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

Interim inspection report children’s home: SC026910 1 SC026910 Registered provider: Cambian Autism Services Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

This national, private organisation provides care and accommodation for up to 68 children who have autistic spectrum disorder and/or learning disabilities. The service operates as a residential special school. Accommodation is provided for a number of children for 52 weeks of the year. Therefore, the service is registered as a children’s home. Care is provided in 11 houses. Nine of these houses are within the grounds of the school and two houses are situated in the local community.

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Judgement at last inspection: good

Date of last inspection: 11, 12 and 13 July 2017

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Judgement at last inspection: good

Enforcement action since last inspection: none

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and young people since the most recent full inspection

This home was judged good at the last full inspection. At the interim inspection, Ofsted judges that it has sustained effectiveness. Children live in accommodation that is of a good quality and personalised well to meet their individual needs. Staff take ownership of the homes that they work in and present them well. Children have access to all areas of their home. Leaders and managers continue to implement the home’s maintenance plan at a steady pace. Each home has a clear staffing structure in place, which includes support staff, deputy managers and house managers. A staff restructure has given more definition to these roles. House managers and deputies are in addition to the number of support staff provided to meet the needs of children. This supernumerary staffing, and the Interim inspection report children’s home: SC026910 2 introduction of an activities coordinator, is enabling children to have increased

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and young people since the most recent full inspection

opportunities to access and be a part of their local community. Staff develop positive and caring relationships with children. Inspectors observed consistently good and effective communication with children. This includes the use of alternative communication methods. Leaders and managers take swift and effective action to manage child protection concerns. Leaders and managers respond effectively to the guidance that they receive from external safeguarding agencies, ensuring that children are protected from harm. Outcomes of child protection concerns are clearly recorded. Errors in the administration of medication to children have occurred. A medication action plan is in place to reduce the frequency of errors and ensure that staff who administer medication are competent to do so. Staff have a good understanding of children’s needs. Staff understand what strategies best support children’s positive behaviour and help children to successfully de-escalate

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and young people since the most recent full inspection

potential incidents. On occasion, staff restrain children to prevent them from harming themselves or others. The use of restraint is reducing. Leaders’ and managers’ oversight of behaviour incidents is good. Children and staff discuss and explore in a debrief meeting any incidents that occur. Leaders and managers have revised the way that new children are introduced to the home. Support staff have become more involved in the planning process. This process includes staff visiting children at home and getting to know children before they move in. Staff demonstrate a very detailed knowledge about new children’s needs. However, this knowledge is not promptly transferred into the children’s written care plans. The registered manager has developed a system to monitor the frequency and quality of staff supervisions. The frequency of supervision has improved since the previous inspection. Some supervision that takes place to address a particular concern about the

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and young people since the most recent full inspection

poor practice of staff is of a high quality, challenging and supportive. However, the quality of this work is not consistent.

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Inspection date Inspection type Inspection judgement

11/07/2017 Full Good 31/01/2017 Interim Declined in effectiveness 19/07/2016 Full Requires improvement 05/01/2016 Full Requires improvement Interim inspection report children’s home: SC026910 3

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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

14: The care planning standard The care planning standard is that children— receive effectively planned care in or through the children’s home. (Regulation 14 (1)) In particular, ensure that children new to the home have a written care plan in place. 03/05/2018

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Requirement Due date

23: Medicines The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children’s home. In particular, the registered person must ensure that medicine which is prescribed for a child is administered as prescribed to the child for whom it is prescribed and to no other child. (Regulation 23 (1)(2)(b)) 03/05/2018

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Requirement Due date

33: Employment of staff The registered person must ensure that all employees receive practice-related supervision by a person with appropriate experience. (Regulation 33 (4)(b)) 03/05/2018

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Information about this inspection

Inspectors looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the differences 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 Interim inspection report children’s home: SC026910 4 children and young people whom it is trying to help, protect and look after.

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Information about this inspection

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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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’.

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Children’s home details

Provision sub-type: Residential special school

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Children’s home details

Registered provider: Cambian Autism Services Limited

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Children’s home details

Registered provider address: Cambian, Waterfront, Hammersmith Embankment, Chancellors Road, London W6 9RU

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Inspector(s)

Nicola Lownds, social care inspector Wendy Anderson, social care inspector Interim inspection report children’s home: SC026910 5 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 looked after children, safeguarding and child protection.

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Inspector(s)

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Inspector(s)

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Inspector(s)

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