Children's home run by Cambian Childcare Limited in Hammersmith and Fulham

Inspection report children‟s home: SC464958 1 SC464958 Registered provider: Cambian Childcare Limited

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Full inspection 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. It is registered for six young people. The home provides care for young people aged 11 to 18 who have experienced adverse childhood experiences that have led to associated trauma and presenting complex behaviours. The registered manager was registered with Ofsted in November 2014 and is appropriately qualified and experienced for the role.

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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

Overall judgement at last inspection: good

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good

Enforcement action since last inspection: none Inspection report children‟s home: SC464958 2

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Inspection date Inspection type Inspection judgement

09/10/2018 Full Good 03/07/2018 Full Inadequate 13/03/2018 Interim Sustained effectiveness 18/12/2017 Full Good Inspection report children‟s home: SC464958 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 registered person must maintain records (“case records”) for each child which—

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Requirement Due date

include the information and documents listed in Schedule 3 in relation to each child; and

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Requirement Due date

are kept up to date. (Regulation 36 (1)(a)(b)) 31/07/2019

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Recommendations

 Records of restraint must be kept and should enable the registered person and staff to review the use of control, discipline and restraint to identify effective practice and respond promptly where any issues or trends of concern emerge. The review should provide the opportunity for amending practice to ensure that it meets the needs of each child. („Guide to the children‟s homes regulations including the quality standards‟, page 49, paragraph 9.59)

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Overall experiences and progress of children and young people: good

The manager‟s dedication and skill, together with that of the clinical team and the care staff, mean that young people receive consistently good care. As a result, young people make good progress in all aspects of their lives, including their education and health and well-being. In addition, young people enjoy positive experiences. Examples of progress include young people gaining qualifications and attaining college placements, progressing to mainstream school, reducing risk-taking behaviours, regulating their emotions better, engaging in part-time employment and education work experiences, making friends and being more independent.

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Overall experiences and progress of children and young people: good

Staff undertake regular key-work sessions with young people and there are further opportunities for young people to express their wishes and feelings at young people‟s meetings. As a result, young people discuss issues which cause them, or others, concern and they contribute to their daily care and the running of the home. Inspection report children‟s home: SC464958 4 Young people enjoy various leisure activities, such as going to the cinema, going out for meals, going shopping, going on holiday and horse riding, as well as going to the gym and in-house themed food events. Young people develop hobbies and interests as well as building their social skills, self-esteem and empathy. Furthermore, young people feel part of the local community.

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Overall experiences and progress of children and young people: good

The home environment that the young people live in is warm and cosy. Staff maintain the home environment to a good standard and young people enjoy a range of facilities. For example, young people benefit from using a well-equipped games room and from growing their own fruits and flowers. In addition, the young people love spending time with their pet rabbit, cat, fish and guinea pigs, and this has a calming influence on them.

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Overall experiences and progress of children and young people: good

Staff manage young people‟s transitions from the home extremely well. With support from staff, young people gain good independence skills that prepare them well for their next steps. Young people who have moved on from the home have maintained their education and continue to do well. For example, one young person received several university conditional offers.

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Overall experiences and progress of children and young people: good

Staff generally meet young people‟s health needs well. Young people attend all routine health appointments. However, on one occasion, staff did not provide enough support to enable one young person to attend their scheduled health appointment. The manager addressed this during the inspection and appropriate specialist advice was given. Furthermore, the young person‟s outstanding health assessment record was only escalated and obtained during the inspection. This practice does not fully promote young people‟s well-being.

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

Staff know the young people well and understand their risks and vulnerabilities. Consequently, staff can identify and act on any safeguarding concerns to keep the young people safe. Staff receive relevant training, and clear policies and procedures provide them with guidance to follow whenever there are concerns about a young person‟s safety. As a result, staff confidently promote young people‟s safety and welfare.

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

Young people have undertaken some training to help them to understand the risks related to county lines, child sexual exploitation, sexual health, and potential implications of alcohol and substance misuse on their health and emotional well-being. Consequently, young people better understand such risks and are empowered to reduce risk-taking behaviours. Young people have not been missing from home since the last Ofsted inspection.

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

For the most part, staff effectively de-escalate potentially challenging situations. There has been only one physical intervention since the last inspection. However, the record from this incident lacks detailed information. For example, it does not describe the young person‟s behaviour before the restraint, or the de-escalation strategies used by staff to try to prevent a physical intervention being necessary. In addition, staff did not record what restraint techniques they used during the incident. Management oversight has not Inspection report children‟s home: SC464958 5 identified these shortfalls. As a result, it is not clear whether the restraint was proportionate and well managed. This has the potential to compromise young people‟s safety if unaddressed.

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

Staff use sanctions that are restorative in nature. This approach helps young people to understand and improve their behaviour.

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

Staff recruitment is compliant with regulation, which means young people are only cared for by safe adults.

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

The manager and staff creatively map all known areas of risk that young people could travel to using the train and underground service. They have listed all train journeys, including connections and the length of time it takes to travel in between stations. This highlighted a part of the journey where staff could try to intercept young people if they went missing and travelled via train. Staff and the manager use this information to inform their comprehensive locality risk assessment and young people‟s detailed individual risk management plans.

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The effectiveness of leaders and managers: good

The manager has extensive experience and knowledge and has worked at the home for several years. She is child-focused and has high aspirations for all the young people. Staff understand the home‟s ethos and implement well-informed approaches when caring for young people.

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The effectiveness of leaders and managers: good

The manager works well with partner agencies, such as designated officers, local authorities, health services, police, and with parents. This ensures that young people are provided with the best level of care to help them to make progress. Partner agencies reported that the manager keeps them updated on young people‟s progress and day-to- day care. This contributes to young people receiving coordinated care.

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The effectiveness of leaders and managers: good

The manager‟s monitoring and reviewing of the service is generally good. However, the manager and staff are not ensuring that young peoples‟ records, such as health plans, pathway plans and looked after children‟s reviews, are consistently kept up to date. Working with inaccurate and outdated information has the potential to have an effect on the quality of care given to young people.

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The effectiveness of leaders and managers: good

The home has a stable staff team and this provides consistency for young people. Staff reported that they feel well supported by the manager. They receive high-quality supervision, which is focused on their well-being, development and practice. Staff meetings are effectively utilised to share research and conduct tailor-made expert training. This supports staff development and practice.

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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 Inspection report children‟s home: SC464958 6 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: SC464958 7

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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

Rumbi Mangoma, social care inspector Inspection report children‟s home: SC464958 8 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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