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

Inspection report for children’s home: 2791062 1 Registered provider: Kezi & Clay Healthcare Limited

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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 12 June 2024. A manager has now been appointed and is in the process of applying to register with Ofsted.

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Information about this children’s home

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

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Overall experiences and progress of

children and young people, taking into account

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requires improvement to be good

How well children and young people are helped and protected requires improvement to be good

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requires improvement to be good

The effectiveness of leaders and managers requires improvement to be good

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requires improvement to be good

The children’s home is not yet delivering good help and care for children and young people. However, there are no serious or widespread failures that result in their welfare not being safeguarded or promoted.

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requires improvement to be good

Overall judgement at last inspection: requires improvement to be good

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Enforcement action since last inspection:

A monitoring visit was carried out on 18 September 2024. Following the visit, one compliance notice was reissued. A restriction of accommodation has also been in place since 14 August 2024. Inspection report for children’s home: 2791062 2 Inspection report for children’s home: 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: 2791062 4

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improvement to be good

Children have made improved progress in some areas since the last inspection. Children are supported to develop positive relationships with staff. This has encouraged them to engage in meaningful key-work sessions related to their identified needs and risks.

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improvement to be good

Managers have developed detailed support plans for children that consider their individual needs. These plans support staff’s care of children and provide children with consistency in the care they receive. Managers have established better working relationships with safeguarding partners, which has supported children’s care planning.

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improvement to be good

Staff support children’s health needs by encouraging and supporting them to attend health appointments. Managers have advocated for one child to have a medication review, which has meant the child is no longer taking medication that they did not wish to take. Health professionals are now monitoring the child’s health needs, with the child’s prescribed medication remaining under review.

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improvement to be good

Children are not accessing education. Staff encourage children to engage in positive learning and social activities in the absence of formal education, however, children’s engagement in this is not consistent. Staff support the children to have some routine to their day, which includes going out, seeing family and doing activities in the home such as cooking and gardening.

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improvement to be good

Staff support children to see their family and other people who are important to them. This includes taking one child to visit their family and friends a considerable distance away several times a week. Alongside children’s social workers, managers have developed safety plans to support children’s time spent with family to ensure their safety.

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improvement to be good

Managers have ensured that there are increased staff checks on children’s bedrooms, to ensure they are kept safe, tidy and hygienic. Children are supported to independently maintain their bedrooms to an acceptable standard.

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improvement to be good

Risk assessments and plans are in place and reflect children’s individual risk factors. Plans are detailed and updated to reflect changes in children’s needs and behaviours. One child is subject to a court order restricting their liberty, due to being at high risk of exploitation. There have been occasions when staff have not adhered to the supervision requirements set out in the child’s plan and court order. This has led to the child being placed in a vulnerable position and at potential risk of exploitation when accessing the internet. Inspection report for children’s home: 2791062 5 Children’s individual safety plans provide staff with guidance on how to help children who smoke or vape. Managers have agreed expectations with children’s local authorities about staff’s role in helping children in this area. These expectations have been disseminated to staff, who are supporting children to understand the risks associated

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improvement to be good

with smoking and vaping, as well as helping them to reduce or stop.

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improvement to be good

Managers have developed room search practices that have addressed concerns about the safety of children’s bedrooms. Staff have removed items deemed unsafe from children’s bedrooms.

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improvement to be good

Managers have reviewed the fire risk assessment to consider additional factors in relation to one child’s court order, and another child’s risks associated with smoking. Managers have also been working with the local fire service, which has visited the home to support the review of the fire risk assessment and carry out direct work with children around fire risks.

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improvement to be good

Managers have implemented improved medication practice, which has resulted in safer practice overall. Staff ensure children’s medication is stored and disposed of safely. Staff record the administration of medication, however, there have been occasions when this has not been done. Improvements are needed in the recording of medication practice.

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improvement to be good

Staff and managers respond to allegations appropriately. Managers have followed due process in managing allegations and work in partnership with safeguarding professionals, including the local authority designated officer and children’s social workers. Managers ensure that children and staff are supported well during investigations and identify learning to improve practice.

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The effectiveness of leaders and managers: requires improvement to be good

Managers have taken action to begin creating stability in the staff team. Staff say they feel supported by managers and their colleagues. The responsible individual is present in the home and provides support to the team.

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The effectiveness of leaders and managers: requires improvement to be good

Staff have completed training to support their care of children’s specific needs, including training around attention deficit hyperactivity disorder, exploitation risks and deprivation of liberty safeguards. Staff’s understanding and awareness of children’s needs has improved.

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The effectiveness of leaders and managers: requires improvement to be good

Managers work with children’s multi-agency networks. They attend weekly meetings with each child’s professional team to review care planning. External professionals say communication from managers has generally improved, however, can be inconsistent at times.

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The effectiveness of leaders and managers: requires improvement to be good

Managers have better oversight of children’s day-to-day care. They record their review and reflection of incidents, assessments and plans. Monitoring systems to embed consistent management oversight are in their infancy. Inspection report for children’s home: 2791062 6 This inspection found eight requirements raised at the last inspection were met. The compliance notice was also met, and the restriction of accommodation removed.

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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

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;

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Requirement Due date

help each child to understand how to keep safe;

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Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person. (Regulation 12 (1) (2)(a)(i)(ii)(v))

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Requirement Due date

This particularly relates to ensuring the safety of children who are subject to legal orders that restrict their liberty. 31 March 2025

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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

In particular, the standard in paragraph (1) requires the registered person to— 31 March 2025 Inspection report for children’s home: 2791062 7 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 staff work as a team where appropriate;

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Requirement Due date

ensure that the home’s workforce provides continuity of care to each child

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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)(b)(e)(h))

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Requirement Due date

The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.

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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

understand the barriers to learning that each child may face and take appropriate action to help the child to overcome any such barriers;

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Requirement Due date

promote opportunities for each child to learn informally;

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Requirement Due date

help a child who is excluded from school, or who is of compulsory school age but not attending school, to access educational and training support throughout the period of exclusion or non-attendance and to return to school as soon as possible. (Regulation 8 (1) (2)(a)(iii)(v)(viii)) 31 March 2025

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Recommendation

 The registered person should ensure records are kept of the administration of all medication, which includes occasions when prescribed medication is refused. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 35, paragraph 7.15) Inspection report for children’s home: 2791062 8

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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: 2791062 9

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Children’s home details

Registered provider: Kezi & Clay Healthcare Limited

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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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Inspectors

Chloe Harvey, Social Care Inspector Kayleigh Spinks, Social Care Inspector Inspection report for children’s home: 2791062 10 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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Inspectors

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Inspectors

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Inspectors

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