Children's Home run by Cambian Childcare Limited in East Riding of Yorkshire

Inspection report children‟s home: SC457308 1 SC457308 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

A private provider operates and runs this home. It is registered to provide care for up to five children and young people, who are experiencing behavioural, emotional and/or social difficulties. Currently, the home provides care solely for girls. The appropriately qualified registered manager has been managing this home since it was registered.

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Information about this children’s home

Inspection dates: 20 to 21 November 2018

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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: SC457308 2

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Inspection date Inspection type Inspection judgement

18/07/2017 Full Good 22/12/2016 Interim Improved effectiveness 27/07/2016 Full Outstanding 02/03/2016 Interim Sustained effectiveness Inspection report children‟s home: SC457308 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(s) must comply within the given timescales.

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system for monitoring, reviewing and evaluating— the feedback and opinions of children about the children‟s home, its facilities and the quality of care they receive in it. (Regulation 45(2)(b)) 08/01/2019

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Recommendations

 The information set out in the statement of purpose is an essential part of the process of agreement between the registered person and placing authority that a placement in that home is the right one for that child, and that the home will be able to respond effectively to the child‟s assessed needs. Emergency admissions should not be taken unless the home‟s statement of purpose and its capacity and support systems mean that it has the capability to care for children admitted at very short notice while continuing to offer high-quality care to children already living in the home. („Guide to the children‟s homes regulations including the quality standards‟, page 15, paragraph 3.6) This is with particular reference to the manager‟s admissions into the home and also the understanding and clarity that relevant risk assessments have been reviewed by the company clinician.  The children‟s guide should help children to understand: how to contact the

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Recommendations

Office of the Children‟s Commissioner. („Guide to the children‟s homes regulations including the quality standards‟, page 24, paragraph 4.22)  Regulation 11(2) sets out the expectations on staff in building a positive relationship with each child and helping the child develop skills to have positive relationships with others. „Others‟ includes individuals both inside and outside the home such as other children in the home, staff, family members, siblings, previous carers and friends (in accordance with their relevant plans). The care planning standard (see page 55) provides further detail in respect of contact with parents, relatives and friends. („Guide to the children‟s homes regulations including the quality standards‟, page 38, paragraph 8.6) This is with particular reference to the staff‟s insight about the impact of their language on the children and young people.  The behaviour management policy should set out how staff are trained and

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Recommendations

Inspection report children‟s home: SC457308 4 supported to meet the child‟s needs. Regulations 13(2)(d) and (e) require children‟s homes to employ a sufficient number of suitably qualified, skilled and experienced persons in the home. („Guide to the children‟s homes regulations including the quality standards‟, page 24, paragraph 4.22) This is with particular reference to ensuring that the staff complete the required physical intervention training in the allotted timescales.  Regulations 35-39 detail the records that must be kept in children‟s homes. All children‟s case records (regulation 36) must be kept up to date and stored securely whilst they remain in the home. Case records must be kept up to date and signed and dated by the author of each entry. („Guide to the children‟s homes regulations including the quality standards‟, page 62, paragraph 14.3)

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Overall experiences and progress of children and young people: good

The children and young people feel settled and are enjoying living in the home. They are forming good relationships with the staff, as they receive unconditional care. The staff show an interest in the children‟s and young people‟s lives and invest in their interests. Staff choose to take part in activities with the children and young people rather than simply observing, for example sharing the exhilaration of riding a roller coaster. There are many positive elements to the care that the children and young people receive; for example, one young person has enjoyed a holiday to Spain, while another is forming trusting relationships with the staff which is enabling her to talk and accept help. A social worker said, „They are truly meeting [Name‟s] needs, since living here she is a totally different girl. We used to have major concerns about her well-being.‟ The staff go above and beyond to meet the needs of the children and young people.

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Overall experiences and progress of children and young people: good

One child‟s emotional needs have impacted on her ability to leave the home. In view of the nature of the children‟s and young people‟s complex needs, the staff have arranged for all education and health professionals to provide treatment and education in the home. This is a fantastic example of working together, which ensures that the holistic needs of this child are met. Other children and young people have experienced prolonged periods out of education. The staff are considerate to how the children‟s and young people‟s mental health needs contribute to these challenges. Individual education programmes are implemented to support children and young people to fulfil their potential. The children and young people are listened to, their wishes are followed, and their culture and religion is embraced. Considering the location of the home, the manager knows that she cannot replicate one child‟s culture and heritage. The manager has

