Just ONE Health and Social Care

Inspection report for supported accommodation provider: Just ONE Health and Social Care 1 Just ONE Health and Social Care Registered provider: Just ONE Health and Social Care Limited

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Inspected under the social care common inspection framework

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provider

This service is operated by a private provider in the north-west of England. It can accommodate up to seven individuals in seven single-occupancy premises.

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provider

At the time of the inspection, two looked-after children aged 16 and 17 were accommodated.

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provider

The service manager has been registered with Ofsted since the provider registered on 3 September 2024.

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Inspection dates: 2 to 6 June 2025

The inspection was announced on 2 June 2025 and started that day. The inspector was on site on 4 and 5 June 2025.

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Outcome

Serious or widespread weaknesses lead to significant concerns about the experiences and progress of children. Leaders and managers must take urgent action to address failings.

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Summary of findings

Leaders and managers do not consistently operate this service in accordance with their statement of purpose. They admit children outside of the registration conditions of supported accommodation. The service has admitted children with complex needs that it cannot meet. This means that a high proportion of children’s placements end prematurely.

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Summary of findings

Leaders and managers’ oversight of this service is ineffective. As a result, children do not always experience quality support that promotes their safety and well-being. Inspection report for supported accommodation provider: Just ONE Health and Social Care 2 Leaders and managers have failed to ensure that plans for children are comprehensive and meaningful.

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Summary of findings

Staff do not support children sufficiently to develop their independent living skills.

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Summary of findings

The next inspection will be carried out in approximately six months. Inspection report for supported accommodation provider: Just ONE Health and Social Care 3

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Overall experiences and progress of children

Staff consistently provide high levels of support for some children, which is inconsistent with supported accommodation. For example, two staff members sometimes support children during the day and night.

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Overall experiences and progress of children

Leaders and managers ask staff to perform functions that are not appropriate for children living in supported accommodation. For example, staff contact children every two to three hours to check on their welfare when they are in the community. This reduces children’s ability to develop independent living skills.

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Overall experiences and progress of children

Leaders and managers have not put a support plan in place for a child who has been using the service for over two weeks. Additionally, children’s plans do not reflect their views on their understanding of behaviours or agreed risk management approaches.

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Overall experiences and progress of children

Staff do not support children effectively in developing independent living skills. Support work with children is infrequent and ineffective. For example, staff did not carry out any structured work with one child during their first two months living in their accommodation. A social worker stated, ‘Not much practical support was in place.’

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Overall experiences and progress of children

Leaders and managers do not establish adequate processes for consulting children. They do not seek children’s views or opinions, either about their support or the development of the service. Leaders and managers plan to introduce more structured consultation processes, but these are not yet fully developed.

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Overall experiences and progress of children

Staff do not consistently help children to progress into education, training or employment. Neither of the current children are in education, training or employment.

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Overall experiences and progress of children

Staff from partner agencies and members of staff said that leaders and managers are too quick to reach decisions to end children’s placements. For example, a social worker raised concerns that a child had received a warning for losing the keys to their home.

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Overall experiences and progress of children

Staff do not help children move on from their accommodation in a planned way. A social worker said that one child received 24-hours’ notice of their placement ending. Leaders and managers failed to ensure that members of staff were present when the child left the property. The social worker said that the way that this child’s move was handled could negatively impact the child’s ability to engage with future placements.

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How well children are helped and protected

Staff do not always ensure that children’s plans incorporate all their identified vulnerabilities and risk management strategies. Risk assessments are not always Inspection report for supported accommodation provider: Just ONE Health and Social Care 4 updated and contain generic information. One member of staff described the plans as ‘not personalised’ and ‘not useful’. As a result, risks to children, who are already incorrectly placed due to their complex needs, increase because staff do not follow strategies to manage and reduce these.

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How well children are helped and protected

Staff do not help children to understand and manage the risks that they face. One child was assessed as being at high risk of criminal exploitation; however, staff did not support the child by helping them learn how to stay safe.

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How well children are helped and protected

Leaders and managers notify the police and the relevant placing authorities when children go missing from home. However, children do not participate in independent return home interviews. Leaders and managers do not challenge the children’s placing authorities to ensure that this support is offered to them. This is a missed opportunity for children and staff to reflect on the incidents and prevent reoccurrence.

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How well children are helped and protected

Leaders and managers do not always share child protection information with relevant agencies. This includes allegations of staff misconduct. One child made an allegation against a member of staff and then withdrew it later that day. The provider failed to notify the local authority designated officer about the allegation.

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How well children are helped and protected

Leaders and managers ensure that they carry out all relevant employment checks when recruiting staff. This ensures that children receive support from staff deemed suitable. However, only a single member of staff carries out telephone interviews for support workers. This may reduce their effectiveness.

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The effectiveness of leaders and managers

Leaders and managers do not ensure that children are ready, at the point of referral, to live in supported accommodation. This means that some children have been inappropriately placed and that some placements are outside the scope of the supported accommodation regulations. The acceptance of children whose needs cannot be met has been a significant factor in the high number of placements ending prematurely. For example, six placements have ended within three months of commencement.

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The effectiveness of leaders and managers

Leaders and managers have implemented admissions processes that are not always beneficial to children. Children rarely have the chance to visit their home in advance. One child said that he had not had the opportunity to visit the home, view it virtually or meet any staff before moving in. The child did not want to live in the home because it is too far from family and loved ones.

