Healthfield House

Inspection report for supported accommodation provider - monitoring visit: Healthfield House 1 Healthfield House

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Registered provider: Healthfield Medical Services Ltd

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Inspected under the social care common inspection framework

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provider

The service is owned and managed by a private provider. It offers two group-living premises that are not limited to accommodating looked-after children or care leavers.

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provider

At the time of this visit, the service was providing accommodation for two children aged 16 and 17.

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provider

There is no registered service manager at the service. The nominated individual was registered with Ofsted when the service was registered in June 2025.

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This monitoring visit

A monitoring visit was undertaken on 17 September 2025 after Ofsted was made aware that a serious incident had occurred at this undertaking on 12 September 2025. This incident is currently under investigation by the appropriate authorities. While Ofsted does not have the power to investigate incidents of this nature, the actions taken by the setting in response to the incident were considered alongside other evidence available at the time of the visit.

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This monitoring visit

During the visit, social care regulatory inspectors identified significant regulatory breaches relating to the protection standard and a failure to place and support children in line with the requirements of supported accommodation.

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This monitoring visit

Leaders and managers fail to provide a homely living environment to children, ensuring that it is registered with Ofsted. Findings indicate that one of the premises has an annexe providing single-occupancy accommodation, meaning the provider is operating an unregistered setting. The annexe contains litter and is very untidy. Another child’s bedroom is inadequately furnished, as it contains only a mattress on Inspection report for supported accommodation provider - monitoring visit: Healthfield House 2 the floor without a bed frame. Additionally, a fridge is located in the hallway instead of the child’s bedroom.

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This monitoring visit

Serious weaknesses in decision-making by leaders and managers have left children at significant risk of harm. Leaders and managers admit children into the homes who require high levels of care and monitoring. This is not consistent with the conditions of registration for supported accommodation. Leaders and managers have failed to recognise this.

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This monitoring visit

Despite children’s placing local authorities providing clear referral information indicating a high level of need, and parents sharing concerns about their children, managers fail to take this information into account. This has resulted in serious harm to children and unplanned placement endings.

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This monitoring visit

Leaders and managers have implemented assessment processes and plans to guide staff practice in supporting children. However, these assessments have failed to identify children’s risks effectively or guide staff appropriately.

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This monitoring visit

Children are being supported and cared for by untrained staff. Leaders and managers have failed to ensure that all staff possess the necessary knowledge, understanding and skills to meet the complex needs of the children.

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This monitoring visit

There is no registered service manager in post. Although a service manager has been appointed, they have yet to demonstrate to Ofsted that they meet the requirements for the role. The service manager has been involved in decisions to accept children whose needs fall outside the scope of the service, indicating a lack of understanding of the remit of supported accommodation.

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This monitoring visit

Recruitment processes fail to reflect the diversity needed in staff teams to meet the needs of children from different cultural backgrounds. Language barriers and cultural differences between staff and children have led to communication failures and an inability to address children’s concerns and needs effectively.

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This monitoring visit

Leaders and managers have failed to report some serious incidents, including high- level behaviours exhibited by children that could have resulted in serious harm. As a result, Ofsted has been unable to review the provider’s actions and responses.

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This monitoring visit

Leaders and managers do not have effective monitoring and reporting systems in place. They have failed to complete and share their six-monthly support review with Ofsted. This prevents the regulator from assessing the actions being taken by the provider as a result of the review. Inspection report for supported accommodation provider - monitoring visit: Healthfield House 3

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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

ensure that staff have the experience, qualifications and skills appropriate for the work that they are to perform;

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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 each child is fully aware of their entitlements throughout the duration of their placement in supported accommodation, including—

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Requirement Due date

what they can expect from the provision of supported accommodation. (Regulation 4 (1) (2)(c)(f)(h)(i))

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Requirement Due date

In particular, this refers to all children’s needs being carefully assessed before they are accommodated by the service so that only children ready for supported accommodation live there. 19 October 2025

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to— 28 November 2025 Inspection report for supported accommodation provider - monitoring visit: Healthfield House 4 ensure that staff—

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Requirement Due date

have the skills to identify and act upon signs that a child is at risk of abuse, neglect, exploitation or any other harm, and act to reduce such risk. (Regulation 5 (2)(f)(ii))

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Requirement Due date

*The accommodation standard is that children experience a comfortable and secure living environment.

