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

Inspection report for children’s home: 2814872 1 Registered provider: Holden Knight Healthcare Temp

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home is run by a private organisation. It provides care for one child who may experience social and emotional difficulties.

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Information about this children’s home

At the time of the inspection, one child was living at the home.

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Information about this children’s home

The home and the manager registered with Ofsted in December 2024.

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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: none Inspection report for children’s home: 2814872 2

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Overall experiences and progress of children and young people: good

One child moved into the home before it registered. The child feels safe and enjoys nurturing relationships with staff, who ensure that there is a culture of openness and trust. The child’s social worker said that staff are responsive to the child and open about expectations. This gives the child a sense of belonging and creates a family atmosphere.

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Overall experiences and progress of children and young people: good

The child has made progress due to the support staff provide and high levels of resilience. The child can now regulate their emotions more quickly and express how they are feeling. The child has attended their looked-after review and been able to share their wishes and feelings calmly and clearly. This is something that the child previously found very difficult.

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Overall experiences and progress of children and young people: good

The child is not currently attending full-time education and has not done so for a long time. The child has started to engage with a service that provides alternative education, and the staff are supporting the child with a daily routine that includes activities to meet some of the child’s educational needs.

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Overall experiences and progress of children and young people: good

Regular multi-agency meetings take place to ensure that the child’s complex needs are understood and met. The placing authority works closely with managers in order to agree on the objectives that everyone will support the child to achieve.

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Overall experiences and progress of children and young people: good

When negative consequences are used, they are not evaluated by the manager and do not include the child’s views about the consequence they have received. This is a missed opportunity to ensure that consequences are helping the child to learn from incidents.

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Overall experiences and progress of children and young people: good

Staff understand the significance of the child’s relationships with family and friends and how these have an impact on the child’s identity. Staff consider the risks with these connections and work with professionals to ensure time spent with family and friends is safe.

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Overall experiences and progress of children and young people: good

Searches of the child’s bedroom are conducted when risks are identified to ensure their safety. However, staff have not discussed the reason for searches with the child or obtained their consent. Additionally, the manager does not review the records of the room searches.

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Overall experiences and progress of children and young people: good

The child is supported to express their individuality. Staff listen to the child about the way they want to live their life, and they support them to do this safely. The child is supported to access their chosen activities, and staff take an interest in what the child is doing. This helps the child to build confidence and self-esteem. Inspection report for children’s home: 2814872 3

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

The child has several complex needs and requires a lot of support. A deprivation of liberty order is in place for the child that permits high levels of supervision and restrictions. These restrictions are increased and reduced depending on the child’s needs at the time. The social worker said, ‘[Name of child] really struggled following his last placement breakdown. The team have worked hard and built great relationships; the child is showing signs of stability. This is great to see.’

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

Safeguarding procedures are good. Staff receive relevant safeguarding training and understand their roles and responsibilities to keep the child safe. Because of this, when the child is at risk of harm the staff’s response is effective. Allegations have been managed well, recorded and reported to the relevant safeguarding agencies. Staff and managers support the child throughout the process.

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

When the child goes missing from home, there is a well-coordinated, multi-agency response. Records show that staff follow the agreed protocol in attempting to locate the child. Return home interviews are offered to help understand the triggers for their absence. Staff are also proactive in discouraging the child from leaving the home. However, in one incident, staff did not record how the child left the home, and the managerial evaluation did not address this oversight.

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

Physical restraint is not used often. When restraint is used, staff keep detailed records which demonstrate the need for the intervention. Staff receive regular training to ensure that their practice remains in line with regulation and promotes the safety and well-being of the child. Staff and the child also received debriefs following any incident. This supports staff to reflect on alternative ways to help the child to manage their emotions.

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

The child is safeguarded effectively. Staff follow the child’s risk assessment and behaviour management plan, which outlines all known risks, behaviour triggers, and the actions staff should take to reduce risks and manage behaviour. As a result, incidents are well managed.

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

Leaders, managers and staff understand the importance of maintaining the home. Routine checks are carried out to identify and promptly address any hazards, ensuring a safe physical environment for the child.

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

The child’s plans identify both current and emerging risks. Staff respond effectively when concerns about the child’s behaviour arise. They engage in discussions with the child, helping them understand why certain behaviours may be harmful and what measures can be taken to protect them. This knowledge empowers the child to make informed decisions about their well-being.

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The effectiveness of leaders and managers: good

The home is managed efficiently and effectively. The registered manager is supported by a deputy manager and a stable staff team. They make child-centred decisions in the best Inspection report for children’s home: 2814872 4 interests of the child. They advocate on behalf of the child and ensure that the child’s needs are prioritised.

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The effectiveness of leaders and managers: good

Staff are supported to access training that broadens their knowledge and skills in caring for the child. All staff are up to date with their mandatory training. In addition, leaders and managers provide needs-led training in response to the child’s emerging needs.

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The effectiveness of leaders and managers: good

When staff experience challenging times, they demonstrate high resilience. The management team recognises the importance of staff support. Additional support mechanisms have been implemented following an increase in behaviour that challenges from the child. The manager ensures open communication with the team, allowing staff to raise concerns with confidence that they will be taken seriously.

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The effectiveness of leaders and managers: good

Staff feel supported and have confidence in the manager. They routinely receive formal, practice-led supervision. Furthermore, there are opportunities for collective reflection and learning through frequent team meetings.

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The effectiveness of leaders and managers: good

All professionals spoken to acknowledged that staff work hard to establish trusting relationships with the child. They believe these relationships have helped the child navigate the emotional turmoil that can result from placement breakdowns, care proceedings and family life events.

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The effectiveness of leaders and managers: good

The manager is well respected by the team and provides a high level of support to staff. This has created a positive team morale, and staff feel valued. To further promote this, the manager has introduced a ‘Staff Member of the Month’ initiative, where team members are nominated for good practice by both managers and colleagues. This contributes to staff feeling appreciated and, in turn, benefits the child by fostering a happy and consistent team.

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The effectiveness of leaders and managers: good

The manager also maintains strong relationships with external professionals and advocates effectively on behalf of the child, ensuring that their wishes and feelings are considered in decision-making about their lives. This helps the child feel empowered and better understand the processes involved in their care. External professionals speak highly of the support provided, with one social worker stating, ‘The manager and staff always keep in touch with me; communication is excellent.’ Inspection report for children’s home: 2814872 5

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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 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.

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Requirement Due date

The registered person should ensure that all incidents of control, discipline and restraint are subject to systems of regular scrutiny to ensure that their use is fair. Specifically, this is in relation to consequences. 10 March 2025

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Recommendations

 The registered person should ensure that evaluations of missing incidents should be undertaken to identify any gaps in recording, training, skills or knowledge for staff or to record and retain evidence of what worked well. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 46, paragraph 9.31).  The registered person should ensure that rooms are only searched if the child has been informed or asked for their permission. Immediate searching may be necessary when there are reasonable grounds for believing that there is a risk to the child’s or another person’s safety or well-being. Children’s views on the room search should then be captured. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 16, paragraph 3.20).

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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 Inspection report for children’s home: 2814872 6 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: 2814872 7

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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

Jennifer Quest, Social Care Inspector Jon Dutton, Social Care Inspector Inspection report for children’s home: 2814872 8 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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Inspectors

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Inspectors

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Inspectors

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