Children's home run by Madiba Limited

Inspection report for children’s home: 2683780 1 Registered provider: Madiba Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is owned and managed by a private provider. It provides care for one child with a learning disability and/or social and emotional difficulties.

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Information about this children’s home

The manager is not yet registered with Ofsted; an application was made in August 2023.

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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 requires improvement to be good

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good

The children’s home provides effective services that meet the requirements for good.

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good

Date of last inspection: 25 January 2023

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good

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report for children’s home: 2683780 2

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Inspection date Inspection type Inspection judgement

25/01/2023 Full Good Inspection report for children’s home: 2683780 3

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Overall experiences and progress of children and young people: good

The child currently living at the home has lived here for over a year and has developed trusting and secure relationships with key members of staff. This has supported the child to feel safe and settled in the home. The child has taken ownership of the environment and their beautiful artwork is displayed throughout the home. This includes a handmade and personalised cushion on the sofa and a large mural on their bedroom wall, which includes handprints of people who are important to them. This helps the child to feel connected to those people, even when they are not together.

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Overall experiences and progress of children and young people: good

Health needs are considered and addressed by a range of agencies who work with the child, including mental health services and the in-house therapy. The agencies complement each other in the care that they offer, ensuring that the child’s mental health needs are met appropriately. Physical health needs are addressed appropriately, to maintain good physical health.

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Overall experiences and progress of children and young people: good

The child has made marked progress with their education. Initially, this was through tutoring in the home but the child has now progressed to attending education outside of the home. The child attends three times a week. They enjoy attending and have developed a friendship group and are proud of the progress they have made.

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Overall experiences and progress of children and young people: good

Staff have supported the child to explore their identity. This has included being supported to express their faith and attend a local religious setting, and engaging in regular activities that they enjoy, such as swimming lessons, horse-riding lessons and attending a youth club. This has enabled the child to build up various friendship groups and their social worker feels that this has ‘enriched [name of child]’s life’.

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Overall experiences and progress of children and young people: good

The child understands how to make a complaint. When this has happened, the child received a clear response that outlined actions taken because of the complaint. They feel listened to and valued.

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Overall experiences and progress of children and young people: good

The child is supported to maintain good relationships with their family. The child’s mother feels that the care offered to their child is ‘second to none’. She said that her child has been supported to ‘mature’ and that they have ‘come on leaps and bounds’.

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

Independence is encouraged, alongside appropriate risk-taking. This has supported the child to grow in confidence and learn to manage social situations they are likely to encounter as an adult. The child volunteers and has been able to secure a paid, part-time job. They are able to budget, meal plan and cook with support. They were keen to share how they manage their money effectively, including saving up to get Inspection report for children’s home: 2683780 4 something they really wanted. The child also has several pets, which provide responsibility and promote positive routines.

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

The child’s risk assessments and care plans are detailed and appropriately updated and have clear strategies for the staff to follow to ensure that the child’s needs are met and risks are managed. The manager and staff work closely with other agencies, including the local authority, education and mental health services. This alignment has supported a reduction in risks for the child.

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

There have been no missing-from-care incidents. This is because the child feels safe and secure in the environment and because of the staff’s ability to meet the child’s needs. One room search has taken place, when there were specific concerns. This was proportionate to the risks present.

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

Some staff use their positive relationship with the child to support the child when they are in crisis. These relationships, alongside the proactive work to develop coping strategies, help the child to regulate their emotions. This has supported the reduction in self-harming incidents and the severity of incidents when they do happen. However, there have been incidents when staff responses have prolonged incidents unnecessarily. Physical intervention is used when other strategies have been unsuccessful and when the child is at risk of harming themselves or others. Staff and the child are spoken to afterwards.

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

Positive behaviour is promoted through incentives that are individualised to the child. However, at times, consequences are punitive and not all consequences are recorded appropriately. This prevents oversight and evaluation of their effectiveness by the manager.

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

There have been two allegations against staff during this period. One was thoroughly investigated, with an appropriate outcome. The other was not actioned in a timely way, nor was a clear audit trail maintained. Furthermore, this allegation was not reported to Ofsted as required.

