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

Inspection report children’s home: SC457089 1 SC457089 Registered provider: Cambian Childcare Ltd Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home provides care and accommodation for up to two young people, aged between eight and 18 years, who have experienced traumatic childhoods. A large national provider privately owns the home.

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Information about this children’s home

Ofsted registered the manager in June 2019. The registered manager is currently completing her level 5 diploma in leadership and management.

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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: sustained effectiveness

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good

Enforcement action since last inspection: none Inspection report children’s home: SC457089 2

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Inspection date Inspection type Inspection judgement

21/03/2019 Interim Sustained effectiveness 06/11/2018 Full Good 19/03/2018 Interim Not judged 23/01/2018 Interim Not judged Inspection report children’s home: SC457089 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 protection of children standard is that children are protected from harm and enabled to keep themselves safe.

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Requirement Due date

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

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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;

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Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person. (Regulation 12(1), (2)(a)(i)(v)) 06/12/2019 Inspection report children’s home: SC457089 4

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Overall experiences and progress of children and young people: good

One young person lives in this home, and she has made significant progress in all areas since the last inspection. Staff provide individualised care and support, and this has contributed recently to a smooth transition into school and re-establishment of family visits. The registered manager devises and oversees plans using visual aids to break stages into achievable steps which move at the young person’s pace. This has a positive result, helping her to manage anxiety and enjoy new experiences, including a day trip to London with staff.

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Overall experiences and progress of children and young people: good

The registered manager works with the local authority to confirm the care plan for the young person. This enables her to invest in her care and school placements. Staff are also introducing the future move to independence so that, with sufficient preparation, the young person will be ready for this transition.

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Overall experiences and progress of children and young people: good

A consistent and skilled staff team cares for the young person. Staff speak openly with the young person about things that are important to her. She explores her experiences and identity in a safe way with staff. The home creates a nurturing environment which, according to the young person’s social worker, has given her a sense of belonging and support to find herself.

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Overall experiences and progress of children and young people: good

The young person has a positive relationship with both the registered manager and staff, and she expresses her views directly to them. The young person knows how to complain. Staff anticipate her needs and emotional state. The inspector observed staff encouraging the young person to use art and storytelling to communicate how she is feeling.

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Overall experiences and progress of children and young people: good

The young person maintains good health. Staff have developed effective relationships with health professionals. This has included the nurse offering double appointments to allow staff time to support the young person to manage her anxiety before receiving immunisations.

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Overall experiences and progress of children and young people: good

Staff respect the young person’s interest in all areas of diversity. She has visited different religious groups, tried a variety of diets and, as she explores her identity, she talks to staff about her understanding of appropriate relationships.

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Overall experiences and progress of children and young people: good

The home is warm and welcoming for young people. Blankets, toys and books are available to help the young person to settle. Photographs around the house allow the young person to remember her family and build new memories.

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

Staff supervise and work with the young person to keep her safe. Incidents of self-harm have reduced significantly, which evidences that the young person feels more secure and able to express her needs and feelings. Staff are aware of the different ways in which a Inspection report children’s home: SC457089 5 young person may self-harm. They understand triggers and can therefore de-escalate to encourage emotional regulation.

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

There are no ‘missing’ incidents, despite occasions when the young person displays challenging behaviour linked to her previous trauma and current emotional state. This evidences that the young person feels safe at home with staff, who can safeguard by knowing and anticipating her behaviour.

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

Staff encourage positive behaviour and use a Reach for the Stars incentive plan to help the young person to work towards achievable goals. The young person proudly showed me the stereo that she has earned, and she is working towards a second goal.

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

The young person successfully uses a colour-coded system to request support from staff when she is unable to express herself using words. Staff have confidently embedded this system into life at the home. The young person, as a result, has improved emotional regulation, with reduced incidents of self-harm and physical intervention.

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

Staff encourage the young person to prepare for independence, and she enjoys cooking. Staff balance taking age-appropriate risks against the need to safeguard her vulnerability. They involve others in making decisions about the young person’s care and ensure that they work in her best interests.

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

The registered manager safely recruits staff working at the home and does not use agency staff. Staff are therefore familiar, which provides consistent care to help and protect the young person.

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

The registered manager monitors to ensure that all staff are up to date with training in the administration of medication and first aid. She maintains the home to health and safety standards.

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

The home works to an allegation risk management plan. However, this is not robust enough to safeguard the young person and staff. The registered manager has changed staff sleeping arrangements to improve safeguarding, but she has not updated the plan to reflect this. The registered manager has not escalated the action to hold a multi- agency review, and the procedures for reporting the allegations to the local authority designated officer are not clear. This lack of updated guidance could place both staff and the young person in a vulnerable position.

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The effectiveness of leaders and managers: good

The registered manager uses available monitoring tools to help her to review the progress of the young person and the running of the home. She identifies the areas that have progressed since the last inspection and has a vision for an outstanding home with the best outcomes for young people. The registered manager is building in confidence and leadership skills, and is keen to develop her staff team as well.

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The effectiveness of leaders and managers: good

Staff enjoy working at this home and there is a strong team-building culture. Staff Inspection report children’s home: SC457089 6 receive effective supervision and, in addition, debriefings, following incidents. Staff state that the registered manager supports them. Staff also spoke to the inspector about how they support each other when working with the young person. Staff recognise the level of care that they provide and are proud of the progress that the young person has made.

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The effectiveness of leaders and managers: good

The registered manager has good oversight of mandatory staff training. She is proactive in sourcing additional safeguarding and health training to further develop staff skills in meeting the young person’s needs.

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The effectiveness of leaders and managers: good

Other professionals describe high-quality communication with the home and standards of care. The registered manager is working closely with the school headteacher to ensure an effective education transition plan which uses staff’s knowledge of the young person. The training provided by the registered manager before school started has helped teachers to provide a consistent approach to managing the behaviours and emotions presented by the young person.

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The effectiveness of leaders and managers: good

The registered manager is developing local links with neighbours and the wider community to facilitate positive opportunities for the young person, such as having a friend around for tea. The registered manager is building relationships with the police to ensure that the staff and young person feel secure within the community. Inspection report children’s home: SC457089 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 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: SC457089 8

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Children’s home details

Registered provider: Cambian Childcare Ltd

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Children’s home details

Registered provider address: Metropolitan House, 3 Darkes Road, Potters Bar, EN6 1AG

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Inspector

Joanna Warburton, social care inspector Inspection report children’s home: SC457089 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 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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