Children's home run by Holistic Care Service Nationwide Limited

Inspection report for children’s home - monitoring visit: 2826958 1 Holistic Care Service Nationwide Limited

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Inspected under the social care common assessment framework

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Information about this children’s home

This home is owned and managed by a private provider. It offers 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 this inspection, one child was living at the home.

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Information about this children’s home

The manager has not yet applied to register with Ofsted.

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This monitoring visit

Following an assurance inspection on 27 November 2025, we identified serious and widespread concerns in relation to the care and protection of children, and the leadership and management of the home. Poor practice was identified in areas of risk management. Leadership of the home was poor and staff numbers were insufficient to meet the child’s needs. In addition, leaders of the home did not have robust oversight of incidents and effective monitoring systems. They had also failed to ensure that staff have the skills to meet the needs of the child. Two compliance notices were issued under section 22A of the care standards Act 2000. The compliance notices were in relation to Regulation 12 (the protection of children standard) and Regulation 13 (the leadership and management standard).

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This monitoring visit

The purpose of this visit was to review whether leaders and managers have met the steps required in the compliance notices and also to explore if the child could be kept safe at the home.

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This monitoring visit

The child living in the home at the last inspection was also present during this monitoring visit. However, staff have found it increasingly difficult to support the child and as a result, they were at risk of significant harm. There was not a sufficient number of staff employed in the home when the child moved in and staffing levels have needed to be increased to support the child. As a result, there has been a high Inspection report for children’s home - monitoring visit: 2826958 2 use of agency staff and staff from other homes that has unsettled the child immensely. This has led to senior leaders making the decision that the child needed to leave the home immediately, as it was felt that they were no longer able to keep them safe.

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This monitoring visit

Steps have been taken to increase staff skills and confidence in some areas. Measures have been put in place to ensure that staff are able to confidently deal with ligaturing and self-harm. Leaders have also ensured that staff are able to enter the child’s room in an emergency. However, despite a high level of supervision being in place, the child has been able to obtain harmful items on three occasions and then self-injure.

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This monitoring visit

Clear direction and strategies to support the child are still not being consistently given to staff. Not all risk assessment documents have been updated in a timely manner.

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This monitoring visit

There have been further changes in the management of the home which have left gaps in leadership. The manager present at the last inspection left with no notice. While a new manager has been appointed who is experienced in residential care, she has only been in post for a short time. The responsible individual has also resigned from their post, however, has not yet left the organisation. The manager has not yet been able to gain full oversight of the home or address staff shortfalls when they have occurred.

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This monitoring visit

A restriction of accommodation notice has been issued as staffing levels are not sufficient to provide effective care for any child. There are no longer any children living in the home. Inspection report for children’s home - monitoring visit: 2826958 3

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Inspection date Inspection type Inspection judgement

30/07/2025 Full Requires improvement to be good Inspection report for children’s home - monitoring visit: 2826958 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 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 with 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

help each child to understand how to keep safe;

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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

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

take effective action whenever there is a serious concern about a child’s welfare;

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Requirement Due date

are familiar with, and act in accordance with, the home’s child protection policies; and

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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)(ii)(iii)(v)(vi)(vii)(b))

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Requirement Due date

In particular, leaders must ensure that staff are provided with clear guidance in how best to support a child who lives in the home. Additionally, staff must understand and follow strategies in place to safeguard children. Any shortfalls in staff practice must be addressed. 9 March 2026 Inspection report for children’s home - monitoring visit: 2826958 5 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 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

ensure that the home’s workforce provides continuity of care to 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; and

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Requirement Due date

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b) (2)(a)(c)(d)(e)(f)(h))

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Requirement Due date

In particular, leaders must ensure that there is a robust staff and management team working in the home who have the skills and experience to care for any child who lives in the home.

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Requirement Due date

In addition, leaders must ensure that they have oversight of all incidents. They must be fully evaluated and quality of care provided to the child must be monitored. 9 March 2026

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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 30 April 2026 Inspection report for children’s home - monitoring visit: 2826958 6 have a positive experience of arriving at or moving on from the home. (Regulation 14 (1)(a)(b))

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Requirement Due date

In particular, leaders should ensure that when accepting new children into the home there is a robust staff and management team that can meet their needs.

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Requirement Due date

This requirement was made at the last inspection and is restated.

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Requirement Due date

The health and well-being standard is that—

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Requirement Due date

the health and well-being needs of children are met;

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Requirement Due date

children receive advice, services and support in relation to their health and well-being; and

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Requirement Due date

children are helped to lead healthy lifestyles.

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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

achieve the health and well-being outcomes that are recorded in the child’s relevant plans;

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Requirement Due date

understand the child’s health and well-being needs and the options that are available in relation to the child’s health and well-being, in a way that is appropriate to the child’s age and understanding; and

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Requirement Due date

understand and develop skills to promote the child’s well- being. (Regulation 10 (1)(a)(b)(c) (2)(a)(i)(ii)(iv))

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Requirement Due date

Leaders must ensure that staff do not encouraging smoking or vaping in any way. Furthermore, staff must take steps to educate the child on the dangers of smoking or vaping.

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Requirement Due date

This requirement was made at the last inspection, not reviewed, and is restated. 30 April 2026 Inspection report for children’s home - monitoring visit: 2826958 7

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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: 2826958 8

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Children’s home details

Registered provider: Holistic Care Service Nationwide Limited

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Children’s home details

Registered provider address: 4 Rose Hill, Southport PR9 0SN

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Inspector

Eve Ostridge, Social Care Inspector Inspection report for children’s home - monitoring visit: 2826958 9 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 children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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