Children's home run by Premier Care Management Limited

Inspection report for children’s home - monitoring visit: 2819308 1 Registered provider: Premier Care Management 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 operated and provides care for one child who has experienced childhood trauma and has social and emotional difficulties.

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Information about this children’s home

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

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Information about this children’s home

The manager has been in post since May 2025 and is registered with Ofsted.

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Information about this children’s home

The registered provider has recently appointed a new responsible individual, and we are currently checking this person has the relevant capacity, experience and skills to carry out the role. The responsible individual has applied to register with Ofsted.

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This monitoring visit

At the full inspection on 15 and 16 July 2025, Ofsted judged the home to be inadequate. Significant concerns were identified, including poor placement planning, children developing unhealthy relationships, and significant incidents that left children and staff vulnerable. Additionally, management oversight was weak because the registered manager did not have the capacity to fulfil his role. The responsible individual was rarely present in the home. Children made consistent disclosures about staff physically assaulting them, and the registered manager believed that some of the assaults likely occurred. However, he overlooked the children’s safety and best interests by failing to challenge decisions and outcomes made by external agencies. Significant and protracted incidents resulted in staff retreating to the office, and on one occasion, a staff member sustained a serious injury that required hospital treatment.

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This monitoring visit

Inspection report for children’s home - monitoring visit: 2819308 2 Due to these serious concerns, compliance notices were issued under regulations 11, 12 and 13. In addition, Ofsted issued the provider with a notice to restrict the number of children it could provide care for.

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This monitoring visit

The purpose of this visit was to review the actions taken by the provider in response to the compliance notices.

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This monitoring visit

The registered manager submitted his resignation and was due to leave the home in October 2025. However, he has not been present in the home since 15 August 2025. Since the full inspection, leaders have concluded that the registered manager did not have the requisite experience and skill to manage the home. A new manager has been identified, but in the interim, the proposed responsible individual and deputy manager have been overseeing the home.

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This monitoring visit

The frequency and severity of incidents have reduced because the home is only providing care for one child, and staff who experienced language barriers have left. However, there are still shortfalls in the way that some staff communicate with the child when she is overstimulated, frustrated and distressed. This exposes an ongoing lack of skill and ineffective use of de-escalation strategies. Staff are over-reliant on the police and the child’s family to help de-escalate incidents.

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This monitoring visit

In most instances, leaders and managers have failed to identify shortfalls in practice and have sometimes endorsed poor practice. This includes staff ‘withdrawing’ to a bedroom when the child was distressed and failing to search for the child on at least two occasions when she went missing. Despite being the main carers for the child, staff refused to collect her when she was located by the police, demonstrating a lack of interest in her well-being.

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This monitoring visit

Leaders and managers assert that some staff are developing positive relationships with the child and that they have made increased efforts to gather her views. However, there have been instances where staff have shown unwillingness to listen to the child. For example, a staff member used foul language towards the child, and she justifiably expressed that she wanted him to leave the home, but he refused. Leaders and managers told him to leave the home several hours later, but only after the child went missing and a third party shared concerns with the local authority. Leaders subsequently suspended the staff member.

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This monitoring visit

Leaders and managers assert their commitment to improving the quality of care the child receives. However, there has been slow progress in arranging staff training. For example, the registered manager and staff team were confused about the home’s trauma-informed model of care. This negatively impacted their decision-making, practice and safety in the home. Leaders decided to use a new model of care, but the training for this only commenced on 13 August 2025, nearly a whole month after the full inspection. This was a two-hour training session. Additionally, some staff members are still not trained in using physical intervention. Inspection report for children’s home - monitoring visit: 2819308 3 Staff continue to lack confidence, which negatively impacts their feelings towards the child. The deputy manager has started monitoring staff interactions with the child and providing them with feedback. However, this initiative is in its infancy.

