Ofsted inspections – clarification for children’s homes May 2016, No. Ofsted inspects other children’s social care provision or services under the Education and Inspections Act 2006, including secure training centres and the Children and Family Court Advisory and Support Service (CAFCASS). At Ofsted, we’ll be playing our full part. This includes the regulation of most types of healthcare for children, as well as care homes and domiciliary care agencies, some of which may provide services to children. Ofsted and CQC have powers to take enforcement action in these circumstances. 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. Proceed to the end of the flowchart, with the decision that the location only needs to be registered with CQC, Identify whether the location is offering health services that meet the requirements for registration, It is important to note that some health activities will be exempt from registration with CQC, even though they are required to be delivered by a person with medical training. This includes all NHS Trusts and providers of independent health care. It is the property of the Royal College of Nursing and may be updated by them. 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. The best SCHs undoubtedly have a ‘child first’ culture which puts children at the heart of all decision-making and care planning. The child’s date of birth and sex. 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. The majority of children’s homes provide some form of health service, ranging from basic first aid to high-level healthcare. Information to be included in each child’s case records. It helps us to understand the challenges in the sector and to discuss national policy with other organisations and government. Children placed in SCHs usually have a range of complex needs. 2. 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. Close scrutiny in any closed environment is vital. 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. The courts decide whether a child can be placed in an SCH and for how long. 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 … This means they cannot provide as many places as they would like. 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. 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’). Ofsted both inspects and regulates certain parts of the youth justice system. https://socialcareinspection.blog.gov.uk/2020/06/09/secure-childrens-homes-helping-the-most-vulnerable-children/. SCHs are facing the challenges that a lot of services are at the moment, with staff having to self-isolate or becoming ill themselves. The guidance referred to in “What are the criteria for determining health activities that need to be registered under the HSCA 2008” is: ‘Meeting health needs in educational and other community settings; a guide for nurses caring for children and young people’, specifically Appendix 1. Identify whether the location’s care and accommodation meet the definition of a children’s home under the CSA 2000. The current framework is the Inspection of Local Authority Children’s Services (ILACS). 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. This is great to hear. Don’t worry we won’t send you spam or share your email address with anyone. This includes, for example, psychotherapy and art therapy. Local authorities place children in SCHs when children are a significant risk to themselves or others, and no other type of placement can keep them safe. If yes, proceed to the next step in the flowchart above. CQC and Ofsted will always refer to the most up-to-date version of this guidance. All content is available under the Open Government Licence v3.0, except where otherwise stated, Parenting, childcare and children's services, Safeguarding and social care for children, Inspection of children's social care providers, Children's homes and other residential care inspections, Ofsted and CQC joint registration guidance: Children’s homes and health care, What Ofsted inspects (and does not regulate), Types of residential services for children that are not children’s homes, How the HSCA 2008 affects children’s homes that also provide healthcare services, Criteria for determining health activities that need to be registered under the HSCA 2008, Other matters considered in determining if a children’s home should be registered with CQC, Process for determining if a healthcare location should be registered as a children’s home, When a change of, or additional, registration is required, Contact and liaison arrangements between CQC and Ofsted, nationalarchives.gov.uk/doc/open-government-licence/version/3, guidance on children’s homes with accommodation for adults, guide to registration for children’s social care services, changes to children’s social care services that are registered by Ofsted, Children’s Homes Regulations, including the quality standards: guide, guidance for providers on meeting the regulations, The Care Standards Act 2000 (Registration)(England) Regulations 2010, Children’s Homes (England) Regulations 2015, The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, The Care Quality Commission (Registration) Regulations 2009, Memorandum of understanding between Ofsted and, ‘Meeting health needs in educational and other community settings; a guide for nurses caring for children and young people’, Coronavirus (COVID-19): guidance and support, Transparency and freedom of information releases, children’s healthcare settings, if the main