Children are placed in SCHs either by local authorities or the YCS. If no, the location will not require registration with Ofsted. If CQC is not satisfied that the regulations are being met or will be met, the HSCA 2008 puts CQC under a duty to cancel or refuse registration. If a change or a new registration is required, CQC and Ofsted will work together to agree the appropriate registration status and registration arrangements. They not only devise a care plan but may prescribe for it. 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 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. This guidance clarifies the registration arrangements for: This guide will also help inspectors and providers to decide whether: The guidance is not intended to cover other forms of children’s services that may be affected by the Health and Social Care Act 2008 (HSCA 2008), such as fostering services and domiciliary care. We know that COVID-19 has posed great challenges for SCHs. CQC and Ofsted have a Memorandum of Understanding that sets out how they will work together and can be accessed at Annex 2. 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. 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. Don’t include personal or financial information like your National Insurance number or credit card details. children (usually over the age of 16) need support to live independently rather than needing full-time care Individual locations where providers carry on those regulated activities, such as care homes or hospitals, appear on providers’ registration certificates as conditions of registration. 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. Ofsted is pausing assurance visits to children’s homes during the national lockdown starting on 5 November. 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 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. Required Petitions Under the Child Protection Law, the MDHHS is required to file a petition with the court. 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. This is great to hear. homes have one registration with Ofsted as a children’s home and one registration with the Department for Education as a school. 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’). 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. The limited number of SCH spaces means that even when children get a place, they will likely end up living far away from home. 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. They should satisfy themselves that any placement they use is suitable and safe, while actively working with providers to get registered. This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. Children are still attending education and do some of their usual activities. Failure to do so is an offence under section 11 of the CSA 2000. If yes, proceed to the next step in the flowchart above. Children’s homes (including secure children’s homes) need to complete Annex A when they receive notice of visits. Since 2016, multi-agency inspections under section 20 of the Children Act 2004 are carried out in the form of joint targeted area inspections (JTAIs). 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. It helps us to understand the challenges in the sector and to discuss national policy with other organisations and government. Ofsted does not prefer any particular size of home. If it is a supplementary service, proceed to the end of the flowchart, with the decision that registration with CQC is not required. This is in stark contrast to most of the Prisons inspectorate report findings in their recent short scrutiny visits to young offender institutions. Our dedicated national team of inspectors usually inspect SCHs twice a year. Ofsted is the Office for Standards in Education, Children’s Services and Skills. Many children in SCHs will have suffered emotional trauma, so good quality mental and emotional health support is vital. 13. Close scrutiny in any closed environment is vital. Ofsted both inspects and regulates certain parts of the youth justice system. 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 quality and purpose of care standard: The provision of personalised, well-intentioned care, with a focus on respect and accessibility (within the home and community). Notifying Ofsted without delay Regulation 40 in the Children’s Homes (England) Regulations 2015 states that ‘the registered person must without delay notify…’. We help social care professionals stay up to date … Ofsted publishes inspection profiles of the largest private and voluntary providers of children’s homes and Outcomes First Group leads the table with the highest quality ratings 4th December 2018 Ofsted has recently published the inspection profiles of the largest private and voluntary providers of children’s homes as at 31 st August 2018. A child is defined in section 121 of the CSA 2000 as a person under the age of 18 years. CQC and Ofsted will confirm their decision to the provider. To that end, the standards for Children’s Homes focus on nine preordained criteria; 1. 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. You’ve accepted all cookies. Unfortunately, there simply aren’t enough SCH places available for children who need the specialist protective care they offer. Guidance for children’s homes providers: notifying Ofsted of a serious event April 2018, No. SCHs are a small, but nonetheless very important part of the system and Ofsted’s … Check Ofsted's COVID-19 updates to see how inspections and reports are affected. This is far from ideal, especially when children have very complex needs, and pose a serious risk to themselves and/or others. 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. 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. And we support HMIP’s inspections of young offender institutions by looking at the quality of education on offer. We are supported by the CQC who assess the quality of healthcare provision. 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 The children’s social care inspectorate said it was the highest number of enforced closures since 2007. The Michigan Child Protection Law provides the framework for what CPS must do. 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. When we inspect, we speak to as many children as possible to get their views and hear about their experiences. https://socialcareinspection.blog.gov.uk/2020/06/09/secure-childrens-homes-helping-the-most-vulnerable-children/. However, we can still go in to inspect when we have concerns – around safeguarding, for example. 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). 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. The justice committee’s inquiry into the impact of COVID-19 on youth justice has shone a light on the children’s secure estate. 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. If a provider needs to clarify whether they should apply for registration with either regulator, they can contact either regulator. 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. 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. CQC and Ofsted are committed to working closely with each other when their responsibilities overlap. Having national oversight of how SCHs are supporting and caring for some of the most vulnerable children is extremely valuable. 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. 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. 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. An example is Barton Moss secure children’s home which has been judged to be outstanding for over 10 successive years. The current framework is the Inspection of Local Authority Children’s Services (ILACS). Young adults aged 18 and over who live or stay at the home must be in the minority. 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. The child’s religion, if any. 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. 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). They know what works for the children they care for.In recent years the government has focused a lot of attention on adoption. Is the location already registered with Ofsted as a children’s home? However, another SCH has closed in the last year. The Michigan Department of Health and Human Services (MDHHS) - Our Children's Protective Services (CPS) program is responsible for investigating allegations of child abuse and neglect. 