About Ofsted - developments in social care inspection. It accompanies the Children’s Homes … The intention of regulation 40 in the Children’s Homes (England) Regulations 20151 is to focus providers on only sharing information with Ofsted, as … Government ministers have recently written to organisations that run SCHs to thank them for the vital service they are providing. The best SCHs undoubtedly have a ‘child first’ culture which puts children at the heart of all decision-making and care planning. 3. physical assistance given to a person in connection with: eating or drinking (including the administration of parenteral nutrition), toileting (including in relation to the process of menstruation), the care of skin, hair and nails (with the exception of nailcare provided by a registered chiropodist or podiatrist). If either CQC or Ofsted find a setting that they believe is incorrectly registered, they will determine what is the most appropriate registration in consultation with the provider. From 1 October 2010, the HSCA introduced registration requirements for health and adult social care services. Under the HSCA 2008, a single set of fundamental standards of quality and safety were gradually introduced across health and adult social care. SCHs are a small, but nonetheless very important part of the system and Ofsted’s work. The reports have become increasingly significant to managers, Ofsted and placing authorities to help them form a view on a home’s ability to safeguard and promote children’s welfare. We inspect secure training centres with Her Majesty’s Inspectorate of Prisons (HMIP) and the Care Quality Commission (CQC). Our inspection reports provide placing authorities and the Secretary of State, who has responsibility for approving SCHs to restrict children’s liberty, with our judgement on how well SCHs look after vulnerable children. What happens to these children when a suitable place cannot be found gives us real concern. The Children’s Homes (England) Regulations 2015 encourages providers to continually look for ways to improve the quality of care provided, including the use of research and development. ‘Wholly or mainly’ means that most of the people who stay at a home must be children. Children are still attending education and do some of their usual activities. Ofsted, under the powers of the Care Standards Act 2000, is required to register a children’s home of any size providing the requirements for Outstanding children’s homes This report analyses how a small sample of 12 children’s homes achieved and sustained outstanding status over a period of three years. As at 31 March 2019, these providers owned 561 children’s homes collectively. Ofsted both inspects and regulates certain parts of the youth justice system. They must provide the healthcare to a level that meets the requirements of the fundamental standards of quality and safety. Identify whether the location’s care and accommodation meet the definition of a children’s home under the CSA 2000. Whereas, if the primary reason for placing a child in that accommodation is care that is not nursing care or personal care it is likely this will be a children’s home that should register with Ofsted. The children’s social care inspectorate said it was the highest number of enforced closures since 2007. 1. The courts decide whether a child can be placed in an SCH and for how long. This review is very welcome. If a change or a new registration is required, CQC and Ofsted will work together to agree the appropriate registration status and registration arrangements. CQC and Ofsted will always refer to the most up-to-date version of this guidance. Failure to do so is an offence under section 11 of the CSA 2000. Housing up to four children, Old Meadow is a specialist therapeutic and assessment home, which provides real alternatives to traditional care settings, with a focus on therapeutic care. With the added pressures on the care system in these unprecedented times, the discussion about sufficiency in the system – how we meet the needs of highly vulnerable children with complex needs – has never been more important. The HSCA 2008 requires providers who carry on ‘regulated activities’ to register with CQC. Our inspections focus on what makes a difference to children. We know that by and large, children understand this and that some SCHs have had really positive feedback from children about how staff are looking after them and the care they are receiving. You should check with the Royal College of Nursing to ensure that you have the current version. We go into SCHs more regularly than other providers because we recognise the unique and specialist nature of these homes and how vulnerable this group of children is. Each situation must be considered on its merits and alignment with this guidance does not in itself determine conclusively when registration with CQC is required and when it is not. If no, the location will not require registration with Ofsted. Children are placed in SCHs either by local authorities or the YCS. The Division of Child Welfare Licensing receives and processes complaints for child caring institutions, child placing agencies, and juvenile court operated facilities. Many children in SCHs will have suffered emotional trauma, so good quality mental and emotional health support is vital. In making this decision, the regulators will consider who provides the healthcare and who retains overall clinical responsibility. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. The government has unveiled proposals to crack down on councils’ use of unregulated care homes, amid increasing concerns that looked-after youngsters are … Rather, when providers are registering with CQC, they will need to consider any health activities that are not part of the standard social care functions of their establishment that are overseen by Ofsted. Please read our privacy notice to see how the GOV.UK blogging platform handles your information. Young adults aged 18 and over who live or stay at the home must be in the minority. 