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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

are designed and furnished so as to meet the needs of each child individually and all children collectively;

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Requirement Due date

The accommodation standard is that children experience a comfortable and secure living environment. In particular, the standard in paragraph (1) requires the registered person to—

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Requirement Due date

ensure that the premises used as supported accommodation—

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Requirement Due date

are designed and furnished so as to meet the needs of each child individually and all children collectively; are suitable for the purposes of supported accommodation and are accessible, safe, secure and well-maintained;

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Requirement Due date

offer a comfortable, positive and nurturing environment, while respecting children’s need for privacy; ensure that each child is provided with a private bedroom—

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Requirement Due date

with sufficient space to accommodate a reasonable number of personal possessions,

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Requirement Due date

which is equipped to meet the child’s individual needs, which is physically secure. (Regulation 6 (1) (2)(b)(v)(vi)(vii)(d)(i)(ii)(iv)) 19 October 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—

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Requirement Due date

ensure that plans for support are based on initial referral information, are meaningful and are created in full 19 October 2025 Inspection report for supported accommodation provider - monitoring visit: Healthfield House 5 consultation with the child, taking account of relevant plans for the child;

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Requirement Due date

engage and work with the accommodating authority if the registered person has concerns or if the child’s support needs to be changed, including where that change may mean that the child requires more intensive support. (Regulation 7 (1) (2)(b)(c))

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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

engage and work with the accommodating authority if the registered person has concerns or if the child’s support needs to be changed, including where that change may mean that the child requires more intensive support. (Regulation 7 (1) (2)(f))

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Requirement Due date

In particular, work with the placing local authority and parents in response to concerns raised about children’s support needs and changes to support needs, including where changes mean that children may require more intensive support. 19 October 2025

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Requirement Due date

The registered provider and the registered service manager must, having regard to—

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Requirement Due date

the category or categories of supported accommodation provided by the supported accommodation undertaking concerned, carry on or manage that undertaking with sufficient care, competence and skill. (Regulation 13 (1)(d)(e)) 28 November 2025

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Requirement Due date

The registered person must notify the CIECSS and any relevant person without delay if—

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Requirement Due date

an incident requiring police involvement occurs in relation to a child and the registered person considers that incident to be serious. (Regulation 27 (3)(b)) 28 November 2025 Inspection report for supported accommodation provider - monitoring visit: Healthfield House 6 The registered person must maintain a system for monitoring and improving the quality of support provided by the supported accommodation undertaking by completing a review (“a quality of support review”) at least once every six months, which must take into account—

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Requirement Due date

the views of children, including any feedback and complaints received;

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Requirement Due date

feedback from individual children on the impact the supported accommodation has had on the child’s life, especially regarding how well prepared the child felt for transition into supported accommodation and how well prepared the child feels for transition out of supported accommodation;

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Requirement Due date

feedback from each child’s accommodating authority, staff and any relevant persons;

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Requirement Due date

any relevant research and developments in relation to the way in which the needs of children are best met.

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Requirement Due date

After completing a quality of support review, the registered person must produce a written report setting out the actions the registered person intends to take as a result of that quality of support review.

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Requirement Due date

The registered person must provide a copy of the review report to the CIECSS within 28 days beginning with the day on which the report is completed, and make a copy of it available on request to each child’s accommodating authority. (Regulation 32 (1)(a)(b)(c)(d) (2) (3)) 19 October 2025

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Requirement Due date

*These requirements are subject to a compliance notice.

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Information about this inspection

The purpose of this visit was to follow up information received by Ofsted and/or to ensure that the supported accommodation provider was complying with regulation.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for supported accommodation provider - monitoring visit: Healthfield House 7

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Supported accommodation provider details

Registered provider: Healthfield Medical Services Ltd

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Supported accommodation provider details

Registered provider address: Regus, Jhumat House, 160 London Road, Barking IG11 8BB

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Inspectors

Emily Stevens, Social Care Inspector Inspection report for supported accommodation provider - monitoring visit: Healthfield House 8 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

T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: www.gov.uk/ofsted

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