s lives. She is making changes to management processes and has recruited new staff. Building a stable, skilled and consistent staff team is a priority for her. Staff recruitment is ongoing.
p.3
The effectiveness of leaders and managers
The manager recognises the areas of development for the home, and she is trying to address these. She has started to improve monitoring in the home but this is not yet fully effective. The processes are not yet embedded to ensure that all aspects of children’s care are monitored and shortfalls responded to.
p.3
The effectiveness of leaders and managers
The majority of staff have completed their mandatory training. Staff have one-to- one meetings and team meetings. The manager is working with the therapeutic health team and has plans for staff’s development and training which will be specific to the needs of the children.
p.3
The effectiveness of leaders and managers
External scrutiny from the regulation 44 visitor supports the manager in the monthly review of the home. The current visitor is insightful in identifying the strengths and areas for improvement. In addition, there has been further external scrutiny which Assurance inspection report for children's home: 1251076 4 highlights positive experiences and progress for children. This level of scrutiny supports the manager in her role.
p.3
The effectiveness of leaders and managers
Requirements and recommendations were set at the home’s last inspection. Following that inspection, the manager has begun to take action to address each of the shortfalls. Progress in addressing the shortfalls is varied. The manager has identified the strengths in the home and the areas that need further improvements. There are plans in place to progress these improvements.
p.4
Inspection date Inspection type Inspection judgement
11/04/2023 Full Requires improvement to be good 09/05/2022 Full Good 22/06/2021 Full Good 04/12/2019 Full Good Assurance inspection report for children's home: 1251076 5
p.4
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.
p.5
Requirement Due date
The quality and purpose of care standard s that children receive care from staff who—
p.5
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
understand and apply the home’s statement of purpose; ensure that staff—
p.5
Requirement Due date
provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s background;
p.5
Requirement Due date
provide to children living in the home the physical necessities they need in order to live their comfortably;
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Requirement Due date
provide to children personal items that are appropriate for their age and understanding; and
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Requirement Due date
make decisions about the day-to-day arrangements for each child in accordance with the child’s relevant plans, which give the child an appropriate degree of freedom and choice;
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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)(a)(b)(iv)(vii)(viii)(ix)(c)(i)(ii))
p.5
Requirement Due date
This relates to ensuring that the home provides a 22 December Assurance inspection report for children's home: 1251076 6 homely environment, meeting the needs of the children by having appropriate equipment and furniture for them to live comfortably. Additionally, ensure that children’s bedrooms are personalised, in line with their wishes.
p.5
Requirement Due date
This is also in relation to ensuring that children have access to and use of communal areas of the home, inside and outside.
p.6
Requirement Due date
The protection of children standard is that children are protected from harm and enabled to keep themselves safe.
p.6
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to ensure—
p.6
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;
p.6
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)(d))
p.6
Requirement Due date
This relates to ensuring that the home’s indoor and outdoor areas are safe and suitable to meet the needs of the children.
p.6
Requirement Due date
This is also in relation to ensuring that risk assessments and one-to-one sessions are regular, up to date and in line with children’s care plans. 22 December
p.6
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—
p.6
Requirement Due date
helps children aspire to fulfil their potential;
p.6
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to—
p.6
Requirement Due date
ensure that the home has sufficient staff to provide care for each child; 22 December Assurance inspection report for children's home: 1251076 7 ensure that the home’s workforce provides continuity of care to each child;
p.6
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;
p.7
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)(d)(e)(f)(h))
p.7
Requirement Due date
This relates to ensuring that ongoing quality assurance of all records is completed on a regular basis.
p.7
Requirement Due date
This is also in relation to ensuring that there are sufficient staff in place.
p.7
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—
p.7
Requirement Due date
helps children aspire to fulfil their potential; and
p.7
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to—
p.7
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
research and developments in relation to the ways in which the needs of children are best met; and
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Requirement Due date
feedback on the experiences of children, including complaints received. (Regulation 13 (1)(a)(b) (2)(g)(i)(ii))
p.7
Requirement Due date
This relates to ensuring that staff receive specialist training and have the equipment to develop their practice in order to meet the complex needs of children. 22 December Assurance inspection report for children's home: 1251076 8
p.7
Recommendations
The registered person should ensure that any external agency staff should meet the requirements in regulation 32(4) regarding mandatory qualifications and the registered person should consider their skills, qualifications and any induction necessary before they start work in the home. The use of agency staff should be carefully monitored and reviewed to ensure children receive continuity of care. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 54, paragraph 10.16) The registered person should ensure that contingency plans are prepared in the event of a shortfall in staffing levels. The manager should make a formal assessment of the implications for children’s care, including any likely risks. This assessment should be recorded and available for inspection by Ofsted and placing authorities. This specifically relates to having a stable staff team. (‘Guide to the
p.8
Recommendations
Children’s Homes Regulations, including the quality standards’, page 54, paragraph 10.18) The registered person should monitor and review the patterns and trends in turnover of staff, whether agency or directly employed, and be able to understand and, where possible, address any negative trends. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 54, paragraph 10.19) Assurance inspection report for children's home: 1251076 9
p.8
Children’s home details
Registered provider: Horizon Care and Education Group Limited
p.9
Children’s home details
Registered provider address: Unit 12, Venture House, Prospect Business Park, Longford Road, Cannock, Staffordshire WS11 0LG
p.9
Children’s home details
Responsible individual: Rebecca Grimshaw
p.9
Children’s home details
Registered manager: The registered managers post is vacant
p.9
Inspectors
Thirza Smith, Social Care Inspector Emma Dacres, Social Care Inspector Assurance inspection report for children's home: 1251076 10 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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Inspectors
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