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

Inspection report for children’s home - monitoring visit: SC458070 1 SC458070

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Cambian Autism Services Limited

Monitoring visit 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 children and young people who have autistic spectrum disorders and/or learning disabilities. The service operates as a residential special school and provides accommodation for a number of children throughout the year. Accommodation is provided in four houses for up to 40 children. The houses are located in the same grounds as the school.

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This monitoring visit

An interim inspection undertaken in January 2018 judged the home to have declined in effectiveness. At that inspection, significant shortfalls were identified. Two compliance notices were issued under Regulation 12: The protection of children standard and Regulation 13: The leadership and management standard. Seven statutory requirements were also set. Following the interim inspection, a monitoring visit took place in February 2018 to assess the two compliance notices. The inspectors found that insufficient action had been taken to address the action points on the compliance notices. As a result, they were judged not to have been met. Two further compliance notices were served under Regulation 12: The protection of children standard and Regulation 13: The leadership and management standard. Five statutory requirements were also set. At this monitoring visit, the inspectors found that sufficient action had been taken to

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This monitoring visit

meet the compliance notices. Further inspections will take place to determine the progress being made to meet the statutory requirements. Since the previous monitoring visit, there have been two additional incidents where children were placed at harm. On one occasion, a member of staff left a child identified as requiring one-to-one support unattended. On another occasion, some staff witnessed practice concerns about another member of staff, but failed to follow the child protection procedure and report the concern to senior managers as expected. Leaders and managers have addressed this failure to follow the child Inspection report for children’s home - monitoring visit: SC458070 2 protection procedures in both staff members’ supervisions. Leaders and managers briefed all staff about their expectations to improve the quality of care and to protect children. Staff spoken with during the inspection, demonstrated more clarity to the inspectors about their roles and responsibilities.

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This monitoring visit

Staff showed a better understanding of the shortfalls, areas for improvement and the home’s action plan to improve. Leaders and managers are helping staff to develop the skills required to fulfil their role. The designated safeguarding lead takes effective action when staff report child protection concerns. Referrals are made to the appropriate external safeguarding agencies. The introduction of a safeguarding tracking document shows the actions that leaders and managers take to safeguard children from risk while an investigation is completed. A new system, which aims to instil a process of reviewing and monitoring staff records about significant conversations they have with children, is in its infancy. Staff are aware of this system and have started to use it, but the impact of this increased monitoring cannot yet be determined. Leaders and managers have not maintained detailed records to show the action that they have taken to deal with a

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This monitoring visit

complaint a child made about their care. Staff who have supervisory roles completed supervision training during the monitoring visit. Leaders and managers have started to implement a supervision record to enable them to monitor the frequency of staff supervision. Currently, not all staff have received regular supervision or had their performance appraised annually.

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Recent inspection history

Inspection date Inspection type Inspection judgement 03/01/2018 Interim Declined in effectiveness 18/04/2017 Full Requires improvement to be good 11/01/2017 Full Inadequate 20/09/2016 Full Inadequate Inspection report for children’s home - monitoring visit: SC458070 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

6: The quality and purpose of care standard The quality and purpose of care standard is that children receive care from staff who— understand the children’s home’s overall aims and the outcomes it seeks to achieve for children; use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential. In particular, the standard in paragraph (1) requires the registered person to— provide personalised care that meets each child’s needs, as recorded in the child’s relevant plans, taking account of the child’s background; provide to children living in the home the physical necessities they need in order to live there comfortably; (Regulation 6(1)(a)(b)(2)(iv)(vii)) In particular, ensure that all children’s plans detail the most up-to-date information about how to meet their needs. Ensure that all of the homes are frequently cleaned so that children can live there comfortably.

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Requirement Due date

10: The health and well-being standard The health and well-being standard is that— the health and well-being needs of children are met. (Regulation 10(1)(a)) In particular, ensure that children’s health plans and epilepsy plans detail the necessary information that staff require to meet their needs. 07/05/2018

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Requirement Due date

12: The protection of children standard The protection of children standard is that children are protected from harm and enabled to keep themselves safe. In particular, the standard in paragraph (1) requires the 07/05/2018 Inspection report for children’s home - monitoring visit: SC458070 4 registered person to ensure— that staff— have the skills to identify and act upon signs that a child is at risk of harm; understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person; take effective action whenever there is a serious concern about a child’s welfare; and are familiar with, and act in accordance with, the home’s child protection policies; that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm; (Regulation 12(1)(2)(a)(iii)(iv)(v)(vi)(b)) 13: The leadership and management standard

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Requirement Due date

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. In particular, the standard in paragraph (1) requires the registered person to— lead and manage the home in a way that is consistent with the approach and ethos, and delivers the outcomes, set out in the home’s statement of purpose; ensure that staff have the experience, qualifications and skills to meet the needs of each child; ensure that the home’s workforce provides continuity of care to each child; understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home; use monitoring and review systems to make continuous improvements in the quality of care provided in the home.

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Requirement Due date

(Regulation 13(1)(a)(b)(2()(a)(c)(e)(f)(h)) 07/05/2018

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Requirement Due date

33: Employment of staff 07/05/2018 Inspection report for children’s home - monitoring visit: SC458070 5 (4) The registered person must ensure that all employees— (c) receive practice-related supervision by a person with appropriate experience; and (d) have their performance and fitness to perform their roles appraised at least once every year. 39: Complaints and representations (3) The registered person must ensure that a record is made of any complaint, the action taken in response, and the outcome of any investigation. 07/05/2018

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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: SC458070 6

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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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Children’s home details

Responsible individual: Thomas MacDonald-Milner

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Inspectors

Nicola Lownds, social care inspector Paula Lahey, regulatory inspection manager Inspection report for children’s home - monitoring visit: SC458070 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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Inspectors

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Inspectors

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Inspectors

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