Children's home run by Cambian Childcare Limited in Stockport

Inspection report children‟s home: SC476261 1 -

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SC476261 Registered provider: Cambian Childcare Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

The home provides care and accommodation for up to five children, aged between eight and 18 years old, who have complex behaviours due to early childhood trauma. The home is privately owned.

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Information about this children’s home

The home has been without a registered manager since May 2018. The current interim manager has been in post since January 2019 and has recently applied to register with Ofsted.

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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

Date of last inspection: 18 September 2018

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requires improvement to be good

Overall judgement at last inspection: good

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requires improvement to be good

Enforcement action since last inspection: none Inspection report children‟s home: SC476261 2

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Inspection date Inspection type Inspection judgement

18/09/2018 Full Good 05/03/2018 Interim Declined in effectiveness 05/12/2017 Full Good 31/01/2017 Interim Sustained effectiveness Inspection report children‟s home: SC476261 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 leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children‟s home that – In particular, the standard in paragraph (1) requires the registered person to-

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Requirement Due date

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13(2)(h)) 28/06/2019

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Requirement Due date

The registered person must keep the statement of purpose under review and, where appropriate, revise it; and notify HMCI of any revisions and send HMCI a copy of the revised statement within 28 days of the revision. (Regulation 16(3)(a)(b)) 28/06/2019

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Requirement Due date

The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children‟s home.

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Requirement Due date

In particular the registered person must ensure that medicines kept in the home are stored in a secure place so as to prevent any child from having unsupervised access to them; medicine which is prescribed for a child is administered as prescribed to the child for whom it is prescribed and to no other child; and a record is kept of the administration of medicine to each child.

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Requirement Due date

Paragraph (2) does not apply to medicine which is stored by the child for whom it is provided in such a way that other persons are prevented from using it; and may be safely self- administered by that child. (Regulation 23(1), (2)(a)(b)(c), (3)(a)(b)) 28/06/2019

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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. 28/06/2019 Inspection report children‟s home: SC476261 4 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)) The registered person must ensure that all employees undertake appropriate continuing professional development; receive practice-related supervision by a person with appropriate experience; and have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33(4)(a)(b)(c)) 28/06/2019

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Requirement Due date

The registered person must notify HMCI and each other relevant person without delay if a child is involved in or subject to, or is suspected of being involved in or subject to, sexual exploitation; an incident requiring police involvement occurs in relation to a child which the registered person considers to be serious; there is an allegation of abuse against the home or a person working there; a child protection enquiry involving a child is instigated; or concludes (in which case, the notification must include the outcome of the child protection enquiry); or there is any other incident relating to a child which the registered person considers to be serious. (Regulation 40(4)(a)(b)(c)(d)(i)(ii)(e)) 28/06/2019

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Requirement Due date

The registered person must complete a review of the quality of care provided for children (“a quality of care review”) at least once every 6 months.

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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 quality of care provided for children; the feedback and opinions of children about the children‟s home, its facilities and the quality of care they receive in it; and any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

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Requirement Due date

After completing a quality of care review, the registered person must produce a written report about the quality of care review and the actions which the registered person intends to take as a result of the quality of care review (“the quality of care review 28/06/2019 Inspection report children‟s home: SC476261 5 report”).

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Requirement Due date

The registered person must supply to HMCI a copy of the quality of care review report within 28 days of the date on which the quality of care review is completed; and make a copy of the quality of care review report available on request to a placing authority, if the placing authority is not the parent of a child accommodated in the home.

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Requirement Due date

The system referred to in paragraph (2) must provide for ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45(1), (2)(a)(b)(c), (3), (4)(a)(b), (5)) 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).

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Requirement Due date

When conducting the review, the registered person must consult, and take into account the views of, each relevant person. (Regulation 46(1), (2)) 28/06/2019 Inspection report children‟s home: SC476261 6

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improvement to be good

Children‟s overall experience and progress require improvement. One child has needed to wait a long time to receive a therapeutic assessment. This delay has meant that she has not been accessing the therapy that she needs. Children‟s school attendance is variable. Two children are maintaining good school attendance. However, one child has been excluded from school on four separate occasions. Staff have not done enough to help to break this cycle of behaviour and, as a result, the child‟s learning is starting to be compromised.

