Children's Home run by Cambian Childcare Limited in Warwickshire

Inspection report children‟s home: SC476249 1 SC476249 Registered provider: Cambian Childcare Limited Full inspection Inspected under the social care common inspection framework

p.1

Information about this children’s home

The home provides care and accommodation for up to five young people aged between eight and 18 years, irrespective of gender, who have complex behaviours due to childhood trauma. Staff work therapeutically within a nurturing environment. The home is privately owned. The manager has been registered with Ofsted since December 2017, and she is currently on maternity leave. There is an interim manager in place who has recently been registered with Ofsted.

p.1

Overall experiences and progress of

children and young people, taking into account

p.1

good

How well children and young people are helped and protected good

p.1

good

The effectiveness of leaders and managers requires improvement to be good

p.1

good

The children‟s home provides effective services that meet the requirements for good.

p.1

good

Date of last inspection: 29 January 2019

p.1

good

Overall judgement at last inspection: sustained effectiveness

p.1

good

Enforcement action since last inspection: none Inspection report children‟s home: SC476249 2

p.1

Inspection date Inspection type Inspection judgement

29/01/2019 Interim Sustained effectiveness 22/05/2018 Full Good 01/11/2017 Interim Declined in effectiveness 23/05/2017 Full Requires improvement to be good Inspection report children‟s home: SC476249 3

p.2

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.

p.3

Requirement Due date

The health and well-being standard is that—

p.3

Requirement Due date

the health and well-being needs of children are met; and

p.3

Requirement Due date

that each child has access to such dental, medical, nursing, psychiatric and psychological advice, treatment and other services as the child may require. (Regulation 10 (1)(a)(2)(c)) 30/08/2019

p.3

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— 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; and use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b)(2)(c)(h)) 30/09/2019

p.3

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. (Regulation 23 (1)) 30/08/2019

p.3

Requirement Due date

The registered person must maintain records (“case records”) for each child which— include the information and documents listed in Schedule 3 in relation to each child and are kept up to date. (Regulation 36 (1)(a)(b)) 30/09/2019

p.3

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 it meets the needs of each child. („Guide to the children‟s homes regulations including the quality standards‟, page 49, paragraph 9.59) Inspection report children‟s home: SC476249 4

p.3

Overall experiences and progress of children and young people: good

Young people make good progress in all aspects of their lives, including their education, behaviour, confidence and independence skills. Young people enjoy positive experiences and new opportunities. All young people attend education and have made significant progress from their starting points.

p.4

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.

p.4

Overall experiences and progress of children and young people: good

Staff actively encourage young people to be involved in their community. For example, young people enjoyed handing out leaflets in the community for a charitable organisation and some young people did litter picking in the community. As a result of these initiatives, young people are learning to be more caring and empathetic. Furthermore, young people develop social skills and understand more about social inclusion.

p.4

Overall experiences and progress of children and young people: good

Young people participate in a variety of activities, which improve their self-esteem and confidence. For example, young people have joined local drama clubs, swimming clubs and one young person is a volunteer at a local animal sanctuary.

p.4

Overall experiences and progress of children and young people: good

Young people live healthy lifestyles. Staff encourage them to eat healthily, to take regular exercise and to develop their self-care skills. Staff generally support young people well with attending health appointments. However, one young person‟s health assessment is overdue. This does not fully promote young people‟s health.

p.4

Overall experiences and progress of children and young people: good

Staff mostly follow the organisation‟s policies in safe administration of medication. However, on two separate occasions, they did not administer one young person‟s medication at the stipulated time. Staff promptly sought advice from relevant medical professionals to ensure that there was no detrimental impact on the young person‟s health. This practice if unaddressed has the potential to impact on young people‟s health and well-being.

p.4

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.

p.4

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

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. Staff know the young people well and understand their risks and vulnerabilities. When young Inspection report children‟s home: SC476249 5 people engage in risk-taking behaviours, staff and the clinical team use reflective practice. They look at what worked well and what did not work well and think about alternative strategies that staff can use to support young people. Subsequently, most young people‟s risk-taking behaviours are gradually reducing.

p.4

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.

p.5

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

Managers follow rigorous recruitment procedures. This prevents unsuitable adults being employed to care for young people.

p.5

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

Staff mostly use restraint as a last resort to keep young people safe. However, some restraint records require improving because they lack sufficient detail. For example, they do 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. Management oversight has not identified these shortfalls. As a result, it is not clear how well staff managed these particular restraints and this lack of clarity has the potential to compromise young people‟s safety.

p.5

The effectiveness of leaders and managers: requires improvement to be good

The home has experienced an unsettled period due to staff vacancies and some senior staff being off work due to illness. The home is using agency staff to cover shifts and some agency staff who do not know the young people as well as permanent staff struggle on occasions to manage behaviours effectively. This puts pressure on permanent staff as they work hard to mitigate any impact on young people. Staff‟s morale has been low but through support from the manager and senior management this is improving.

p.5

The effectiveness of leaders and managers: requires improvement to be good

Staff shortages and some staff‟s lack of experience and skills have caused the monitoring and reviewing of the service to be inconsistent in some areas. For example, missing from care records lack sufficient detail and it is not clear when return home interviews have been conducted. The manager and staff do not update young people‟s health plans when they attend health appointments. During the inspection, the manager had to contact a dental surgery to confirm that a young person had attended their appointment. A lack of effective monitoring has the potential to undermine young people‟s progress and welfare.

p.5

The effectiveness of leaders and managers: requires improvement to be good

The manager did not follow through all actions she stipulated in her notification to Ofsted linked to a medication error. She did not facilitate for staff to undertake medication refresher training and competency tests. During the inspection, the manager booked the relevant staff on to this training. In addition, it was only during the inspection that senior managers escalated the issue of a young person‟s overdue health assessment with the young person‟s placing authority. Not taking prompt action when shortfalls are identified limits the potential for continued improvement in the quality of care provided to young people. Inspection report children‟s home: SC476249 6 Staff told the inspector that they feel well supported by managers. They receive good- quality supervision, which is focused on their well-being, development and practice. Staff meetings are used to share research and to conduct tailor-made expert training. This

p.5

The effectiveness of leaders and managers: requires improvement to be good

supports staff development and practice.

p.6

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.

p.6

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: SC476249 7

p.6

Children’s home details

Registered provider: Cambian Childcare Limited

p.7

Children’s home details

Registered provider address: 4th Floor, Waterfront, Manbre Wharf, Manbre Road, Hammersmith, London W6 9RH

p.7

Children’s home details

Registered managers: Stephanie De-Haven Samantha Lilley

p.7

Inspector

Rumbi Mangoma: social care inspector Inspection report children‟s home: SC476249 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.

p.7

Inspector

If you would like a copy of this document in a different format, such as large print or Braille, please telephone 0300 123 1231, or email enquiries@ofsted.gov.uk . You may reuse this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit http://www.nationalarchives.gov.uk/doc/open-government-licence , write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gsi.gov.uk .

p.8

Inspector

Interested in our work? You can subscribe to our monthly newsletter for more information and updates: http://eepurl.com/iTrDn .

p.8

Inspector

T: 0300 123 1231 Textphone: 0161 618 8524 E: enquiries@ofsted.gov.uk W: http://www.gov.uk/ofsted

p.8