Children's home run by Partnerships in Care 1 Limited

Inspection report for children’s home: 1247390 1 Registered provider: Partnerships In Care 1 Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is registered with both Ofsted and the Care Quality Commission.

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Information about this children’s home

The home provides care for up to eight children with emotional health needs and who may self-harm. At the time of this inspection, five children were living in the home.

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Information about this children’s home

The manager was registered with Ofsted in February 2022.

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Overall experiences and progress of

children and young people, taking into account

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requires improvement to be good

How well children and young people are helped and protected requires improvement to be good

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requires improvement to be good

The effectiveness of leaders and managers requires improvement to be good

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requires improvement to be good

The children’s home is not yet delivering good help and care for children and young people. However, there are no serious or widespread failures that result in their welfare not being safeguarded or promoted.

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requires improvement to be good

Overall judgement at last inspection: good

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requires improvement to be good

Enforcement action since last inspection: none Inspection report for children’s home: 1247390 2

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Inspection date Inspection type Inspection judgement

20/04/2022 Full Good 30/11/2021 Interim Improved effectiveness 15/07/2021 Full Requires improvement to be good 28/10/2019 Full Requires improvement to be good Inspection report for children’s home: 1247390 3

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improvement to be good

Children’s needs are assessed before they move into the home. However, risks for some children are not integrated into their care planning after they move into the home. This limits opportunities to review the impact of children living together before incidents occur.

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improvement to be good

Some children have grown in confidence and are now able to speak out about their lives. They are involved in their care-planning and decision-making processes. Some children have moved on from the home successfully.

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improvement to be good

Children’s care is supported by different professionals. There is a mix of skills and experience across the care team. Some staff demonstrate in-depth knowledge, skills and experience to meet children’s complex needs. Some staff are less experienced and have not received training in line with the home’s statement of purpose.

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improvement to be good

Care arrangements for two children have ended because their needs could not be managed safely. Incidents in the home have disrupted children’s experiences and progress. Leaders and managers have not yet identified areas for learning and development that would improve the experiences and safe care of children in the future.

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improvement to be good

Children’s education experiences and their outcomes are mixed. Children choose activities that they wish to participate in. They describe previous activities that they have enjoyed. At times, community-based activities that children have chosen to do, do not go ahead. This leaves children disappointed.

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improvement to be good

Recruitment processes have improved, and the risk of unsuitable adults working in the home is reduced. Recruitment files include relevant checks, and the manager is informed about safer recruitment processes.

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improvement to be good

Clear processes are in place for the safekeeping and administration of prescribed drugs. One medication error has occurred, and actions were implemented to reduce the risk of reoccurrence. Further development is needed to ensure that medication brought into the home by children, which is not required, is disposed of effectively.

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improvement to be good

When safeguarding incidents occur, staff respond promptly to each child. Police assistance and urgent medical intervention are sought when necessary. Staff are provided with training and intervene quickly and appropriately when children self- harm. Following serious self-harm incidents, supervision levels are increased in response to identified risks. Inspection report for children’s home: 1247390 4 Children’s risk assessments do not address all known vulnerabilities effectively. Some information recorded across documents is confusing, and safety planning is not always comprehensive. Despite a pattern of serious incidents involving two children missing together, safeguards are not robust.

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improvement to be good

Interventions that should be taken at different stages of self-neglect when prompting is not effective are not clear. One child’s bedroom is in a poor state.

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improvement to be good

One child has been involved in a serious safeguarding incident that occurred in the home. This had the potential to have a significant impact on their health outcomes. A full review of the situation is yet to be completed.

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good

The home is run by an experienced registered manager. Children said that they trust them to resolve issues. Staff spoken to by the inspector described positive relationships with leaders and managers.

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good

The home is sufficiently staffed. Staff receive clinical and managerial supervision to inform their practice. Managers are working to improve the frequency of the supervision that staff receive.

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good

The monitoring of the quality of the care provided to children needs strengthening. Incident records do not always show actions taken by staff when children are distressed. At times, learning from incidents is limited. In addition, the manager’s reporting to Ofsted on the quality of care provided for children is delayed.

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good

Staff are not always informed about important life events for children. This prevents comprehensive planning and support to help children in the best possible way.

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good

Recording systems are not helpful to staff. Staff who could not recall information were not able to access important information.

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good

The external feedback received by the inspector was mixed. Children were described as making progress. Themes for development included strengthening safety planning and improving communication with families. Other than the staff spoken to by the inspector, no care staff provided feedback about their experiences of working in the home. Inspection report for children’s home: 1247390 5

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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

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

understand and apply the home’s statement of purpose;

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Requirement Due date

understand and apply the home’s statement of purpose;

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Requirement Due date

protect and promote each child’s welfare;

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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;

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Requirement Due date

help each child to understand and manage the impact of any experience of abuse or neglect;

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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. (Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iv)(v)(ix))

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Requirement Due date

This particularly relates to the registered manager ensuring that children’s vulnerabilities are addressed effectively. This includes providing staff with clear direction when interventions are not effective, specifically when children’s self-care deteriorates. 19 December Inspection report for children’s home: 1247390 6 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

manage relationships between children to prevent them from harming each other;

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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. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(iv)(v)(vi))

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Requirement Due date

In particular, the registered person must ensure that risks identified before children move into the home are reviewed regularly and action is taken to reduce harm between children. 19 December

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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— 19 December Inspection report for children’s home: 1247390 7 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 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

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

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; 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)(a)(b)(c)(f)(g)(i)(ii)(h))

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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: 1247390 8

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Children’s home details

Registered provider: Partnerships In Care 1 Limited

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Children’s home details

Registered provider address: Fifth Floor, 80 Hammersmith Road, London, W14 8UD

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Inspector

Louise Bacon, Social Care Inspector Inspection report for children’s home: 1247390 9 regulates and 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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