Children's Home run by Cameron & Cooper Limited in Surrey

Inspection report children‟s home: 1256973 1 Registered provider: Cameron and Cooper Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

This children‟s home is registered to accommodate up to six children. The statement of purpose states that it admits children who are in need of therapeutic care and support. The home is the only home owned and operated by this small, private organisation.

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Information about this children’s home

The manager registered with Ofsted in August 2017.

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Information about this children’s home

Inspection dates: 14 February 2019 and 11 March 2019

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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 declined in effectiveness.

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and young people since the most recent full inspection

The home was inspected on 14 February 2019 and again on 11 March 2019. This second visit took place as a result of Ofsted receiving concerns after 14 February, from other agencies, relating to behaviour management in the home. Ofsted invoked the procedure for gathering additional information by means of a further visit.

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and young people since the most recent full inspection

This visit identified that there are significant risks to children‟s safety and several regulatory shortfalls.

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and young people since the most recent full inspection

An incident occurred on 25 February, when a child was able to access an unsafe area of the home, that is, railings on a first-floor area which are not securely fixed. Despite this Inspection report children‟s home: 1256973 2 issue being known, the provider had not ensured that this area had been made safe. Similarly, there is a window which opens onto a roof area. This poses a potential falling hazard to children. The associated risk had not been appropriately assessed.

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and young people since the most recent full inspection

Following the incident of 25 February, Ofsted informed the registered manager that it had been informed by a member of the public about potential concerns about a child‟s safety and the actions of staff. The registered manager had been made aware of these concerns by the local authority designated officer contacting him. It is of concern that the registered manager did not properly review the incident at the home or recognise the potential concerns about staff. It is of equal concern that other senior staff in the home failed to recognise the need to take effective action. The placing authority was not made fully aware of all details of the incident. This lack of openness and transparency has meant that statutory agencies have not been afforded the opportunity to fully review this incident and ensure the safety of the child.

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and young people since the most recent full inspection

The registered manager has not sufficiently reviewed, or monitored, practice in the home. For example, a physical intervention record from the incident of 25 February does not detail the full extent of holds used on a child. The records do not detail the length of holds or when these were applied. There is ambiguity about the actions that staff took during this incident, and the potential use of unsafe methods has not been explored or reviewed by the registered manager. These failures are exacerbated by the registered manager‟s failure to notify Ofsted of the significant event on 25 February.

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and young people since the most recent full inspection

Records in the home lack appropriate detail and, in some cases, are not in accordance with regulation. For example, a child‟s placement plan makes clear that staff can restrain children to prevent criminal damage. A child‟s risk assessment does not contain details of how staff should manage the child‟s emotional state, despite there being ongoing concerns in this regard.

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and young people since the most recent full inspection

The registered manager has not ensured that effective, and protective, measures are put in place following allegations about staff. There is an active investigation by statutory agencies, following an incident in early March 2019. Despite being instructed by a statutory agency to complete an internal investigation, there has been drift and delay and this is not yet fully underway. This means that there is a delay in the matter being thoroughly investigated. The registered manager has not put in place protective measures for children or staff following this incident. For example, there is no clarity about staff working in the home during the investigation or how this will be risk assessed or managed. Staff involved in the incident, and the subsequent allegations, continued to work at the home immediately following the incident.

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and young people since the most recent full inspection

Children‟s health needs are not always actively promoted. Specifically, where children choose to smoke cigarettes, there is insufficient action to support children to lead healthier lifestyles. This is exacerbated by the provision of a smoking area for children in the garden.

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and young people since the most recent full inspection

Since the last inspection, there has been some progress made. Children attend education and engage in a wide variety of activities both in and outside of the home. Children Inspection report children‟s home: 1256973 3 enjoyed a holiday last year and some children have part-time work and complete volunteering. There are plans to further recruit to the home‟s management team and there is now a full staff team in place. Where children have left the home, they have done so in a planned manner and, in most cases, these have been positive transitions back to family. Where children have left the home to go to other placements, they have done so with support.

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and young people since the most recent full inspection

Children have been encouraged to personalise their bedrooms. In some cases, children have chosen to paint their own designs on their bedroom doors. An outside building is nearing completion and it is planned that this will be used for meetings and therapy sessions with children. However, the condition of the home is poor in some places. There is a missing light covering in the lounge and various stains and marks to the walls. A curtain is stained in this room, too.

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Inspection date Inspection type Inspection judgement

22/05/2018 Full Good 05/02/2018 Full Inadequate

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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 involve each child‟s placing authority effectively in the child‟s care, in accordance with the child‟s relevant plans. (Regulation 5 (a)) 28/04/2019

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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 28/04/2019 Inspection report children‟s home: 1256973 4 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. (Regulation 6 (1)(a)(b)(2)(c)(i))

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Requirement Due date

The health and well-being standard is that the health and well- being needs of children are met; children receive advice, services and support in relation to their health and well-being and children are helped to lead healthy lifestyles. (Regulation 10 (1)(a)(b)(c)) 28/04/2019

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to 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))* 28/04/2019

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that staff— take effective action whenever there is a serious concern about a child‟s welfare. (Regulation 12 (1)(2)(a)(vi)) 28/04/2019

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure that the home‟s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm. (Regulation 12 (1)(2)(b)) 28/04/2019

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Requirement Due date

The protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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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, furnished and maintained so as to protect each child from avoidable hazards to the child‟s health. (Regulation 12 (1)(2)(d))* 28/04/2019

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Requirement Due date

The leadership and management standard is that the 28/04/2019 Inspection report children‟s home: 1256973 5 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))

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Requirement Due date

If the Regulatory Reform (Fire Safety) Order 2005(a) applies to the home the registered person must ensure that the requirements of that Order and any regulations made under it, except for article 23 (duties of employees), are complied with in respect of the home. (Regulation 25 (2)(b)) 28/04/2019

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Requirement Due date

The registered person must prepare and implement a policy (“the behaviour management policy”) which sets out how appropriate behaviour is to be promoted in the children‟s home and the measures of control, discipline and restraint which may be used in relation to children in the home. (Regulation 35 (1)(a)(b)) 28/04/2019

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Requirement Due date

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— 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. (Regulation 35 (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)) 28/04/2019

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if there is an allegation of abuse against the home or a person working there. (Regulation 40 (4)(c)) 28/04/2019

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Requirement Due date

* These requirements are subject to a compliance notice. Inspection report children‟s home: 1256973 6

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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

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: Cameron and Cooper Limited

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Children’s home details

Registered provider address: 54 Bushy Park Road, Teddington TW11 9DG

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Inspectors

Pete Hylton, regulatory inspection manager Emeline Evans, social care inspector Inspection report children‟s home: 1256973 7 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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