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

Inspection report children’s home: SC423741 1 SC423741 Registered provider: Cambian Childcare Limited

p.1

Full inspection Inspected under the social care common inspection framework

p.1

Information about this children’s home

This home is owned by a private company. The home is registered to provide care and accommodation for up to three children or young people on a short-, medium- or long- term basis. The home provides care and accommodation for children and young people who require high levels of support in a structured environment. The registered manager has been in post since May 2017.

p.1

Overall experiences and progress of

children and young people, taking into account

p.1

inadequate

How well children and young people are helped and protected inadequate

p.1

inadequate

The effectiveness of leaders and managers inadequate

p.1

inadequate

There are serious failures that mean children and young people are not protected or their welfare is not promoted or safeguarded, and the care and experiences of children and young people are poor and they are not making progress.

p.1

inadequate

Overall judgement at last inspection: requires improvement to be good

p.1

inadequate

Enforcement action since last inspection: none Inspection report children’s home: SC423741 2

p.1

Inspection date Inspection type Inspection judgement

23/04/2018 Full Requires improvement to be good 10/05/2017 Full Good 01/03/2017 Interim Declined in effectiveness 04/10/2016 Full Good Inspection report children’s home: SC423741 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, the 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

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

p.3

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;

p.3

Requirement Due date

help each child to understand how to keep safe;

p.3

Requirement Due date

have the skills to identify and act upon signs that a child is at risk of harm;

p.3

Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

p.3

Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare. (Regulation 12 (2)(a)(i)(ii)(iii)(v)(vi)) 27/09/19

p.3

Requirement Due date

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

p.3

Requirement Due date

ensure that staff have the experience, qualifications and skills to meet the needs of each child;

p.3

Requirement Due date

ensure that the home has sufficient staff to provide care for each child;

p.3

Requirement Due date

ensure that the home’s workforce provides continuity of care to each child;

p.3

Requirement Due date

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (2)(c)(d)(h)) 15/11/19 Inspection report children’s home: SC423741 4 In particular, the standard in paragraph (1) requires the registered person to—

p.3

Requirement Due date

help each child to understand and manage the impact of any experience of abuse or neglect;

p.4

Requirement Due date

The quality and purpose of care standard is that children receive care from staff who—

p.4

Requirement Due date

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

p.4

Requirement Due date

use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

p.4

Requirement Due date

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

p.4

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)(b)(c)(2)(b)(c)) 15/11/19

p.4

Requirement Due date

* These requirements are subject to a compliance notice.

p.4

Overall experiences and progress of children and young people: inadequate

A young person has been exploited while missing from home. Staff have followed the agreed protocols, but this has not kept the young person safe, and her experiences have not been positive, as further incidents and exploitation have taken place. Information found by staff that indicated the intentions of the young person to go missing again was not appropriately managed.

p.4

Overall experiences and progress of children and young people: inadequate

The staff do not have the specialist training to understand all of the children and young people’s complex needs. As a result, the experience of care is affected for those children who have specific needs.

p.4

Overall experiences and progress of children and young people: inadequate

The staff support the children and young people to maintain their general health and to attend routine health appointments. However, following two serious incidents involving a young person who was sexually exploited, there was a delay in seeking support to manage their emotions and mental health. Specialist support should have been offered in relation to the missing events and sexual assaults, even though there was an Inspection report children’s home: SC423741 5 ongoing investigation. Discussions with the police would agree the limits of any key work with the young person.

p.4

Overall experiences and progress of children and young people: inadequate

Despite staff efforts to stop the practice, some of the children and young people continue to smoke in their bedroom. This increases the risk of fire and puts others at risk of harm.

p.5

Overall experiences and progress of children and young people: inadequate

The children and young people have positive relationships with staff and like to spend time with them. The children and young people and enjoy a wide range of activities. The activities include walking the dog, trampolining and swimming.

p.5

Overall experiences and progress of children and young people: inadequate

The children and young people maintain a good sense of identity. The staff help the children and young people to spend quality time with their families. The children and young people enjoy this experience.

p.5

Overall experiences and progress of children and young people: inadequate

The children and young people make good progress with their education. If children and young people are admitted without educational provision, plans are put in place for them to receive education.

p.5

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

When young people go missing from home, staff follow the agreed plans and take steps to locate them. When this is unsuccessful, there have been delays in reporting the young people as missing from home, as outlined in the risk assessment.

p.5

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

The children and young people have been left unsupervised and at risk of harm when under the influence of substances after traumatic, abusive events. The risk assessments are ineffective and do not give staff clear instructions to follow. Risk assessments fail to take into account the children and young people’s risks. For example, when two young people were taken on holiday, insufficient guidance was included in their risk assessments to enable staff to keep them safe in the new environment.

p.5

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

The risks for some one young person have increased since they have come to live at this home due to being missing in an unfamiliar city. Some work has taken place to reduce risk, but it has been ineffective and has had a negative impact on the young person’s emotional well-being. Some aspects of the work have been delivered in a way which results in blaming the young person for significant incidents. Other work sessions are not well thought out, and they do not fully consider children and young people’s complex needs.

p.5

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

Despite some children and young people displaying significant levels of self-harming behaviour, there is a delay in implementing ligature management procedures. Ligature cutters are not easily accessible in all areas of the home. This is not in line with the company’s policy, and it does not reduce risks to the children and young people.

p.5

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

The staff team members have not had training around how to keep children and young Inspection report children’s home: SC423741 6 people safe when they use the internet. Some staff team members have completed training around risks, such as self-harm and child sexual exploitation. Other staff are waiting to receive this training.

p.5

The effectiveness of leaders and managers: inadequate

The registered manager’s monitoring procedures have not identified shortfalls in safeguarding practice. These shortfalls have prevented the registered manager and staff from reducing risks to the children and young people.

p.6

The effectiveness of leaders and managers: inadequate

One professional reported that they have been hindered in making informed decisions about the safety and the quality of care being provided. The staff do not consistently provide important information about the children and young people.

p.6

The effectiveness of leaders and managers: inadequate

The staff receive practical support from the registered manager. Regular supervision takes place. New staff say that their induction is helpful and that they feel well supported.

p.6

The effectiveness of leaders and managers: inadequate

The registered manager has close relationships with the children and young people. She is actively engaged in their care.

p.6

The effectiveness of leaders and managers: inadequate

The home is not currently meeting its statement of purpose. It is not providing a safe environment and the best experience for the children and young people.

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: SC423741 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

Responsible individual: Susan Fitzsimmons

p.7

Inspectors

Jamie Richardson: social care inspector Rachel Holden: social care inspector Inspection report children’s home: SC423741 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 children looked after, safeguarding and child protection.

p.7

Inspectors

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

Inspectors

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

p.8

Inspectors

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

p.8