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

Inspection report for children's home - monitoring visit: SC456539 1 SC456539

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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

This home is registered to care for one child who may have emotional and/or behavioural difficulties. It is operated by a large organisation. The manager has been registered with Ofsted since August 2019 and also manages another one-bedded home.

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This monitoring visit

This visit took place in response to notifications relating to incidents in the home, an allegation and to review engagement with education. It has been nearly two years since the last inspection. All inspection activity took place off site using remote technology. A virtual tour of the home was carried out as part of the visit and we spoke to the child, staff and professionals.

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This monitoring visit

One young person moved out of the home in August 2020. Staff helped him to progress his independence skills and allowed him to safely take age-appropriate risks. As a result, he was able to confidently use public transport, spend time with friends and use his phone safely before moving on.

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This monitoring visit

The child currently living at the home moved in five months ago following several placement breakdowns. The child was previously at risk of injuries due to self-harm behaviour. Since moving to the home, the child has made huge progress. There has been no use of ligatures and self-harm incidents have not required medical attention. The social worker said, ‘The change in [name of child] has been remarkable.’

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This monitoring visit

Regular care planning meetings take place to ensure that all are working to achieve the same goals, which meets a previous requirement. Waking-night staff have slowly been phased out, now that the child feels safe. Staff have implemented routines and incentives for the child and they have attended training to help regulate the child’s sleeping patterns. Inspection report for children's home - monitoring visit: SC456539 2 The inspector spent time speaking to the child using a video call. The child appeared comfortable in their home and with the staff. Staff are child focused and knowledgeable. Staff work closely with the company clinician, who delivers training to the team which is specific to the needs of the child placed, which meets a previous recommendation. As a result, the child is settled and engaging with their plans.

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This monitoring visit

Risk management plans are detailed and are updated when necessary. They include relevant historical information and give staff clear steps to take. However, plans do not inform staff how to report allegations externally. Staff spoken to are aware of this process, and have reported an allegation made, but plans need to reflect this to ensure that procedures are followed by all staff.

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This monitoring visit

Due to previous trauma, the child struggles to engage with male staff. Staff worked sensitively around this and gave the child time and space to adjust. The child has now built a relationship with the male staff member in the team. The social worker said, ‘He is now the child’s most trusted adult there. When I see them together, it’s so lovely to see.’

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This monitoring visit

The manager has worked hard to find a school that will be able to meet the child’s needs. Delays have occurred due to COVID-19 (coronavirus) and the school being closed. However, through persistence and escalation to the virtual head, the child is due to start school this week. The deputy head of the school said: ‘I have spoken to therapeutic services and the home’s manager many times. We have planned a really careful transition to build up a little social interaction bit by bit; this will involve the therapist to ensure that we can meet [name of child’s] needs and go at their pace.’

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This monitoring visit

While waiting to start school, the child has worked with a tutor in the home, studying core subjects along with a language to meet her cultural needs. She has begun to engage in activities including art, kick-boxing and football, and has been supported to attend a local support group. Staff respect the child as an individual, and have helped to increase experiences and interests at the child’s pace.

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This monitoring visit

Staff have also supported the child in spending time with family. The manager felt it was very important for the child to see her family and begin rebuilding relationships. An interpreter helps to ensure that the time is well spent and safe.

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This monitoring visit

The child has been reintroduced to a previously known mental health practitioner. One staff member is consistently assigned to support the sessions to help the child feel more comfortable.

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This monitoring visit

The home itself appears comfortable and homely. Photographs, plants and soft furnishings are used throughout, adding to a cosy environment. Bathrooms were being replaced during the visit. The child is proud of their bedroom which is a tidy, personalised space. Inspection report for children's home - monitoring visit: SC456539 3 Independent visits take place monthly. Reports are detailed and are used to develop the home. The manager places importance on developing the skills of each staff member. As a result, staff feel supported and the child receives good-quality care.

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Inspection date Inspection type Inspection judgement

14/05/2019 Full Good 03/07/2018 Full Requires improvement to be good 09/05/2018 Full Inadequate 12/07/2017 Full Good Inspection report for children's home - monitoring visit: SC456539 4

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Recommendation

 The registered person should ensure that risk management plans include details of the steps the home will take to manage any assessed risks on a day-to-day basis. Specifically, how to report allegations in line with procedures and steps to take when room searches may be required to prevent self-harm. (‘Guide to the children’s homes regulations including the quality standards’, page 42, paragraph 9.5)

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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 Limited

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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

Sylvia Eboigbe, Social Care Inspector Inspection report for children's home - monitoring visit: SC456539 5 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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