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The Children's Trust - Tadworth Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 2 April 2020

About the service

The Children’s Trust – Tadworth provides a residential children’s home for children and young people with profound and multiple learning disabilities, a residential rehabilitation service for children and young people with acquired brain injury and a Short Breaks service. The Children’s Trust offers a wide range of services, and at the time of our inspection 49 children and young people were in receipt of care. They can accommodate 61 children and young people across seven houses.

Children and young people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Those using the service received planned and co-ordinated child-centred support that was appropriate and inclusive, and helped them to gain new skills in preparation for adulthood.

The Children’s Trust had up-to-date, comprehensive and service specific policies and procedures to support effective practice.

Staff knew the children and young people they cared for well, including information about their prescribed medicines. However, records did not always fully reflect the excellent care, treatment and intervention received.

Not all staff received level three safeguarding children training in accordance with updated intercollegiate guidance.

All houses and communal areas were clean. Hygiene standards, infection prevention and control were maintained to a high standard.

Children and young people benefitted from exceptional care provided by a wide range of highly skilled, committed and passionate staff.

The Children’s Trust had a comprehensive understanding of the needs of children and young people when they return home or transfer into adult services. Planning for discharge began before admission.

Children and young people receiving intensive rehabilitation at The Children’s Trust were supported by excellent staff who were committed to supporting achievement and success. The progress children and young people made was visible.

Staff were committed, dedicated, passionate and professional. We observed kind and caring staff treat children and young people with dignity and respect. Staff were passionate about the work they did to support children and young people to lead fulfilling lives.

All discussions with staff included the child or young person whenever they were present. Staff understood the requests of children and young people who found it difficult to verbally communicate.

We saw many examples where children and young people were at the heart of everything. We saw positive interactions between children, young people and staff at all levels. We saw strong evidence of children and young people achieving exceptional outcomes.

Staff developed child-centred care plans from the child or young person’s perspective. Voice of the child was very strong throughout the assessments and plans that we reviewed.

Arrangements for social activities were innovative to meet children and young people’s individual needs, so they could live as full a life as possible.

The Children’s Trust had a strong process for seeking, responding to, and making improvements from; feedback, complaints and compliments.

Governance structures, accountability frameworks and monitoring of quality and improvement was strong and well-embedded throughout the service.

Effective processes and systems were in place for pharmaceutical supply and advice within the service, providing good oversight of medication use.

Staff told us they felt well supported by leaders at different levels and felt confident in raising concerns. Senior leaders were highly visible and available to staff through ‘visible leadership’.

The standard of record keeping was variable across all aspects of The Children’s Trust, reaching just the minimum requirements.

For more details, please see the full report which is on the CQC website at w

Inspection areas

Safe

Good

Updated 2 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 2 April 2020

The service was exceptionally effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 2 April 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 2 April 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 2 April 2020

The service was well-led.

Details are in our well-led findings below.