Children's Home run by Cambian Childcare Limited in Dudley

Inspection report children’s home: SC472465 1 SC472465 Registered provider: Cambian Childcare Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home’s statement of purpose indicates that it provides care and accommodation for up to five young people who have complex needs. Staff, including the organisation’s clinical team, focus on building therapeutic relationships with young people and the promotion of positive behaviours. The home offers planned or emergency placements.

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Information about this children’s home

A new manager is in the process of registering with Ofsted. She has a degree in working with children, young people and families.

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Information about this children’s home

Enforcement action since last inspection: none

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and young people since the most recent full inspection

This home was judged good at the last full inspection. At the interim inspection, Ofsted judges that it has sustained effectiveness.

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and young people since the most recent full inspection

Since the full inspection in April 2018, three young people have continued to make good progress and are very settled. Two new young people have moved into the home. The manager, staff and existing group of young people prepared well for the new young people and made them feel welcome on their admission. The group of young people are well matched. They do some activities together and have recently enjoyed a short Inspection report children’s home: SC472465 2 holiday as a group.

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and young people since the most recent full inspection

Despite some staff shortages, young people receive consistently good care. Staff work patiently and kindly with each young person. Staff have a good understanding of therapeutic care. They strive to help young people manage complex emotional and mental health difficulties. One young person’s social worker said, ‘I think they are brilliant. They really understand [name of the young person’s] anxiety and know how to approach her.’

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and young people since the most recent full inspection

Staff and managers have regular access to in-house clinical advice and have good relationships with local mental health service professionals. However, they have not developed their relationships with all relevant education and health professionals. As a result, some young people have not had prompt access to the right educational support and medical assessment.

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and young people since the most recent full inspection

Young people enjoy the one-to-one attention of staff and the calm atmosphere that they create. Staff help young people to develop healthy, creative interests and better daily routines. However, staff do not sufficiently prioritise work with young people on unhealthy and/or risk-taking behaviour. Added to this, staff do not write or use records in ways that directly help young people.

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and young people since the most recent full inspection

Young people feel safe and very rarely go missing from the home. Incidents of self-harm have reduced. This is helped by staff being vigilant and supervising young people carefully. However, staff do not always communicate clearly to young people, or to one another, about the reasons why they may have restricted a young person’s freedom and/or privacy. Similarly, staff and young people are not always clear about what level of progress needs to be seen before these restrictions can be lifted.

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and young people since the most recent full inspection

The new manager has been in post for almost six months. She knows all the young people and staff well. This is because she has worked at the home for a few years as the home’s deputy manager. She responds directly to young people when they express their wishes and feelings. She takes full responsibility for staff recruitment and all admissions of new young people.

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and young people since the most recent full inspection

The manager has not yet developed her skills in how she reviews staff practice and the records that they make. For example, she does not identify strengths and weaknesses in staff practice.

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and young people since the most recent full inspection

On one occasion, an incident that the manager deemed serious was not reported to Ofsted. However, the actions that were taken were suitable and effective. Inspection report children’s home: SC472465 3

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Inspection date Inspection type Inspection judgement

17/04/2018 Full Good 06/12/2017 Full Inadequate 21/11/2016 Interim Sustained effectiveness 14/07/2016 Full Good

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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

In meeting the quality standards, the registered person must, and must ensure that staff, seek to develop and maintain effective professional relationships with such persons, bodies or organisations as the registered person considers appropriate having regard to the range of needs of children for whom it is intended that the children’s home is to provide care and accommodation. (Regulation 5 (d)) 30/04/2019

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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.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b)(2)(h)) 30/04/2019 Inspection report children’s home: SC472465 4

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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 individual 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 the child. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraph 14.4)  The registered person should ensure that, in line with their individual health plans and the ethos of the home, children are offered advice, support and guidance on health and well-being to enhance, and supplement that provided by their school through Personal, Social and Health Education (PSHE). Staff should have the relevant skills and knowledge to be able to help children understand, and where necessary work to change negative behaviours in key areas of health and well-

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Recommendations

being such as, but not limited to, nutrition and healthy diet, exercise, mental health, sexual relationships, sexual health, contraception and use of legal highs, drugs, alcohol and tobacco. (‘Guide to the children’s homes regulations including the quality standards’, page 35, paragraph 7.18)  Where a child’s preferences are unreasonable or cannot be met for safeguarding reasons, staff should discuss this with the child to help them understand why. (‘Guide to the children’s homes regulations including the quality standards’, page 17, paragraph 3.21)  Children’s home staff should take reasonable precautions and make informed professional judgements based on the individual child’s needs and developmental-stage about when to allow a child to take a particular risk or follow a particular course of action. Staff should discuss the decision with the child’s placing authority where appropriate. If a child makes a choice that would

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Recommendations

place them or another person at significant risk of harm, staff should assist them to understand the risks and manage their risk-taking behaviour to keep themselves and others safe. (‘Guide to the children’s homes regulations including the quality standards’, page 42, paragraph 9.7)  Regulation 40(4) requires the registered person to notify Ofsted and other relevant persons if one of the situations specified in regulation 40(4)(a) to (d) occurs, or if there is an incident relating to the protection, safeguarding or welfare of a child living in the home which the registered person considers to be serious (40(4)(e)). (‘Guide to the children’s homes regulations including the quality standards’, page 63, paragraph 14.10)

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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 Inspection report children’s home: SC472465 5 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

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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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’.

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

Registered provider address: 4th Floor, Waterfront Manbre Wharf, Manbre Road, Hammersmith, London, Middlesex W6 9RH

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Inspector

Rachel Britten, social care inspector Inspection report children’s home: SC472465 6 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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