Children's Home run by Cambian Childcare Limited in St Helens

Inspection report for children’s home: 2624657 1 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 provides care for one child who may have social and emotional difficulties. A large national provider of children’s homes runs the home.

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Information about this children’s home

The home registered with Ofsted on 10 March 2021. There has been no registered manager since 30 September 2022. There is an interim manager in post, however, they have not applied to register with Ofsted.

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Information about this children’s home

There was one child living in the home at the time of the inspection.

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Overall experiences and progress of

children and young people, taking into account

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inadequate

How well children and young people are helped and protected inadequate

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inadequate

The effectiveness of leaders and managers inadequate

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inadequate

There are serious and widespread failures that mean children and young people are not protected or their welfare is not promoted or safeguarded, and the care and experiences of children and young people are poor and they are not making progress.

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inadequate

Date of last inspection: 14 February 2023

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inadequate

Overall judgement at last inspection: good

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inadequate

Enforcement action since last inspection: none Inspection report for children’s home: 2624657 2

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Inspection date Inspection type Inspection judgement

14/02/2023 Full Good 12/01/2022 Full Good Inspection report for children’s home: 2624657 3

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inadequate

The child currently living at the home had lived there for two and a half weeks at the time of the inspection. There are significant shortfalls in safeguarding practice and leadership and management which impact on the child’s overall experiences and progress.

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inadequate

The child does not receive care from a consistent or skilled staff team. Shifts are routinely covered by staff from other homes and bank staff. The child said, ‘I don’t like it when the bank staff come. They don’t do their job properly, they just sit upstairs and leave me on my own.’

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inadequate

Staff do not understand the risks and vulnerabilities of children. Children’s risk assessments do not provide staff with up-to-date information and strategies to manage risks effectively. Staff have not read plans and do not know all the child’s risks and vulnerabilities. Managers have not ensured that care plans are in place or that relevant documents are received from the local authority to ensure that staff can support the child to make progress in key areas of their life. As a result, effective action is not always taken to reduce the risk of harm to the child and practice is inconsistent.

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inadequate

At the time of this inspection, the child did not have sufficient clothing or belongings. This had not been identified or addressed by leaders and managers. However, this was rectified during the inspection.

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inadequate

Damage and repairs to the home are not identified and addressed in a timely way. Leaders and managers had failed to replace the missing wardrobe doors in the child’s bedroom, despite this being raised at the last inspection. Replacement wardrobe doors were fitted during the inspection. Additionally, the child’s bedroom is not personalised.

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inadequate

The child is not currently in education. Staff provide opportunities for the child to engage in educational activities. However, the child’s education plan is not clear and does not evidence the opportunities offered. This limits the ability to monitor the child’s progress. Additionally, there is a lack of daily structure to ensure a consistent routine for the child throughout the day. Staff say that this impacts on the child’s behaviour and leads to an increase in incidents.

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inadequate

Staff do not provide the child with clear boundaries and consequences for their behaviour. Records do not demonstrate what help and support is provided for the child to help them understand and learn from any incidents. Inspection report for children’s home: 2624657 4 Children are offered activities in the home and community. However, some staff feel that the activities offered to children are limited. Additionally, there are no activity plans in place for children.

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inadequate

Children do not have a good understanding of the complaints process and there is no evidence that all children are offered the support of an advocate. This does not help children to raise any complaints or concerns and ensure that their views are heard.

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inadequate

Despite the identified shortfalls, there is evidence of positive progress made by a child who has moved out of the home since the last inspection. This child made progress with education, completing their GCSE exams. Staff supported the child to consider future education and employment opportunities. The child increased his confidence and independence skills with support from the staff team. Risks reduced and this enabled the child to successfully move on to semi-independent living. Staff have maintained contact with the child to provide continued support.

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

Safeguarding practice is not robust and does not promote the safety and welfare of children. There is not a strong and proactive response to managing and minimising risks for children. Risks associated with fire, knives and going missing from home are not clearly understood by managers and staff. Consequently, effective action is not taken to reduce the known and potential risks for each child. This leaves children at risk of harm.

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

Staff do not understand children’s individual risks and vulnerabilities. Children’s risk assessments and plans do not contain relevant, up-to-date information and strategies for staff to follow to support and safeguard children effectively. Staff say that they do not know where children’s risk assessments and plans are and that they have not read them. This has not been addressed by leaders and managers. As a result, effective action is not always taken to protect and support children.