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Overall experiences and progress of children and young people: good

employed a worker with the same faith. This worker will pray with the child and helps the staff to develop their knowledge to try and create a sense of inclusion. Another child is being helped to follow a vegan diet. The staff demonstrate that they tirelessly try to meet the children‟s and young people‟s emotional needs, and work alongside the company clinician to provide ongoing support. Although there is some tremendous practice, the children and young people still raise Inspection report children‟s home: SC457308 5 concerns about the language that the staff sometimes use, as this has a negative impact on them. One child said, „I was called “selfish” and this made me feel hurt and angry.‟ Another child said, „It impacts us when the staff are talking about their families, it reminds us that we are not with ours.‟ The children and young people have made complaints, and this procedure is clear within the „children‟s guide‟. However, the details

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Overall experiences and progress of children and young people: good

of the children‟s commissioner are not within this document. The staff help the children and young people to improve their family relationships. The staff‟s guidance and implementation of structure is improving parenting abilities to reinforce clear boundaries and routines with their children. This means that children and young people are experiencing positive and increased time with their parents. One child said, „I like that my dad comes to the home and he cooks my favourite meal with me.‟ The manager has learned from past admissions. She has reflected on the impact of poor planning when placing children and young people, who have complex emotional needs, together. Recent admissions have been completed in partnership with other agencies allowing for children to have a smooth transition into the home. One child said, „I like it when the house is calm, it is a good mix of girls now.‟ To further support admissions, the

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Overall experiences and progress of children and young people: good

staff collect all the children‟s and young people‟s belongings from previous placements. They understand the meaning and importance of this process in helping the children and young people to settle into their new home.

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

The children and young people are making progress, and this is having a positive impact on their safety. There has been a reduction in the number and frequency of children and young people going missing from the home. This was a historic daily concern for some children and young people. A child said, „I am safe at the home and the staff keep me safe. I do not go missing as often and I am having less “blips”.‟ When children and young people are missing, the staff take immediate action to ensure their protection. A social worker said, „[Name of child] has been living at the home for over a year and she is a totally different girl. There are now no safeguarding concerns for this child.‟ The staff utilise the guidance from specialist services, and this helps them understand the complexities that surround some of the children‟s and young people‟s diagnoses and behaviours. The manager supports her staff to develop their clinical understanding, and

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

this transfers to the approaches that they use to help the children and young people. A social worker said, „[Name of child‟s] mental health was a significant concern, but this is very well managed.‟ Although self-harm remains a risk for the children and young people, the effectiveness of their plans is reviewed by the company clinician. This oversight is not documented within the children‟s and young people‟s records. Self- harming episodes have reduced; previously, children and young people had caused significant harm to themselves, and had made threats to end their lives. It is evident that the children‟s and young people‟s risk-taking behaviours are diminishing. The staff are knowledgeable and can recognise and respond to safeguarding incidents, including forms of exploitation. One young person‟s risk has reduced from high to medium, as the staff and outside agencies help her to understand child sexual exploitation and implement plans that ensure her safety. The intuitive staff

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

Inspection report children‟s home: SC457308 6 team identifies when it can no longer keep a child safe, and this results in transitions being planned.

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The effectiveness of leaders and managers: good

The experienced manager has a thorough understanding of the needs of the children and young people. She is ambitious for them and wants them to achieve to the best of their ability. She will advocate for the girls to ensure that they are treated fairly and that they all receive the help and services they require. A social worker said, „I would not hesitate to place another child in the home, there is nothing that they could do better.‟ The manager leads a resilient and dedicated staff team. The staff members‟ commitment to the children and young people is admirable. Staff members report that they are well supported, and the manager provides time for reflection and debriefs. This has been welcomed by staff during intense periods. A staff member reports, „I love working here, it is a lovely home. I am well supported. My manager and the team are amazing.‟ The manager has clear oversight of the needs of the children and young people. She

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The effectiveness of leaders and managers: good

uses internal monitoring procedures and the external visitor‟s report to build on the home‟s strengths and implement change. However, despite the manager‟s effectiveness, there are gaps within her regulation 45 report. This report does not incorporate clear consultation with children and young people, and the recent six-month review was not received by the regulator. The manager provides her team the opportunity for practice, reflection and development. As a team, the staff receive clinical guidance covering topics that can impact negatively on the children‟s and young people‟s care. Examples have included „domestic abuse and the impact on young people‟ and „Psychosis training‟. Training appears thorough and well planned; however, there are gaps with the physical intervention training. This means that not all the staff have received their refresher training.

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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: SC457308 7 Inspection report children‟s home: SC457308 8

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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: Susan Fitzsimmons

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Inspector

Jennifer Fenlon, social care inspector Inspection report children‟s home: SC457308 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 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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