We are committed to embedding an open and collaborative culture where learning from past experiences is encouraged and each individual member of staff is supported to improve their practice.
Positive CIW Inspection reports
We are delighted that Ty Seren has had three CIW inspection reports since opening in December 2021). The most recent inspection was in May 2025.
We received 3 “Excellents” in the areas of Wellbeing, Care and Support and Leadership and Management and a “Good” for environment. CIW Ratings 2025 PfP
Inspectors described Ty Seren as “a safe, nurturing, and structured environment where parents are supported in developing and strengthening their parenting skills.” The report emphasised that the care and support we provide is “well-structured, outcome-focused, and demonstrably effective in helping parents meet the objectives of their placement”.
The inspection found that families experience “excellent well-being outcomes,” with parents receiving clear information, being actively involved in planning, and treated with dignity and respect. Inspectors noted that cultural preferences are acknowledged and that families feel heard and informed throughout their placement.
Our trauma-informed, child-centred approach was praised, with inspectors commenting that “personal plans are written from the child’s perspective and presented in an accessible format,” and that children’s voices are clearly reflected in the work we do.
The report highlighted the skill and professionalism of our team, describing a strong, multidisciplinary staff group supported by clear processes and reflective tools. Feedback from external professionals was described as “overwhelmingly positive,” with particular emphasis on “excellent communication, detailed reports, and a responsive approach to emerging concerns and issues.” Inspectors also noted our strong culture of learning, transparency, and continuous improvement.
The CIW reports can be read in full here:
CIW_Inspection_Report_2025_Ty_Seren
CIW – Inspection Report – October 2022
CIW Inspection Report – June 2022
The '3 lines of Defence' approach to governance
The 3 lines of defence approach used within the Centre and organisation are as follows:
1st line of defence: operational assurance
Day to day operation of the centre including procedures such as handovers, checklists, agendas etc.
2nd line of defence: management assurance
Weekly and monthly oversight of the Centre and the service provided to families.
3rd line of defence: independent assurance
It is the responsibility of the Responsible Individual to ensure that the 3 lines of defence are working effectively within the organisation and kept under review.
It is the responsibility of the manager to ensure that the centre operates in accordance with the principles and mechanisms described above and that this is kept under review.
Pandemic governance
It is the responsibility of the lead Health and Safety officer (being the Operations Lead for the organisation) to monitor pandemic guidance from Public Health Wales, the Welsh Government, CIW, Cwm Taf LHB and Bridgend Local Authority to identify any changes required in protocols or our approach to minimising the risk of harm to all individuals. It is the Operations Lead’s responsibility to ensure any such changes are communicated, with proposed documentation, to the manager of the centre.
It is the manager’s responsibility to ensure the centre operates in accordance with agreed pandemic guidance and procedures.
CIW Inspection Report for Ty Seren
Weekly oversight
We hold weekly service-focused MDT meetings with agenda items including status of parenting assessments, complaints, feedback, incidents, change in needs, staffing issues, deployment of staffing, any identified changes in pandemic requirements and opportunities for improvement.
This is separate to the regular family-focused MDT meetings reviewing the progress of each family.
RI visits to the centre
Whilst the Responsible Individual (RI) is always available to the Manager, staff, families and other stakeholders to discuss any concerns arising in the service, regulatory RI visits are undertaken at least once per quarter. These provide an independent overview whether individuals are satisfied with the service that they receive, what is going well and what could be better.
All RI visits shall include a consideration of any complaints received since the last visit.
The RI discusses all matters arising (positives and opportunities for improvement) with the Service Manager and ensures a record of their visit is maintained.
Separate to these formal visits, the RI is involved in the organisational management meetings, the management review meetings and in the six-monthly Quality Panel. As the RI is also the Service Director, they are very much at the heart of the service and organisation.
Quality Panel
We hold six-monthly Quality meetings which has agenda items including the Responsible Individual’s own review visit, the draft Quality of Care report for the centre, an analysis of incidents, complaints, safeguarding and whistleblowing, data on the outcomes being achieved (especially in the two core objective areas), training and supervision indicators, and the tracking of key HR data such as the retention of staff.
Following the Quality Panel meeting, the manager and RI shall collaborate to finalise the Quality of Care report in line with the peer review process from the quality panel. A copy of this report shall be shared with the Board.
Additionally, a dedicated email address to report any whistleblowing concerns to Board members has been established at pfpwhistleblowing@resource.org.uk