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good

The previous deputy manager is now the manager. While she has a positive relationship with the child, she has yet to develop effective monitoring systems to ensure that the care provided by staff is in line with the home’s recognised model of care.

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good

The staff team lacks stability and consistency, with 10 members of staff having left the home since the last inspection. This means that 10 out of 13 members of staff currently working in the home are new, with several of these members of staff new to working in children’s homes. While safer recruitment has been maintained, the newer staff have yet to recognise the importance of language and they use blaming language in the child’s documents. Inspection report for children’s home: 2683780 5 The system for managing controlled medication is confusing and unclear. Staff have crossed out information and overwritten on the medication chart. They have also used different ways of measuring the medication, which means others have to make assumptions about what has happened.

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good

The manager has failed to implement an effective system for identifying and reporting repairs or wear and tear. The child’s shower tray was unable to be cleaned due to a build up of dirt and limescale and the manager was not aware of this.

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good

Staff feel valued and supported. Supervision sessions take place regularly and they promote the staff’s development. While these sessions take place regularly and are of good quality, they do not always take place in line with the provider’s own policies and procedures.

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good

Team meetings take place regularly and they include significant input from the in- house therapist, who supports the staff. However, these meetings are not always well attended. This has hindered the staff’s ability to learn together how best they can provide therapeutic care to the child.

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good

The staff complete the provider’s mandatory training in the timescales outlined in the workforce development plan. However, additional training to meet the specific needs of the child does not always take place within an appropriate timescale. The manager’s system to monitor this is confusing and time-consuming to access.

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good

The statement of purpose is reviewed appropriately and outlines the ethos and objectives of the home. However, the manager has failed to include the staff’s details or their experience and qualifications in this document. Inspection report for children’s home: 2683780 6

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Statutory requirements

This section sets out the actions that the registered person 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 must comply within the given timescales.

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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

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 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

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)(c)(f)(h))

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Requirement Due date

In particular, the staff must ensure that they maintain the therapeutic approach when they are making records in the child’s documents. The manager must have an effective system in place to monitor, identify and address this when staff’s language is blaming of the child.

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Requirement Due date

The registered provider must ensure that staff receive appropriate training to meet the specific needs of the child living in the home; that staff attend team meetings; and that the staff’s supervision sessions take place in line with the home’s policies and procedures. 29 December Inspection report for children’s home: 2683780 7 The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children’s home.

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Requirement Due date

In particular, the registered person must ensure that—

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Requirement Due date

a record is kept of the administration of medicine to each child. (Regulation 23 (1) (2)(c)) 29 December

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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. (Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)) 29 December

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if—

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Requirement Due date

there is an allegation of abuse against the home or a person working there;

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Requirement Due date

there is any other incident relating to a child which the registered person considers to be serious.

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Requirement Due date

A notification made under this regulation— 29 December Inspection report for children’s home: 2683780 8 must include details of—

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Requirement Due date

the other persons, bodies or organisations (if any) who or which have been notified; and

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Requirement Due date

any actions taken by the registered person as a result of the matter;

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Requirement Due date

must be made or confirmed in writing. (Regulation 40 (4)(c)(e) (5)(a)(i)(ii)(iii)(b))

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Recommendations

 The registered person should ensure that the statement of purpose includes all of the information in Schedule 1, particularly the details of the experience and qualifications of the staff, and that this is shared with the regulator in a timely way. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 14, paragraph 3.5)  The registered person should ensure that the child has an appropriate environment. This includes replacing items such as the shower tray when there is a build-up of dirt and limescale that cannot be removed. (‘Guide to the Children’s Homes Regulations, including the quality standards’. page 15 paragraph 3.7)

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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: 2683780 9

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Children’s home details

Registered provider address: One City West, Gelderd Road, Leeds, West Yorkshire LS12 6NJ

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Inspector

Joanna Beal, Social Care Inspector Inspection report for children’s home: 2683780 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 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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