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W874 [WCAG21 2.4.1 (A)] Add a skip navigation link as the first link on the page:
If your document has structure then you should add a skip navigation link to make it easier for accessible users to get to the page's content. To ensure detection, skip navigation links should point to a <main> element, or an element with role='main'. See Understanding 2.4.1, and Skip Navigation. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
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2 P967 [WCAG21 3.1.1 (A)] Use the 'lang' attribute to denote the primary language of the document:
You should always identify the primary natural language of a document using a 'lang' attribute on the <html> element. See WCAG 2.1 HTML Technique H57. <html xmlns="http://www.w3.org/1999/xhtml">
3 <head>
4 <meta name="viewport" content="width=device-width, initial-scale=1.0"/>
5 W605 Duplicate tag found: See matching tag on line: 22
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6 W605 Duplicate tag found: See matching tag on line: 23
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8 Monitoring Quality | Next Stage 4Life
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45 Home
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46 Contents
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47 Local Resources
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51 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
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62 <div class="content_text">
63 <h1 class="h1">
63 Monitoring Quality
63 </h1>
64 <div class="scope_box" style="padding-bottom: 0px; padding-top: 15px;">
65 <h2 class="h3">
65 REGULATIONS AND STANDARDS
65 </h2>
66 <p>
66 <a
href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#leadership
" target="_blank">
66 The Leadership and Management Standard
66 </a>
66 </p>
67 <p>
67 <a href="http://qualitystandards.proceduresonline.com/homes/p_manag_admin_reg.html#part_6"
target="_blank">
67 Guidance on Part 6 of the Regulations – Monitoring and Reviewing Children's Homes
67 </a>
67 <br />
68 Regulation 44/45/46
68 </p>
69 <p>
69 <a
href="http://qualitystandards.proceduresonline.com/homes/p_quality_standards.html#qual_purpose
" target="_blank">
69 The Quality and Purpose of Care Standard
69 </a>
69 </p>
70 <h3 class="h3">
70 RELEVANT GUIDANCE
70 </h3>
71 <p>
71 <a
href="https://www.gov.uk/government/publications/childrens-homes-regulations-amendments-2014
" target="_blank">
71 Children's Homes Providers on New Duties under Regulations that came into Effect in January
and April 2014
71 </a>
71 </p>
72 </div>
73 <h2 class="h2_underlined">
73 <br />
74 Contents
74 </h2>
75 <ol>
76 <li>
76 <a href="#suitability">
76 Suitability of Premises
76 </a>
76 </li>
77 <li>
77 <a href="#review">
77 Review of Quality of Care
77 </a>
77 <br />
78 <br />
79 <a href="#app1">
79 Appendix 1: Regulation 45 Report on Review of Quality Care
79 </a>
79 </li>
80 </ol>
81 <h2 class="h2_underlined">
81 <br />
82 1.
82 <a name="suitability" id="suitability">
82 </a>
82 Suitability of Premises
82 </h2>
83 <p>
83 An annual review will be undertaken (in consultation with the Police and any other relevant
bodies) of the appropriateness and suitability of the location of the home. The purpose of this
review is to ensure that children and young people cared for in the home are effectively
safeguarded and able to access services as identified on their Care Plans/Placement Plans.
83 </p>
84 <p>
84 This location assessment will be kept under review and amended to take into account any new
risks as these are identified.
84 </p>
85 <p>
85 Where unable to secure information from the relevant partners the use of 'soft' information
(i.e. knowledge of the area, verbal feedback from local neighbourhood policing teams or
community safety partnership wardens etc.) to form the basis of the assessment.
85 </p>
86 <p>
86 Considerations to be taken into account in carrying out a location assessment may include:
86 </p>
87 <ul>
88 <li>
88 Whether the location of the home influences the potential for an already vulnerable child to
be a victim of crime, such as being targeted for sexual exploitation;
88 </li>
89 <li>
89 Whether there is a likelihood of children placed in the home becoming drawn into gang crime or
anti-social behaviour in the local area;
89 </li>
90 <li>
90 The suitability of the local neighbourhood as a location to care for children who may have
already been victims of abuse and neglect; and
90 </li>
91 <li>
91 Whether there are environmental factors that would represent a hazard to children, such as
locations near level crossings or busy roads.
91 </li>
92 </ul>
93 <p>
93 Location assessments may also identify factors that would positively contribute towards a
child's well-being e.g. leisure activities or services to support the child's ethnic or
religious identity.