2. Ofsted and CQC have powers to take enforcement action in these circumstances. Section 1(4A) of the CSA 2000 says ‘an establishment is not a children’s home if it is: Section 1(5) includes schools as establishments that are not children’s homes. The government has said it will carry out a review of the care system to make sure that all placements and settings are giving children the support that they need. When registration is decided, CQC and Ofsted will confirm arrangements for future regulation, including any arrangements for future inspection or monitoring of compliance. Check Ofsted's COVID-19 updates to see how inspections and reports are affected. A child is defined in section 121 of the CSA 2000 as a person under the age of 18 years. Guidance for children’s homes providers: notifying Ofsted of a serious event April 2018, No. To that end, the standards for Children’s Homes focus on nine preordained criteria; 1. 160023 3 Registration 1. Since 2005, Ofsted has carried out joint area reviews of children’s services in local authority areas under section 20 of the Children Act 2004. Follow Ofsted on Twitter. This was published by the Royal College of Nursing in January 2018 and their permission was given in April 2019 for it to be included in this guidance. Failure to do so … Children at 'significant risk’ in Gloucestershire care home, says Ofsted This article is more than 11 months old Residents smeared in faeces and attacking staff at … It will take only 2 minutes to fill in. Child Abuse: Harm or threatened harm to a child's health or welfare that occurs through non-accidental physical or mental … The Michigan Child Protection Law provides the framework for what CPS must do. They replaced the Regulations under the CSA 2000 and are set out in the HSCA 2008 (Regulated Activities) Regulations 2014 (the 2014 Regulations). In these situations, CQC and Ofsted will keep in close contact while they determine any action by either or both regulators and to ensure that the welfare of service users is taken into account while the registration application is being determined. Any person carrying on or managing a children’s home that provides care and accommodation must register with Ofsted in respect of that individual children’s home. Children’s homes (including secure children’s homes) need to complete Annex A when they receive notice of visits. One area of the secure estate that tends to get less attention is secure children’s homes (SCHs). Keep up to date with social care news at Ofsted by signing up for email alerts. 6. Ofsted is not currently carrying … As in other areas, it’s clear that the pandemic has posed real challenges for the sector and has been exceptionally difficult for some of the children within it. A small number of providers will therefore need to register with Ofsted as a children’s home and with CQC for the health care services that they provide under the HSCA 2008. This blog looks at the way Ofsted inspects the social care sector: local authority children's services and social care providers, such as children's homes. In the last two years, some SCHs have been able to increase slightly the number of available places. The provider, Ofsted and CQC should refer to the decision trees in Annex 1 to help to determine what registration the provider may require. To be registered, providers must meet the fundamental standards of quality and safety set out in the 2014 Regulations: these are the requirements set out in Regulations 4–20A. Information to be included in each child’s case records. Regulated activities offered by children’s homes that are likely to require registration with CQC include: The flowcharts in Annex 1 will help inspectors and providers decide if a children’s home should register with CQC. CQC is the independent regulator of health and adult social care. This blog looks at the way Ofsted inspects the social care sector: local authority children's services and social care providers, such as children's homes. SCHs are a small, but nonetheless very important part of the system and Ofsted’s … If a provider is not registered with either regulator but provides services that need to be registered with one or both regulators, the providers should obtain the necessary registrations before providing the services in question. We help social care professionals stay up to date on issues and developments in the sector. But during the Covid-19 pandemic, the number of children waiting for placements has doubled. The child’s religion, if any. Staff are trying their best, in very difficult circumstances, to do their best for children while following government and Public Health England guidance. children's homes, including secure children’s homes (these are types of establishments) independent fostering agencies residential family centres (this is a type of establishment) residential holiday schemes for disabled children (this is a type of establishment referred to in this guide as ‘holiday schemes’). By submitting a comment you understand it may be published on this public website. This may be a circumstance where it is a continuing care arrangement beyond their 18th birthday and registration with CQC is sufficient. If yes, proceed to the next step in the flowchart above. When a provider applies to register with both CQC and Ofsted, the inspectorates will coordinate their approach to the setting and agree the most appropriate registration arrangement. The leads from each regulator will establish early and regular liaison between the regulators and provider to ensure that the process runs as smoothly as possible. SCHs provide a safe place where these very vulnerable children can receive the care, education and support that they need. The justice committee’s inquiry into the impact of COVID-19 on youth justice has shone a light on the children’s secure estate. Required Petitions Under the Child Protection Law, the MDHHS is required to file a petition with the court. 180021 3 Introduction 1. When we inspect, we speak to as many children as possible to get their views and hear about their experiences. If a provider is registered with one regulator but provides services that only need to be registered with the other regulator, the provider will need to contact each regulator to discuss how their registration status will be managed. The current framework is the Inspection of Local Authority Children’s Services (ILACS). We know that COVID-19 has posed great challenges for SCHs. 4. 