Children's home run by RNIB Charity in Camden

Inspection report for children‘s home – monitoring visit: SC485607 1 SC485607 RNIB Charity Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This is a large children‘s home that provides care and accommodation for up to 30 children and young people in five purpose-built bungalows. The children and young people have a visual impairment, a learning and/or physical disability and/or sensory impairment. One of the bungalows is also registered by the Care Quality Commission and provides a specialist service to children and young people who have high health and medical needs, who require long-term ventilation, or who have life-threatening or life-limiting conditions. The establishment is owned by a large national charity. The majority of the children and young people attend a registered school on the same site. Some young people remain at the home until the age of 19 to complete their education.

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This monitoring visit

This inspection visit took place to monitor compliance with enforcement action and to consider if previous requirements had been met. This visit found that one compliance notice has been met. This is because staff have better knowledge in relation to safeguarding practice. The safeguarding policy and procedures have been improved.

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This monitoring visit

One compliance notice has not been met. This is because behaviour management plans for children and young people with inappropriate sexualised and aggressive behaviours remain incomplete. Risk assessments for children and young people with self-injurious and challenging behaviours have not been updated since the last visit.

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This monitoring visit

Since the visit on 23 April 2018, no new concerns have been identified over safeguarding incidents or medication errors. Not all staff have received competency training in how to safely administer one child‘s oxygen and insert another child‘s catheter. As a consequence, children are potentially at risk and are not receiving the proper care to meet their health needs.

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This monitoring visit

Care within this home is still not being delivered in line with the statement of Inspection report for children‘s home – monitoring visit: SC485607 2 purpose. This is a repeated shortfall. There is no continuity of care across each of the bungalows. This is because not all children are having their basic needs met. Some staff do not have the knowledge and skills to provide a good level of care. Monitoring and review systems remain ineffectual.

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This monitoring visit

The registered manager post has been vacant since 22 March 2018. However, an interim manager was recently appointed. He is aware of the need to register with Ofsted. A new, interim responsible individual has been appointed. It is not yet possible to fully evaluate the impact of this appointment.

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Recent inspection history

Inspection date Inspection type Inspection judgement 20/11/2017 Interim Sustained effectiveness 22/08/2017 Full Requires improvement to be good 29/03/2017 Interim Declined in effectiveness 14/11/2016 Full Good Inspection report for children‘s home – monitoring visit: SC485607 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

The enjoyment and achievement standard is that children take part in and benefit from a variety of activities that meet their needs and develop and reflect their creative, cultural, intellectual, physical and social interests and skills. (Regulation 9(1)) 01/06/2018

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Requirement Due date

The registered person must ensure that each child has access to such dental, medical, nursing, psychiatric and psychological advice, treatment and other services as the child may require. (Regulation 10(2)(c)) 01/06/2018

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Requirement Due date

The registered person must ensure that staff meet each child‘s behavioural and emotional needs, as set out in the child‘s relevant plans. (Regulation 11(2)(a)(i)) 01/06/2018

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Requirement Due date

The registered person must ensure that staff 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(1), (2)(a)(i))* 01/06/2018

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Requirement Due date

The leadership and management standard is that the registered person must— 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 the home‘s workforce provides continuity of care to each child ensure that staff have the experience, qualifications and skills to meet the needs of each child use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13(1), (2)(a)(c)(e)(h)) 01/06/2018

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Requirement Due date

Restraint in relation to a child is only permitted for the purpose of preventing— injury to any person (including the child); serious damage to the property of any person (including the child); or a child who is accommodated in a secure children‘s home from absconding from the home. Restraint in relation to a child must be necessary and 01/06/2018 Inspection report for children‘s home – monitoring visit: SC485607 4 proportionate. (Regulation 20(1)(a)(b)(c), (2)) The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children‘s home. (Regulation 23(1)) 01/06/2018

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Requirement Due date

The registered person must maintain records (―case records‖) for each child. (Regulation 36(1)) 01/06/2018

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Requirement Due date

*These requirements are subject to a compliance notice.

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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: SC485607 5

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Children’s home details

Registered provider address: c/o RNIB, 105 Judd Street, Camden, London WC1H 9NE

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Inspectors

Anna Gravelle, social care inspector Pete Hylton, social care compliance inspector Inspection report for children‘s home – monitoring visit: SC485607 6 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 looked after children, safeguarding and child protection.

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Inspectors

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Inspectors

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Inspectors

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