Social care · Children's home inspection (SCCIF)
Children's Home run by Birchwood Children Services Limited in Warrington
Summary
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- Group verified
Birchwood Children’s Services Limited
- Inspection date verified
3 Jul 2024
- Inspectors verified
Judith Birchall
- Helped and protected verified
Inadequate
- Leadership and management verified
Inadequate
- Overall effectivenesssingle source
Inadequate
- Name on report verified
2667746
- URN verified
2667746
Deep dive
What this report says
In plain English
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Grade profile
Hollow rings show the previous inspection, 2023.
- OverallInadequate
- Helped and protectedInadequate
- Leadership and managementInadequate
5% of comparable inspections in the last three years were graded Inadequate (12,716 inspections).
Tone of the report
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In line with other reports of this type graded Inadequate.
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How the report reads, start to finish
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Strengths
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No standout praise found.
Concerns
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- There are serious and/or widespread failures that mean children and young people are not protected or their welfare is not promoted or safeguarded, and the care and experiences of children and young people are poor, and they are not making progress. p.1
- Children’s progress and experiences are poor and their safety is compromised by the serious shortfalls in safeguarding practices, management oversight and care planning. p.3
- The complaints included concerns about poor decision-making and ineffective care planning for children. p.3
- This is a significant safeguarding concern and places children at risk of harm. p.4
- Recording in the home is poor and lacks accountability. p.4
Next steps
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- Specifically, the manager must ensure that all staff take sufficient action when there are concerns of substance misuse and that all risk management plans contain strategies for staff to follow to reduce the risk of harm to children. 30 August 2024 p.6
- Specifically, that all staff have up-to-date DBS checks, all references are present and any gaps in employment are explored. p.8
- This requirement is restated from the last inspection. 30 August 2024 p.8
- Specifically, leaders and managers must ensure that care is delivered in line with the home’s aims and objectives as set out in the statement of purpose. p.9
- Additionally, that the home is made homely, walls are painted where there are marks and attention is given to ceilings where there is mould. p.9
- This particularly relates to children having clear plans in place around their educational needs and how staff will support them to attend education on a full-time basis. p.10
- The registered person must compile in relation to the children’s home a statement (“the statement of purpose”) which covers the matters listed in Schedule 1. p.10
- The registered person must provide a copy of the statement of purpose to HMCI and make a copy of it available upon request to— p.10
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Anatomy of the report
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- Pages
- 15
- Words of findings
- 3,199
- longer than usual (typical 2286)
- Reading level
- Fairly hard
- Flesch 53, typical 50
- Average sentence
- 16 words
- Next steps
- 8
- typical 8
- Hedged sentences
- 4%
- “some”, “not always”, “most”…
Where the words go
Full report text
Inspection report for children's home: 2667746 1 Registered provider: Birchwood Children’s Services 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 company and provides care for up to five children with specialist educational needs.
p.1
Information about this children’s home
The home registered with Ofsted in May 2022.
p.1
Information about this children’s home
The registered manager post has been vacant since January 2024.
p.1
Information about this children’s home
There were five children living in the home at the time of this inspection.
p.1
Overall experiences and progress of
children and young people, taking into account
p.1
inadequate
How well children and young people are helped and protected inadequate
p.1
inadequate
The effectiveness of leaders and managers inadequate
p.1
inadequate
There are serious and/or widespread failures that mean children and young people are not protected or their welfare is not promoted or safeguarded, and the care and experiences of children and young people are poor, and they are not making progress.
p.1
inadequate
Overall judgement at last inspection: good
p.1
inadequate
Enforcement action since last inspection: none Inspection report for children's home: 2667746 2
p.1
Inspection date Inspection type Inspection judgement
31/05/2023 Full Good 28/02/2023 Full Requires improvement to be good Inspection report for children's home: 2667746 3
p.2
Overall experiences and progress of children and young people: inadequate
Children’s progress and experiences are poor and their safety is compromised by the serious shortfalls in safeguarding practices, management oversight and care planning. Since the last inspection, one child has moved out of the home due to staff being unable to keep them safe. This was a planned move to ensure that the child had a positive ending. Three children have since moved into the home.