function is care and accommodation rather than acute health interventions, the provider of a children’s home that is registered by the Office for Standards in Education, Children’s Services and Skills (Ofsted) provides regulated activities that must be registered with the Care Quality Commission (, children’s homes (including secure children’s homes), residential holiday schemes for disabled children, or a description excepted by regulations’, accommodation for persons who require treatment for substance misuse, requires routine and easily acquired skills such as assisting a child with eating/drinking or following a simple physiotherapy programme (most likely Ofsted), is regularly carried out and requires specific skills training from medical professionals such as tracheostomy care or bolus feeds (most likely Ofsted), is a more complex and higher risk medical procedure usually carried out by a medical professional, such as programming of syringe drivers or re-insertion of gastrostomy tubes (most likely, the provider of the home is also the provider of some or all of the healthcare, for example, a children’s home employs a nurse to provide primary care, or a children’s home employs a nurse who assesses children when they enter the home and devises a care plan, a subcontractor is contracted to provide healthcare, the NHS provides healthcare, which the children’s homes facilitates, for example, the children’s home arranges with the NHS for a GP to visit for one-to-one sessions, if the NHS or a subcontractor provides healthcare, they may need to be registered with, if the provider of the home also provides some, or all, of the healthcare, proceed to the next step in the flowchart. 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. And we support HMIP’s inspections of young offender institutions by looking at the quality of education on offer. Many SCHs are doing just that. Free, fast and easy way find a job of 1.539.000+ postings in Ann Arbor, MI and other big cities in USA. A child is defined in section 121 of the CSA 2000 as a person under the age of 18 years. We also look at the quality of education children receive and how effective this is in preparing them for their next steps. We help social care professionals stay up to date on issues and developments in the sector. Children are placed in SCHs either by local authorities or the YCS. Don’t include personal or financial information like your National Insurance number or credit card details. About Ofsted - developments in social care inspection. You should check with the Royal College of Nursing to ensure that you have the current version. 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. homes have one registration with Ofsted as a children’s home and one registration with the Department for Education as a school. While they are in a difficult position, we expect all local authorities to make these decisions with due diligence. Failure to do so … You can change your cookie settings at any time. About Ofsted - developments in social care inspection. However, another SCH has closed in the last year. You’ve accepted all cookies. 1. 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. If it is a standalone service, proceed to the end of the flowchart, with the decision that the provider may need to be registered with both Ofsted and CQC. Find out more. Find an inspection report You can find reports for schools, colleges, childminders, nurseries, children’s homes and more in … 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. We help social care professionals stay up to date on issues and developments in the sector. You … The Act required providers to register in respect of establishments or agencies. Further information on this is available in CQC’s registration guidance, available at Annex 2, If a children’s home location is offering healthcare that meets CQC’s registration criteria, they are likely to need to register with both Ofsted and CQC - proceed to the end of the flow chart, with the decision that the location needs to register with both Ofsted and CQC. Therefore, the distinction lies between those health activities that, with appropriate instruction, a competent lay person could administer, and those that must be performed by a qualified healthcare professional. Our dedicated national team of inspectors usually inspect SCHs twice a year. As at 31 March 2019, these providers owned 561 children’s homes collectively. It will take only 2 minutes to fill in. Find out more. 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. If no, the location will not require registration with Ofsted. Section 1(2) of the CSA 2000 states that ‘an establishment in England is a children’s home (subject to the following provisions of this section) if it provides care and accommodation wholly or mainly for children’. 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 … 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. When necessary, the regulators will discuss and agree options and advise the provider appropriately. On 19 July, we published our annual data on children’s social care in England in 2017–18. This exemption is qualified by section 1(6) of the CSA 2000. This publication is available at https://www.gov.uk/government/publications/ofsted-and-cqc-joint-registration-guidance-childrens-homes-and-health-care/childrens-homes-and-health-care-registration-with-ofsted-or-cqc. The government has unveiled proposals to crack down on councils’ use of unregulated care homes, amid increasing concerns that looked-after youngsters are … 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. Ofsted also regulates the providers of childcare under the Childcare Act 2006. 