Caredom Healthcare Limited

Inspection report for supported accommodation provider: Caredom Healthcare Limited 1 Caredom Healthcare Limited Registered provider: Caredom Healthcare

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Inspected under the social care common inspection framework

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provider

This supported accommodation service is owned and managed by a private provider. The service can accommodate up to eight children and young people in four shared homes.

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provider

At the time of this inspection, this service was providing supported accommodation for one child, and one young person who recently turned 18. Two shared-occupancy homes were visited.

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provider

The service manager has been registered with Ofsted since February 2024.

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Inspection dates:

The inspection was announced on 24 November 2025 and started that day. The inspector was on site on 26 and 27 November 2025.

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Outcome

Inconsistent quality of service delivery adversely affects some children’s experiences, and this may limit their progress. Leaders and managers must make improvements. The next inspection will be within approximately 18 months.

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Summary of findings

Leaders and managers admit children outside of the registration conditions of supported accommodation. They have accepted children with complex needs that the service cannot meet.

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Summary of findings

Leaders and managers do not ensure that plans for children are comprehensive and meaningful.

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Summary of findings

Leaders and managers do not have sufficient oversight of the service, which means some children’s needs are overlooked. Inspection report for supported accommodation provider: Caredom Healthcare Limited 2 Staff support children to enjoy direct work sessions tailored to meet their needs. Children make progress when staff are able to engage them.

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Overall experiences and progress of children

The registered service manager does not have a suitable system to monitor the progress of children. As a result, when barriers to progress occur, the registered service manager fails to identify these. This limits children’s progress.

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Overall experiences and progress of children

Leaders and managers accept children with needs that the service cannot meet. As a result, not all children make progress. Furthermore, leaders and managers do not ensure that every child has a well-planned exit from the service.

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Overall experiences and progress of children

Some children have strong relationships with staff. This makes them feel happy and supported at home.

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Overall experiences and progress of children

Staff regularly engage in direct work with children, focusing on their needs. One child stated, ‘The key-work sessions are interesting and quite fun.’

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Overall experiences and progress of children

Children know how to make a complaint and feel that leaders and managers are responsive when they share their views. A social worker shared that a child, who had lived in other homes before, felt truly listened to for the first time. The child also experienced person-centred support.

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Overall experiences and progress of children

Overall, staff are ambitious about children’s education, training and employment. They continue to support children in exploring their options. As a result, one child has found a job they enjoy.

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Overall experiences and progress of children

Staff support children to access local health services and more specialist services if required. As a result, children’s health needs are met.

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How well children are helped and protected

Leaders and managers do not ensure that children’s plans are current or reflect all their known needs and risks. As a result, staff do not always have the information they need to respond appropriately to children’s vulnerabilities.

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How well children are helped and protected

Leaders and managers do not check if children are appropriate to share the same accommodation. They do not consider the risks children might pose to each other before moving into their accommodation. This increases the risk of harm to children.

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How well children are helped and protected

Staff do not ensure that children live in homely, welcoming environments. The decor in some accommodation looks tired, and children do not have enough storage for their belongings.

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How well children are helped and protected

Leaders and managers make reasonable recruitment checks before appointing staff to support children. This gives assurance that staff are safe to work with children. Inspection report for supported accommodation provider: Caredom Healthcare Limited 3 Staff are committed to help children make progress. Staff from partner agencies said that staff genuinely cared about the children. Some children have made progress as a result.

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The effectiveness of leaders and managers

The service has a permanent, experienced registered manager. This helps give stability to children. Staff are happy and feel supported by leaders and managers. They speak highly of how training has helped to improve their practice.

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The effectiveness of leaders and managers

Leaders and managers lack oversight of the service. This can lead to them missing issues that affect children. Children do not receive sufficient support as a result. For example, one child disclosed information about possible financial exploitation to a support worker which was not shared with the registered manager.

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The effectiveness of leaders and managers

Leaders and managers lack systems to evaluate how well children are supported and do not submit quality of support reviews to Ofsted. They also struggle to measure the effectiveness of their policies and procedures. As a result, managers are not aware of the areas of development required in the service.

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The effectiveness of leaders and managers

Leaders and managers do not operate the service in line with the provider’s statement of purpose. Children who move in have complex needs which staff are unable to meet.

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The effectiveness of leaders and managers

The registered service manager does not directly supervise staff, which limits their oversight of the support undertaken with children. Supervision records are not related to practice, and managers do not supervise staff in line with the provider’s policy.

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The effectiveness of leaders and managers

Leaders and managers do not update the workforce plan or the young person’s guide. These documents do not reflect the current staffing structure. It is unclear to both children and agencies what support is available.

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The effectiveness of leaders and managers

Leaders and managers do not keep up-to-date records such as a register of children who are or have been accommodated in the service. This affects the manager’s monitoring and oversight of the service.

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The effectiveness of leaders and managers

Staff communicate well with partner agencies. This helps them to stay informed about children’s needs and progress. Inspection report for supported accommodation provider: Caredom Healthcare Limited 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 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

In particular, the registered person should not accept referrals for children with high support needs. 30 January 2026

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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 30 January 2026 Inspection report for supported accommodation provider: Caredom Healthcare Limited 5 consultation with the child, taking account of relevant plans for the child;

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Requirement Due date

keep the child’s support under review, taking into consideration the plans for support, and relevant plans, to ensure that the child’s needs continue to be met and that the child is kept safe;

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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)(c)(k)(l))

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Requirement Due date

The registered person must keep records of other information relating to the supported accommodation undertaking set out in Schedule 3.

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Requirement Due date

maintain the records in Schedule 3, which may be kept in electronic form;

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Requirement Due date

ensure that the records are kept up to date. (Regulation 25 (2)(a)(b)) 30 January 2026

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Recommendations

 The registered person should ensure that a quality of support review is sent to Ofsted at least once every six months. This review should focus on the quality of support and experiences of children. It should also identify any actions for the next six months. (‘Guide to the Supported Accommodation Regulations, including Quality Standards’, page 62)  The registered person should ensure that children live in welcoming and homely environments. (‘Guide to the Supported Accommodation Regulations, including Quality Standards’, page 29)  The registered person should ensure that children moving in have a young person’s guide that helps them to understand the level of support they will receive. This document should be updated to reflect any changes. (‘Guide to the Supported Accommodation Regulations, including Quality Standards’, page 43) Inspection report for supported accommodation provider: Caredom Healthcare Limited 6

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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: Caredom Healthcare Limited 7

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Supported accommodation provider details

Registered service manager: Cynthia Tupiri

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Inspector

Amie Pearson, Social Care Inspector Inspection report for supported accommodation provider: Caredom Healthcare Limited 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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Inspector

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Inspector

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Inspector

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