Children with complex needs can wait years for a stable home
More than 9 out of 10 local authorities frequently struggle to find homes for children with complex needs, according to a new report from Ofsted.

- Most local authorities struggle to find homes for children with complex needs, with children sometimes waiting years for a suitable placement.
- Ofsted warns that many children with complex needs are living alone in homes, often with high numbers of staff, which risks leaving them isolated and vulnerable to mistreatment.
- Report highlights common practice of local authorities and homes working together that resulted in good experiences for children.
Read the 鈥楬ow local authorities and children鈥檚 homes can achieve stability and permanence for children with complex needs鈥� report.
皇冠体育app report, based on case studies and a national survey of local authorities and children鈥檚 home providers, found that children often wait months 鈥� or in the worst cases, years 鈥� for a stable home, and some local authorities are resorting to placements they do not want to use, such as unregistered placements. Increasingly, children who are seen as a risk to themselves or others are deprived of their liberty. 皇冠体育app report calls for greater strategic oversight over the children鈥檚 residential sector to make sure homes open in the right locations and meet children鈥檚 needs.
Large numbers of children with complex needs live in homes alone, often with high numbers of staff. Although this may be right for some children, the report warns it should not be the default when planning children鈥檚 care as it risks leaving them isolated and vulnerable to mistreatment.
Sir Martyn Oliver, His Majesty鈥檚 Chief Inspector of education, children鈥檚 services and skills:
All children deserve to feel secure and well-cared for. This is not always the case for children in care, particularly those with multiple needs. As this report shows, local authorities are increasingly struggling to find homes that are able to meet these children鈥檚 individual needs. 皇冠体育appre are sector-wide challenges with recruiting and retaining skilled staff and a national shortage of secure and therapeutic homes, so I am concerned about the impact this has on children鈥檚 stability.
Yvette Stanley, Ofsted鈥檚 National Director for Social Care:
I am pleased that this report sets out some examples of good practice that have contributed to children feeling better supported in their homes. However, the number of children鈥檚 homes continues to grow, but not in the right places or all offering what children need.
I hope this report encourages local authorities and children鈥檚 homes to work together in planning what is needed and where, in the best interests of children.
Terminology and good practice
皇冠体育app report also questions the broad use of the term 鈥榗omplex needs鈥� in placement decisions, as it can unintentionally group children together whose needs are very different. It recommends a shift away from the umbrella term to describing children鈥檚 specific needs and what support they need, and from whom. This should contribute to the clear communication and information-sharing between children鈥檚 homes, local authorities and other agencies that is vital for children.
According to the case studies, there were some common elements of practice of local authorities and homes working together and with other agencies that resulted in good experiences for children. 皇冠体育appse were:
- moves that were well-planned and at a suitable pace for the individual child
- consistency provided through relationships
- access to the right education service
- facilitating a sense of belonging for children, where they know that staff would not give up on them and that this is their long-term home
- capturing and implementing children鈥檚 views on their care
Notes
皇冠体育app report鈥檚 findings follow a national survey conducted by the inspectorate of local authorities and children鈥檚 home providers across England about the extent of the difficulties local authorities have when finding homes for children with these needs, the reasons behind them, and the barriers homes face in accepting children. Ofsted also carried out 10 case studies to identify good practice among local authorities and children鈥檚 homes, as well as the barriers they face and how practice could improve.
This report follows an Ofsted report published in 2022 鈥�How local authorities plan for sufficiency of accommodation that meets the needs of children in care and care leavers鈥�.
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