Children's Home run by Cambian Childcare Limited in Shropshire

Inspection report for children's home: SC476252 1 SC476252 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 home provides care for up to five children who have experienced early life trauma. The home specialises in providing therapeutic services for children who have experienced sexual abuse.

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Information about this children's home

The registered manager has submitted an application to deregister. There is an interim manager in post.

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Information about this children's home

Judgement at last inspection: requires improvement to be good

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Information about this children's home

Enforcement action since last inspection: none Inspection report for children's home: SC476252 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

The home now has a stable and consistent staff team in place. This promotes consistency and continuity of care for children. The interim manager has applied to Ofsted to register. The responsible individual remains absent from work. There is an interim responsible individual in place.

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children and young people since the most recent full inspection

Two children are living in the home. Since the last inspection, one child has left the home and one child has moved in. Staff thoroughly plan children’s transitions and ensure that children have all the support they need to make their move as positive as possible. This helps to reduce children’s anxieties about moving to a new home.

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children and young people since the most recent full inspection

The manager seeks children’s views when planning their transition to the home. They provide children with an interactive guide before they move in. This includes activities for children to complete about their likes and dislikes. For example, children draw pictures of their favourite foods. They also design how they would like their bedroom to look. As a result, children settle in well and say they like living in the home.

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children and young people since the most recent full inspection

Staff support children to keep in touch with children who have moved out of the home. This is to maintain sibling-like relationships and promote positive endings. As a result, children make sense of their loss and settle well in their new homes.

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children and young people since the most recent full inspection

Staff are nurturing in their approach. They help children to develop safer ways to express their feelings. As a result, children feel happy, safe and cared for. Furthermore, significant incidents have reduced in the home. Since the last inspection, children have not made any allegations. In addition, there have not been any incidents of children going missing from the home.

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children and young people since the most recent full inspection

Consultation with children has much improved. The manager and staff gather children’s wishes and feelings in a variety of ways. Trained staff support children to use an app to express their views to professionals about the care they receive. As a result, children contribute to their care planning.

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children and young people since the most recent full inspection

The provider’s clinical team does not deliver children’s care in line with the home’s statement of purpose. One child has lived at the home for 18 months. They are yet to receive therapy in line with their care plan. This is due to several staffing changes within the clinical team. The provider has recently appointed a new practitioner to enable the child to receive their therapy. Inspection report for children's home: SC476252 3 The home has also appointed a new therapeutic residential worker. However, the worker also provides day-to-day care to children. This includes responding to behaviours which may present as a challenge to staff. This has the potential to compromise children’s therapeutic relationships. Furthermore, the worker does not receive clinical supervision. As a result, they are not provided with opportunities to reflect on their practice. Consequently, the monitoring of their intervention is

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children and young people since the most recent full inspection

The quality of recording in the home varies. The recording of some significant incidents does not include accurate information. For example, staff did not record that one child had damaged their wardrobe during an incident. Another recording of a physical intervention was also littered with errors. This may hinder the manager’s review of these incidents.

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children and young people since the most recent full inspection

Staff do not receive regular supervision. This is a missed opportunity to develop their practice. The recording of some supervision is poor. This lacks detail and reflection on children's experiences.

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children and young people since the most recent full inspection

The independent visitor does not consult with children to gather their views. They often visit the home during the day when children are at school. This hinders the external scrutiny of the home. Neither does this help the provider to improve the quality of care children receive.

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children and young people since the most recent full inspection

Leaders and the manager have systems in place to monitor the care children receive. Audits identify shortfalls in staff practice. There are action plans in place to address them. The manager has a good understanding of the care children receive and how this impacts on them.

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children and young people since the most recent full inspection

Since the last inspection, the fire safety officer has revisited the home. They have confirmed that the premises are compliant in respect of fire safety.

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children and young people since the most recent full inspection

Three out of the four requirements made at the last inspection were met. Leaders and the manager have strengthened the stability of the staff team. Staff skills have developed and, in particular, their response to ensuring the children’s safety. There is also better oversight by the manager of the care children receive. These improvements are enhancing the care that children receive. Inspection report for children's home: SC476252 4

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Inspection date Inspection type Inspection judgement

14/04/2021 Full Requires improvement to be good 09/09/2019 Full Good 31/01/2019 Interim Improved effectiveness 14/05/2018 Full Good Inspection report for children's home: SC476252 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 quality and purpose of care standard is that children receive care from staff who—

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Requirement Due date

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

provide personalised care that meets each child's needs, as recorded in the child's relevant plans, taking account of the child's background;

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Requirement Due date

that as far as reasonably practicable the care is delivered by a person who—

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Requirement Due date

has the experience, knowledge and skills to deliver that care; and

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Requirement Due date

is under the supervision of a person who is appropriately skilled and qualified to supervise that care. (Regulation 6 (1)(b) (2)(iv)(c)(i)(ii))

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Requirement Due date

In particular, the registered person should ensure that children receive care as outlined in the home’s statement of purpose. In addition, ensure that staff providing this care are supervised by a person who is suitably qualified as stipulated in their job description. 18 May 2022

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Requirement Due date

The registered person must ensure that all employees—

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Requirement Due date

receive practice-related supervision by a person with appropriate experience; and

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Requirement Due date

have their performance and fitness to perform their roles appraised at least once every year. (Regulation 33 (4)(b)(c)) 18 May 2022 Inspection report for children's home: SC476252 6 In particular, the registered person should ensure that all staff, including the manager, receive regular supervision of their practice.

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Requirement Due date

have the capacity, experience and skills to supervise the management of the home, or the homes, in respect of which the responsible individual is nominated. (Regulation 26 (7)(b))

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Requirement Due date

This specifically relates to the registered provider ensuring that the responsible individual has the skills to effectively oversee and supervise the management and the operation of the home.

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Requirement Due date

This requirement was made at the last inspection and is restated. 18 May 2022

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Requirement Due date

When the independent person is carrying out a visit, the registered person must help the independent person—

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Requirement Due date

if they consent, to interview in private such of the children, their parents, relatives and persons working at the home as the independent person requires. (Regulation 44 (2)(a))

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Requirement Due date

In particular, the registered person should ensure that the independent person appointed to carry out visits to the home does so in a way which enables them to consult with children and professionals. This includes ascertaining children's wishes and feelings in regard to the quality of care they receive. 18 May 2022

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Recommendation

 The registered person should ensure that information recorded about children is accurate, correct and legible. This includes the recording of safeguarding incidents and physical intervention. ('Guide to the Children's Homes Regulations, including the quality standards', page 62, paragraph 14.4) Inspection report for children's home: SC476252 7

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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: SC476252 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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Inspector

Sarah Berry, Social Care Inspector Inspection report for children's home: SC476252 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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