Children's Home run by Cambian Childcare Limited in Dudley

Inspection report for children’s home - monitoring visit: SC472465 1 SC472465

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Cambian Childcare Limited

Monitoring visit Inspected under the social care common inspection framework

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Information about this children’s home

The home provides care and accommodation for up to five young people who have complex needs. Staff, including the organisation’s clinical team, focus on building therapeutic relationships with young people and the promotion of positive behaviours. The home offers planned and emergency placements.

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Information about this children’s home

The manager is registered with Ofsted and has a degree in working with children, young people and families.

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This monitoring visit

This monitoring visit took place in response to an increase in safeguarding notifications. These notifications relate to serious incidents. Some have resulted in the police attending the home to support staff.

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This monitoring visit

Most children and young people have been living in this home for over 18 months. Consequently, they benefit from a stable home and have the opportunity to develop meaningful relationships with staff. Children and young people said that they feel safe.

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This monitoring visit

The registered manager has notified Ofsted appropriately of serious incidents. Staff rarely use physical intervention. However, recently this has been necessary. Although all staff are trained to safely use restraint, the training does not provide them with techniques specific to the needs of individual children. This training may help them to intervene more effectively.

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This monitoring visit

Children and young people who live in this home have a range of complex needs associated with trauma. Staff have a wide range of training, and the clinical team attached to the home offers bespoke training to meet children and young people’s needs. However, only two staff currently have completed training about ligature use Inspection report for children’s home - monitoring visit: SC472465 2 and self-harm. Consequently, it is unclear how staff are equipped and trained to use ligature cutters and manage self-harm. This leaves children, young people and staff vulnerable to risk.

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This monitoring visit

Despite this shortfall, staff know children and young people well. As a result, they manage incidents and risk appropriately. Incidents are well recorded, and appropriate debriefs take place afterwards. Staff use this reflection to improve their practice. Risk assessments identify known risks for children and they are updated following incidents. However, these updates lack detail and do not provide staff with specific guidance and strategies. For example, one child’s risk assessment does not contain sufficient detail about how staff should manage incidents when the child may harm themselves.

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This monitoring visit

Social workers provided universally positive feedback about the care provided in this home. One social worker said that the home has turned one young person’s life around. This young person is currently being supported to move, to live independently. Positive relationships between staff and the young person have been the key to ensuring positive changes and a reduction in risk. Staff will continue to provide support on an outreach basis. This means that this young person will continue to benefit from support as she begins her journey towards independence.

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This monitoring visit

Another young person has made significant progress, and there has been a noticeable reduction in risky behaviours. A recent psychological assessment noted this progress. This is testament to the good-quality care from staff, supported by advice and guidance from the multi-disciplinary clinical team.

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This monitoring visit

Staff told the inspector that they enjoy working in the home. They have regular supervision and benefit from good inductions. The home has an appropriately qualified registered manager, and she is supported by two competent deputy managers.

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This monitoring visit

The inspector found that the one requirement and recommendation which were made at the full inspection in December 2019 have been met. Inspection report for children’s home - monitoring visit: SC472465 3

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Recent inspection history

Inspection date Inspection type Inspection judgement 11/12/2019 Full Good 18/03/2019 Interim Sustained effectiveness 17/04/2018 Full Good 06/12/2017 Full Inadequate Inspection report for children’s home - monitoring visit: SC472465 4

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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. In particular, the standard in paragraph (1) requires the registered person to ensure that staff 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. (Regulation 12(1)(2)(a)(i)) 07/08/2020

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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 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. (Regulation 13(1)(b)(2)(c)) 07/08/2020

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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

Ofsted is aware of the challenges that COVID-19 (coronavirus) is currently posing to those we regulate. During this visit, the inspectors took into consideration the impact of any measures being taken to slow the spread of COVID-19 by the home. This has included the effect these have had on staffing arrangements. 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. Inspection report for children’s home - monitoring visit: SC472465 5

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

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

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Inspectors

Annemarie Parker, social care inspector Lisa O’Donovan, social care inspector Inspection report for children’s home - monitoring visit: SC472465 6 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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Inspectors

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Inspectors

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Inspectors

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