Children's Home run by Cambian Childcare Limited in Birmingham

Unique reference number SC396463 Inspector Andrew Hewston Type of inspection Full Provision subtype Children's home

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Registered person Cambian Childcare Limited Registered person address Pinnacle House 2 Oakwood Square, Cheadle Royal Business Park CHEADLE Cheshire SK8 3SB Responsible individual Victor Takadiwa Registered manager Parveen Banga Date of last inspection 05/12/2013 2 of 8 Inspection date 16/10/2014

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Previous inspection good progress Enforcement action since last inspection none

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Overall effectiveness good

Outcomes for children and young people good Quality of care good Keeping children and young people safe good Leadership and management good

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Overall effectiveness

Young people make good progress and have positive outcomes in all aspects of their lives. Young people receive good support from the staff team to discuss their individual care needs and are encouraged to be involved in planning how these needs can be met. They receive good support regarding their personal health care needs. They participate regularly in a broad range of healthy leisure activities in their local community and attend educational provisions to support their development. The building overall is decorated and furnished to a good standard. It provides a safe and comfortable environment for the young people who live there.

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Overall effectiveness

Young people are kept safe through well known safeguarding procedures and a positive behaviour management system that rewards on a consistent basis. Although there are incidents of young people going missing, these are responded to well by the staff.

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Overall effectiveness

The staff team is led by a strong and diligent manager who consistently develops the home. The staff team work very well together and have a consistent approach to the care of the young people. 3 of 8

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Information about this children’s home

The home provides care and accommodation for up to two young people with emotional and/or behavioural difficulties. This service is operated by a private organisation.

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Inspection date Inspection type Inspection judgement

05/12/2013 Interim good progress 05/07/2013 Full adequate 24/01/2013 Interim good progress 26/06/2012 Full outstanding 4 of 8

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Outcomes for children and young people good

Young people enjoy being at the home and are positive about many aspects of their care. Over their time at the home all young people have developed in their self esteem and confidence and have developed strong attachments with members of the staff team. They become aware of how choices and actions impact on their lives, due to experienced staff helping them to understand their life events.

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Outcomes for children and young people good

Young people's health has improved while they are been at the home as they take on increased responsibilities for their own personal care. This has been achieved through diligent staff consistently supporting individuals and working on areas such as sexual exploitation, sexual health, how to keep yourself safe, decreasing enuresis and soiling. As a result of this young people have been able to become more independent and confident with their peers. The staff work consistently with mental health services to further support young people's well being.

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Outcomes for children and young people good

Young people attend educational placements and achieve within these. One young person has achieved 100 % attendance despite considerable upheavals in their care and this has been due to the staff's high expectations of achievement and the young person's enjoyment of school. Young people are involved with community resources through leisure activities and individuals are also have a regular involvement in their placing authorities Looked After Children team, helping to change and develop services for other young people.

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Outcomes for children and young people good

Young people's negative behaviours have decreased while they have been at the home and the level of rewards used outweighs negative sanctions.

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Outcomes for children and young people good

Young people maintain and develop appropriate contact with family and friends. Young people are supported in visiting family. This ensures that young people retain contact and build relationships with important people and contributes to their self- esteem and self-knowledge.

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Outcomes for children and young people good

Young people develop in their ability to care for themselves. Older young people have pathway planning in place and are involved with creating menus, buying and cooking their own foods as well as budgeting for areas such as college and activities. A bespoke independent living plan package is available as young people increase in their levels of independence to enhance their skills.

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Quality of care good

5 of 8 Young people make positive and effective relationships with the staff team and subsequently enjoy being at the home. All young people are able to discuss staff that they get on well with and have a good relationship. Young people state that they are happy to talk to any of the staff and feel that they are listened to. Regular young people's meetings are completed and contain a wide range of areas relating to developments in the home as well as menus and activities. These are well recorded and also include regular discussions relating to cultural events and festivals to develop young people's awareness of differing aspects of local life. Effective and thoughtful key working discussions take place on both an organised basis as well as unstructured discussions. These clearly show how young people's views are both sought and responded to.

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Quality of care good

Information relating to how young people can make complaints is available within the home and is also given to them on admission. Complaints made are thoroughly recorded, investigated and responded to. The manager ensures that if complaints have been made by young people they are clear of the outcomes and can comment on if they are happy with the response. This allows them to further comment on complaints made.

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Quality of care good

Placement planning is detailed and pertinent to the differing needs of the young people. Plans link well to the Looked After Children documentation and are also updated on a regular basis to keep them in line with current behaviours as well as the most recent reviews. This allows staff to always be aware of the most current care practices for each young person and have a document to refer to. Planning is highly individualised and includes information relating to their differing cultures and how they wish to be involved with this.

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Quality of care good

Effective health planning documentation is in place. Young people attend a good range of appointments with differing health professionals to make sure that their health needs are being met. Young people's mental health needs are responded to through the organisation's professionals who offer a service to the young people as well as providing information to the staff team to support the care given. Appropriate referral systems are followed through to develop longer term child and adolescent mental health services where necessary, further supporting young people. Staff complete training in medication administration and all necessary documentation is completed swiftly as well as being audited regularly to ensure they are completed well. Young people are supported with meeting their specific health needs, with relation to promoting awareness in areas such as sexual health and general cleanliness.

