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

Inspection report for children’s home - monitoring visit: SC389649 1 SC389649

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Cambian Childcare Ltd

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

This private home provides care and accommodation for up to three young people who may have emotional and/or behavioural difficulties and/or learning disabilities.

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Information about this children’s home

The registered manager has submitted an application to cancel his registration with Ofsted. An acting manager is overseeing the home.

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This monitoring visit

Ofsted is aware of the challenges that COVID-19 (coronavirus) is currently posing to those we inspect and regulate and is not carrying out routine inspections. Therefore, this monitoring visit has been completed off site, via telephone interviews and a review of documentation sent to the inspector.

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This monitoring visit

Following the full inspection in August 2019, Ofsted received an increasing number of notifications of significant events, which indicated that young people were at risk of harm. In addition, the police contacted Ofsted about the safety and welfare of those living in the home and the home’s actions in response to the events in the home.

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This monitoring visit

Following a monitoring visit on 1 October 2019, the decision was made to issue an immediate notice of suspension. Two further monitoring visits were undertaken, and the suspension notice was lifted on 17 December 2019.

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This monitoring visit

The registered manager submitted his notice of voluntary cancellation in April 2020. There is an acting manager in post, who will be submitting an application to register with Ofsted. The registered manager was absent from work for a period of time. The responsible individual and other managers provided suitable management oversight during this time. Inspection report for children’s home - monitoring visit: SC389649 2 A young person was admitted to the home in February 2020 with a diagnosis of autism spectrum disorder. The impact risk assessment completed on 11 February 2020 stated that staff were trained in this. Training records show that not all staff had completed autism spectrum disorder training. The responsible individual arranged for some training with the in-house clinician on 25 February 2020. The young person recently returned to the care of their family. The post-placement review by the home and

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This monitoring visit

placing authority indicates that there were gaps in the staff group’s understanding of the young person’s presenting needs.

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This monitoring visit

On 4 March 2020, the young person went missing from the home by removing the window pane from his bedroom window and climbing out. Records show that there was a delay of almost an hour before staff went to look for the young person. The young person was returned by the police several hours later, safe and well. There is evidence to show that managers challenged staff practice to prevent further incidents.

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This monitoring visit

The statement of purpose has been reviewed and shared with Ofsted. The current staff team has a range of skills and experience that match the needs of the young people whom the home can accommodate, as described in the statement of purpose. For example, the deputy manager and a senior do not have previous residential care experience but have worked with younger children. Three staff have worked for the company for a number of years and hold a suitable childcare qualification. A member of staff spoken to confirmed that they are receiving regular supervision.

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This monitoring visit

A virtual tour of the home shows significant improvements, and fire safety measures have improved. This means that the home is a more welcoming and homelier environment.

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This monitoring visit

An action plan has been submitted to Ofsted, which shows progress made to the shortfalls identified during previous inspection visits. However, these improvements could not be fully tested. Therefore, previous requirements remain in place.

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Recent inspection history

Inspection date Inspection type Inspection judgement 08/08/2019 Full Requires improvement to be good 19/06/2018 Full Good 06/06/2017 Full Good 01/11/2016 Full Good Inspection report for children’s home - monitoring visit: SC389649 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 care planning standard is that children—

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Requirement Due date

receive effectively planned care in or through the children’s home; and

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Requirement Due date

have a positive experience of arriving at or moving on from the home.

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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

that children are admitted to the home only if their needs are within the range of needs of children for whom it is intended that the home is to provide care and accommodation, as set out in the home’s statement of purpose.

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Requirement Due date

(Regulation 14 (1)(a)(b)(2)(a)) 12/11/2019

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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

help each child to understand how to keep safe;

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Requirement Due date

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

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Requirement Due date

manage relationships between children to prevent them from harming each other; 12/11/2019 Inspection report for children’s home - monitoring visit: SC389649 4 understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

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Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare; and

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Requirement Due date

are familiar with, and act in accordance with, the home’s child protection policies.

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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

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm.

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Requirement Due date

(Regulation 12 (1)(2)(a)(b)(i)(ii)(iii)(iv)(v)(vi)(vii)) The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children’s home that—

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Requirement Due date

helps children aspire to fulfil their potential; and promotes their welfare.

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Requirement Due date

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

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Requirement Due date

lead and manage the home in a way that is consistent with the approach and ethos, and delivers the outcomes, set out in the home’s statement of purpose;

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Requirement Due date

ensure that staff work as a team where appropriate;

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Requirement Due date

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

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Requirement Due date

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

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Requirement Due date

(Regulation 13 (1)(a)(b)(2)(a)(b)(c)(d)) 12/11/2019

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Requirement Due date

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

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Requirement Due date

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children; 12/11/2019 Inspection report for children’s home - monitoring visit: SC389649 5 use this understanding to deliver care that meets children’s needs and supports them to fulfil their potential.

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Requirement Due date

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

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Requirement Due date

understand and apply the home’s statement of purpose;

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Requirement Due date

understand and apply the home’s statement of purpose;

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Requirement Due date

protect and promote each child’s welfare;

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Requirement Due date

treat each child with dignity and respect.

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Requirement Due date

(Regulation 6 (1)(a)(b)(2)(a)(b)(i)(ii)(iii)) The registered person must make arrangements for the handling, recording, safekeeping, safe administration and disposal of medicines received into the children’s home. In particular the registered person must ensure that—

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Requirement Due date

medicines kept in the home are stored in a secure place so as to prevent any child from having unsupervised access to them;

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Requirement Due date

medicine which is prescribed for a child is administered as prescribed to the child for whom it is prescribed and to no other child; and

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Requirement Due date

a record is kept of the administration of medicine to each child.

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Requirement Due date

Paragraph (2) does not apply to medicine which—

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Requirement Due date

is stored by the child for whom it is provided in such a way that other persons are prevented from using it; and

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Requirement Due date

may be safely self-administered by that child.

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Requirement Due date

(Regulation 23 (1)(2)(a)(b)(c)(3)(a)(b)) 12/11/2019

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

mutual respect and trust; 12/11/2019 Inspection report for children’s home - monitoring visit: SC389649 6 an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults.

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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

meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

help each child to understand, in a way that is appropriate according to the child’s age and understanding, personal, sexual and social relationships, and how those relationships can be supportive or harmful;

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Requirement Due date

help each child to develop the understanding and skills to recognise or withdraw from a damaging, exploitative or harmful relationship;

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Requirement Due date

strive to gain each child’s respect and trust;

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Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children.

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Requirement Due date

(Regulation 11 (1)(a)(b)(c)(2)(a)(vi)(vii)(viii)(ix)) The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the children’s home that—

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Requirement Due date

helps children aspire to fulfil their potential; and promotes their welfare.

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Requirement Due date

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

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Requirement Due date

understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home.

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Requirement Due date

(Regulation 13 (1)(a)(b)(2)(f)) 12/11/2019

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Requirement Due date

Schedule 4 sets out the other information that the registered person must keep in relation to a children’s home. 12/11/2019 Inspection report for children’s home - monitoring visit: SC389649 7 The registered person must maintain in the home the records in Schedule 4 and ensure that the records are kept up to date.

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Information about this inspection

The purpose of this visit was to monitor the action taken and the progress made by the children’s home since its last Ofsted inspection.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000.

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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 Lane, Potters Bar EN6 1AG

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Inspector

Michelle Bacon, social care inspector Inspection report for children’s home - monitoring visit: SC389649 8 to 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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