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This monitoring visit

The staff team has sometimes failed to meet the child’s basic care needs. For example, the child requested a necessary piece of clothing, but staff failed to purchase it for her. Consequently, the child’s family stepped in and purchased the clothing. Additionally, when the child moved into the home, staff promised to paint their bedroom. However, three months later, they were still waiting for this to happen.

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This monitoring visit

The child continues to engage in education and receives support to spend time with her family. However, the social worker expressed concern over the child’s limited progress overall.

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This monitoring visit

Overall, there is an ongoing lack of critical reflection from leaders and managers. The pace of improvements has been incredibly slow given the seriousness of the concerns identified at the full inspection in July 2025, and the compliance notices had not been met. This raises concerns about the competence of leaders and managers and their ability to provide nurturing care to children that makes them feel loved, valued and respected.

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This monitoring visit

Ofsted remains significantly concerned regarding the provider’s capacity and competence to be able to make the required improvements to safely care for children. Following this visit, the placing authority removed the child from the home, and the provider applied to cancel its registration to operate the home, which was accepted. Inspection report for children’s home - monitoring visit: 2819308 4

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Inspection date Inspection type Inspection judgement

15/07/2025 Full Inadequate Inspection report for children’s home - monitoring visit: 2819308 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

*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

have the skills to identify and act upon signs that a child is at risk of harm;

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Requirement Due date

manage relationships between children to prevent them from harming each other;

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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;

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Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm. (Regulation 12 (1) (2)(a)(i)(iii)(iv)(v)(b))

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Requirement Due date

In particular, the registered persons must:

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Requirement Due date

 take immediate action to ensure that managers have the knowledge and skills to recognise emerging concerns and act to safeguard children and promote their well-being; 1 October 2025 Inspection report for children’s home - monitoring visit: 2819308 6  take immediate action to ensure that staff have the knowledge and skills necessary to safely implement the home’s behaviour management policies and plans and to ensure that the actions taken are impactful;

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Requirement Due date

 take immediate action to ensure that staff have the knowledge and skills to recognise when relationships between children are harmful and take appropriate action to help children to navigate this, while reducing risk in the home;

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Requirement Due date

 ensure that children’s safety is promoted, and where agencies are not acting to safeguard children, this is challenged appropriately. *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—

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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 staff work as a team where appropriate;

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Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child;

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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. (Regulation 13 (1)(a)(b) (2)(a)(b)(c)(d)(f))

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Requirement Due date

In particular, the registered persons must:

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Requirement Due date

 take urgent action to review the home’s model of care and behaviour management policies to ensure that 1 October 2025 Inspection report for children’s home - monitoring visit: 2819308 7 the care provided to children meets regulations and provides a coherent approach;

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Requirement Due date

 review their admissions and care planning procedures to ensure that these are effective and that children are only admitted to the home if their needs are within the range of needs set out in the home’s statement of purpose;

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Requirement Due date

 ensure that the registered manager has the capacity and skills to fulfil their role, while supporting the staff team to develop;

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Requirement Due date

 ensure that staff have the knowledge, skills and experience to perform their roles and provide a good standard of care and support to children living in the home. In addition, ensure that the training provided is effective and provides staff with the necessary skills to use the training effectively in practice;

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Requirement Due date

 ensure that children’s needs are prioritised. Children must always be cared for by staff who have the necessary experience, training and skills to meet their needs and keep them safe;

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Requirement Due date

 take immediate action to understand and address cultural differences and communication barriers to ensure that children’s needs are met;

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Requirement Due date

 ensure that children feel heard and understood by the staff supporting them;

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Requirement Due date

 ensure that monitoring and review systems are effective at improving the quality and impact of care delivered to children and that any identified shortfalls are addressed. *The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults. 1 October 2025 Inspection report for children’s home - monitoring visit: 2819308 8 In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

help each child to develop socially aware behaviour;

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Requirement Due date

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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Requirement Due date

help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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Requirement Due date

communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and understanding;

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Requirement Due date

strive to gain each child’s respect and trust;

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Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children;

