Children's Home run by Cambian Childcare Limited in Halton

Inspection report for children’s home - monitoring visit: SC457175 1 SC457175

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Cambian Childcare Limited

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This home is owned by a private company. The home is registered to provide care and accommodation for one child who may have emotional and/or behavioural difficulties.

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Information about this children’s home

The registered manager’s post is currently vacant.

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This monitoring visit

This children’s home was judged as declined in effectiveness at the interim inspection on 06 March 2019.

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This monitoring visit

On 16 April 2019, an unannounced monitoring visit took place. The purpose of this monitoring visit was to assess the progress made by the home in meeting a compliance notice issued under section 22A of the Care Standards Act 2000. This related to Regulation 12, the protection of children standard.

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This monitoring visit

At this visit, the inspectors found that the provider had taken steps to improve the risk assessment arrangements to ensure that these important documents reflect the levels of risk and the strategies that staff are to use to reduce the risk further.

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This monitoring visit

The young person’s risk assessment documents have been reviewed and improved to ensure that the young person’s needs are more clearly identified and that strategies are in place to manage these in line with the local authority care plan.

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This monitoring visit

The acting manager has reviewed and revised the local area risk assessment. This safer area assessment further supports the health and safety of a young person living at the home, as staff are better equipped to recognise and respond to Inspection report for children’s home - monitoring visit: SC457175 2 concerns that might arise due to the home’s location.

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This monitoring visit

A comprehensive impact risk assessment has now been introduced, and this includes a reference to the local area risk assessment. This helps to ensure that all potential risks to a young person, based on their presenting needs, are fully considered. As a result, this means only young people whose needs can be met safely will be admitted to the home.

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This monitoring visit

The young person who was living at the home at the time of the interim inspection has now moved. The acting manager has used the improved documents to consider the needs of young people who have been referred to the service and can now show the rationale as to why she has declined to offer a placement.

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This monitoring visit

The staff team’s understanding and response to safeguarding concerns have been enhanced by further advanced-level training in areas of child exploitation and reporting and recording safeguarding concerns. Some staff have also completed training in different approaches to understanding and supporting a young person to feel safer. This training is to be shared with the rest of the team. Advanced-level safeguarding training is also planned for all staff.

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This monitoring visit

The acting manager feels that she has been well supported by the company since taking up this role, following the interim inspection. She has attended group supervisions with other managers, attended management training and has a mentor. Her working hours have been adjusted so that she can fulfil the management role. She will continue to manage the home until the recently appointed manager takes up post in June, following her induction.

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This monitoring visit

Since the last inspection, the staff’s roles and responsibilities with regards to safeguarding practices have been revisited at team meetings and in supervision. However, records do not fully document the depth of discussions or highlight the potential consequences of staff not following policies or the direction of the manager. Similarly, action taken following a member of the public intervening to support staff members has not been recorded. The acting manager recognises this as an area of development and will address these recording shortfalls.

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This monitoring visit

Any regular agency staff working in the home in the future are to be trained in the company’s behaviour management approach and will be expected to follow the company’s policy on restraint.

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This monitoring visit

No further enforcement action is planned. However, a further inspection will take place to review how these improvements are being embedded to improve the quality of care provided. Inspection report for children’s home - monitoring visit: SC457175 3

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Recent inspection history

Inspection date Inspection type Inspection judgement 06/03/2019 Interim Declined in effectiveness 22/01/2019 Full Requires improvement to be good 17/10/2017 Full Good 23/03/2017 Interim Improved effectiveness Inspection report for children’s home - monitoring visit: SC457175 4

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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 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—

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Requirement Due date

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;

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Requirement Due date

help each child to understand how to keep safe;

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Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person. (Regulation 12 (1)(2)(a)(i)(ii)(v))

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Requirement Due date

This is in relation to ensuring that all risks for the child, including those identified in relevant plans, are assessed clearly, and management plans clearly specify the actions staff need to take in response to presenting risks and behaviours. Staff need to help the child to understand how to keep safe and how the child’s behaviour may affect future life opportunities. 14/04/2019

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Requirement Due date

The registered person must review the appropriateness and suitability of the location of the premises used for the purposes of the children’s home at least once in each calendar year taking into account the requirement in regulation 12(2)(c) (the protection of children standard). (Regulation 46(1))

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Requirement Due date

Specifically, this should be reviewed in relation to a child being considered for admission, and any specific risks in the locality should be considered as part of the assessment of the suitability of the placement. 14/04/2019 Inspection report for children’s home - monitoring visit: SC457175 5 The care planning standard is that children—

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Requirement Due date

receive effectively planned care in or through the children’s home.

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Requirement Due date

This is specifically in relation to ensuring that a comprehensive assessment is made to ensure that the home is a suitable placement for a child prior to admission, based on the child’s presenting risks. 14/04/2019

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Requirement Due date

If the registered person considers, or staff consider, a placing authority’s or a relevant person’s performance or response to be inadequate in relation to their role, challenge the placing authority or the relevant person to seek to ensure that each child’s needs are met in accordance with the child’s relevant plans. (Regulation 5 (c))

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Requirement Due date

Specifically, staff should challenge the police about a child being detained in custody because of a high risk of going missing. 14/04/2019

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Requirement Due date

The registered person may only use devices for the monitoring or surveillance of children if—

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Requirement Due date

the child’s placing authority consents in writing to the monitoring or surveillance. (Regulation 24 (1)(b)) 14/04/2019

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Requirement Due date

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 effectiveness and any consequences of the use of the measure; and that

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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’)—

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Requirement Due date

has spoken to the user about the measure. (Regulation 35 (3)(a)(vii)(b)(i))

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Requirement Due date

In particular, if a member of staff is involved in a restraint, the recorded incident should be evaluated for the effectiveness of the measure by another manager. Debriefs with staff are necessary to ensure quality of practice and that any further investigations can be identified. 14/04/2019 Inspection report for children’s home - monitoring visit: SC457175 6 The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children’s home that—

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to—

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Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child. (Regulation 13 (1)(b)(2)(c))

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Requirement Due date

This refers particularly to ensuring that staff receive refresher training to ensure that they are confident in their knowledge and skills and that leaders and managers can evidence that any agency staff have suitable training in physical intervention. Leaders and managers should ensure that investigations into incidents that compromise a child’s privacy and welfare are completed in a timely manner. 14/04/2019

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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Requirement Due date

help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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Requirement Due date

communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and 14/04/2019 Inspection report for children’s home - monitoring visit: SC457175 7 understanding;

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Requirement Due date

help each child to understand, in a way that is appropriate according to the child’s age and understanding, personal, sexual and social relationships, and how those relationships can be supportive or harmful (Regulation 11 (1)(a)(b)(c)(2)(a)(i)(iii)(iv)(v)(vi)) The registered provider must appoint a person to manage the children’s home if—

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Requirement Due date

there is no registered manager in respect of the home; and the registered provider—

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Requirement Due date

is an organisation or a partnership (Regulation 27 (1)(a)(b)(i)) 14/04/2019

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Requirement Due date

*This requirement is subject to a compliance notice.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000.

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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, Middlesex W6 9RU

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Inspectors

Karen Willson, social care inspector Miss Tully, social care inspector Inspection report for children’s home - monitoring visit: SC457175 8 to 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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Inspectors

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Inspectors

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Inspectors

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