Children's home run by Cambian Childcare Limited in Hammersmith and Fulham

Inspection report for children’s home - monitoring visit: SC433290 1 SC433290

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Cambian Childcare Ltd

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This home is operated by a private company with placements contracted to a designated local authority. The home is registered to accommodate up to six young people who may have emotional and/or behavioural difficulties.

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This monitoring visit

On 12 September 2017, Ofsted issued a restriction notice and four compliance notices, following an interim inspection of the home. On 4 October 2017, a monitoring visit took place to monitor the restriction notice and two of the compliance notices. The home was compliant with the restriction notice. However, sufficient progress had not been made regarding the protection of young people and a further compliance notice in relation to regulation 12 was issued.

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This monitoring visit

On 7 November 2017, a monitoring visit took place to monitor the restriction notice and the three compliance notices. The compliance notices were assessed to have been met and the home was compliant with the restriction notice. A full inspection was completed on 19 December 2017, when further requirements were identified, and inconsistent improvements noted in some young people’s outcomes. Therefore the restriction notice was extended to 31 January 2018.

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This monitoring visit

At this monitoring visit, the home is compliant with the restriction notice and improvements in practice are noted. Managers have completed and fully implemented an action plan in response to the requirements raised at the full inspection, and outcomes for young people are improving. For example, since the last inspection there has only been one incident of a young person going missing. While this is a reduction in this type of risk-taking behaviour, staff did not fully adhere to the young person’s risk management plan. For example, while staff made proactive efforts to locate the young person, there was a 40 minute delay in staff reporting the young person missing. Furthermore, staff did not ensure that an independent person completed a return interview within an appropriate timescale. Inspection report for children’s home - monitoring visit: SC433290 2 This means that there was a delay in staff gaining a better understanding of why the

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This monitoring visit

Some young people continue to use substances, although the frequency of this appears to be reducing. Staff have taken appropriate action to ensure that young people are safe when it is believed they have used substances. For example, staff monitor young people in accordance with their agreed risk-management plans. However, in one instance, a planned session to address a young person consuming alcohol was not completed. This was a missed opportunity to provide the young person with guidance and advice about the impact of their lifestyle choices.

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This monitoring visit

Since the last inspection, there have been no further reported incidents of bullying. Staff have completed key-worker sessions with young people about positive relationships. This is supporting young people to gain a better insight into how their behaviours affect others. Furthermore, staff use these key-work sessions and house meetings to provide young people with the opportunity to express any concerns or worries they may have.

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This monitoring visit

Staff have implemented an action plan to meet young people’s physical and emotional health needs. These plans are in their infancy, and therefore their effectiveness is not clear. For example, circumstances out of the control of staff mean that one young person has not yet had a follow up child and adolescent mental health appointment. This means that staff do not fully understand the impact of a young person not taking their medication.

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This monitoring visit

Staff have mixed success in overcoming the barriers to young people accessing education. One young person is attending daily, which for them is a real achievement. However, staff have been less successful with two other young people. Although there is a slight improvement in their attendance, they struggle to spend consecutive days in school. Positively, staff have obtained work from the young people’s schools so that, when young people refuse to attend, they are able to access informal learning. This is somewhat inhibited by the lack of an operational computer for young people’s use.

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This monitoring visit

Some areas of the home require improvement to ensure that young people experience a consistently homely and well-cared-for environment. For example, a broken telephone socket has left electrical wiring exposed. This is a hazard to young people. Staff have been slow to ensure that this maintenance issue is addressed.

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This monitoring visit

A new manager has now been appointed, who is familiar to the young people and staff. This provides a level of continuity and stability. Managers and leaders have taken steps to better understand the level of skills and experience of staff. For example, managers are completing a review of staff competence levels, which is work in progress. Managers have yet to use the learning from this audit to identify areas of staff development and to inform a clear plan of improvement. Inspection report for children’s home - monitoring visit: SC433290 3

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Recent inspection history

Inspection date Inspection type Inspection judgement 19/12/2017 Full Requires improvement to be good 12/09/2017 Interim Declined in effectiveness 31/05/2017 Full Requires improvement to be good 27/02/2017 Interim Sustained effectiveness Inspection report for children’s home - monitoring visit: SC433290 4

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Statutory requirements

This section sets out the actions that the registered person(s) must take to meet the Care Standards Act 2000, Children’s Homes (England) Regulations 2015 and the ‘Guide to the children’s homes regulations including the quality standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

The education standard is that children make measurable progress towards achieving their educational potential and are helped to do so.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff—

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Requirement Due date

help a child who is excluded from school, or who is of compulsory school age but not attending school, to access educational and training support throughout the period of exclusion or non-attendance and to return to school as soon as possible. (Regulation 8 (2) (a) (viii)) 28/03/2018

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Requirement Due date

The health and well-being standard is that the health and well-being needs of children are met: children receive advice, services and support in relation to their health and well-being; and children are helped to lead healthy lifestyles.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff—

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Requirement Due date

help each child to achieve the health and well-being outcomes that are recorded in the child’s relevant plans. (Regulation 10 (2) (a) (i)) 19/02/2018

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff—

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Requirement Due date

assess whether each child is at risk of harm, taking into account information in the child’s relevant plans, and, if necessary, make arrangements to reduce the risk of any harm to the child. (Regulation 12 (2) (a) (i)) 19/02/2018 Inspection report for children’s home - monitoring visit: SC433290 5 The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children’s home that helps children aspire to fulfil their potential; and promotes their welfare.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff—

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Requirement Due date

have the experience, qualifications and skills to meet the needs of each child; and use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1) (a) (b) (2) (c) and (h)) 19/02/2018

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Recommendations

 Staff should be familiar with the home’s polices on record-keeping and understand the importance of careful, objective and clear recording. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraph 14.4) In particular, staff should ensure that offers of return-home interviews are recorded and that case records are accurate and detailed.  For children’s homes to be nurturing and supportive environments that meet the needs of their children, they will, in most cases, be homely, domestic environments. (‘Guide to the children’s homes regulations including the quality standards’, page 15, paragraph 3.9) In particular, repair the broken telephone socket and provide a working computer for young people’s use.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for children’s home - monitoring visit: SC433290 6

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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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Inspector

Paul Robinson, social care inspector Inspection report for children’s home - monitoring visit: SC433290 7 to 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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