Children's home run by Nestlings Care BC Limited in Trafford

Inspection report for children's home: SC473473 1 SC473473 Registered provider: Nestlings Care Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

This is a specialist therapeutic and rehabilitative home for up to three children who may have mental health issues and who may pose a risk to themselves and to others.

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Information about this children’s home

There were three children living in the home at the time of the inspection.

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Information about this children’s home

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

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Information about this children’s home

The manager is suitably experienced and has been registered since January 2024.

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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: good

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good

Enforcement action since last inspection: none Inspection report for children's home: SC473473 2

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Inspection date Inspection type Inspection judgement

23/05/2023 Full Good 11/10/2022 Full Good 14/09/2021 Full Good 18/06/2019 Full Good Inspection report for children's home: SC473473 3

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Overall experiences and progress of children and young people: good

Children have good experiences living at this home. They are making progress from their starting points. No matter how small, this progress is recognised by the manager and staff.

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Overall experiences and progress of children and young people: good

Since the previous inspection, two children have moved out of the home. One of these moves was in line with care planning arrangements, the other was unexpected. Two children have moved into the home. They had well-planned transitions and got to know staff and children before moving in. This means that children are comfortable when moving into the home.

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Overall experiences and progress of children and young people: good

The manager and staff have a deep understanding of the children’s health needs. Therapeutic and medical professionals provide good-quality support. This promotes children’s mental health and children learn the necessary strategies to improve their mental health and well-being.

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Overall experiences and progress of children and young people: good

Staff provide nurturing care and an environment where there is lots of laughter. Staff explore children’s interests and provide them with activities of their choice. Children and staff do activities together, such as art and cooking. Children say they enjoy this. Children are safely introduced to new experiences, which are well planned to manage potential risks.

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Overall experiences and progress of children and young people: good

An in-house tutor ensures that children receive education in the home. One child is about to take exams, which means they can plan a positive future. The tutor understands the children’s needs and tailors education to each child. The tutor has trusting relationships with children, which enhances their educational engagement.

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Overall experiences and progress of children and young people: good

Children’s records show a clear insight into children’s needs and risks and how these are safely managed. Records show how staff support children to recognise their feelings and to make better choices. However, some of these reports use language that is not helpful to the children.

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

Staff know the children well. They are attentive and vigilant when caring for the children. They quickly recognise signs that children are becoming unsettled and seek to understand how they are feeling. Children are appropriately reassured by staff and regularly praised for the positive things they do. This encourages further positive behaviour from the children and builds their self-esteem.

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

Children rarely go missing from home but when they do, they receive a well-coordinated response. Staff understand the procedure to follow if children go missing and risks are considered to minimise any incidents. Staff genuinely worry about children and Inspection report for children's home: SC473473 4 communicate well with involved professionals to ensure the child’s safe return home. The manager and staff learn from incidents and make necessary changes to care practice.

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

When children make allegations, they are listened to and action is taken. This makes children feel valued and able to build trusting relationships .

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

Incidents of physical intervention are well managed, and children and staff receive a reflective debrief with the manager. Recording is consistent and children’s views are well captured. However, records do not always include details of all the people involved in the incident.

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

The home is welcoming and appropriately furnished, however, some recommendations from a recent home safety assessment have not been actioned. This means some aspects of the home could be made safer.

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The effectiveness of leaders and managers: good

The manager has an ambitious vision for the home and has high expectations for staff and children. She ensures that the model of care is well understood by the staff and maintains high standards for individualised care.

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The effectiveness of leaders and managers: good

The manager has a range of monitoring systems that identify the home’s strengths and areas for improvement. This awareness has enabled her to drive change, clearly charting a path for the home’s future.

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The effectiveness of leaders and managers: good

The home has a regular team of staff who know the children well. When there have been staffing shortages, agency staff have been used. Agency staff receive some training before they can work in the home, meaning that children are cared for by staff who understand their needs.

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The effectiveness of leaders and managers: good

The in-house clinical team plays an integral part in supporting staff to care for the children. The team uses a trauma-informed approach. This means that care is well- coordinated and sensitive to children’s needs.

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The effectiveness of leaders and managers: good

Children say they like and trust the staff. Children are encouraged and supported to continue relationships with their families and people who are important to them. One parent said that their child was showing signs of progress compared to when they lived at their previous home.

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The effectiveness of leaders and managers: good

Staff say they feel well supported by the manager. The managers ensure that the staff receive regular supervision and that team meetings are held regularly. This promotes a high standard of care for the children. Staff all receive an annual appraisal, however, feedback is not included from professionals and children. Inspection report for children's home: SC473473 5

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Statutory requirement

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

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

the name of the person who used the measure (“the user”), and of any other person present when the measure was used. (Regulation 35 (3)(a)(iv))

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Requirement Due date

In particular, this relates to the names of people involved in incidents being recorded in reports. 16 August 2024

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Recommendations

 The registered person should ensure that all staff must have their performance and fitness to carry out their role formally appraised at least once annually. This appraisal should take into account, where reasonable and practical, the views of other professionals who have worked with the staff member over the year and of children in the home’s care. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 61, paragraph 13.5)  The registered should ensure that this home is a nurturing and supportive environment that meet the needs of their children, which must comply with relevant health and safety legislation. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 15, paragraph 3.9)  The registered person should ensure that all staff should record information on individual children in a non-stigmatising way that distinguishes between fact, opinion

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Recommendations

and third-party information. Information about the child must always be recorded in a way that will be helpful to the child. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 62, paragraph 14.4) Inspection report for children's home: SC473473 6

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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: SC473473 7

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Children’s home details

Registered provider: Nestlings Care Limited

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Children’s home details

Registered provider address: Suite 4, 1 Derby Street, Leigh WN7 4PF

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Children’s home details

Responsible individual: Anthony Thompson

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Inspectors

Sally Mitchell, Social Care Inspector Mark Woodbridge, Social Care Inspector Inspection report for children's home: SC473473 8 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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