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

Inspection report children‟s home: SC457308 1 SC457308 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

A private provider operates and runs this home. It is registered to provide care for up to five children and young people who have 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 in 2012.

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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

Date of last inspection: 20 November 2018

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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

20/11/2018 Full Good 18/07/2017 Full Good 22/12/2016 Interim Improved effectiveness 27/07/2016 Full Outstanding Inspection report children‟s home: SC457308 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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Requirements 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. In particular, the standard in paragraph (1) requires the registered person to— ensure that staff have the experience, qualifications and skills to meet the needs of each child. (Regulation 13 (1)(a)(b)(2)(c))

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Requirements Due date

This is with particular reference to staff training in relation to responding to self-harm through ligatures. 09/08/2019

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Requirements 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. 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. (Regulation 32 (4)(a)(b)(5)(a)) 09/08/2019

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Recommendations

 The registered person is responsible for ensuring that all staff consistently follow the home‟s policies and procedures for the benefit of the children in the home‟s care. Everyone working at the home must understand their roles and responsibilities and what they are authorised to decide on their own initiative. There should be clear lines of accountability. Each home must have clear arrangements in place to maintain effective management when the manager is Inspection report children‟s home: SC457308 4 absent, off duty or on leave. („Guide to the children‟s homes regulations including the quality standards‟, page 54, paragraph 10.20) This is with particular reference to the team leaders not having knowledge of, or access to, the Annex A document when the manager is absent from work.  When a child returns to the home after being missing from care or away from the home without permission, the responsible local authority must provide an

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Recommendations

opportunity for the child to have an independent return home interview. Homes should take account of information provided by such interviews when assessing risks and putting arrangements in place to protect each child. („Guide to the children‟s homes regulations including the quality standards‟, page 45, paragraph 9.30) This is with particular reference to children and young people having an independent return home interview.  The registered person must have systems in place so that all staff, including the manager, receive supervision of their practice from an appropriately qualified and experienced professional, which allows them to reflect on their practice and the needs of the children assigned to their care. Professionally qualified staff employed by the home, e.g. teachers or social workers, should be provided with relevant professional or clinical supervision by an appropriately qualified and

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Recommendations

experienced professional. („Guide to the children‟s homes regulations including the quality standards‟, page 61, paragraph 13.2) This is with particular reference to the irregularity and quality of supervision. The records do not reflect the needs of the children and young people and the impact of staff‟s practice.  The home‟s records on each child represent a significant contribution to their life history. Children and their parents should be supported to understand the nature of records kept by the home and how to access them. Staff should understand their important role in encouraging the child to reflect on and understand their history, according to their age and understanding. Staff should keep and encourage children to keep appropriate memorabilia of the time spent living at the home and help them record significant life events. („Guide to the children‟s homes regulations including the quality standards‟, page 62, paragraph 14.5)

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Recommendations

This is with particular reference to the staff supporting the children and young people to keep a record of their experiences and progress during their time living at the home.

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Overall experiences and progress of children and young people: good

The children and young people make varying levels of progress. The staff are insightful to their needs and welcome the support and guidance from specialist agencies. The staff focus is on ensuring that the children and young people achieve positive outcomes while Inspection report children‟s home: SC457308 5 supporting their complex emotional and mental health needs.

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Overall experiences and progress of children and young people: good

The children‟s and young people‟s attendance at school is generally good. If children and young people refuse to go to school, the staff explore the barriers to their learning, putting in place strategies to manage these. The staff understand the importance of education and work in partnership with professionals to improve the children‟s and young people‟s plans. They encourage the children and young people to have future aspirations. This has resulted in the children and young people attending career guidance and developing plans for further education.

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Overall experiences and progress of children and young people: good

The children and young people enjoy a range of activities within the home and community. Good staffing levels mean that the children and young people can enjoy individualised hobbies and pursue their interests. However, there is no collection of memorabilia to provide the children and young people with a record of their experiences and achievements.

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Overall experiences and progress of children and young people: good

The staff listen and respond to the children‟s and young people‟s wishes and feelings. This has resulted in changes to the house, garden and the staff care practices. For example, the staff have previously spoken about their personal circumstances with the children and young people. They have not been aware of the potential implications that this had on the children‟s and young people‟s feelings.

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Overall experiences and progress of children and young people: good

Where possible, the children‟s and young people‟s moves from the home are planned. The manager recognises when the care provided is not effective or improving outcomes and at such times makes appropriate decisions to end the placement. Some children and young people have required immediate hospitalisation to help manage their mental health.

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

The children and young people develop good relationships with each other and the staff. The staff manage the group dynamics, and this is assisted by admissions to the home being planned. The manager looks at the impact on all the current children and young people to enable longevity of placements.

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

The staff take immediate action to follow and find the children and young people who go missing. One child identified that the staff responses keep her safe. However, the children and young people are not always provided with an independent return home interview. This is a missed opportunity for the provider and placing local authority to gather further insight into the child‟s or young person‟s episode of going missing. The staff are not risk averse and there is fluidity within the children‟s and young people‟s plans to reflect the progress that they make. Free time is reviewed to maintain their safety and protection.

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

The staff understand the children‟s and young people‟s anxieties and the potential impact on their behaviour. The staff try to address issues that are making the children and young people anxious through direct work with the children and young people. This Inspection report children‟s home: SC457308 6 includes rebuilding family relationships, talking about bedtime routines and future plans. Safety plans are created in response to the children‟s and young people‟s self-injurious behaviours and include the views of clinical and social care staff. However, not all staff are trained to respond to ligature risks.

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

Staff‟s appropriate use of physical intervention helps them to manage the children‟s and young people‟s complex and challenging behaviours. The staff have undertaken accredited behaviour management training and have the necessary knowledge and skills to de-escalate children‟s and young people‟s behaviours. The staff work closely with the children and young people to complete post-incident debriefs and to identify alternate strategies to assist the children and young people to regulate their emotions and behaviours.

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The effectiveness of leaders and managers: good

The staff are knowledgeable and passionate about their roles. In the absence of the manager, the senior team members maintain the home‟s ethos. They ensure that the children and young people receive nurturing care to help overcome trauma and to feel safe. Arrangements are in place when the manager is absent to maintain effective management of the children‟s and young people‟s care. However, they could not produce the Annex A document in the absence of the manager, which was required at the inspection.

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The effectiveness of leaders and managers: good

The manager has a clear understanding about the needs of the children and young people and the impact of her staff‟s care practices. Together with the responsible individual, the manager develops the home by implementing lessons learned from Regulation 44 visits and Ofsted inspections. She has strengthened the team practices through responding to the previously raised requirement and recommendations.

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The effectiveness of leaders and managers: good

The staff are well supported by their colleagues and the manager. The staff share their knowledge and experience with each other and this improves the care given to the children and young people. The staff‟s practice is enhanced and reviewed through team meetings, supervisions and consultations. However, there are some gaps in the regularity and detail within the staff supervision records.

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The effectiveness of leaders and managers: good

Not all staff have achieved the required qualification within the prescribed time -frame. The manager has acknowledged this and created individualised action plans to support staff development. Inspection report children‟s home: SC457308 7

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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 8

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

Registered provider address: Cambian Childcare Limited, 4th Floor, Waterfront Manbre Wharf, Manbre Road, Hammersmith, 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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