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Requirement Due date

de-escalate confrontations with or between children, or potentially violent behaviour by children;

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Requirement Due date

that each child is encouraged to build and maintain positive relationships with others. (Regulation 11 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(iv)(v)(viii)(ix)(xi)(b))

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Requirement Due date

In particular, the registered persons must:

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Requirement Due date

 ensure that managers and staff have the knowledge and skills to understand how children communicate their experiences and emotions through behaviour;

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Requirement Due date

 ensure that staff and managers identify and interpret children’s behaviours to develop positive relationships with them and support them to make progress; Inspection report for children’s home - monitoring visit: 2819308 9  take immediate action to ensure that staff have the skills and confidence to assert consistent boundaries and build healthy relationships with the children that are based on respect and trust;

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Requirement Due date

 ensure that children’s social and emotional needs are planned for and consistently met. The children’s views, wishes and feelings standard is that children receive care from staff who—

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Requirement Due date

develop positive relationships with them;

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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.

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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

ascertain and consider each child’s views, wishes and feelings, and balance these against what they judge to be in the child’s best interests when making decisions about the child’s care and welfare;

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Requirement Due date

help each child to express views, wishes and feelings;

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Requirement Due date

help each child to understand how the child’s views, wishes and feelings have been taken into account and give the child reasons for decisions in relation to the child;

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Requirement Due date

is enabled to provide feedback to, and raise issues with, a relevant person about the support and services that the child receives. (Regulation 7 (1)(a)(b)(c) (2)(a)(i)(ii)(iii)(b)(i))

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Requirement Due date

In particular, the registered manager should use their knowledge about children’s risks and vulnerabilities to make informed and safe decisions, while acknowledging the child’s views and wishes. In addition, ensure that children are supported in making complaints, which must be taken seriously and responded to appropriately. 1 October 2025 Inspection report for children’s home - monitoring visit: 2819308 10 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

understand and apply the home's statement of purpose;

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Requirement Due date

understand and apply the home's statement of purpose;

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Requirement Due date

protect and promote each child's welfare;

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Requirement Due date

treat each child with dignity and respect;

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Requirement Due date

(Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iii))

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Requirement Due date

In particular, the registered manager should ensure that the staff team have a clear understanding of the home's trauma informed model and how to apply this in practice, while taking appropriate action to keep children and staff safe. 1 October 2025

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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

that children are admitted to the home only if their needs are within the range of needs of children for whom it is intended that the home is to provide care and accommodation, as set out in the home's statement of purpose.

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Requirement Due date

(Regulation 14 (1)(a)(b) (2)(a)) 1 October 2025 Inspection report for children’s home - monitoring visit: 2819308 11 In particular, the registered manager should ensure that the home's statement of purpose accurately reflects the range of children's needs that the staff team are proficient and skilled in supporting. In meeting the quality standards, the registered person must, and must ensure that staff—

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Requirement Due date

seek to involve each child's placing authority effectively in the child's care, in accordance with the child's relevant plans;

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Requirement Due date

seek to secure the input and services required to meet each child's needs;

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Requirement Due date

if the registered person considers, or staff consider, a placing authority's or a relevant person's performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child's needs are met in accordance with the child's relevant plans

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Requirement Due date

In particular, the registered manager should challenge other professionals if he does not agree with the decisions and outcomes made by external agencies in response to safeguarding concerns. 1 October 2025

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Requirement Due date

*These requirements are subject to a compliance notice.

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Recommendation

 The registered person should ensure that employee records are clear and legible. (‘Guide to Children’s Homes Regulations, including the quality standards’, page 61, paragraph 14.2)

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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: 2819308 12

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Children’s home details

Registered provider: Premier Care Management Limited

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Children’s home details

Registered provider address: 1 Grantham Lane, Kingswood, Bristol BS15 1EU

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Inspector

Tara Webb, Social Care Regulatory Inspector Inspection report for children’s home - monitoring visit: 2819308 13 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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