Children's home run by Cambian Childcare Limited in Stockport

Inspection report children’s home: SC457434 1 SC457434 Registered provider: Cambian Childcare Ltd

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home is operated by a private provider. It is registered to provide care and accommodation for one child or young person, aged between eight and 18 years old, who has emotional and/or behavioural difficulties.

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Overall experiences and progress of

children and young people, taking into account

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outstanding

How well children and young people are helped and protected outstanding

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outstanding

The effectiveness of leaders and managers outstanding

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outstanding

The children’s home provides highly effective services that consistently exceed the standards of good. The actions of the children’s home contribute to significantly improved outcomes and positive experiences for children and young people who need help, protection and care.

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outstanding

Date of last inspection: 31 January 2017

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outstanding

Overall judgement at last inspection: Improved effectiveness

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Enforcement action since last inspection

None Inspection report children’s home: SC457434 2

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Key findings from this inspection

This children’s home is outstanding because

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Key findings from this inspection

 Exceptional care, support and guidance ensure outstanding progress for the young person.  The skilled and dedicated staff team advocates relentlessly for the young person’s needs, ensuring that required services are provided.  Persistent efforts by staff ensure that the young person has an education and is not excluded.  High-quality weekly training and support are provided to staff by a dedicated clinical team.  Staff are highly skilled in managing sudden and volatile situations calmly, without the use of physical intervention.  Excellent-quality risk assessments, coupled with a robust and rigorous process for review, ensure that consistent and appropriate care is provided and that risk is effectively managed.  Thorough monitoring systems ensure that the manager provides targeted and specific training for his staff team.  A robust and structured recruitment and induction process ensures that the best

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Key findings from this inspection

staff are appointed for the young person. The staff team is well established, stable and committed.

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Inspection date Inspection type Inspection judgement

31/01/2017 Interim Improved effectiveness 02/06/2016 Full Outstanding 17/02/2016 Interim Sustained effectiveness 06/10/2015 Full Outstanding Inspection report children’s home: SC457434 3

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Overall experiences and progress of children and young people: outstanding

Before moving to this home, the young person had several unplanned moves. This is his most stable placement. Progress for the young person since living here is outstanding.

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Overall experiences and progress of children and young people: outstanding

The dedicated and motivated staff team provide consistent and focused high-quality care. As a result, the young person’s progress since the last inspection is exceptional. Staff know the young person extremely well and are able to manage volatile and intense situations with skill and calmness. This provides the young person with a stable environment within which to develop self-regulation and an understanding of his emotions.

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Overall experiences and progress of children and young people: outstanding

The home is warm and welcoming; the young person has chosen new decoration for the home. Photographs of the young person, family members and staff are visible in the living areas. Initially, the young person would not tolerate any level of personalisation. As a result of the consistent and caring attitude of the staff, he now enjoys having his own possessions and photographs on display. The young person is invested in his home and takes pride in his surroundings.

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Overall experiences and progress of children and young people: outstanding

Exceptional and high-quality care planning ensure that the young person’s needs are met. Detailed and thorough review of plans means that targeted care is provided. This ensures continuous promotion of successful outcomes for the young person. A professional said, ‘I am really impressed with [Name of the home]. The progress [Name of the young person] has made is astounding. Prior to his placement, he really struggled. Staff are skilled at pre-empting situations and changes to the young person’s mental health. They identify emerging risk swiftly. They fight so hard for [Name of young person] and advocate well for him.’

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Overall experiences and progress of children and young people: outstanding

The young person benefits from formal and informal key working sessions. This ensures that his voice is present throughout all the staff do. Detailed and timely recording of discussions informs accurate and high-quality risk assessments and care plans. As a result, the young person’s care package is constantly reviewed in line with his ever- changing needs.

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Overall experiences and progress of children and young people: outstanding

The dedicated manager and staff team show genuine care and concern for the young person. As a result of the consistent and positive influence of the manager and staff team, the young person now has increased confidence in social situations and a renewed trust of adults. Due to this, the young person asks for help when he feels anxious or upset.

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Overall experiences and progress of children and young people: outstanding

Prior to moving to this home, the young person was not receiving any education. Due to the tenacious efforts of the staff team, the young person has not only re-established his academic studies, but he has successfully taken examinations. Staff have worked Inspection report children’s home: SC457434 4 tirelessly to engage education providers to give the young person his entitled education. Consequently, the young person has opportunities to further his learning and has clear goals for the future.

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Overall experiences and progress of children and young people: outstanding

Staff have fought relentlessly for bespoke and targeted specialist health services. Staff are vocal and persistent in their advocacy for the young person. Staff continue to identify emerging needs because of their meticulous observations and timely risk assessments. This ensures that the focus remains on the young person and that his significant progress continues.

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Overall experiences and progress of children and young people: outstanding

The young person enjoys participating in activities in the community. Staff are innovative when seeking new experiences for him. They spend time sensitively breaking down resistance and prejudice from outside providers and champion the needs and qualities of the young person. This ensures that the young person is not isolated and he has opportunities to grow in confidence and develop trust within the wider community.