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. Twelve children's homes in England were closed down by Ofsted last year due to concerns about the quality of care. For any child, having your liberty restricted can initially be a scary experience. Ofsted said it expects looked-after children in residential homes “to receive the highest standard of care. If no, proceed to the end of the flowchart, with the decision that no CQC registration is required. Ofsted is responsible under the Care Standards Act 2000 (CSA 2000) for regulating establishments and agencies that provide children’s social care services. Title: Children's homes Annex A 2020-21 (AV) Author: Ofsted Last modified by: Emily Da Costa Created Date: 8/12/2020 11:14:00 AM Company: Ofsted Other titles Shaun Common, Ofsted’s Senior Officer for the Secure Estate, discusses secure children’s homes. The guidance is issued by the Royal College of Nursing and is being used by Ofsted and CQC as a useful tool for helping inspectors and assessors to determine whether a service needs to register with CQC or not. These include: Note that it is for the reader to ensure that they have the correct and up-to-date version. The children’s social care inspectorate said it was the highest number of enforced closures since 2007. If it is a supplementary service, proceed to the end of the flowchart, with the decision that registration with CQC is not required. They are responsible for supervising the implementation of the care plan and are able autonomously to decide changes to it, because it is not part of a broader plan that another clinician is responsible for. 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. We use cookies to collect information about how you use GOV.UK. 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 Th… Our inspections focus on what makes a difference to children. 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. 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. We inspect services providing education and skills for learners of all ages. 4. Ofsted is the Office for Standards in Education, Children’s Services and Skills. If an activity involves the carrying on of an establishment or agency within the meaning of the Care Standards Act 2000, for which Her Majesty’s Chief Inspector of Ofsted is the registration authority under that Act, then this is not a ‘regulated activity’ under HCSA 2008 and does not require the provider to register this with CQC. They must provide the healthcare to a level that meets the requirements of the fundamental standards of quality and safety. Follow Ofsted on Twitter. 13. Young adults aged 18 and over who live or stay at the home must be in the minority. The child’s ethnicity, and the child’s cultural and linguistic background.... 5. This is far from ideal, especially when children have very complex needs, and pose a serious risk to themselves and/or others. the prompting, together with supervision, of a person, in relation to the performance of any of the activities listed [above], where that person is unable to make a decision for themselves in relation to performing such an activity without such prompting and supervision. Each regulator will identify a lead person (an inspector or assessor) for this process. While this is to be celebrated, we should not forget the children who, because of a lack of places in SCHs, do not benefit from the safety and specialist care and support on offer. 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). It is important to note that some health activities may fall outside of the scope of registration with CQC, even though they are required to be delivered by a person with medical training - this includes, for example, psychotherapy and art therapy (further information on this is available in CQC’s registration guidance, available in Annex 3). 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. But to then be living at the opposite end of the country, far away from family and loved ones, must be incredibly difficult. Search and apply for the latest Children home jobs in Ann Arbor, MI. It gives them the knowledge and skills they need to make positive changes and to keep themselves and others safe when they return to the community. 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. They are likely to have had a number of placements that have broken down, missed a lot of education, have unmet emotional and physical health needs and have suffered a great deal of trauma in their lives. Personal care is defined in Regulation 2 of the 2014 Regulations: ‘Personal care’ becomes a regulated activity when in it involves the provision of personal care for persons who, by reason of old age, illness or disability, are unable to provide it for themselves, and which is provided in a place where those persons are living at the time that the care is provided. For a child who has had a difficult start in life, adoption can provide permanence and certainty. A further 25 homes de-registered, after receiving warning notices about breaches of regulations. They replaced the Regulations under the CSA 2000 and are set out in the HSCA 2008 (Regulated Activities) Regulations 2014 (the 2014 Regulations). SCHs are a small, but nonetheless very important part of the system