p.3
Overall experiences and progress of children and young people: inadequate
Before this inspection, two whistle-blowing complaints had been made to Ofsted. The complaints included concerns about poor decision-making and ineffective care planning for children. These concerns were considered as part of this inspection.
p.3
Overall experiences and progress of children and young people: inadequate
Care planning for children is poor. The manager does not sufficiently consider children’s individual needs and the impact of the children living together. One child said they did not like living in the home. The child said, ‘It is dangerous, and I am scared of the other children.’
p.3
Overall experiences and progress of children and young people: inadequate
Children, staff and external professionals raised concerns about the high turnover of staff. This has resulted in children not receiving a consistent quality of care that meets their assessed needs and helps them to fulfil their potential. Children are not consistently cared for by people they know well or who understand their care needs and plans. This compromises children’s ability to build stable and secure relationships with staff.
p.3
Overall experiences and progress of children and young people: inadequate
Children do not have clear plans for when they move into or out of the home. Children’s care plans do not contain all relevant information. This does not ensure that staff have clear guidance to support children to make progress in key areas of their lives.
p.3
Overall experiences and progress of children and young people: inadequate
Two children are subject to court-ordered restrictions. Managers and staff were not aware of this for one child. The absence of this information means that staff do not know the restrictions that are in place to support the child and keep them safe. This has a negative impact on the child’s daily care.
p.3
Overall experiences and progress of children and young people: inadequate
The home is looking tired and worn. Damage has been caused to furniture, outdoor equipment, doors and walls during serious incidents. Additionally, there is mould on children’s bathroom ceilings. Furthermore, children are unable to access all areas of the home, as there are locks on communal areas including the kitchen. This does not provide a welcoming and homely feel for children living at the home.
p.3
Overall experiences and progress of children and young people: inadequate
Children’s educational progress is variable. Some children are making progress in school. However, staff have struggled to support others to attend. This impacts on children’s life chances and outcomes and limits their progress in education.
p.3
How well children and young people are helped and protected: inadequate
Inspection report for children's home: 2667746 4 Leaders and the manager do not demonstrate a strong and proactive response to managing risk and reducing harm to children.
p.4
How well children and young people are helped and protected: inadequate
Managers and staff do not understand their roles and responsibilities in safeguarding children and have failed to provide sufficient support to manage children's disabilities and meet their complex health need. This is a significant safeguarding concern and places children at risk of harm.
p.4
How well children and young people are helped and protected: inadequate
Recording in the home is poor and lacks accountability. Records of incidents are unclear or have been mislaid and fail to provide accurate details of incidents. For example, during the inspection, leaders and managers were unable to locate several reports regarding incidents of substance misuse, property damage and physical aggression.
p.4
How well children and young people are helped and protected: inadequate
Leaders and managers do not provide staff with clear strategies to help them to manage and reduce the risk of harm to children. For example, staff have not always carried out relevant safety and monitoring checks when a child returned to the home under the influence of substances. This places the child at risk of significant harm.
p.4
How well children and young people are helped and protected: inadequate
When children return to the home after being missing from home without permission, an opportunity for the child to have an independent return home interview is not provided. This does not ensure that managers carefully consider risks for all children and actions to mitigate the risks.
p.4
How well children and young people are helped and protected: inadequate
Leaders, managers and staff do not consistently manage children’s behaviour effectively. There are occasions when they have ignored children’s inappropriate behaviours and language. This does not help children to develop socially aware behaviour.
p.4
How well children and young people are helped and protected: inadequate
Not all staff are sufficiently trained in behaviour management, and they are unable to de-escalate incidents. Staff are unable to intervene quickly to prevent an escalation in incidents. This leaves children and staff at risk of harm.
p.4
How well children and young people are helped and protected: inadequate
Physical intervention has been used on several occasions. Some physical intervention records are inaccurate and unclear. Additionally, when one child said they were injured following a restraint, staff and managers did not take any action or seek medical advice.
