Children's Home run by Cambian Childcare Limited in Shropshire

Inspection report children‟s home: SC476292 1 SC476292 Registered provider: The Cambian Group

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Full inspection 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 and is registered to provide care and accommodation for up to five children or young people who have complex needs. The manager has been registered since September 2018.

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Overall experiences and progress of

children and young people, taking into account

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requires improvement to be good

How well children and young people are helped and protected requires improvement to be good

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requires improvement to be good

The effectiveness of leaders and managers inadequate

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requires improvement to be good

The children‟s home is not yet delivering good help and care for children and young people. However, there are no serious or widespread failures that result in their welfare not being safeguarded or promoted.

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requires improvement to be good

Overall judgement at last inspection: inadequate

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requires improvement to be good

Enforcement action since last inspection: none Inspection report children‟s home: SC476292 2

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Inspection date Inspection type Inspection judgement

18/06/2018 Full Inadequate 07/02/2018 Interim Declined in effectiveness 24/10/2017 Full Good 01/12/2016 Interim Declined in effectiveness Inspection report children‟s home: SC476292 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 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 and use this understanding to deliver care that meets children‟s needs and supports them to fulfil their potential.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to 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 (1)(a)(b)(2)(c)(i)(ii)) 30/11/2018

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Requirement Due date

For the purposes of paragraph (3)(b), an individual who works in the home in a care role has the appropriate qualification if, by the relevant date, the individual has attained the Level 3 Diploma for Residential Childcare (England) ("the Level 3 Diploma"); or a qualification which the registered person considers to be equivalent to the Level 3 Diploma.

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Requirement Due date

The relevant date is in the case of an individual who starts working in a care role in a home after 1st April 2014, the date which falls 2 years after the date on which the individual started working in a care role in a home; or in the case of an individual who was working in a care role in a home on 1st April 2014, 1st April 2016.

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Requirement Due date

The registered person may defer the relevant date if the individual does not work, or has not worked, in a care role in a home for a prolonged period or works, or has worked, in a care role in a home on a part-time basis. (Regulation 32 (4)(a)(b)(5)(a)(b)(6)(a)(b)) 30/11/2018

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Requirement Due date

The registered person must ensure that all employees undertake appropriate continuing professional development and receive practice-related supervision by a person with appropriate experience. 30/11/2018 Inspection report children‟s home: SC476292 4 (Regulation 33 (4)(a)(b)) The registered person must ensure that within 24 hours of the use of a measure of control, discipline or restraint in relation to a child in the home, a record is made which includes:

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Requirement Due date

the name of the child; details of the child‟s behaviour leading to the use of the measure; the date, time and location of the use of the measure; a description of the measure and its duration; details of any methods used or steps taken to avoid the need to use the measure; the name of the person who used the measure (“the user”), and of any other person present when the measure was used; the effectiveness and any consequences of the use of the measure; and a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure;

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Requirement Due date

within 48 hours of the use of the measure, the registered person, or a person who is authorised by the registered person to do so (“the authorised person”) has spoken to the user about the measure; and has signed the record to confirm it is accurate;

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Requirement Due date

within 5 days of the use of the measure, the registered person or the authorised person adds to the record confirmation that they have spoken to the child about the measure. (Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c)(iv)) 30/11/2018

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Recommendations

 Staff should be familiar with the home‟s policies on record keeping and understand the importance of careful, objective and clear recording. Staff should record information on children in a non-stigmatising way that distinguishes between fact, opinion and third party information. Information about the child must always be recorded in a way that will be helpful to a child. („Guide to the children‟s homes regulations including the quality standards‟, page 62, paragraph 14.4)

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Recommendations

In particular, staff should ensure that they sign documentation, once read.

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Recommendations

 The registered person should build a strong safeguarding culture in the home where children are listened to, respected and involved in both the development of the home and decisions about the home. („Guide to the children‟s homes Inspection report children‟s home: SC476292 5 regulations including the quality standards‟, page 43, paragraph 9.8)

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Recommendations

In particular, take note of children‟s views and opinions.

