Children's Home run by Cambian Childcare Limited in East Riding of Yorkshire

Inspection report for children’s home: SC460063 1 SC460063 Registered provider: Cambian Childcare Limited Interim inspection Inspected under the social care common inspection framework

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Information about this children’s home

This privately run children’s home is registered to accommodate up to five children with social and emotional difficulties. At the time of the inspection, three children were living in the home.

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Information about this children’s home

The manager registered with Ofsted in November 2021.

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Inspection date: 15 March 2022

Judgement at last inspection: requires improvement to be good

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Inspection date: 15 March 2022

Enforcement action since last inspection: none Inspection report for children’s home: SC460063 2

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children and young people since the most recent full inspection

This home was judged requires improvement to be good at the last full inspection. At this interim inspection, Ofsted judged that it has sustained effectiveness.

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children and young people since the most recent full inspection

Since the last inspection, several children and staff have either left or arrived at the home. Despite the potential for this to be unsettling, children have made good progress. One child is now better at regulating their emotions, and another is more self-confident. The current children living in the home enjoy good relationships with each other and with the staff.

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children and young people since the most recent full inspection

The manager has started to make some positive changes to the way the home is run. Some of these are very recent and are yet to be embedded, so it is too early to tell whether improvements will follow.

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children and young people since the most recent full inspection

The children have good experiences in the home, and their rooms are personalised and reflect their interests. This helps them to enjoy their time at the home, and to feel settled. Children are consulted about their care and, when their views and wishes can be met, they are.

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children and young people since the most recent full inspection

When children need to be calmed or held for their own safety, this is generally well managed by appropriately trained staff. However, on an isolated occasion, the restraint records do not accurately reflect the details of the incident. Children’s plans do not provide staff with specific guidance on what type of hold to use, or what behaviours make restraint unavoidable. This does not promote a consistent response during times of crisis.

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children and young people since the most recent full inspection

The manager has not always submitted safeguarding notifications. This reduces the ability of the regulator to have effective oversight.

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children and young people since the most recent full inspection

Children’s risks are generally well understood and managed, and their risk assessments are thorough. Staff are appropriately trained to administer medication; however, this is not always witnessed by a second member of staff in line with the provider’s policy. This has led to an error in administering medication to a child. Even following this error, there is still not always a second member of staff present when medication is administered. This does not promote accurate administration and record-keeping and does not show that lessons have been learned.

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children and young people since the most recent full inspection

Fire drills are routinely completed but there has not been a night-time evacuation since the new children moved in. This reduces staff’s understanding of the effectiveness of the night-time evacuation plans.

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children and young people since the most recent full inspection

Staff receive effective support from the new manager. They have benefited from bespoke training that has increased their skills and knowledge of the children’s Inspection report for children’s home: SC460063 3 particular vulnerabilities. However, there have been a number of staff changes and some staff do not always have their monthly supervision, even when they are in a new role. This does not support the manager’s ability to check staff’s understanding and provide a safe reflective space.

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children and young people since the most recent full inspection

There is evidence of effective multi-agency working. The manager challenges and escalates concerns when she identifies a shortfall in the practice of other professionals. This shows good advocacy for the children, and helps to drive their progress.

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children and young people since the most recent full inspection

One child moved into and out of the home quickly when the manager took decisive action that the home was unable to meet their needs. The impact and matching assessment included some inaccuracies, which makes it hard to determine how effective the assessment had been at the time the child arrived at the home.

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children and young people since the most recent full inspection

There are areas of improvement since the last inspection. Children access specialist support and therapy where this is needed. This promotes their emotional well-being. Written care documents are better maintained and provide a comprehensive record of the children’s care. This results in staff knowing what is relevant and helpful to supporting the children to make progress. Key-work sessions relate directly to the children’s vulnerabilities. This helps children learn how to keep themselves safe. These improvements mean that related requirements made at the last inspection have now been met.

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children and young people since the most recent full inspection

There are some effective mechanisms for monitoring the quality of care. These include the introduction of a new system whereby the manager and team leaders work closely together to ensure that documentation and quality of work are good. This helps ensure that plans and records are accurate and current. This is underpinned by new training on the quality of records and reports. This results in more effective documentation, which supports staff to deliver appropriate care.

