Children's Home run by Kezi & Clay Healthcare Limited in Lincolnshire

Inspection report for children’s home - monitoring visit: 2791062 1 Registered provider: Kezi & Clay Healthcare Ltd

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Inspected under the social care common inspection framework

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Information about this children’s home

This home is privately owned and provides care for up to three children.

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Information about this children’s home

The home was registered on the 12 June 2024 and has been without a registered manager since 8 July 2024. The home has appointed a manager; however, this person has not yet started in the role.

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Information about this children’s home

At the time of the monitoring visit, two children were living in the home.

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Information about this children’s home

Prior to this monitoring visit, a full inspection happened on the 23 July 2024 and the judgment was ‘requires improvement to be good.’ An assurance inspection happened on the 14 August 2024 where there were serious and widespread concerns relating to the care and safety of children. At this visit a restriction of accommodation notice was issued alongside four compliance notices under regulation 12, 25, 44 and 32.

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This monitoring visit

This monitoring visit was undertaken on 18 September 2024, and three of four compliance notices were judged to be met. A compliance notice under regulation 12 remains outstanding.

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This monitoring visit

Steps have been taken to ensure that children’s bedrooms are checked daily by staff. Daily bedroom checks are completed to ensure children’s bedrooms are safe, hygienic and free from hazards. However, one child’s bedroom was not hygienic, despite staff checking the room daily.

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This monitoring visit

Risk assessments, including a fire risk assessment, have been updated. These assessments consider the risks relating to children smoking and vaping. The fire risk assessment also considers the locking of external doors, which is required for one Inspection report for children’s home - monitoring visit: 2791062 2 child. Individual safety plans are yet to be agreed with the children’s placing authorities regarding the purchasing of vapes and smoking paraphernalia.

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This monitoring visit

Children say that they like staff and have formed positive relationships with them. One child has been supported to return to education after a period of not attending.

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This monitoring visit

Training for all staff has been revisited. This includes training on physical intervention, deprivation of liberty and first aid. Safer recruitment procedures have been introduced, ensuring that all staff have been recruited, vetted and appointed appropriately. Risk assessments take into consideration family members working together in the home, and rotas reflect how this is managed.

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This monitoring visit

Monitoring of the home by an independent visitor restarted in August 2024. This provides external monitoring of the effectiveness of care and safeguarding provided for children.

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This monitoring visit

An audit of medication practice in the home has been completed, which has streamlined procedures in all areas of this practice. However, the administration of medication continues to be inconsistently recorded, including when a child refuses to take medication. Children’s wishes around their health and well-being are not proactively addressed, resulting in one child having an inconsistent medication routine.

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This monitoring visit

The newly appointed responsible individual is now in post, supporting the home two days a week. A new home manager has been appointed and is due to start in the coming weeks. The home remains without a registered manager to provide full oversight of the care provided to children.

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This monitoring visit

The provider has taken Ofsted’s concerns seriously and is taking steps to rectify the areas of concern, with this work ongoing. Three of the requirements raised at the last inspection have been met. All other requirements are restated. One compliance notice that was set at the last inspection remains in place. Inspection report for children’s home - monitoring visit: 2791062 3

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Inspection date Inspection type Inspection judgement

23/07/2024 Full Requires improvement to be good Inspection report for children’s home - monitoring visit: 2791062 4

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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 with the given timescales.

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Requirement Due date

*The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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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. (Regulation 12 (1) (2)(a)(i))

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Requirement Due date

In particular, this relates to ensuring that risk assessments for children are in place, up to date and accurate, reflecting the current risks for children. The registered person should ensure the environment is free from hazards, in particular, that children’s bedrooms are in a hygienic and safe state.

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Requirement Due date

The registered person should implement safety plans agreed with the local authority for children who smoke, vape or use substances.

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Requirement Due date

This requirement was made at the last inspection and is restated. 27 October 2024

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Requirement Due date

After consultation with the fire and rescue authority, the registered person must—

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Requirement Due date

take adequate precautions against the risk of fire, including the provision of suitable fire equipment in the children’s home;

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Requirement Due date

provide adequate means of escape from the home in the event of fire. (Regulation 25 (1)(a)(b)) 27 October 2024 Inspection report for children’s home - monitoring visit: 2791062 5 The fire risk assessment should take into account the locking of doors as part of a child’s deprivation of liberty order, alongside risks associated with children smoking and vaping.

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Requirement Due date

This requirement was made at the last inspection and is restated.