93 </p>
94 <p>
94 For detailed information on carrying out location assessments, see
94 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/339545/Children_
s_homes_regulations_amendments_2014.pdf" target="_blank">
94 Children's Homes Regulations Amendments 2014: Advice for Children's Homes Providers on New
Duties under Amendments to Regulations that came into Effect in January and April 2014
94 </a>
94 .
94 </p>
95 <h2 class="h2_underlined">
95 <br />
96 2.
96 <a name="review" id="review">
96 </a>
96 Review of Quality Care
96 </h2>
97 <p>
97 The review of the quality of care provided within the home will be carried out by:
97 </p>
98 <ul>
99 <li>
99 A process of regular monitoring of the activities within the home by the Registered Manager
or, in their absence, their appointed deputy;
99 </li>
100 <li>
100 Reports prepared as part of Regulation 44 visits completed by an Independent Person;
100 </li>
101 <li>
101 A formal Review of Quality of Care (Regulation 45) completed by the Registered Manager and
submitted to HMCI at least once every 6 months.
101 </li>
102 </ul>
103 <h3 class="h3">
103 Regulation 44 Visits
103 </h3>
104 <p>
104 The Authority will arrange for all of its homes to receive monthly visits from an Independent
Person. These visits are an on-going process that identifies where you are at any given point in
time and provides a potential basis in moving forwards. This is only a small element of this
process. The visits should usually be unannounced but can be announced if it is necessary to
arrange to meet a particular person.
104 </p>
105 <p>
105 The independent person
105 <span class="bold">
105 cannot
105 </span>
105 be a person employed by the Local Authority in connection with the carrying on of Social
Services functions relating to children. For more information on who can be appointed as an
independent person, see
105 <a
href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/339545/Children_
s_homes_regulations_amendments_2014.pdf" target="_blank">
105 Children's Homes Regulations Amendments 2014: Advice for Children's Homes Providers on New
Duties under Amendments to Regulations that came into Effect in January and April 2014
105 </a>
105 .
105 </p>
106 <p>
106 The visit will be for a minimum of one hour. The person should complete a written report of the
visit. This may include recommendations for improvement, with timescales.
106 </p>
107 <p>
107 The report should be shared with the Registered Manager and Responsible Individual, with the
opportunity to make comment e.g. if there is disagreement with the comments and recommendations.
107 </p>
108 <p>
108 The report should be lodged with the home for the Manager and staff to read and respond to.
108 </p>
109 <p>
109 A copy of this report is sent to the
109 <a
href="http://trixresources.proceduresonline.com/nat_key/keywords/regulatory_authority.html"
target="_blank">
109 Regulatory Authority
109 </a>
109 in the following month after the visit.
109 </p>
110 <p>
110 The independent person, when carrying out a visit, shall:
110 </p>
111 <ul>
112 <li>
112 Interview, with their consent and in private, such of the children accommodated there, their
parents, relatives and persons working at the children's home as appears necessary in order to
form an opinion as to whether:
113 <ul>
114 <li>
114 Children accommodated at the children's home are effectively safeguarded; and
114 </li>
115 <li>
115 The conduct of the children's home promotes the wellbeing of the children accommodated
there.
115 </li>
116 </ul>
117 </li>
118 <li>
118 Inspect the premises of the children's home, and such of the children's home's records, as the
independent person requires (children's case records may only be inspected with the consent of
the child and the child's Placing Authority).
118 </li>
119 </ul>
120 <p>
120 This may include the following:
120 </p>
121 <ol>
122 <li>
122 Meet and talk to children and staff of the home to ascertain their views, comments and any
complaints about the running of the home;
122 </li>
123 <li>
123 Read the Daily Log, records of restraints, incidents, reports of notifiable events;
123 </li>
124 <li>
124 Read the records of Comments, Representations and Complaints and (Child Protection Referrals),
commenting on the frequency and type made and whether they appear to have been dealt with
adequately;
124 </li>
125 <li>
125 Read and comment on the record of Children's and Staff Meetings, or other methods used by the
manager to consult the children and staff, held in the home. The person should also check that
staff supervision have taken place as required;
125 </li>
126 <li>
126 Check on the physical condition and decoration of the home, including the children's bedrooms.
126 </li>
127 </ol>
128 <h3 class="h3">
128 Regulation 45 Report – Review of Quality of Care
128 </h3>
129 <p>
129 As identified earlier, the formal Review of Quality of Care (Regulation 45) completed by the
Registered Manager must be submitted to HMCI at least once every 6 months which is sent within
28 days of the completion of the review.
129 </p>
130 <p>
130 It is the expectation of the Responsible Individual that these reviews are completed at least
quarterly or as and when the Registered Manager assesses it to be necessary. The registered
Manager may assess that due to events in the home, changes in residents or significant changes
in staff for example it may be helpful to review outside of these timescales.