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Overall experiences and progress of children and young people: outstanding

Although the young person’s life story is largely unknown, due to his limited care experience, he is building trusting relationships with the staff. As a result of the trust he has developed, the young person is giving more information about his past. Staff have worked hard to restore and maintain some family contact for the young person. This ensures that he can maintain important cultural links and family bonds. Sensitive and appropriate supervision means that the young person can enjoy time with family members in a safe and supportive environment.

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How well children and young people are helped and protected: outstanding

A comprehensive range of dynamic individual risk assessments ensures that staff can keep the young person safe while allowing him freedom to enjoy activities. Due to consistent reviews, staff are able to identify new and emerging risk and adapt their care accordingly. As a result of the strong relationships forged with staff, the young person is able to identify potential risk related to his own anxieties and is learning to regulate his emotional well-being.

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How well children and young people are helped and protected: outstanding

Staff provide a safe, stable and supportive environment for the young person. The young person does not go missing. However, staff can describe well what they would do in the event of a young person going missing. This ensures that staff will respond swiftly and with confidence to keep him safe.

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How well children and young people are helped and protected: outstanding

Due to the stability of the staff team, the young person is able to trust and invest in his caregivers. Staff focus on repairing relationships and resolving conflict. As a result, the young person has developed a better understanding of his own emotional well-being and has some insight regarding unacceptable behaviour.

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How well children and young people are helped and protected: outstanding

There have been several significant and volatile situations in the home, due to the young person’s needs. The highly skilled and proactive staff team use dynamic de-escalation methods to diffuse charged situations. As a result, physical intervention has not been necessary. This helps the young person to manage his anxieties and talk about his Inspection report children’s home: SC457434 5 worries. A measured and consistent approach by all staff members has increased the young person’s trust in them.

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How well children and young people are helped and protected: outstanding

Complaints information is readily available and accessible for the young person. The young person has used the complaints system effectively; there has been one complaint in this inspection period. The response from the manager was swift. The manager proactively used the complaint to reduce some of the young person’s fears by seeking information from outside agencies. This was effective and helped the young person to differentiate between facts and anxieties.

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The effectiveness of leaders and managers: outstanding

The manager is currently awaiting to be registered for this home. He has a proven record of accomplishment as a registered manager in two previous homes and he has worked in residential children’s services for over 10 years. The manager holds a level 5 management qualification.

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The effectiveness of leaders and managers: outstanding

The recommendation made at the last inspection has been met. This demonstrates the manager’s and staff team’s capability to improve when necessary. Due to the highquality robust management in place, no breaches of regulation were identified at this inspection and no recommendations were made.

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The effectiveness of leaders and managers: outstanding

A systematic and thorough recruitment and induction process ensures that the best staff are employed to work with the young person. Ongoing and relevant training is accessible and up to date. The dynamic and proactive manager has identified high-level risk and significant mental health issues for the young person. As a result, he has secured bespoke weekly clinical support for the staff team and young person. This ensures a robust and consistent response to the changing needs of the young person. The manager empowers the staff to increase their skills and professional development. A member of staff said, ‘[The manager] goes above and beyond to support me. When there are incidents, he comes in to help. He’s totally invested in [Name of the young person] and the staff team.’

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The effectiveness of leaders and managers: outstanding

The manager and staff team have built excellent working relationships with partner agencies. In addition, the manager appropriately and effectively raises challenges. This has resulted in securing much-needed support for the young person. The manager continues to push relentlessly for more services and is a strong and effective advocate for the young person and his staff team.

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The effectiveness of leaders and managers: outstanding

Excellent monitoring of the home by an independent visitor contributes towards the young person’s progress. The manager uses this critical evaluation to improve the service that he and his staff team provide. The manager’s own in-house monitoring system is robust and effective. The manager is proficient at identifying the home’s strengths weaknesses. Systematic and regular reviews of these ensure that constant high-quality care for the young person is delivered.

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The effectiveness of leaders and managers: outstanding

The home’s ethos outlined in the statement of purpose is to ‘inspire lives and develop Inspection report children’s home: SC457434 6 individuals, families and communities’. The young person’s significant progress and development show that the staff follow this unwavering aim. They are dedicated, caring, strong challengers of adversity and are completely focused on achieving the best possible outcomes for young people.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the difference made to the lives of children and young people. They watched how professional staff work with children and young people and each other and discussed the effectiveness of help and care provided. Wherever possible, they talked to children and young people and their families. In addition, the inspectors have tried to understand what the children’s home knows about how well it is performing, how well it is doing and what difference it is making for the children and young people whom it is trying to help, protect and look after.

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Information about this inspection

Using the ‘Social care common inspection framework’, this inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service, how it meets the core functions of the service as set out in legislation, and to consider how well it complies with the Children’s Homes (England) Regulations 2015 and the ‘Guide to the children’s homes regulations including the quality standards’. Inspection report children’s home: SC457434 7

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Children’s home details

Registered provider: Cambian Childcare Ltd

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Children’s home details

Registered provider address: Cambian Group, 4th Floor Waterfront Building, Chancellors Road, Hammersmith Embankment, London W6 9RU

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Children’s home details

Registered manager: Awaiting registration – Daniel Johns

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Inspector

Abby Maspero, social care inspector Inspection report children’s home: SC457434 8 achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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