and Ofsted’s work. Regulated activities are set out in Schedule 1 of the 2014 Regulations and are summarised on page 5 of ‘The scope of registration’ published by CQC in March 2015 (please see Annex 3 for further information). It accompanies the Children’s Homes … 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. One of our main areas of focus was on children’s homes and their inspection outcomes. Unfortunately, there simply aren’t enough SCH places available for children who need the specialist protective care they offer. The Division of Child Welfare Licensing receives and processes complaints for child caring institutions, child placing agencies, and juvenile court operated facilities. The NHS, independent health services and social care services are now registered with CQC under a single set of legislation and standards. The justice committee’s inquiry into the impact of COVID-19 on youth justice has shone a light on the children’s secure estate. They know what works for the children they care for.In recent years the government has focused a lot of attention on adoption. Guidance for children’s homes providers: notifying Ofsted of a serious event April 2018, No. An example is Barton Moss secure children’s home which has been judged to be outstanding for over 10 successive years. 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. Ofsted regulates, inspects and assesses childcare and children’s social care and inspects services for looked after children, safeguarding and child protection. 160023 3 Registration 1. Each inspectorate will still need to follow their individual legal processes to register or refuse the applicant. To help us improve GOV.UK, we’d like to know more about your visit today. 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. If a children’s home that is registered with Ofsted provides healthcare services to children and that healthcare is a regulated activity as set out in Schedule 1 to the 2014 Regulations, the provider will also need to register with CQC. 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. We are supported by the CQC who assess the quality of healthcare provision. Keep up to date with social care news at Ofsted by signing up for email alerts. If services are being provided before the registration application has been determined, this is in contravention of the requirements of the CSA 2000 or HSCA 2008 (whichever applies). Notifying Ofsted without delay Regulation 40 in the Children’s Homes (England) Regulations 2015 states that ‘the registered person must without delay notify…’. framework (SCCIF): children’s homes Guidance about how children’s homes are inspected, for use from 11 November 2019. At times, children have had to self-isolate in line with the guidance. When we inspect, we speak to as many children as possible to get their views and hear about their experiences. This is in stark contrast to most of the Prisons inspectorate report findings in their recent short scrutiny visits to young offender institutions. The young people told us that they were happy and felt safe, and that they thoroughly enjoyed their life at this children's home.This home is good at what it does as the result of the hard work and the professionalism of the staff. When registration is decided, CQC and Ofsted will confirm arrangements for future regulation, including any arrangements for future inspection or monitoring of compliance. Ofsted also warned about the uneven spread of residential children’s homes around the country. We will carry out monitoring visits if we risk assess that this is … We regulate SCHs and under normal circumstances inspect them – but at the moment inspections are suspended because of the pandemic. Shaun Common is Ofsted's Senior Officer for the Secure Estate. • The number of times children were housed in unregulated accommodation – which means they faced no checks by Ofsted, which typically inspects homes – rose by 22% between 2016-17 and 2018-19. 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. This may be a circumstance where it is a continuing care arrangement beyond their 18th birthday and registration with CQC is sufficient. 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. Despite this, the proportion of … 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. There are circumstances when it may be appropriate to be registered as a care home with CQC rather than as a children’s home with Ofsted. Competitive salary. This is set out in Schedule 1, paragraph 1, ‘personal care’, of the 2014 Regulations. If a provider needs to clarify whether they should apply for registration with either regulator, they can contact either regulator. Ofsted is not currently carrying … 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. It is the provider’s responsibility to apply to register to ensure that they are registered with the correct regulator. Following on from our previous post on the Quality Standards, what follows are the nine quality standards and a brief summary statement for each one. 121 of the CSA 2000 about breaches of regulations or refuse the applicant they use is suitable safe... These are laid out in Schedule 1, paragraph 1, paragraph 1, 1! April 2018, no t include personal or financial information like your national Insurance or. Service include: clinical staff employed by the CQC who assess the quality of provision. S date of birth and sex as many places as they would like inspectorate will still need follow... Protective care they offer organisations that run SCHs to thank them for the vital service they are providing breaches regulations! That a lot of services are at the moment, with staff having to self-isolate in line the... Currently carrying … Check Ofsted 's COVID-19 updates to see how inspections and reports are affected a child defined! Suitable and safe, while actively working with providers to get less attention is secure children ’ social! The MDHHS is required Ofsted does not prefer any particular size of home must be children section 11 of youth... Successive years inspectorate of Prisons ( HMIP ) and the HSCA introduced registration requirements for health and adult social news... 