130 </p>
131 <p>
131 In order to carry complete a review of the quality of care the Registered Manager must establish
and maintain a system for monitoring, reviewing and evaluating:
131 </p>
132 <ol type="a">
133 <li>
133 The quality of care provided for children;
133 </li>
134 <li>
134 The feedback and opinions of the children about the children's home, its facilities and the
quality of care they receive in it; and
134 </li>
135 <li>
135 Any actions that the registered person considers necessary in order to improve or maintain the
quality of care provided for children;
135 </li>
136 <li>
136 The feedback and opinions of the parents, placing authorities and other significant
stakeholders in the care of the children and in the home such as the staff working there.
136 </li>
137 </ol>
138 <p>
138 The Registered Manger should make available their schedule of monitoring to ensure that in their
absence monitoring will continue.
138 </p>
139 <p>
139 Whilst it is the responsibility of the Registered Manager to establish and maintain their system
of monitoring for the home, the Foundation expects that that the following are monitored:
139 </p>
140 <h4 class="h4">
140 Minimum of weekly:
140 </h4>
141 <ol type="i">
142 <li>
142 Incidents including:
143 <ol type="a">
144 <li>
144 The use of restrictive physical interventions;
144 </li>
145 <li>
145 Episodes of missing from home;
145 </li>
146 <li>
146 Accidents and injuries;
146 </li>
147 <li>
147 Safeguarding or Child Protection;
147 </li>
148 <li>
148 Notifications under Regulation 40.
148 </li>
149 </ol>
150 </li>
151 <li>
151 Day notes;
151 </li>
152 <li>
152 Complaints log;
152 </li>
153 <li>
153 Fire log;
153 </li>
154 <li>
154 Day planner;
154 </li>
155 <li>
155 1:1 consultations or debriefs following incidents;
155 </li>
156 <li>
156 Medication records;
156 </li>
157 <li>
157 Sanctions;
157 </li>
158 <li>
158 Staff signing in book.
158 </li>
159 </ol>
160 <h4 class="h4">
160 Minimum of Termly (6 weekly):
160 </h4>
161 <ol type="i">
162 <li>
162 Cleaning rota;
162 </li>
163 <li>
163 Fridge/freezer temps;
163 </li>
164 <li>
164 Menus (quality and evidence of child involvement);
164 </li>
165 <li>
165 Communications book;
165 </li>
166 <li>
166 Rotas and timesheets;
166 </li>
167 <li>
167 Visitor's book;
167 </li>
168 <li>
168 Staff supervision records;
168 </li>
169 <li>
169 1:1 work/keyworker sessions;
169 </li>
170 <li>
170 Maintenance log;
170 </li>
171 <li>
171 Health records;
171 </li>
172 <li>
172 Monetary records;
172 </li>
173 <li>
173 Meetings – staff and children's;
173 </li>
174 <li>
174 WIP File including:
175 <ol type="a">
176 <li>
176 Placement Plans;
176 </li>
177 <li>
177 Individual Behaviour Support Plans;
177 </li>
178 <li>
178 Monthly reports/summaries;
178 </li>
179 <li>
179 Contacts with Parents/Social Workers/others;
179 </li>
180 <li>
180 Education attendance and attainment.
180 </li>
181 </ol>
182 </li>
183 <li>
183 Case management meetings;
183 </li>
184 <li>
184 Training matrix;
184 </li>
185 <li>
185 First aid boxes;
185 </li>
186 <li>
186 Contents of fire box.
186 </li>
187 </ol>
188 <h4 class="h4">
188 Minimum of Quarterly
188 </h4>
189 <ol type="i">
190 <li>
190 Children's contracts;
190 </li>
191 <li>
191 ILAC paperwork;
191 </li>
192 <li>
192 LAC Reviews;
192 </li>
193 <li>
193 Education paperwork (plans and targets).
193 </li>
194 </ol>
195 <p>
195 For Guidance on what should be included within the report see
195 <a href="#app1">
195 Appendix 1: Regulation 45 Report on Review of Quality of Care
195 </a>
195 .
195 </p>
196 <p>
196 Once a review is complete it must be sent to HMCI within 28 days.
196 </p>
197 <p>
197 Reports may also be provided to a placing authority, if the placing authority is not the parent
of a child accommodated in the home.