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Quality of care good

All young people are involved with educational placements and are positive about these. Staff fully support school placements, attending parents' evenings and meetings regarding young people's educational developments. Notable positive work has been completed to support young people to go on school residential trips and also responding to possible bullying within school. 6 of 8 A good range of activities are offered to young people by the staff team. These have allowed them to be involved with new activities and also develop their self-esteem. Older residents are able to have a greater level of independence. This is well managed and enabled young people to attend a recent England match with friends. A planned 'Come dine with me' event across two homes is a positive way of increasing an awareness of food, as well as creating an enjoyable number of evenings with young people fully involved.

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Quality of care good

The home is well cared for and is a pleasant comfortable environment. Young people are positive about their own rooms and are proud of the personalisation that they have brought to these. Damage and repairs are responded to swiftly.

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Keeping children and young people safe good

Young people feel safe at the home and state that the staff team help them to keep safe when they go out. Staff are appropriately trained in safeguarding of young people and are also aware of how to respond if they have concerns about their welfare.

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Keeping children and young people safe good

When young people have gone missing from the home staff have responded effectively and with vigour to support the safety of those involved. There has been a reduction in levels of individuals' absence patterns while they have been at the home as staff understand the triggers for such instances. Young people state that they would rather 'tell the staff what is happening in my life rather than running off and getting into trouble.' This allows staff to further ensure the welfare of young people.

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Keeping children and young people safe good

The staff team expect young people to behave well both within the home and when they go out. Young people are aware of these expectations and respond well to them. Good use of individualised behaviour management targets allow young people to gain rewards for positive behaviours. This has resulted in rewards being used more than sanctions in behaviour management records. Levels of restraint at the home are low and only used in line with the individuals risk assessments. All incidents of behaviour management are fully recorded to support the safety of the young people.

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Keeping children and young people safe good

Thorough and effective recruitment practices are completed to decrease risks to the young people. Young people are involved within the recruitment process, giving feedback to the interviewing panel about their thoughts. This enhances the effectiveness of the vetting process.

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Keeping children and young people safe good

Regular checks on all health and safety areas are completed. Fire checks are up to date and all necessary certification is updated on a regular basis to support the safety of both young people and staff. Thorough risk assessments relating to the young people are completed, from impact assessments prior to their admission to on- going activities and aspects with regard to life at the home. 7 of 8

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Leadership and management good

The home is well managed by a Registered Manager who has been in position since November 2013 and is appropriately qualified. They have a good awareness of the way that the home works and the needs of the young people. The staff team have responded to the single recommendation that was made at the last inspection and training for all has been updated. A development plan is in place and this gives a clear picture of how the manager would like to develop the service further.

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Leadership and management good

The Statement of Purpose gives information regarding the home and it's purpose and has been updated to include changes in staff. The young people's guide gives a clear summary of the role of the home and some basic rules and expectations. Young people are confident in examining this and challenging staff when they feel it needs to be changed.

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Leadership and management good

The home has had a high turnover of staff since the last inspection with the majority of the staff team being new to the home. The Registered Manager has examined this concern and is in discussions with senior managers to develop a greater consistency in the staff team. Staff changes have not had a negative impact on the ability of the team to respond to the needs of the young people.

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Leadership and management good

Staff are well supported through regular supervisions and appraisals. Staff carrying out supervision have completed training to ensure that they are able to support staff appropriately. Monthly team meetings are held and these include updates relating to the home, the organisation and also reviews of the young people's care. The staff team are therefore kept up to date with the most recent information regarding care processes. The staff team have all completed mandatory training courses and have either completed or engaged in the level three qualification to ensure they are skilled to meet the needs of the young people.

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Leadership and management good

Quality assurance systems which include consultation with external stakeholders, such as placing authorities, regular input from young people, staff and relevant others informs the managers day to day practice and adds to the homes development plan. Monthly monitoring is detailed both by the manager and the external visitors and the manager responds well to areas raised as requiring improvement. This highlights the management's commitment to improve. Website: www.ofsted.gov.uk

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Leadership and management good

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Judgement Description

Outstanding A service of exceptional quality that significantly exceeds minimum requirements.

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Judgement Description

Good A service of high quality that exceeds minimum requirements.

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Judgement Description

Adequate A service that only meets minimum requirements.

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Judgement Description

Inadequate A service that does not meet minimum requirements.

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Information about this inspection

The purpose of this inspection is to assure children and young people, parents, the public, local authorities and government of the quality and standard of the service provided. The inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service and to consider how well it complies with the relevant regulations and meets the national minimum standards.

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Information about this inspection

The report details the main strengths, any areas for improvement, including any breaches of regulation, and any failure to meet national minimum standards. The judgements included in the report are made against the framework of inspection for children's homes.

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