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Requirement Due date

The quality and purpose of care standard is that children receive care from staff who—

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Requirement Due date

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

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Requirement Due date

use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

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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

help each child to understand and manage the impact of any experience of abuse or neglect. (Regulation 6 (1)(a)(b) (2)(b)(v))

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Requirement Due date

In particular, that children’s care planning and risk assessment documents should be reviewed regularly. Information should be consistent and offer clear direction to staff.

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Requirement Due date

When children are unable to maintain their bedrooms, staff should intervene to ensure that children live in a clean, safe environment.

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Requirement Due date

This requirement was made at the last inspection and is restated. 27 October 2024

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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

promotes their welfare. 27 October 2024 Inspection report for children’s home - monitoring visit: 2791062 6 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 the home has sufficient staff to provide care for 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)(d)(f)(h))

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Requirement Due date

In particular, this relates to ensuring that the staff team is stable and is supported to meet the children’s needs.

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Requirement Due date

Additionally, this relates to ensuring there is adequate oversight of planning to enable the home to meet the needs of each child and that there are clear systems in place to monitor and review the quality of care the home is providing.

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Requirement Due date

This requirement was made at the last inspection and is restated.

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Requirement Due date

The care planning standard is that children—

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Requirement Due date

receive effectively planned care in or through the children’s home; and

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Requirement Due date

have a positive experience of arriving at or moving on from the home.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

manage and review the placement of each child in the home; 27 October 2024 Inspection report for children’s home - monitoring visit: 2791062 7 and that, subject to regulation 22 (contact and access to communications), contact between each child and the child’s parents, relatives and friends, is promoted in accordance with the child’s relevant plans. (Regulation 14 (1)(a)(b) (2)(a)(b)(ii)(d))

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Requirement Due date

In particular, this relates to ensuring clear plans are in place for a child when moving into the home. This also relates to ensuring that plans for children’s contact with important people are in place from the day the child moves into the home.

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Requirement Due date

The registered person should ensure that staff have the relevant training at the time a child is placed to meet the child’s immediate safety needs.

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Requirement Due date

This requirement was made at the last inspection and is restated.

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Requirement Due date

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

medicines kept in the home are stored in a secure place so as to prevent any child from having unsupervised access to them;

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Requirement Due date

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

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Requirement Due date

In particular, an independent person should review the storage and administration of medication. Controlled drugs must be disposed of in line with guidance. Children should not have access to medication unless this has been risk assessed.

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Requirement Due date

This requirement was made at the last inspection and is restated. 27 October 2024

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Requirement Due date

have the capacity, experience and skills to supervise the management of the home, or the homes, in respect of which the responsible individual is nominated. (Regulation 26 (b)) 27 October 2024 Inspection report for children’s home - monitoring visit: 2791062 8 In particular, this relates to the responsible individual being accountable for the care and safety of children in the home. Where practice is not to an acceptable standard, the responsible individual must challenge this appropriately.

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Requirement Due date

This requirement was made at the last inspection and is restated.

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Requirement Due date

The registered provider must appoint a person to manage the children’s home if—

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Requirement Due date

there is no registered manager in respect of the home. (Regulation 27 (1)(a))

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Requirement Due date

This requirement was made at the last inspection and is restated. 27 October 2024

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Requirement Due date

The registered provider must carry on the children’s home in such manner as is likely to ensure that the home will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose. (Regulation 47 (1))

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Requirement Due date

In particular, this relates to ensuring that the home remains financially viable.

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Requirement Due date

This requirement was made at the last inspection and is restated. 27 October 2024

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Requirement Due date

The children’s views, wishes and feelings standard is that children receive care from staff who—

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Requirement Due date

take their views, wishes and feelings into account in relation to matters affecting the children’s care and welfare and their lives. (Regulation 7 (1)(c))

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Requirement Due date

In particular, this relates to children’s views being taking into account around their health and well-being. 27 October 2024

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Requirement Due date

*These requirements are subject to a compliance notice. Inspection report for children’s home - monitoring visit: 2791062 9

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: 2791062 10

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Children’s home details

Registered provider: Kezi & Clay Healthcare Ltd

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Children’s home details

Registered provider address: Suite 2B, Randall Business Centre, Randall Park Way, Nottinghamshire DN22 7WF

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Inspector

Chloe Harvey, Social Care Inspector Inspection report for children’s home - monitoring visit: 2791062 11 regulates and inspects 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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