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

Leaders, managers and staff do not respond appropriately to safeguarding matters. They do not implement effective strategies to safeguard and protect the children living in the home. Staff are not appropriately skilled or experienced to manage children’s identified behaviours and risks. Staff have contacted the police to manage the child’s behaviour and have locked themselves in the office at times of crisis, instead of using strategies and skills to de-escalate the situation. This has left the child unsupported and at risk of criminalisation and harm.

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

Children who go missing from the home do not receive a consistent response from staff. Leaders and managers do not ensure that procedures for when children go missing are clear and detailed. Staff have not followed children when they have gone missing and they have not informed relevant professionals, to ensure a robust and prompt response. Inspection report for children’s home: 2624657 5 Leaders, managers and staff do not safely manage risks associated with fire. The interim manager identified serious shortfalls in staff practice when one child set a fire in the home. However, no action has been taken to address these serious shortfalls. Information relating to this serious incident was not shared with the child’s social worker. This demonstrates that safeguarding processes are not followed, which prevents effective joined-up safeguarding practice.

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

On one occasion, the manager identified the need for a room search after a serious safeguarding incident involving a child. However, the room search was not undertaken. On another occasion, staff informed one child that a room search would be carried out but this was not done for 40 minutes. The failure to carry out room searches as required places children and others at risk of harm.

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

When staff have used physical intervention, this has not been clearly detailed or evaluated to ensure it was appropriate and safely used. Poor recording of these incidents does not allow for effective oversight of physical intervention practice.

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

Children’s privacy is compromised, as alarms on bedroom doors are routinely used without consent from placing local authorities or a clear and specific reason for their use.

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

There has been one allegation made against a member of staff since the last inspection. An internal investigation is under way relating to this. Leaders and managers have taken appropriate action and followed procedures to ensure that children are safe, including liaising with the local authority designated officer.

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

Recruitment of staff is in line with safer recruitment practices. This ensures that only staff who are appropriately vetted and checked can work with children.

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The effectiveness of leaders and managers: inadequate

Three interim managers have been employed since the registered manager resigned in September 2022 and no application to register has been submitted to Ofsted. The current interim manager has been in post for one week.

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The effectiveness of leaders and managers: inadequate

The staffing shortfalls mean that the child has not received care from a consistent, suitably skilled or experienced staff team. As a result, the child’s safety, progress and experiences have been compromised.

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The effectiveness of leaders and managers: inadequate

The monitoring of children’s care is not effective. Leaders and managers do not have effective monitoring systems in place to identify and respond to shortfalls in the care and safeguarding practice of staff. The interim manager has identified some areas for development in the home. However, leaders and managers were not aware of some of the shortfalls identified at this inspection.

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The effectiveness of leaders and managers: inadequate

Recording systems need to be strengthened. The quality of children’s case records is poor. Some records lack sufficient information and are not accurate or up to date. Records of visitors to the home and staff rotas are not maintained. Inspection report for children’s home: 2624657 6 Leaders and managers have not ensured that the quality of care review is completed and sent to Ofsted in a timely way. This is a missed opportunity for leaders to identify and address shortfalls and areas for development. Additionally, this means that the regulator does not have sufficient oversight of the home.

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The effectiveness of leaders and managers: inadequate

Leaders and managers have not taken effective action to address the shortfalls from the last full inspection. This has resulted in several requirements and recommendations being restated.

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The effectiveness of leaders and managers: inadequate

Due to the serious and widespread failings identified at this inspection, compliance notices have been issued under regulation 12 (the protection of children standard) and regulation 13 (the leadership and management standard) of the children’s home regulations. Inspection report for children’s home: 2624657 7

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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, The 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.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

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;

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Requirement Due date

help each child to understand how to keep safe;

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Requirement Due date

have the skills to identify and act upon signs that a child is at risk of harm;

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Requirement Due date

manage relationships between children to prevent them from harming each other;

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Requirement Due date

understand the roles and responsibilities in relation to protecting children that are assigned to them by the registered person;

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Requirement Due date

take effective action whenever there is a serious concern about a child’s welfare; and

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Requirement Due date

are familiar with, and act in accordance with, the home’s child protection policies;

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Requirement Due date

that the home’s day-to-day care is arranged and delivered so as to keep each child safe and to protect each child effectively from harm;

