Children's Home run by Holden Knight Healthcare Temp Limited in Lancashire

Inspection report for children's home: 2788683 1 Registered provider: Holden Knight Healthcare Temp

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Inspected under the social care common inspection framework

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Information about this children’s home

The home is operated by a private provider. It provides care for one child who may experience emotional and/or social difficulties.

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Information about this children’s home

The home and manager registered with Ofsted in July 2024.

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Information about this children’s home

At the time of this inspection, one child was living in the home, and they spoke with inspectors.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers good

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good

The children’s home provides effective services that meet the requirements for good.

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good

Date of last inspection: not previously inspected

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good

Overall judgement at last inspection: not applicable

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good

Enforcement action since last inspection: not applicable Inspection report for children's home: 2788683 2

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Overall experiences and progress of children and young people: good

The child is happy and likes living at the home. They are settled and have positive relationships with staff. Before moving into this home, the child experienced several moves. They now have stability and a sense of permanence. They said, ‘Things have changed so much for me. They have staff that I like, and things are perfect.’

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Overall experiences and progress of children and young people: good

The chid is making good progress and has secure, trusting relationships with staff. The child is treated with dignity and respect and staff take a nurturing and caring approach. Staff work closely with external partners to make sure the child’s needs are met.

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Overall experiences and progress of children and young people: good

The home is clean, and the child’s bedroom is personalised. The child is consulted about the home’s decor, which ensures they feel included. However, paintwork in communal areas is marked and requires attention. In addition, there are potholes in the driveway which are a hazard.

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Overall experiences and progress of children and young people: good

The child is enrolled in education, but they are currently not attending. Managers are proactive in their challenge to the local authority to find alternative education provision. Staff ensure the child has a daily routine and a timetable in place to support their learning in the home with staff.

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Overall experiences and progress of children and young people: good

The child’s time with their family is sensitively supported, which allows them to maintain and build their family networks and sense of identity. The child is supported to take part in activities with peers, which has included friends staying over.

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Overall experiences and progress of children and young people: good

Staff know the child well and speak about them with love and affection. They are ambitious for the child and encourage them to achieve their aspirations, which included going on a holiday abroad. The child has also experienced a range of activities, including go-karting and mountain biking, which staff have captured in a memory book.

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Overall experiences and progress of children and young people: good

Staff are proud of the child’s progress. They record positive comments and reflections about the child every day and the child is able to read these. This helps boost the child’s confidence and self-esteem.

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

The child receives a high level of supervision from staff. However, effective risk management means that the child is no longer subject to restrictions on their liberty.

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

The child’s risk management plan supports staff to have a clear understanding of their roles and responsibilities in safeguarding the child. The child is supported to take risks in line with their age and understanding. However, risk assessments are not always updated to reflect any new or emerging risks. Inspection report for children's home: 2788683 3 The staff work collaboratively with external professionals, which enables them to understand the child’s lived experience. Staff share information effectively with other agencies.

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

The child has appropriate boundaries and routines which provide structure and consistency of care. The child understands the expectations of them.

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

The child benefits from well-planned direct work centred around issues which are appropriate to their individual needs. This support is helping the child to reflect on their behaviours and manage their emotions safely.

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

When the child is upset, staff use strategies to respond but behaviour support plans do not clearly detail all the strategies staff should use. The child is held as a last resort and only when necessary to keep them safe. However, records do not always detail all the required information for physical intervention.

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

The manager responds to all allegations and takes prompt action to safeguard the child and complete thorough investigations.

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The effectiveness of leaders and managers: good

The manager and staff speak about the child with warmth and enthusiasm. They are ambitious for the child and advocate for them in all aspects of their life.

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The effectiveness of leaders and managers: good

There has been a high turnover of staff at the home but there is now a consistent and stable staff team in place. The manager ensures that any gaps in staffing are filled by regular bank staff, which minimises any disruption to the child’s care.

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The effectiveness of leaders and managers: good

Team meetings take place regularly. They are used as an opportunity for staff to reflect on practice, problem-solve and agree new ways of working with the child.

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The effectiveness of leaders and managers: good

Staff value the support they receive from managers, who have an open-door policy and are readily available for staff. Staff say that they can speak to managers at any time. One member of staff said, ‘Staff feel supported and empowered to carry out their roles with confidence.’

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The effectiveness of leaders and managers: good

Staff joining the home benefit from a structured induction, which includes training to equip them with the necessary skills and knowledge. When needed, the provider has sourced additional training specific to the needs of the child living at the home.

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The effectiveness of leaders and managers: good

External professionals speak positively about the care the child receives. One said, ‘I cannot speak highly enough about the support they provide. The team are always available and the changes in the child's behaviour over the past year would not have been possible without their hard work.’ Inspection report for children's home: 2788683 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 within the given timescales.

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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—

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Requirement Due date

details of the child’s behaviour leading to the use of the measure;

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Requirement Due date

the date, time and location of the use of the measure;

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Requirement Due date

a description of the measure and its duration;

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Requirement Due date

details of any methods used or steps taken to avoid the need to use the measure;

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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;

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Requirement Due date

the effectiveness and any consequences of the use of the measure; and

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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;

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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”)—

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Requirement Due date

has spoken to the user about the measure; and has signed the record to confirm it is accurate; and

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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. 16 April 2025 Inspection report for children's home: 2788683 5 (Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i))

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Requirement Due date

This relates specifically to incident recording, where the type and length of hold need to be recorded.

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Recommendations

 The registered person should ensure that the child’s behaviour support plan details the strategies staff should use to minimise risk. This is specifically in relation to incidents where there are concerns that the child may be in possession of a weapon. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 62, paragraph 9.5)  The registered person should ensure that regular maintenance and redecoration are carried out at the home. This specifically relates to the redecoration of marked paintwork in communal areas of the home and the maintenance of the driveway. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 15, paragraph 3.9)

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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: 2788683 6

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Children’s home details

Registered provider: Holden Knight Healthcare Temp

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Children’s home details

Registered provider address: 200 Brook Drive, Reading RG2 6UB

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Inspectors

Jon Dutton, Social Care Inspector Sophie Thomson, Social Care Inspector Inspection report for children's home: 2788683 7 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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