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children and young people since the most recent full inspection

However, the manager’s attempts to obtain feedback from stakeholders have not been effective. She has had to rely on information mostly gathered by the independent visitor. This has provided limited first-hand information from professionals and families to contribute to the home’s monitoring and quality-of-care review. Inspection report for children’s home: SC460063 4

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Inspection date Inspection type Inspection judgement

03/08/2021 Full Requires improvement to be good 17/12/2019 Interim Sustained effectiveness 20/08/2019 Full Good 22/10/2018 Interim Not judged Inspection report for children’s home: SC460063 5

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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 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

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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’s workforce provides continuity of care to each child. (Regulation 13 (1)(a)(b) (2)(a)(b)(c)(e))

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Requirement Due date

This refers to delivering reflective supervision that provides opportunities to check staff’s competence, knowledge and understanding, in line with the home’s policy. 30 April 2022

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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— 30 April 2022 Inspection report for children’s home: SC460063 6 that arrangements are in place to—

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Requirement Due date

ensure the effective induction of each child into the home;

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Requirement Due date

manage and review the placement of each child in the home; and

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Requirement Due date

plan for, and help, each child to prepare to leave the home or to move into adult care in a way that is consistent with arrangements agreed with the child’s placing authority. (Regulation 14 (1)(a)(b) (2)(b)(i)(ii)(iii))

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Requirement Due date

This refers to completing an accurate impact and matching assessment that informs admission decisions and considers existing children, and staff skills and knowledge.

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Requirement Due date

If the Regulatory Reform (Fire Safety) Order 2005(a) applies to the home—

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Requirement Due date

the registered person must ensure that the requirements of that Order and any regulations made under it, except for article 23 (duties of employees), are complied with in respect of the home. (Regulation 25 (2)(b))

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Requirement Due date

This refers to undertaking night-time evacuations, including for children new to the home. 30 April 2022

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Requirement Due date

within 24 hours of the use of a measure of control, discipline or restraint in relation to a child in the home, a record is made which includes—

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Requirement Due date

details of the child’s behaviour leading to the use of the measure;

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Requirement Due date

a description of the measure and its duration;

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Requirement Due date

the effectiveness and any consequences of the use of the measure; and

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Requirement Due date

within 48 hours of the use of the measure, the registered person, or a person who is authorised by the registered person to do so (“the authorised person”)—

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Requirement Due date

has spoken to the user about the measure; and

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Requirement Due date

has signed the record to confirm it is accurate; and 30 April 2022 Inspection report for children’s home: SC460063 7 within 5 days of the use of the measure, the registered person or the authorised person adds to the record confirmation that they have spoken to the child about the measure. (Regulation 35 (3)(a)(ii)(iv)(vii)(b)(i)(ii)(c)(iv))

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Requirement Due date

This refers to ensuring the accuracy of physical intervention records and the appropriateness of the measure. In order to do this, plans should contain sufficient detail to determine how and when physical restraint should be used.

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Recommendations

 The registered person should see regulation 23. Care must be taken to ensure that prescribed medicines are only administered to the individual for whom they are prescribed. Medicines must be administered in line with a medically approved protocol. Records must be kept of the administration of all medication, which includes occasions when prescribed medication is refused. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 35, paragraph 7.15)  The registered person should consider the frequency of incidents and judge whether their cumulative effect makes notification appropriate even if in isolation each event would not warrant this. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 63, paragraph 14.11)  The registered person should put in place processes to enable a quality-of-care review to take place. (‘Guide to the Children’s Homes Regulations, including the

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Recommendations

quality standards’, page 65, paragraph 15.3)

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Information about this inspection

This inspection focused on the effectiveness of the home and the progress and experiences of children and young people since the most recent full inspection.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people, 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 for children’s home: SC460063 8

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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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Children’s home details

Responsible individual: Susan Fitzsimmons

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Inspector

Rachel Ruth, Social Care Regulatory Inspector Inspection report for children’s home: SC460063 9 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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