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The effectiveness of leaders and managers

Leaders and managers sometimes implement staffing models that are inconsistent with supported accommodation provisions. These include high staffing levels for children and regular monitoring of them when they are in the community. Inspection report for supported accommodation provider: Just ONE Health and Social Care 5 Leaders and managers do not challenge the placing authority effectively when they lack clarity about the placement expectations for children. This lack of clarity affects the safety and quality of the support that some children receive.

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The effectiveness of leaders and managers

Leaders and managers do not visit children’s accommodation with sufficient regularity. The registered service manager stated that she visited accommodation about once every three months. This limits her oversight of the service and children’s progress.

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The effectiveness of leaders and managers

Leaders and managers do not monitor the service effectively. For example, they fail to implement adequate systems to monitor children’s progress. Furthermore, they do not learn from complaints or identify patterns and trends when children go missing from home.

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The effectiveness of leaders and managers

Leaders and managers ensure that staff receive a wide range of mandatory training that helps them to understand children’s needs. One member of staff said that they have recently completed autism awareness training, which they find beneficial to their work.

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The effectiveness of leaders and managers

Leaders and managers ensure that staff receive regular supervision. However, supervision records do not show sufficient discussions about children’s needs and the progress they make.

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The effectiveness of leaders and managers

Leaders and managers notify Ofsted of serious incidents. These incidents include those requiring police involvement, allegations of staff abuse, and concerns about children going missing from home. This provides greater oversight of safeguarding practice. Inspection report for supported accommodation provider: Just ONE Health and Social Care 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 Supported Accommodation (England) Regulations 2023 and the ‘Guide to the Supported Accommodation Regulations, including Quality Standards’. The registered person(s) must comply within the given timescales.

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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 supported accommodation undertaking that puts children first and prioritises their wellbeing and development.

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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

lead and manage the supported accommodation undertaking in a way that is consistent with the ethos, and delivers the outcomes, set out in the undertaking’s statement of purpose;

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Requirement Due date

ensure that arrangements are in place to manage referrals of children to the supported accommodation undertaking and admissions of children to premises used as supported accommodation, including, where relevant, emergency referrals and admissions;

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Requirement Due date

ensure that arrangements are in place for the supervision, training and development of staff. (Regulation 4 (1) (2)(a)(f)(g))

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Requirement Due date

Specifically, leaders and managers must ensure that children are only admitted when their needs can be met in supported accommodation. They must ensure that they have greater oversight of the service and visit children’s homes more frequently. 20 July 2025

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Requirement Due date

*The support standard is that children receive individual and tailored support that meets their needs.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to— 20 July 2025 Inspection report for supported accommodation provider: Just ONE Health and Social Care 7 ensure that plans for support are based on initial referral information, are meaningful and are created in full consultation with the child, taking account of relevant plans for the child;

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Requirement Due date

in the event that the registered person or a member of staff considers that an accommodating authority or a relevant person is failing to provide the support set out in a child’s relevant plans, make representations, or, as the case may be, enable staff to make representations, to the accommodating authority or relevant person with a view to ensuring that the child’s needs are met;

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Requirement Due date

ensure a plan for support is in place to support the child to develop the resilience and skills required to transition out of supported accommodation when the child is ready to live more independently;

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Requirement Due date

ensure that an adequate level of support is available to the child to assist with the transition out of supported accommodation. (Regulation 7 (1) (2)(b)(h)(k)(l))

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Requirement Due date

In particular, leaders and managers must ensure that they receive sufficient information at the point of referral to make appropriate admissions decisions. If they do not receive this information, they should approach the accommodating authorities. Whenever possible, they must ensure that children can visit or see homes before moving in.

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Requirement Due date

The protection standard is that children are enabled to feel safe and that their needs are met.

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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

work collaboratively with children to help them understand how to keep safe, by offering guidance and support on how to minimise any potential risk of harm; 20 July 2025 Inspection report for supported accommodation provider: Just ONE Health and Social Care 8 work collaboratively with other professionals and agencies, and share information where relevant to keep children safe. (Regulation 5 (1) (2)(a)(i)(iii)(f)(iii)(iv))

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Requirement Due date

In particular, leaders and managers must ensure that children’s plans include clear strategies for supporting each child to manage vulnerabilities and make progress.

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Requirement Due date

The support standard is that children receive individual and tailored support that meets their needs.

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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

ensure that children are supported to access education, training or employment. (Regulation 7 (1) (2)(m)) 20 July 2025

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Requirement Due date

The registered person must prepare and implement a policy setting out—

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Requirement Due date

the procedures to be followed, and the roles and responsibilities of persons working for the supported accommodation undertaking, in relation to a child who is, or has previously been, missing. (Regulation 21 (1)(b))

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Requirement Due date

Specifically, leaders and managers must ensure that children are offered an independent return home interview and make representations to placing authorities if this is not offered. 20 July 2025

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Requirement Due date

*These requirements are subject to a compliance notice.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children 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 Supported Accommodation (England) Regulations 2023. Inspection report for supported accommodation provider: Just ONE Health and Social Care 9

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Supported accommodation provider details

Registered provider: Just ONE Health and Social Care Limited

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Supported accommodation provider details

Registered provider address: Sinclair, 300 St Mary’s Road, Garston, Liverpool L19 0NQ

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Supported accommodation provider details

Registered service manager: Jennifer Millington

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Supported accommodation provider details

Email address: jennie.millington@justone.org.uk

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Inspector

Steve James, Social Care Inspector Inspection report for supported accommodation provider: Just ONE Health and Social Care 10 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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