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improvement to be good

Since the last inspection in September 2018, there have been significant changes in the staff team. At times, children have not received consistent care from familiar staff. In recent months, managers have worked hard to address this shortfall. Consequently, children are now receiving better consistency of care. This has been achieved due to staff offering to do additional shifts and managers recruiting new staff. Children are now beginning to form better relationships with more familiar staff, whom they are starting to trust.

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improvement to be good

Children can personalise their bedrooms and have access to numerous toys and games. Staff keep children occupied with new activities, including joining clubs in the local community.

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improvement to be good

Staff hold regular key-working sessions with children to discuss areas of need and risk and to try to help children to develop positive strategies.

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improvement to be good

Staff ensure that children are supported to maintain links with people who are important to them. Staff work hard to re-establish contact between children and key family members.

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improvement to be good

The current staff have a better understanding of children‟s needs and their presenting risks, and try to redirect and de-escalate children‟s behaviour before physical intervention becomes necessary. Risk assessments are now being reviewed and updated regularly. However, in previous months there were numerous incidents of children physically assaulting each other. In January 2019, one child told the staff that another child had touched his private area while playing at a trampoline centre. The manager told the inspector that the child later stated that he did not wish to make a complaint. However, this is not clearly documented. Another child made an allegation against a member of staff. Although a prompt referral was made to the designated officer, the allegation was not notified to Ofsted.

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improvement to be good

At the end of 2018, several medication errors were identified. New managers have Inspection report children‟s home: SC476261 7 carried out a full investigation and taken appropriate action against members of staff involved in these errors. Managers are now ensuring that staff follow the home‟s policy for the safe administration of medicines.

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improvement to be good

There have been no episodes of children going missing from care. However, at times children will attempt to leave the house without permission and will run around the local area, including near a busy road. This places children at potential risk of harm.

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improvement to be good

The manager has recently reviewed the home‟s locality risk assessment. However, the manager‟s review has omitted to secure feedback from relevant professionals or to assess the specific risks in relation to the location of the home and the current children in placement.

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improvement to be good

Safe recruitment practice ensures that everyone employed in the home is safe to work with children.

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The effectiveness of leaders and managers: inadequate

The home has not had a registered manager since May 2018. In January 2019, a new manager joined the home.

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The effectiveness of leaders and managers: inadequate

This prolonged period of absence has left staff feeling inadequately supported. Some staff have not received regular supervision. The new manager has been proactive in addressing key areas around staff performance and gaps in training. There is now a clear induction and extensive training programme in place for staff. Staff now feel more supported, but further work is required to ensure that staff receive frequent supervision and, when necessary, annual appraisals.

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The effectiveness of leaders and managers: inadequate

Not all staff have yet qualified to level 3 in residential childcare within the regulatory time frame. This means that staff cannot show that they have had the opportunity to develop the skills required for working with children in residential childcare.

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The effectiveness of leaders and managers: inadequate

The manager‟s quality of care review fails to acknowledge the challenges that the home has faced over the six-month period and the impact that this has had on the quality of care. This is a missed opportunity to produce a focused and meaningful action plan to help to drive improvements.

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The effectiveness of leaders and managers: inadequate

Managers have not ensured that the home‟s statement of purpose is kept up to date and new revisions are shared with Ofsted.

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The effectiveness of leaders and managers: inadequate

The new manager is motivated and keen for the service to improve. He is supported by the responsible individual. Both are aware of the shortfalls in the provision of care and are keen to make improvements to the home .

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Information about this inspection

Inspection report children‟s home: SC476261 8 Inspectors have looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the difference 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: SC476261 9

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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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Inspector

Debbie Holder, social care inspector Inspection report children‟s home: SC476261 10 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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