Children's home run by Tab Care and Support Limited

Inspection report for children’s home: 2620359 1 Registered provider: Tab Care and Support Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

This privately run children’s home is registered to provide care for one child who may have emotional and/or social difficulties.

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Information about this children’s home

There was one child living in the home at the time of the inspection.

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Information about this children’s home

The manager was registered with Ofsted in February 2021.

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Overall experiences and progress of

children and young people, taking into account

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outstanding

How well children and young people are helped and protected good

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outstanding

The effectiveness of leaders and managers outstanding

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outstanding

The children’s home provides highly effective services that consistently exceed the standards of good. The actions of the children’s home contribute to significantly improved outcomes and positive experiences for children and young people who need help, protection and care.

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outstanding

Date of last inspection: 7 November 2023

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outstanding

Overall judgement at last inspection: good

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outstanding

Enforcement action since last inspection: none Inspection report for children’s home: 2620359 2

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Inspection date Inspection type Inspection judgement

07/11/2023 Full Good 11/01/2023 Full Good 09/11/2021 Full Good Inspection report for children’s home: 2620359 3

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Overall experiences and progress of children and young people: outstanding

Practice in this home is exceptional and consistent. As a result, the child benefits from well-planned, highly individualised care that meets their needs effectively. Staff understand the child extremely well and have strong relationships. These have helped them address the issues experienced by the child, enabling the child to work through their problems and any anxieties. The manager and staff are aspirational, advocate for the child at every opportunity, and do not give up easily.

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Overall experiences and progress of children and young people: outstanding

The child continues to demonstrate very good progress. Their emotional and mental health has improved considerably since living in this home. The provider has employed a clinical psychologist to work with the staff so that they can use therapeutic approaches in their practice, to have a better understanding of the child’s behaviour and reduce risk- taking behaviour. This collaborative care gives a solid foundation from which the child makes sustained improvements.

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Overall experiences and progress of children and young people: outstanding

The manager and her staff consistently go above and beyond to improve the life of the child in their care, despite the child’s complex and challenging needs. Staff manage behaviour consistently well, and the child is helped to develop skills and strategies to manage their own conflicts and difficult feelings. Since the last inspection, there have been no incidents that have required the child to be held, no missing-from-home episodes and only two incidents when consequences have been used, for minor misdemeanours.

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Overall experiences and progress of children and young people: outstanding

Staff work in partnership with the child’s family, education, health and the local authority to ensure that the child benefits from receiving effective help and the best possible all- round support. As a result of the high-quality care received in the home, there has been significant and remarkable change and improvement in the life of the child and their overall well-being. Since living here, the child has started to engage with health professionals and attend appointments, which they had refused to do in the past.

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Overall experiences and progress of children and young people: outstanding

Staff have ensured that the child has a personal educational plan to promote their progress, achievements and learning. The home has supported the child to finish their education. Previously, the child had poor school attendance and experienced disruption to their education, culminating in the school stating that they could not support the child’s behaviour. Staff worked with the school and, with their continual encouragement and support, the child has attended regularly, their behaviour improved and, as a result, they have made good progress. This means the child has been able to undertake exams.

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

The manager and staff understand the child’s risks well. There is an up-to-date risk management plan that addresses each vulnerability, which is clear and directive. The Inspection report for children’s home: 2620359 4 child’s plans reflect their personal needs and risks. The child no longer goes missing from home.

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

Staff are consistent in their approach, with clear boundaries about behaviour and what is acceptable in the home. The staff communicate with the child very well and support them to safely manage conflict or difficult feelings. The manager ensures that positive behaviour is promoted, recognised and rewarded consistently, which is clear from daily logs, key-worker sessions and incentive charts.

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

The child is involved in care planning. The child’s plans for their future also include professional input.

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

Staff are creative in finding ways to de-escalate situations when the child’s expectations are not met, for example in stressful situations, such as attending meetings about their care and legal meetings.

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

Research-informed practice and the use of an outside clinical psychologist to train and conduct supervisions with the manager and staff are developing a strong, confident knowledge base among the team. This has made a positive difference to the life and overall well-being of the child.

