• Care Home
  • Care home

The Children's Trust - Tadworth

Overall: Outstanding

Tadworth Court, Tadworth Street, Tadworth, Surrey, KT20 5RU (01737) 365000

Provided and run by:
The Children's Trust

Latest inspection summary

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Background to this inspection

Updated 9 July 2021

The inspection

This was a targeted inspection to check on specific concerns raised to us about staffing and how children and young people in Chestnut House were being kept safe. We will assess all of the key questions at the next comprehensive inspection of The Children’s Trust.

As part of this inspection we also looked at the infection prevention and control measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak.

Inspection team

This inspection was undertaken by two inspectors.

Service and service type

The Children's Trust is a residential children's home with three houses for children and young people with profound and multiple learning disabilities, and four residential rehabilitation houses for children and young people with acquired brain injury. Chestnut House is home to seven children and young people with the most complex medical needs.

The Children’s Trust had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from local authority professionals. We reviewed action plans, investigation reports and meeting minutes provided to us by The Children’s Trust.

During the inspection

We spoke with one parent of a young person receiving care at Chestnut House about their experience. We spoke with three members of staff including a clinical educator, house manager and the registered manager. We examined the care records and medicines records of each of the seven children and young people. We looked at staffing rotas and skill mix arrangements. We reviewed staff training and competency records. We looked at how the provider shared learning from incidents with staff.

After the inspection

We continued to seek clarification to validate evidence found.

Overall inspection

Outstanding

Updated 9 July 2021

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 www.cqc.org.uk

Rating at last inspection

The last rating for this service was outstanding (published 11 January 2018).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Children’s Trust - Tadworth on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.