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improvement to be good

Since the monitoring visit in August 2018, one young person has left the home. He has moved to another residential provision which is better suited to his needs.

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improvement to be good

One young person remains in the home. He is making progress and is looking forward to having another young person moving in. He attends school full time and likes his teachers. The school and the home are both run by the same organisation, and the communication between teaching and care staff is reasonable.

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improvement to be good

The young person‟s health needs are attended to by staff. The young person attends routine and specialist appointments and has one-to-one support from staff. He is familiar with the home‟s policies about making complaints and expressing his views and opinions. This makes the young person feel involved and valued. The young person‟s views are listened to and, at times, considered. If staff are unable to take his views into account for various reasons, they will talk to him and explain why.

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improvement to be good

The young person has good relationships with staff at the home. He enjoys spending time with staff and going out to local venues and those further afield. The young person has a good day-to-day quality of life. He enjoys the activities once he gets home from school. One activity the young person enjoys is bike riding.

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improvement to be good

Since the last inspection visit, there have been several staff difficulties. Some of the staff are no longer working at the home, and some have been replaced. Some staff said that they were looking forward to a time when the home is fully staffed, and the service fully resumes.

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improvement to be good

Since the monitoring visit in August 2018, there have been a small number of physical interventions. Not all aspects of the physical interventions have been fully documented in the records, in particular the young person‟s views and a review by the nominated manager. This means that the registered manager has not evaluated each physical intervention or formed a view about the appropriateness of the measure.

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improvement to be good

There has been a substantial turnover of staff. Some staff have left. The organisation has done well to identify staff applying from other homes and externally who may be a good fit for this home. Some staff are due to start soon. Inspection report children‟s home: SC476292 6 Staff have worked many hours to make sure that shifts are covered, and young people appropriately supervised. Comments from young people about the home and how it is operated are not always recorded. In addition, when policies are updated, staff should read and sign the document to demonstrate their understanding of the policy.

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improvement to be good

With one young person in the home, supervision and monitoring in the home is more straightforward, apart from staff working many hours. There has been a willingness by staff to cover gaps, but some are beginning to question the number of shortages on the rota.

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The effectiveness of leaders and managers: inadequate

The manager is now registered with Ofsted. She has completed her level 3 diploma in residential childcare and is due to start her level 5 diploma in residential childcare management.

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The effectiveness of leaders and managers: inadequate

The registered manager has a strong vision and ideals for the young people in her care. She challenges local authorities to send information. She has a new deputy due to start once she has completed her induction.

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The effectiveness of leaders and managers: inadequate

With changes of staff, not all staff have completed their basic training, including safeguarding. As a result, a requirement that was originally made in June 2018 and repeated in August 2018 is repeated again.

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The effectiveness of leaders and managers: inadequate

Young people‟s files are not fully completed in line with regulation. A health assessment was not on the file for one young person. As a result, staff may miss essential information about the young person‟s health.

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The effectiveness of leaders and managers: inadequate

The home has been through many changes over the last few months. The service has improved, but the low number of staff with a level 3 diploma in residential childcare has had an impact on the quality of care. Out of nine staff, only the registered manager, the deputy manager and one senior staff member have level 3 qualifications. Staff do not have the necessary skills in basic residential childcare to meet the children‟s overall needs.

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The effectiveness of leaders and managers: inadequate

Other areas of the home have improved, including the home environment. Previous inspections in June and August 2018 had identified many areas that needed to be improved. The inspector saw improved areas, but further improvements are still needed. These include some of the fixings on furniture, a toilet seat in one of the bathrooms and a new bedroom window. This will provide a clean and well-equipped placement for the young people to enjoy.

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The effectiveness of leaders and managers: inadequate

The registered manager is fully aware of the strengths and weaknesses of the home. Her current list of planned improvements is to fully improve the staff team, complete inductions and organise teams. Inspection report children‟s home: SC476292 7

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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: SC476292 8

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Children’s home details

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

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Inspector

Julia Wright, social care inspector Inspection report children‟s home: SC476292 9 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

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Inspector

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Inspector

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