13. About Ofsted - developments in social care inspection. If a child is placed in accommodation because of their need for nursing care or personal care, it is likely this will be a care home that should register with CQC. Find out more. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. Both CQC and Ofsted have powers, under the CSA 2000 and the HSCA 2008 respectively, to enter and inspect premises at which they reasonably believe that activities within their regulatory remit are being performed. There are six types of establishments and agencies that provide social care services for children that require registration with Ofsted: Ofsted has a range of enforcement powers that it can use when a regulated service fails to meet the requirements of the CSA 2000 and the relevant regulations. It is important to note that Section 8 of the HSCA 2008 does not place a blanket exemption on children’s social care providers that offer health activities from registering with CQC. framework (SCCIF): children’s homes Guidance about how children’s homes are inspected, for use from 11 November 2019. At any one time, around 25 children each day are waiting for an SCH place and around 20 are placed by English local authorities in Scottish secure units due to the lack of available places in England. Ofsted also regulates the providers of childcare under the Childcare Act 2006. The Act required providers to register in respect of establishments or agencies. We will carry out monitoring visits if we risk assess that this is … If a provider is not providing healthcare that meets CQC’s registration criteria, they will not need to register with CQC - proceed to the end of the flowchart, with the decision that the provider does not need to register with CQC. https://socialcareinspection.blog.gov.uk/2020/06/09/secure-childrens-homes-helping-the-most-vulnerable-children/. We’d like to reflect here on one aspect of this important part of Ofsted’s social care remit: a gradual change in the number of homes. On 19 July, we published our annual data on children’s social care in England in 2017–18. Find out more. Ofsted does not prefer any particular size of home. CQC and Ofsted will confirm their decision to the provider. Providing care to children with significant and complex needs requires an experienced, well-trained and resilient workforce with skilled leaders and managers, who can make a real difference to children’s lives. Good providers explore what brought children to this crisis point in their lives, making plans that meet children’s very specific needs. But to then be living at the opposite end of the country, far away from family and loved ones, must be incredibly difficult. Unfortunately, there simply aren’t enough SCH places available for children who need the specialist protective care they offer. Identify whether the provider is offering health services that meet the requirements for registration as outlined in question 7 of the guidance. And the YCS place vulnerable children in SCHs when they are remanded to custody by the courts or are serving a custodial sentence. We use this information to make the website work as well as possible and improve government services. The child’s ethnicity, and the child’s cultural and linguistic background.... 5. Ofsted and CQC take the view that any healthcare activities that must be performed by a qualified healthcare professional, and which cannot be delegated to a competent lay person, require registration with CQC. 1. We also get regular updates from government, secure homes themselves, and the Youth Custody Service (YCS). One of our main areas of focus was on children’s homes and their inspection outcomes. Our Ofsted report emphasised how ‘the rural location of the home and the services provided ensures that the children and young people are kept safe.’ At Borrowdale View, we deliver the highest quality residential care in Cumbrian’s rural countryside … If no, proceed to the end of the flowchart, with the decision that the location should be registered with CQC only, if it carries on any regulated activity. Free, fast and easy way find a job of 1.539.000+ postings in Ann Arbor, MI and other big cities in USA. We only ask for your email address so we know you're a real person, Ofsted: developments in children’s social care, Foster Care Fortnight 2020 - extraordinary times need extraordinary people, Children's social care visits: what to expect. Until 1 October 2010, CQC registered independent healthcare and adult social care under the CSA 2000. Ofsted also warned about the uneven spread of residential children’s homes around the country. They know what works for the children they care for.In recent years the government has focused a lot of attention on adoption. This guide is for all those involved with the care of children, and in some cases those aged 18 or over, in children’s homes. Ofsted regulates, inspects and assesses childcare and children’s social care and inspects services for looked after children, safeguarding and child protection. Is the location already registered with Ofsted as a children’s home? Since 2002, 16 SCHs have closed, leaving only 13 across England today. Social distancing in an enclosed environment is very difficult to achieve, but even in the face of all the challenges presented to them, staff and managers in SCHs are managing to keep an almost normal routine for children. As we’ve discussed before, we’re seeing the increasing use of unregistered provision as local authorities struggle to find places for highly vulnerable children. You … Since April 2007, Ofsted has inspected local authority children’s services under section 136 of the Education and Inspections Act 2006 under various frameworks. If a location is not providing healthcare that meets CQC’s registration criteria, they will not need to register with CQC - proceed to the end of the flowchart, with the decision that the location must cancel their registration with CQC and register with Ofsted instead. Nurses at the children’s home may carry out some assessment or administer medications within the treatment plan, which is ultimately supervised by the GP or the consultant. 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