p.4
How well children and young people are helped and protected: inadequate
Safer recruitment practice is poor. Not all staff have suitable checks in place before they start working in the home, including references and Disclosure and Barring Service (DBS) checks. Gaps in employment are also not considered. The shortfalls in safer recruitment practice mean that unsuitable adults could be employed at the home, which places children at risk of harm.
p.4
The effectiveness of leaders and managers: inadequate
The leadership and management arrangements are inconsistent, and this has impacted on children’s overall progress and experiences. A new manager and responsible individual started working at the home in the week of this inspection. One child said they did not know the names of the managers. Inspection report for children's home: 2667746 5 Leaders and managers are not leading and managing the home in a manner that is consistent with the aims outlined in the statement of purpose. They do not ensure that staff understand their roles and responsibilities in keeping children safe. This has had an adverse impact on children’s safety and overall experiences.
p.4
The effectiveness of leaders and managers: inadequate
Management oversight is poor. Leaders and managers do not ensure that the quality of care provided to children is appropriately reviewed and evaluated. The oversight, review and evaluation of incidents are poor. There is no reflection or robust evaluation of safeguarding incidents to improve staff practice and children’s safety.
p.5
The effectiveness of leaders and managers: inadequate
Leaders and managers do not consistently review and update each child’s risk assessment, behaviour management plans and care plans. This does not ensure that the care and support plans for each child remain relevant or that the strategies in place remain effective. Consequently, staff do not have clear and up-to-date guidance to help them to manage and reduce known risks for each child. This fails to keep children and staff safe and does not demonstrate strong leadership.
p.5
The effectiveness of leaders and managers: inadequate
Leaders and managers do not ensure that staff have the necessary skills to support the children’s individual complex needs. Not all staff have received training in supporting the specific needs of the children that they care for. For example, not all staff have had training in gang affiliation, missing from care, county lines, substance misuse and attention deficit hyperactivity disorder, despite these being known risks for some children. As a result, the manager and staff do not always have the knowledge and skills to keep the children safe.
p.5
The effectiveness of leaders and managers: inadequate
Staff do not receive regular supervision in line with the organisation’s policy. This does not provide all staff with opportunities to reflect on their learning and development needs and practice.
p.5
The effectiveness of leaders and managers: inadequate
Some professionals report poor communication from the manager and staff and say that they have not been informed of some significant incidents. This does not demonstrate an effective partnership working approach.
p.5
The effectiveness of leaders and managers: inadequate
Leaders and the manager do not have effective monitoring and review systems in place. For example, there are no internal systems in place for the auditing of the home.
p.5
The effectiveness of leaders and managers: inadequate
Leaders and managers have not taken sufficient action to meet some of the requirements raised at the last inspection. This does not demonstrate that leadership and management are effective. Inspection report for children's home: 2667746 6
p.5
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.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
help each child to understand how to keep safe.
p.6
Requirement Due date
have the skills to identify and act upon signs that a child is at risk of harm.
p.6
Requirement Due date
understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person.
p.6
Requirement Due date
take effective action whenever there is a serious concern about a child’s welfare; and
p.6
Requirement Due date
are familiar with, and act in accordance with, the home’s child protection policies.
p.6
Requirement Due date
that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(v)(vi)(b))
p.6
Requirement Due date
Specifically, the manager must ensure that all staff take sufficient action when there are concerns of substance misuse and that all risk management plans contain strategies for staff to follow to reduce the risk of harm to children. 30 August 2024
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— 30 August 2024 Inspection report for children's home: 2667746 7 helps children aspire to fulfil their potential; and
p.6
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to—
p.7
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.
p.7
Requirement Due date
ensure that staff work as a team where appropriate.
p.7
Requirement Due date
ensure that staff have the experience, qualifications and skills to meet the needs of each child.
p.7
Requirement Due date
ensure that the home has sufficient staff to provide care for each child.
p.7
Requirement Due date
ensure that the home’s workforce provides continuity of care to each child.
p.7
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
demonstrate that practice in the home is informed and improved by taking into account and acting on—
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)(a)(b)(c)(d)(e)(f)(g)(h))
p.7
Requirement Due date
*The care planning standard is that children—
p.7
Requirement Due date
receive effectively planned care in or through the children’s home; and
p.7
Requirement Due date
have a positive experience of arriving at or moving on from the home.