197 </p>
198 <h2 class="h2_underlined">
198 <br />
199 <a name="app1" id="app1">
199 </a>
199 Appendix 1: Regulation 45 Report on Review of Quality of Care
199 </h2>
200 <p>
200 It is the responsibility of the Registered Manger to decide on what should be included in the
review of the home. The report should be an analysis of the information monitored, reviewed and
evaluated, with the aim of learning from the information to inform and drive improvements in the
home and for the quality care of the children placed there.
200 </p>
201 The following headings and guidance are for reference to help inform a structure for reporting.
The views and wishes of children and other key stakeholders should form an integrated part of the
analysis within the report.
202 <h3 class="h3">
202 The Quality and Purpose of Care Standard
202 </h3>
203 <ol>
204 <li>
204 Any safeguarding concerns or incidents in respect of a child accommodated at the children's
home and the measures taken by the persons working at the children's home to respond
effectively to these to ensure the safeguarding and welfare of the child. What has been learnt
from these incidents?
204 </li>
205 <li>
205 The arrangements for children coming to and leaving the children's home. Impact on the home?
205 </li>
206 <li>
206 The arrangements for monitoring the quality of care provided by the children's home's,
including the actions taken in response to recommendations made by the independent person or,
as the case may be, the reasons why the registered person did not consider it appropriate or
necessary to take any such actions;
206 </li>
207 <li>
207 In respect of each child accommodated in the children's home, compliance with the Placing
Authority's care plans and placement plans;
207 </li>
208 <li>
208 The arrangements for:
209 <ol type="a">
210 <li>
210 Consulting children about the quality of the children's home's care and for acting on the
results of such consultation;
210 </li>
211 <li>
211 Involving children in decisions about:
212 <ol type="i">
213 <li>
213 Their own care; and
213 </li>
214 <li>
214 The day to day running of the children's home.
214 </li>
215 </ol>
216 </li>
217 </ol>
218 </li>
219 <li>
219 Complaints in relation to the children's home or children accommodated in it, including any
actions taken in response to such complaints and how complaints were resolved;
219 </li>
220 <li>
220 Notifications of the events under Regulation 40 (see
220 <a href="p_notif_events.html">
220 Notification of Serious Events Procedure
220 </a>
220 ).
220 </li>
221 </ol>
222 <h3 class="h3">
222 The Education Standard
222 </h3>
223 <ol>
224 <li value="8">
224 The effectiveness of the children's home is not dually registered as a school, the
effectiveness of the children's home in promoting the educational attainment of children in
its care and the quality of relationships between the children's home and local schools.
224 </li>
225 </ol>
226 <h3 class="h3">
226 The Positive Relationship Standard
226 </h3>
227 <ol>
228 <li value="9">
228 The arrangements for promoting and supporting the positive behaviour of children accommodated
in the children's home;
228 </li>
229 <li>
229 The effectiveness of the children's home's approach to behavioural support, including
arrangements for commissioning training for staff in behaviour management and restraint;
229 </li>
230 <li>
230 The number of times that children accommodated at the children's home are restrained and the
steps taken by the children's home to minimise the use of restraint;
230 </li>
231 <li>
231 Whether there have been any occasions when children accommodated in the children's home have
been charged with a criminal offence.
231 </li>
232 </ol>
233 <h3 class="h3">
233 The Health and Well-being Standard
233 </h3>
234 <ol>
235 <li value="13">
235 The arrangements, if any, for commissioning therapeutic services appropriate to the needs of
children accommodated by the children's home and the effectiveness of any such arrangements in
achieving health outcomes for the children accommodated by the children's home;
235 </li>
236 <li>
236 The arrangements for children to be provided with general medical practitioner and other
primary health care services, including access to preventive and screening services in the
local community;
236 </li>
237 <li>
237 Details of children requiring accident and emergency treatment and other hospital services;
237 </li>
238 <li>
238 Illnesses of children accommodated in the children's home.
238 </li>
239 </ol>
240 <h3 class="h3">
240 The Leadership and Management Standard
240 </h3>
241 <ol>
242 <li value="17">
242 Risk assessments for health and safety purposes and subsequent action taken;
242 </li>
243 <li>
243 Fire drills and tests of alarms and of fire equipment.
243 </li>
244 <li>
244 The arrangements for the management and supervision of staff working at the children's home,
including duty rosters and staff deployment in relation to incidents at the children's home;
244 </li>
245 <li>
245 The arrangements for continuing professional development, recruitment and training of staff
working at the children's home;
245 <br />
246 <br />
247 Details of:
248 <ol type="a">
249 <li>
249 Disciplinary action concerning persons working at the children's home;
249 </li>
250 <li>
250 Staff grievances.
250 <br />
251 <br />
252 The reasons for staff ceasing employment at the children's home.
252 </li>
253 </ol>
254 </li>
255 <li>
255 The arrangements for consultation with placing authorities, the local authority in whose area
the children's home is located and other community services used by children accommodated at
the children's home;
255 </li>
256 <li>
256 The effectiveness of the children's home's guidance and procedures concerning police
involvement in the children's home.