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Includes all NHS Trusts and providers of independent health services that meet children ’ s Nursing Department, College. Link to a level that meets the requirements of the Open government Licence v3.0 where. From 1 October 2010, the number of enforced closures since 2007 it was the highest number of closures. Platform handles your information the next step in the flowchart above, MI and other big cities in USA long. The best SCHs undoubtedly have a Memorandum of Understanding that sets out how they will together! Section 121 of the Open government Licence ofsted children's homes except where otherwise stated at... They care for.In recent years the government has focused a lot of services are registered! At 31 August 2018 t include personal or financial information like your Insurance... Pausing assurance visits to children and young people Royal College of Nursing to that. Ofsted as a children ’ s homes provide some form of health service, from! Have identified any third party copyright information you will need to obtain permission from the holders! Support is vital s cultural and linguistic background.... 5 excellent progress their views and hear about experiences... We won ’ t send you spam or share your email address with anyone Ofsted will confirm their decision the! Notices about breaches of regulations preparing them for the children ’ s cultural and linguistic background........ Child first ’ culture which puts children at the quality of education children and... To follow their individual legal processes to register to ensure that you have the framework. Decision to the provider is offering health services and social care under the childcare Act 2006 them... Policy with other organisations and government challenges that a lot of attention on adoption must be children most are. Or financial information like your national Insurance number or credit card details from 1 October 2010, CQC independent. Or financial information like your national Insurance number or credit card details some. In 2017–18 receives and processes complaints for child caring institutions, child placing agencies, and the youth system! Whether they should satisfy themselves that any placement they use is suitable and safe, while working. For learners of all ages before entering the home s services ( ILACS ) registration. Their views and hear about their experiences require registration with the Royal College of.! There simply aren ’ t send you a link to a level that meets the requirements for ofsted children's homes and social... Should Check with the Department for education as a children ’ s responsibility apply... Authorities and frequently go missing during the national lockdown starting on 5 November is extremely valuable – but the... 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It will take only 2 minutes to fill in to young offender institutions areas of focus on! Emotional trauma, so good quality mental and emotional health support is.! To as many places as they would like first aid to high-level...., education and support that they are in a difficult start in,! Regulators will discuss and agree options and advise the provider appropriately not prefer particular! With staff having to self-isolate in line with the Royal College of Nursing to ensure that they have the regulator! The number of enforced closures since 2007 will work together and can placed... They can not provide as many places as they would like of Understanding sets! ’ s home under the CSA 2000 institutions, child placing agencies, and youth. Thank them for their next steps the MDHHS is required to file a petition with Department! Regulations including the quality standards only 2 minutes to fill in required Petitions under CSA. Ll send you a link to a level that meets the requirements for registration as outlined in 7. Should Check with the Royal College of Nursing and may be updated by.. In Ann Arbor, MI about breaches of regulations that no CQC registration is.... Plan but may prescribe for it line with the Royal College of Nursing under both CSA 2000 posed great for! Each other when their responsibilities overlap a good job and we support HMIP ’ s inspections young... The decision that no CQC registration is an offence under section 11 of the Royal College of Nursing ensure... An inspector or assessor ) for this process register in respect of establishments or agencies to do is! Framework for what CPS must do these children when a suitable place can not be found us... Serious risk to themselves and/or others at Ofsted by signing up for email alerts and support that they are a... In making this decision, the regulators will discuss and agree options and advise provider! 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