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

Inspection report children’s home: SC456413 1 SC456413 Registered provider: Cambian Childcare Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This is one of a number of privately run children’s homes operated by a private company. The home is registered to provide care and accommodation for one young person. The home is equipped to take a young person with a high level of complex needs. These needs, described in the home’s statement of purpose, range from inability to manage their emotions to anti-social and dangerous behaviour that home or foster care have not been able to manage. Risk-taking behaviour such as self-harm, going missing from home, child sexual exploitation, sexually inappropriate behaviour, substance misuse, violence, aggression and anti-social behaviour. The registered manager also manages another home within the company. These homes are within walking distance.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers good

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good

The children’s home provides effective services that meet the requirements for good.

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good

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report children’s home: SC456413 2

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Inspection date Inspection type Inspection judgement

15/06/2017 Full Good 16/01/2017 Interim Sustained effectiveness 03/05/2016 Full Outstanding 17/02/2016 Interim Improved effectiveness Inspection report children’s home: SC456413 3

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Statutory requirements

This section sets out the actions that the registered person 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 must comply within the given timescales.

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Requirement Due date

6: The quality and purpose of care standard

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Requirement Due date

The registered person must ensure that the premises used for the purposes of the home are designed and furnished so as to meet the needs of each child and enable each child to participate in the daily life of the home. (Regulation 6 (2)(c)(i)(ii)) 31/10/2018

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Requirement Due date

The registered person must ensure that the employment of any person on a temporary basis at the children’s home does not prevent children from receiving such continuity of care as is reasonable to meet their needs. (Regulation 31 (1)) 31/10/2018

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Overall experiences and progress of children and young people: good

The young person has and continues to make good progress in all areas of her development. This has been achieved by receiving support and nurturing care from the staff team. The young person has significantly reduced her risk-taking and self-harm behaviour and is now able to recognise and manage her feelings of frustration and anger.

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Overall experiences and progress of children and young people: good

The young person’s healthcare needs are met at the home. The staff successfully encourage the young person to attend routine appointments, to eat healthily and to take regular exercise. The young person’s emotional healthcare needs are promptly addressed through sourcing support from local relevant healthcare professionals.

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Overall experiences and progress of children and young people: good

Staff support the young person to engage in the local community in a safe and carefully planned way. This ensures that any challenges that the young person faces do not prevent her from taking part in her chosen activities. The young person has achieved greater independence, without compromising her safety. Inspection report children’s home: SC456413 4 The registered manager is focused on achieving the young person’s smooth transition out of the home. Clear plans and introductory visits are in place and the young person told the inspector that she is looking forward to moving nearer to her family.

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Overall experiences and progress of children and young people: good

From the start of her placement in the home, the staff have encouraged and supported the young person effectively to maintain positive relationships with their family. Although her family live some distance from the home, the young person communicates regularly with her family by telephone and she has agreed visits. The staff arrange travel and accommodation, enabling the young person’s family to visit her in the home.

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Overall experiences and progress of children and young people: good

Staff seek the young person’s views through meaningful key-worker sessions and during daily conversations. The young person receives clear explanations from the staff, who help her to understand why some of her requests may not be possible.

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Overall experiences and progress of children and young people: good

Since arriving at the home, the young person has been encouraged to re-engage with her education. Having completed her exams, and enjoying the summer break, the young person is now considering a suitable course for her college placement.

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Overall experiences and progress of children and young people: good

Care plans are well written and contain clear objectives that help the young person to progress and achieve. These plans provide good guidance for the staff and enable them to meet effectively the young person’s day-to-day needs.

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Overall experiences and progress of children and young people: good

The standard of the home’s decoration, fixtures and fittings remains a challenge. The registered manager has documented this weakness and has implemented a maintenance plan to make improvements.

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

The safety of the young person is at the forefront of the registered manager’s and staff’s practice. Staff have a very good understanding of the young person’s specific needs and vulnerabilities and they take appropriate action to protect her.

