We Care Nursing Services Ltd

Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 1 We Care Nursing Services Ltd

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Registered provider: We Care Nursing Services Ltd

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Inspected under the social care common inspection framework

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provider

This supported accommodation service is owned and managed by a private provider. The service can accommodate up three children living in solo accommodation and up to 24 children living in eight shared premises, four of which are limited to looked after children and care leavers.

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provider

The service manager has been registered with Ofsted since October 2023.

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This monitoring visit

Ofsted carried out this monitoring inspection in response to information about a serious incident in June 2024. This information raised concerns about staff’s ability to meet the needs of one child, keep the child and others safe and whether the child was appropriately placed in supported accommodation.

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This monitoring visit

Children’s needs are assessed at the point of referral. This information is used to ensure that each child’s needs can be met in supported accommodation. Overall, these processes were found to be effective. However, in the case of one child, a more thorough assessment of information may have better informed the child’s support plan.

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This monitoring visit

Staff recognise and respond well to children’s changing needs. For example, when one child’s needs, risks and behaviours escalated, staffing levels were increased and care practice adapted to help manage and minimise risks such as criminal exploitation. This was done in collaboration with the child’s social worker, the police and specialist outreach safeguarding services. However, despite staff’s best efforts, concerns for the child’s welfare remain. Consequently, the manager is rightly reviewing the suitability of the placement in partnership with the child’s placing authority. Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 2 Other shortfalls were identified during this visit. As well as the incident which led to this monitoring visit, at least two other significant incidents involving the child were not notified to Ofsted. In addition, the provider has failed to submit the six-month

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This monitoring visit

quality of support review, despite being registered for over eight months. This has prevented Ofsted from having effective oversight of the service.

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This monitoring visit

Staff appropriately challenge and discourage the child from smoking in the house. However, the fire safety risk assessment has not been reviewed to include this increased fire risk and ensure that suitable arrangements are in place in the event of a fire.

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This monitoring visit

The staff team is made up of a core team supplemented with agency workers. Although managers seek assurances that agency workers have been suitably recruited, there is no record of these checks being maintained.

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This monitoring visit

Staff have undertaken training in previous employment which they use in their current roles, such as the use of breakaway techniques. However, managers have not assured themselves of the detail of this training to ensure it fits with their own policies and procedures.

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This monitoring visit

Debriefs following significant events allow staff and children to reflect and learn. However, these discussions are not recorded. Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 3

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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 Supported Accommodation (England) Regulations 2023 and the ‘Guide to the Supported Accommodation Regulations, including Quality Standards’. The registered person(s) 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 supported accommodation undertaking that puts children first and prioritises their wellbeing and development.

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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

ensure that arrangements are in place to manage referrals of children to the supported accommodation undertaking and admissions of children to premises used as supported accommodation, including, where relevant, emergency referrals and admissions. (Regulation 4 (1) (2)(a))

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Requirement Due date

Specifically, ensure that referral information is thoroughly assessed, and that information is used to inform the child’s support plan. 9 August 2024

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Requirement Due date

The accommodation standard is that children experience a comfortable and secure living environment.

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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

ensure that the premises used as supported accommodation—

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Requirement Due date

comply with all relevant statutory provisions dealing with health and safety or fire safety matters. (Regulation 6 (1) (2)(b)(x))

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Requirement Due date

In particular, fire safety measures should be reviewed when there is a change in risk. 9 August 2024 Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 4 The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety.

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Requirement Due date

Subject to paragraph (4), the registered person may only—

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Requirement Due date

if an individual is employed by a person other than the registered person to work for the supported accommodation undertaking in a position in which the individual may have regular contact with children, allow that individual to work for the supported accommodation undertaking, if the registered person is satisfied that the individual satisfies the requirements in paragraph (3).

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Requirement Due date

full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 1. (Regulation 17 (1) (2)(b) (3)(d)) 9 August 2024

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Requirement Due date

The registered person must notify the CIECSS and any relevant person without delay if—

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Requirement Due date

a child is involved in or subject to, or is suspected of being involved in or subject to, sexual exploitation or child criminal exploitation;

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Requirement Due date

an incident requiring police involvement occurs in relation to a child and the registered person considers that incident to be serious. (Regulation 27 (3)(a)(b)) 9 August 2024

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Recommendation

 The registered person should ensure that any training completed by staff prior to being employed by the provider is assessed and is in line with the provider’s workforce plan. (‘Guide to the Supported Accommodation Regulations’, page 49)

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Information about this inspection

The purpose of this visit was to follow up information received by Ofsted and/or to ensure that the supported accommodation provider was complying with regulation.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 5

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Supported accommodation provider details

Registered provider: We Care Nursing Services Ltd

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Supported accommodation provider details

Registered provider address: Corby Enterprise Centre, London Road, Corby, Northamptonshire, NN17 5EU

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Supported accommodation provider details

Nominated individual: Clement Nengomasha

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Supported accommodation provider details

Registered service manager: Rutendo Nengomasha

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Inspector

Catherine Honey, Social Care Inspector Inspection report for supported accommodation provider - monitoring visit: We Care Nursing Services Ltd 6 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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