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

Medication procedures are safe and recorded accurately. Medication which is administered on an ‘as and when’ basis is clearly recorded. The child, with staff support, has been able to administer this medication themselves.

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

Staff are recruited safely. Regular monitoring of staff ensures that unsuitable people do not work in the home. Any allegations against staff are managed robustly and sensitively, and the correct approach is followed, in line with safeguarding procedures. The appropriate agencies are informed in a timely manner.

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

The manager ensures that all health and safety checks are completed. The house is currently being redecorated throughout and has a warm, welcoming feel to it. The bathroom needs redecorating following a recent leak in the roof. This is being planned as part of the ongoing work.

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The effectiveness of leaders and managers: outstanding

The manager has high expectations of the staff and is aspirational and ambitious for the child in her care. The manager goes above and beyond to achieve positive outcomes, using her determined and experienced leadership. The manager leads by example, ensuring that staff have a clear sense of purpose, and that they actively engage with various agencies and professionals to establish strong working relationships.

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The effectiveness of leaders and managers: outstanding

The manager and staff ensure that individual care plans identify the child’s health needs. The manager has excellent relationships with partner agencies. The staff prioritise building effective connections with parents and partner agencies, fostering open communication and cooperation with all involved professionals. These strong links Inspection report for children’s home: 2620359 5 ensure that the child receives the external support they need. The manager asks questions and challenges when they feel a decision may not be in the child’s best interests. There was one occasion when the child’s plans were not received in a timely way. Although this has not had a negative impact on the child, the manager should escalate requests for plans to the local authority when there is a delay.

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The effectiveness of leaders and managers: outstanding

There is a rigorous induction training programme and staff benefit from receiving high- quality training. Additional to the induction training, staff receive training geared towards the specific needs of the child living in the home at the time. The provider has employed a clinical psychologist to deliver therapeutic parenting, attachment and trauma training for all the staff. This supports the manager’s high expectations of the staff to change and improve the lives of the child they are caring for .

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The effectiveness of leaders and managers: outstanding

The staff are motivated and receive regular practice-related supervision, and they are encouraged to reflect on their performance. Online resources, as well as learning based on research and therapeutic theory, are available to the staff, who implement this learning in their practice. Staff morale is high and there is minimal staff turnover.

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The effectiveness of leaders and managers: outstanding

The manager consistently scrutinises and actively oversees the care provided. There are effective systems in place to ensure oversight of care practice in the home. The manager consults with families, social workers and independent reviewing officers to seek their views on the quality of care and how the needs of children are being met, professionally challenging them when appropriate. Feedback is used to improve practice in the home.

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The effectiveness of leaders and managers: outstanding

The child’s views are central to the running of the home. The staff talk to the child and work alongside them to improve many aspects of the physical environment. The recent decorating is an excellent example of involving the child in decisions about their day-to- day care.

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The effectiveness of leaders and managers: outstanding

The manager has regular meetings about how the staff care for the child and staff dynamics. This promotes consistency of practice for the child and enables the staff to work collectively to ensure positive outcomes. It is a small staff team, and the manager ensures consistency of staffing to reduce the child’s anxieties. There have been recent challenges due to staff absence. The manager and the staff have worked together and covered shifts to ensure the child continued to receive consistent care from adults they trust. No agency staff have been used. Inspection report for children’s home: 2620359 6

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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

In meeting the quality standards, the registered person must, and must ensure that staff—

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Requirement Due date

if the registered person considers, or staff consider, a placing authority’s or a relevant person’s performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child’s needs are met in accordance with the child’s relevant plans. (Regulation 5 (3))

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Requirement Due date

This specifically relates to the child’s pathway plan. If the manager feels they are not getting an adequate response from the allocated social worker, this must be escalated to managers in the local authority. 31 August 2024

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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: 2620359 7

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Children’s home details

Registered provider: Tab Care and Support Limited

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Children’s home details

Registered provider address: Fischer Crowne, 34 Castle Street, Liverpool L2 0NR

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Children’s home details

Responsible individual: Anthony Willmore

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Inspector

Nicola Jeffery, Social Care Inspector Inspection report for children’s home: 2620359 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 looked after children, safeguarding and child protection.

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Inspector

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Inspector

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