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

The young person is kept safe and told the inspector that she feels safe in the home. The staff understand the young person’s risks and they make use of good assessments and risk management strategies to minimise the young person’s risks.

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

Staff are trained to recognise and support young people who have experienced trauma, abuse, neglect and loss. They understand the underlying reasons for some challenging behaviours. This means that they work well with the young person, allowing her to develop positive ways of coping.

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

Staff recognise the young person’s triggers which may cause her to engage in self-harm. The registered manager and staff are trained and experienced in working directly with teenagers who self-harm. The staff have responded effectively to the young person from the time that she came to live in the home. This has reduced her self-harm incidents in frequency and intensity. Inspection report children’s home: SC456413 5 Going missing from home incidents are few and far between. When they have taken place, there is a well-coordinated, multi-agency response and staff are proactive in their efforts to locate the young person. Records show that since the last inspection, there have been five incidents of going missing from home. On each occasion, the young person has reflected on the incident and she has engaged in her return home interview. These arrangements educate the young person about the dangers of being away from

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

When the young person’s behaviour is becoming increasingly unsafe, and planned strategies to stop this have been unsuccessful, staff respond with confidence and care. Physical interventions are rare, with only one intervention taking place since the last inspection. The physical intervention records that the staff complete are detailed and clear. Records reflect the need for the action taken, the care that staff have taken to safeguard the young person and the young person’s views.

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

A new staff member confirmed, and records evidenced, that safeguarding processes are thorough and central to staff recruitment. The registered manager ensures that there are effective arrangements for the health and safety of young people. There are fire and security arrangements for the young person, staff and visitors. The registered manager delegates the application of these arrangements to staff and oversees their implementation.

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The effectiveness of leaders and managers: good

A new manager joined the organisation in February 2018 and following her induction, she commenced work in the home on 22 February 2018. The manager was interviewed on 22 May 2018 by Ofsted and was found to be suitable to be the registered manager of the home.

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The effectiveness of leaders and managers: good

The registered manager is on target, in line with regulation, to complete her level 5 management qualification. She has residential managerial experience, is ambitious and has a clear improvement vision for the home.

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The effectiveness of leaders and managers: good

The registered manager also has responsibility for another single occupancy home that is a short distance away from this home.

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The effectiveness of leaders and managers: good

There has been a high turnover of staff since the last full inspection in June 2017. At the time of this inspection, there were staff vacancies, including a vacant deputy manager’s post. There have been bank staff employed by the organisation who the young person knows. This has meant that consistency in staffing and maintaining relationships since the time that the young person came to live in the home have not been overly impacted.

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The effectiveness of leaders and managers: good

A current recruitment drive is underway to fill the staff vacancies and deputy manager’s post.

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The effectiveness of leaders and managers: good

The staff told the inspector that they feel supported by the registered manager. The Inspection report children’s home: SC456413 6 staff feel valued as team members and the staff are enthusiastic about their work. All staff and the registered manager receive regular supervision, and their appraisals are complete. This helps them to reflect on their practice and to identify their future development and training needs.

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The effectiveness of leaders and managers: good

Monitoring arrangements are now systematic and rigorous. This means that the registered manager has a clear oversight of the effectiveness of the home. When shortfalls happen, she can put plans in place to make improvements.

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The effectiveness of leaders and managers: good

The registered manager and staff work well with other professionals involved with the young person. They advocate well on the young person’s behalf and are not afraid to challenge professionals or agencies.

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The effectiveness of leaders and managers: good

The young person’s social worker said, ‘I am completely satisfied with the work the manager and staff do, they keep me informed and my young person has really benefited from this placement which has prepared her well and the staff are supporting her to move on.’

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The effectiveness of leaders and managers: good

Action taken following the last inspection has meant that the two requirements and the one recommendation have been met.

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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 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 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: SC456413 7

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

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

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Children’s home details

Registered manager: Katie Davies O’Brine

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Inspector

Mark Kersh: social care inspector Inspection report children’s home: SC456413 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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