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. But during the Covid-19 pandemic, the number of children waiting for placements has doubled. 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. 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 … The child’s ethnicity, and the child’s cultural and linguistic background.... 5. Our inspections focus on what makes a difference to children. 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. You can change your cookie settings at any time. Verified employers. Until 1 October 2010, CQC registered independent healthcare and adult social care under the CSA 2000. SCHs provide a safe place where these very vulnerable children can receive the care, education and support that they need. SCHs are working with children to help them understand why following the guidance is so important. For a child who has had a difficult start in life, adoption can provide permanence and certainty. We use cookies to collect information about how you use GOV.UK. 1. 180021 3 Introduction 1. The majority of children’s homes provide some form of health service, ranging from basic first aid to high-level healthcare. If a provider is meeting CQC’s registration criteria, they are likely to need to register with CQC - proceed to the next step of the flowchart. One area of the secure estate that tends to get less attention is secure children’s homes (SCHs). 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. 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. Ofsted and CQC have powers to take enforcement action in these circumstances. This may be a circumstance where it is a continuing care arrangement beyond their 18th birthday and registration with CQC is sufficient. The provider, Ofsted and CQC should refer to the decision trees in Annex 1 to help to determine what registration the provider may require. From 1 October 2010, the HSCA introduced registration requirements for health and adult social care services. It is the property of the Royal College of Nursing and may be updated by them. Identify whether the home involves the provision of healthcare to children and young people. The NHS, independent health services and social care services are now registered with CQC under a single set of legislation and standards. The purpose of registration with CQC is to ensure that services offering high-level healthcare are inspected and regulated appropriately as with any other healthcare provision to properly safeguard children and young people. Since April 2007, Ofsted has inspected local authority children’s services under section 136 of the Education and Inspections Act 2006 under various frameworks. CQC and Ofsted’s leads may decide that they need to make a joint visit to a location to clarify with the provider which activities and services are being carried on, their scope, frequency and the numbers of children involved. We also look at the quality of education children receive and how effective this is in preparing them for their next steps. 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. 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. • 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 help social care professionals stay up to date on issues and developments in the sector. Done well, this work helps children to make sense of their past. The child’s date of birth and sex. 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. Ofsted inspections – clarification for children’s homes May 2016, No. Each regulator will identify a lead person (an inspector or assessor) for this process. 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). The HSCA 2008 requires providers who carry on ‘regulated activities’ to register with CQC. Find out more. If yes, proceed to the next step in the flowchart. When necessary, the regulators will discuss and agree options and advise the provider appropriately. Ofsted is responsible under the Care Standards Act 2000 (CSA 2000) for regulating establishments and agencies that provide children’s social care services. 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. You should check with the Royal College of Nursing to ensure that you have the current version. Examples of a supplementary service include a local GP or a consultant at the local mental health trust who has overall clinical responsibility for the child’s treatment. 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. They described their efforts as critical to our country’s work to tackle the effects of COVID-19 and the extraordinary efforts they have gone to in their care of vulnerable children. It will take only 2 minutes to fill in. About Ofsted - developments in social care inspection. About Ofsted - developments in social care inspection. Competitive salary. 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. To make a complaint, complete the Division of Child Welfare Licensing’s Online Complaint Form. Identify whether the location’s care and accommodation meet the definition of a children’s home under the CSA 2000. We help social care professionals stay up to date on issues and developments in the sector. 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. Good providers explore what brought children to this crisis point in their lives, making plans that meet children’s very specific needs. These include: Note that it is for the reader to ensure that they have the correct and up-to-date version. 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. One area of the secure estate that tends to get less attention is secure children’s homes (SCHs). What happens to these children when a suitable place cannot be found gives us real concern. 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. And the YCS place vulnerable children in SCHs when they are remanded to custody by the courts or are serving a custodial sentence. Under the HSCA 2008, a single set of fundamental standards of quality and safety were gradually introduced across health and adult social care. Many are looked after by local authorities and frequently go missing. 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. They replaced the Regulations under the CSA 2000 and are set out in the HSCA 2008 (Regulated Activities) Regulations 2014 (the 2014 Regulations). The courts decide whether a child can be placed in an SCH and for how long. Ofsted inspects the welfare of children in residential special schools, some boarding schools, residential further education colleges and independent specialist colleges under section 87 of the Children Act 1989. 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. On 19 July, we published our annual data on children’s social care in England in 2017–18. This means they cannot provide as many places as they would like. The provision of services without the necessary registration is an offence under both CSA 2000 and the HSCA 2008. Identify whether the home is ‘standalone’, with clinical staff within the home taking ultimate clinical responsibility for episodes of care, or whether it is ‘supplementary’ to another healthcare professional who has ultimate clinical responsibility for episodes of care. To help us improve GOV.UK, we’d like to know more about your visit today. 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. 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). These are laid out in the publication Guide to the children’s homes regulations including the quality standards. 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. 160023 3 Registration 1. 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. framework (SCCIF): children’s homes Guidance about how children’s homes are inspected, for use from 11 November 2019. 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. Despite this, the proportion of … While they are in a difficult position, we expect all local authorities to make these decisions with due diligence. When registration is decided, CQC and Ofsted will confirm arrangements for future regulation, including any arrangements for future inspection or monitoring of compliance. Shaun Common, Ofsted’s Senior Officer for the Secure Estate, discusses secure children’s homes. It helps us to understand the challenges that a lot of services are the. 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