p.7
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to ensure—
p.7
Requirement Due date
that children are admitted to the home only if their needs are within the range of needs of children for whom it is intended 30 August 2024 Inspection report for children's home: 2667746 8 that the home is to provide care and accommodation, as set out in the home’s statement of purpose.
p.7
Requirement Due date
ensure the effective induction of each child into the home.
p.8
Requirement Due date
manage and review the placement of each child in the home; and
p.8
Requirement Due date
plan for, and help, each child to prepare to leave the home or to move into adult care in a way that is consistent with arrangements agreed with the child’s placing authority.
p.8
Requirement Due date
that each child’s relevant plans are followed.
p.8
Requirement Due date
that the child’s placing authority is contacted, and a review of that child’s relevant plans is requested, if—
p.8
Requirement Due date
the registered person considers that the child is at risk of harm or has concerns that the care provided for the child is inadequate to meet the child’s needs. (Regulation 14 (1) (2)(a)(b)(i)(ii)(iii)(c)(e)(i))
p.8
Requirement Due date
*The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety.
p.8
Requirement Due date
the individual is of integrity and good character.
p.8
Requirement Due date
the individual has the appropriate experience, qualification and skills for the work that the individual is to perform.
p.8
Requirement Due date
full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 2. (Regulation 32 (1) (3)(a)(b)(d))
p.8
Requirement Due date
Specifically, that all staff have up-to-date DBS checks, all references are present and any gaps in employment are explored.
p.8
Requirement Due date
This requirement is restated from the last inspection. 30 August 2024
p.8
Requirement Due date
The quality and purpose of care standard is that children receive care from staff who—
p.8
Requirement Due date
understand the children’s home’s overall aims and the outcomes it seeks to achieve for children. 30 August 2024 Inspection report for children's home: 2667746 9 use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.
p.8
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to—
p.9
Requirement Due date
understand and apply the home’s statement of purpose.
p.9
Requirement Due date
understand and apply the home’s statement of purpose.
p.9
Requirement Due date
protect and promote each child’s welfare.
p.9
Requirement Due date
treat each child with dignity and respect.
p.9
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.9
Requirement Due date
help each child to understand and manage the impact of any experience of abuse or neglect. (Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iii)(v)(c))
p.9
Requirement Due date
Specifically, leaders and managers must ensure that care is delivered in line with the home’s aims and objectives as set out in the statement of purpose. Additionally, that the home is made homely, walls are painted where there are marks and attention is given to ceilings where there is mould.
p.9
Requirement Due date
The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.
p.9
Requirement Due date
In particular, the standard in paragraph (1) requires the registered person to ensure—
p.9
Requirement Due date
help each child to achieve the child’s education and training targets, as recorded in the child’s relevant plans.
p.9
Requirement Due date
support each child’s learning and development, including helping the child to develop independent study skills and, where appropriate, helping the child to complete independent study. 30 August 2024 Inspection report for children's home: 2667746 10 understand the barriers to learning that each child may face and take appropriate action to help the child to overcome any such barriers.
p.9
Requirement Due date
promote opportunities for each child to learn informally.
p.10
Requirement Due date
help each child to attend education or training in accordance with the expectations in the child’s relevant plans. (Regulation 8 (1) (2)(a)(i)(ii)(iii)(v)(x))
p.10
Requirement Due date
This particularly relates to children having clear plans in place around their educational needs and how staff will support them to attend education on a full-time basis.
p.10
Requirement Due date
The registered person must compile in relation to the children’s home a statement (“the statement of purpose”) which covers the matters listed in Schedule 1.
p.10
Requirement Due date
The registered person must provide a copy of the statement of purpose to HMCI and make a copy of it available upon request to—
p.10
Requirement Due date
keep the statement of purpose under review and, where appropriate, revise it; and
p.10
Requirement Due date
notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision. (Regulation 16 (1) (3)(a)(b))
p.10
Requirement Due date
In particular, the home’s statement of purpose must be kept up to date and contain accurate information. 30 August 2024
p.10
Requirement Due date
children can access all appropriate areas of the children’s home’s premises; and
p.10
Requirement Due date
any limitation placed on a child’s privacy or access to any area of the home’s premises—
p.10
Requirement Due date
is intended to safeguard each child accommodated in the home.
