The Children's Trust - Tadworth

This report summarizes findings from a recent inspection of The Children's Trust in Tadworth, a residential home providing care for children and young people with profound learning disabilities, acquired brain injuries, and short breaks. The inspection, conducted by the Care Quality Commission, assessed various aspects of the service to ensure it meets regulatory standards and provides high-quality care.

Regarding safety, staff are knowledgeable about protecting children and young people from abuse and work effectively with external agencies. While robust safeguarding policies are in place and training is up-to-date, the report highlights a need to strengthen the detail in care plans for overnight visual checks and ensure consistent documentation of water temperatures during bathing and showering. The management of medicines also requires attention, specifically in tracking prescription stationery and ensuring all care plans accurately reflect current medication regimes. Furthermore, there's a recommendation for improved storage of medicines and clear labelling of sharps and medicine waste bins.

In terms of effectiveness, the service demonstrates a strong commitment to supporting the achievements and success of children and young people, particularly those undergoing intensive rehabilitation, with evident progress observed. The staff are well-qualified and trained, and the service generally has sufficient staffing levels to ensure safety and provide appropriate care, although there are some therapy staff vacancies being addressed through international recruitment.

The caring aspect of the service is evident in how staff enable children and young people to have maximum choice and control over their lives, supporting them in the least restrictive way. Staff provide practical support and advice for healthier lives and assist young people in making informed decisions about their care and treatment. The report notes a recommendation to strengthen daily evaluations of care to better include the voice and wishes of the children and young people.

Responsiveness is demonstrated through the service's ability to plan and provide care that meets the needs of children, young people, and their families, working collaboratively with wider systems and local organisations. The service has a comprehensive range of services and can accommodate a significant number of children and young people across its houses.

Concerning leadership, the leaders are described as having integrity, skills, and the ability to manage the service effectively. They are visible, approachable, and support staff development. While the report generally indicates effective leadership, it also points to the need for leaders to address the specific recommendations made in the areas of safety and care planning to further enhance the service.