Children's Home run by Cambian Childcare Limited in Warrington

Inspection report for children's home: SC456942 1 SC456942 Registered provider: Cambian Childcare Limited Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This home is owned by a private company. It is registered to provide care for one child who may have social and emotional difficulties.

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Information about this children’s home

The manager registered with Ofsted on 18 July 2022. The manager is also the registered manager of another children’s home run by the provider.

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Overall experiences and progress of

children and young people, taking into account

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good

How well children and young people are helped and protected good

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good

The effectiveness of leaders and managers good

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good

The children’s home provides effective services that meet the requirements for good.

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good

Overall judgement at last inspection: sustained effectiveness

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good

Enforcement action since last inspection: none Inspection report for children's home: SC456942 2

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Inspection date Inspection type Inspection judgement

23/03/2022 Interim Sustained effectiveness 02/11/2021 Full Requires improvement to be good 08/05/2019 Full Requires improvement to be good 20/06/2018 Full Good Inspection report for children's home: SC456942 3

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Overall experiences and progress of children and young people: good

The child receives high-quality, individualised care that meets their needs. Staff have established genuine and constructive relationships with the child. The strength of these relationships is making a difference to the child’s life and influencing their progress.

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Overall experiences and progress of children and young people: good

Staff provide the child with emotional warmth and clear boundaries and expectations. The child is confident that the adults caring for them can keep them safe from harm. Consequently, the child is developing a stronger sense of emotional well-being. The child has helped to choose the decoration for the house and is very much at home.

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Overall experiences and progress of children and young people: good

Staff are attuned to the child’s needs. They have a thorough understanding of the child’s background. Staff understand the child’s assessed needs, including the impact of trauma on their development and relationships.

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Overall experiences and progress of children and young people: good

Staff respond appropriately to the child’s wishes and feelings. They make sure that the child reflects on their experiences and takes part in the decisions affecting their lives. Staff respect the child’s wishes. They wait until the child is ready to talk about difficult things. Staff advocate the child’s wishes and feelings with the placing authority and other professionals.

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Overall experiences and progress of children and young people: good

The manager and staff support the child’s learning and development. The child has a well-resourced home learning environment. Staff support the child’s love of learning and reading for enjoyment.

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Overall experiences and progress of children and young people: good

The manager and staff have been instrumental in making sure that the child started school. They worked with schools and the virtual school to identify the right school for the child. They continue to work in partnership to make sure that the child receives the right support to help them achieve their learning objectives and take part in school life. The child said, ‘I enjoy school, especially maths, and I’ve made friends.’

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Overall experiences and progress of children and young people: good

The child has opportunities to take part in activities they enjoy, learn new skills and spend time with other children. They enjoy swimming, horse riding, baking, arts and crafts and taking dogs for a walk.

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Overall experiences and progress of children and young people: good

Staff understand and monitor the child’s individual health and emotional well-being. They make sure that the child receives advice, support and treatment that meet their needs and ongoing medical conditions.

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Overall experiences and progress of children and young people: good

Managers and staff make sure that the needs of children living far from their home are met. They support the child to stay in touch with the important people in their Inspection report for children's home: SC456942 4 lives. Staff ensure that children have safe and positive experiences when they spend time with their families.

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How well children and young people are helped and protected: good

The child feels safe and is protected from harm. The child sees the manager and staff as trusted adults and has a strong sense of safety.

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How well children and young people are helped and protected: good

Staff understand their responsibilities for safeguarding children. Staff know the child’s vulnerabilities and identified risks. Staff actively and continually assess the dangers for the child. They follow up-to-date plans effectively to reduce the risk of harm. Since the child has come to live at the home, the identified risks for the child have been reduced considerably. Consequently, the child has become increasingly safer.

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How well children and young people are helped and protected: good

Trauma-informed practice is embedded thoroughly. The child’s risk assessment and plans are personalised to reflect the child’s needs, experiences, age and level of understanding. Staff have a detailed understanding of the child as an individual and the impact of their experiences on their emotional and social development.

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How well children and young people are helped and protected: good

Staff have the skills and confidence to manage difficult and dangerous situations safely. They use restraint appropriately to protect the child and those around them. The number of difficult situations has been reduced significantly. Staff no longer need to use restraint to manage situations. The child’s social worker said, ‘Staff have worked their socks off to understand the child’s needs, triggers and how to de- escalate situations. Staff now understand the child well and what works.’

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How well children and young people are helped and protected: good

The manager’s thorough monitoring of serious incidents, including the use of restraint, has led to improvements in practice and a significant reduction in serious incidents, and it has increased staff’s ability to help the child to manage their feelings safely.

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How well children and young people are helped and protected: good

Staff talk to the child about potential risks to prevent incidents from happening. Difficult behaviour is challenged and discussed. Staff understand that the child may communicate their feelings through their behaviour. Staff know that the child needs time to make sense of information.

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How well children and young people are helped and protected: good

Staff use clear and effective communication and their positive relationships with the children to deal with any problems constructively. This includes encouraging the child to share their feelings and the introduction of visual aids to help the child understand and recognise their feelings. Rewards tailored to the child’s interests have reduced unwanted behaviour. The child has started to manage their own feelings better. Inspection report for children's home: SC456942 5

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The effectiveness of leaders and managers: good

The manager manages two children’s homes. The manager is experienced and suitably qualified. They are well organised and meticulous. The manager demonstrates sufficient capacity to be in day-to-day control of both homes.

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The effectiveness of leaders and managers: good

The manager has high expectations for the standard of care that the child receives. They aspire for the child to be safe, happy and reach their full potential. This ethos is evident in every aspect of the child’s care and the running of the home.

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The effectiveness of leaders and managers: good

The manager has a clear understanding of the child’s plans and the progress they are making. Thorough and effective management oversight is making continuous improvements in the quality of care and protection that the child receives. Actions from the manager’s strengthening plan have resulted in the child returning to school, improvements in the home conditions and staff’s ability to respond effectively to the child’s assessed needs.

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The effectiveness of leaders and managers: good

The manager and staff maintain positive working relationships with other professionals, including schools, social worker, local health services and child and adolescent mental health services. The manager makes sure that these partners play their role and provide the child with the high-quality support that they need at the right time.

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The effectiveness of leaders and managers: good

Regular multi-disciplinary meetings take place to consider the child’s progress and plan. These meetings are beneficial and mean that issues can be identified quickly and that the situation is not left to get worse.

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The effectiveness of leaders and managers: good

Suitable staff are available to meet the child’s needs and to respond flexibly to any unexpected events. The manager always makes sure that the child receives continuity of care from staff that they know and who know how to care for them safely. This is helping the child to build trusting relationships with staff and develop a sense of emotional security.

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The effectiveness of leaders and managers: good

The manager provides the necessary structure, supervision and support to make sure that staff understand their responsibilities and have the right skills and knowledge to provide the child with a high standard of care. Staff receive relevant training that provides them with the essential skills and knowledge to meet the child’s specific needs.

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The effectiveness of leaders and managers: good

Monthly team meetings provide staff with opportunities to learn from practice and research. Support and guidance from a mental health practitioner help staff to have a deeper understanding of the impact of trauma on the child’s life. Together, they consider new ways to help the child to understand and manage emotions safely. Inspection report for children's home: SC456942 6

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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: SC456942 7

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

Registered provider address: 5th Floor, Metropolitan House, 3 Darkes Lane, Potters Bar EN6 1AG

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Inspector

Nick Veysey, Social Care Inspector Inspection report for children's home: SC456942 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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