p.10
Requirement Due date
is kept under review and, if necessary, revised; and 30 August 2024 Inspection report for children's home: 2667746 11 allows children as much freedom as is possible when balanced against the need to protect them and keep them safe. (Regulation 21 (b)(c)(i)(ii)(iii)(iv))
p.10
Requirement Due date
This specifically relates to the locks being removed from the gym and kitchen doors.
p.11
Requirement Due date
ensure that each employee completes an appropriate induction.
p.11
Requirement Due date
ensure that each permanent appointment of an employee is subject to the satisfactory completion of a period of probation; and
p.11
Requirement Due date
provide each employee with a job description outlining the employee’s responsibilities.
p.11
Requirement Due date
The registered person must ensure that all employees—
p.11
Requirement Due date
undertake appropriate continuing professional development.
p.11
Requirement Due date
receive practice-related supervision by a person with appropriate experience; and
p.11
Requirement Due date
have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33 (1)(a)(b) (4)(a)(b)(c)) 30 August 2024
p.11
Requirement Due date
The registered person must prepare and implement a policy (“the behaviour management policy”) which sets out—
p.11
Requirement Due date
how appropriate behaviour is to be promoted in the children’s home; and
p.11
Requirement Due date
The registered person must keep the behaviour management policy under review and, where appropriate, revise it.
p.11
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—
p.11
Requirement Due date
details of the child’s behaviour leading to the use of the measure. 30 August 2024 Inspection report for children's home: 2667746 12 the date, time and location of the use of the measure.
p.11
Requirement Due date
a description of the measure and its duration.
p.12
Requirement Due date
details of any methods used, or steps taken to avoid the need to use the measure.
p.12
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.
p.12
Requirement Due date
the effectiveness and any consequences of the use of the measure; and
p.12
Requirement Due date
a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure.
p.12
Requirement Due date
within 48 hours of the use of the measure, the registered person, or a person who is authorised by the registered person to do so (“the authorised person”)—
p.12
Requirement Due date
has spoken to the user about the measure; and
p.12
Requirement Due date
has signed the record to confirm it is accurate; and
p.12
Requirement Due date
within 5 days of the use of the measure, the registered person or the authorised person adds to the record confirmation that they have spoken to the child about the measure. (Regulation 35 (1)(a) (2) (3)(a)(i)(ii)(iii)(iv)(vii)(viii)(b)(i)(ii)(c))
p.12
Requirement Due date
Specifically, that all information in records of debriefs with staff is consistent with the information in the restraint record. Furthermore, when a child makes a complaint, that this is treated seriously and prompt action is taken to address it.
p.12
Requirement Due date
The registered person must maintain records (“case records”) for each child which—
p.12
Requirement Due date
include the information and documents listed in Schedule 3 in relation to each child.
p.12
Requirement Due date
are signed and dated by the author of each entry. (Regulation 36 (1)(a)(b)(c)) 30 August 2024
p.12
Requirement Due date
*These requirements are subject to a compliance notice. Inspection report for children's home: 2667746 13
p.12
Recommendation
When a child returns to the home after being missing from care or away from the home without permission, the responsible local authority must provide an opportunity for the child to have an independent return home interview. Homes should take account of information provided by such interviews when assessing risks and putting arrangements in place to protect each child. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 45, paragraph 9.30)
p.13
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: 2667746 14
p.13
Children’s home details
Registered provider: Birchwood Children’s Services Limited
p.14
Children’s home details
Registered provider address: Regent House, Regent Street, Blackburn BB1 6BH
p.14
Children’s home details
Responsible individual: Rachael Hennessy
p.14
Inspector
Judith Birchall, Social Care Inspector Inspection report for children's home: 2667746 15 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.
p.14
Inspector
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p.15
Inspector
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Inspector
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