256 </li>
257 </ol>
258 <p>
258 On an annual basis, the managers must also review the Home's Statement of Purpose, and make
necessary improvements, which should be approved by the Regulatory Authority.
258 </p>
259 <h3 class="h3">
259 The Protection of Children Standard
259 </h3>
260 <ol>
261 <li value="23">
261 The number of reports of children accommodated at the children's home being absent without
permission;
261 </li>
262 <li>
262 The measures taken by staff:
263 <ol type="a">
264 <li>
264 To prevent children from being absent from the children's home without permission; and
264 </li>
265 <li>
265 In response to a child being absent without permission from the children's home.
265 </li>
266 </ol>
267 </li>
268 <li>
268 The effectiveness of arrangements agreed between the children's home, local police and the
local authority for responding to missing person incidents in relation to children
accommodated at the children's home.
268 </li>
269 </ol>
271 <p>
271 <br />
272 <br />
273 </p>
274 </div>
275 </div>
276 </div>
277 </div>
278 <div id="footer-wrap">
279 <div id="footer-container">
279 <div id="footer">
280 I899 [WCAG21 1.3.2 (A)] Layout tables must represent their content in a meaningful sequence:
Screen readers can struggle to read out tables sensibly, so it is often better to use alternative mark-up and CSS to layout content. Try disabling the table mark-up to see if it still makes sense. See WCAG 2.1 Failure F49. <table width="100%" border="0" cellspacing="0" cellpadding="0">
281 <tr>
282 <td width="60%" align="left" style="padding-top: 0px;">
282 <a href="http://www.trixonline.co.uk/" target="_blank">
282 <img src="images/trix_logo.gif" width="57" height="22" alt="tri.x logo" border="0"/>
282 </a>
282
282 <span class="darkdivider">
282 |
282 </span>
282 Copyright ©
282 <a href="http://www.trixonline.co.uk/" target="_blank">
282 tri.x
282 </a>
282
282 <span class="darkdivider">
282 |
282 </span>
282
282 </td>
283 <td width="40%" align="right" valign="top" style="padding-top: 0px;">
285 <div class="footer_box">
285 <a href="#">
285 visibility:
285 </a>
285
285 <a href="#" onclick="setActiveStyleSheet('small'); return false;">
285 <img src="images/icons/small_a.gif" alt="View this website with small text" border="0" />
285 </a>
285 <a href="#" onclick="setActiveStyleSheet('medium'); return false;">
285 <img src="images/icons/medium_a.gif" border="0" alt="View this website with medium
text" />
285 </a>
285 <a href="#" onclick="setActiveStyleSheet('large'); return false;">
285 <img src="images/icons/large_a.gif" border="0" alt="View this website with large text" />
285 </a>
285 <a href="#" onclick="setActiveStyleSheet('hivis'); return false;">
285 <img src="images/icons/hivis.gif" border="0" alt="View this website with high
visibility" />
285 </a>
285
285 <span class="darkdivider">
285 |
285 </span>
285
285 </div>
286 <div class="footer_box">
286 <a href="#" onclick="window.external.AddFavorite(location.href, document.title)">
286 <img src="images/icons/favourite.gif" alt="Add this page to your favourites" width="18"
height="18" border="0" />
286 </a>
286 <a href="#" onclick="window.external.AddFavorite(location.href, document.title)">
286 favourites
286 </a>
286
286 <span class="darkdivider">
286 |
286 </span>
286
286 </div>
287 <div class="footer_box">
287 W884 [WCAG21 2.1.1/2.1.3 (A/AAA)] Mouse/Pointer event handlers require keyboard equivalents:
When using mouse/pointer event handlers on elements that can be accessed by keyboard, ensure that you provide an equivalent keyboard handler. See WCAG 2.1 Failure F54. <input name="printMe" type="image" onclick="printSpecial()" value="Print this Page"
src="images/icons/print.gif" onmouseover="images/icons/print.gif'"
onmouseout="this.src='images/icons/print.gif'" alt="Print this page"/>
289 <a href="#" onclick="printSpecial()">
289 print
289 </a>
289
289 <span class="darkdivider">
289 |
289 </span>
289
289 </div>
290 </td>
291 </tr>
292 </table>
293 </div>
293 </div>
294 </div>
295 </body>
296 </html>