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Requirement Due date

that the premises used for the purposes of the home are located so that children are effectively safeguarded; 26 November 2023 Inspection report for children’s home: 2624657 8 that the premises used for the purposes of the home are designed, furnished and maintained so as to protect each child from avoidable hazards to the child’s health; and

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Requirement Due date

that the effectiveness of the home’s child protection policies is monitored regularly. (Regulation 12 (1) (2)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(b)(c)(d)(e))

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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 has sufficient staff to provide care for each child;

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Requirement Due date

ensure that the home’s workforce provides continuity of care to each child;

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Requirement Due date

understand the impact that the quality of care provided in the home is having on the progress and experiences of each child and use this understanding to inform the development of the quality of care provided in the home;

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Requirement Due date

demonstrate that practice in the home is informed and improved by taking into account and acting on—

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Requirement Due date

research and developments in relation to the ways in which the needs of children are best met; and

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Requirement Due date

feedback on the experiences of children, including complaints received; and 26 November 2023 Inspection report for children’s home: 2624657 9 use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b) (2)(a)(b)(c)(d)(e)(f)(g)(i)(ii)(h))

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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

understand the children’s home’s overall aims and the outcomes it seeks to achieve for children;

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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

understand and apply the home’s statement of purpose;

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Requirement Due date

understand and apply the home’s statement of purpose;

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Requirement Due date

protect and promote each child’s welfare;

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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

provide to children living in the home the physical necessities they need in order to live there comfortably;

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Requirement Due date

provide to children personal items that are appropriate for their age and understanding; and

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Requirement Due date

ensure that the premises used for the purposes of the home are designed and furnished so as to—

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Requirement Due date

enable each child to participate in the daily life of the home. (Regulation 6 (1)(a)(b) (2)(a)(b)(i)(ii)(iv)(vii)(viii)(c)(i)(ii))

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Requirement Due date

In particular, leaders and managers must ensure that children are provided with the necessary items they need in order to live comfortably and to personalise their bedrooms. 26 November 2023 Inspection report for children’s home: 2624657 10 Leaders and managers must ensure that damage to the home is identified and rectified in a timely way.

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Requirement Due date

The positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

an understanding about acceptable behaviour; and

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Requirement Due date

positive responses to other children and adults.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to ensure—

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Requirement Due date

meet each child’s behavioural and emotional needs, as set out in the child’s relevant plans;

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Requirement Due date

encourage each child to take responsibility for the child’s behaviour, in accordance with the child’s age and understanding;

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Requirement Due date

help each child to develop and practise skills to resolve conflicts positively and without harm to anyone;

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Requirement Due date

communicate to each child expectations about the child’s behaviour and ensure that the child understands those expectations in accordance with the child’s age and understanding;

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Requirement Due date

strive to gain each child’s respect and trust;

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Requirement Due date

understand how children’s previous experiences and present emotions can be communicated through behaviour and have the competence and skills to interpret these and develop positive relationships with children;

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Requirement Due date

are provided with supervision and support to enable them to understand and manage their own feelings and responses to the behaviour and emotions of children, and to help children to do the same;

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Requirement Due date

de-escalate confrontations with or between children, or potentially violent behaviour by children. (Regulation 11 (2)(a)(i)(iii)(iv)(v)(viii)(ix)(x)(xi)) 26 November 2023 Inspection report for children’s home: 2624657 11 In particular, leaders and managers must ensure that staff are aware of children’s needs and are skilled to manage behaviours and risks, in line with children’s plans.

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Requirement Due date

The children’s views, wishes and feelings standard is that children receive care from staff who—

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Requirement Due date

develop positive relationships with them;

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Requirement Due date

take their views, wishes and feelings into account in relation to matters affecting the children’s care and welfare and their lives.

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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

make each child aware of and, if necessary, remind them of each of the matters in sub-paragraph (d)(i) to (iii);

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Requirement Due date

has access to the home’s children’s guide, and the home’s complaints procedure, when the child’s placement in the home is agreed and throughout the child’s stay in the home; and

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Requirement Due date

keep the children’s guide and the home’s complaints procedure under review and seek children’s comments before revising either document;

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Requirement Due date

ensure that an explanation is given to each child as soon as reasonably practicable after the child’s arrival about—

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Requirement Due date

how to make a complaint or representations in relation to the home or the care the child receives and how any such complaint or representations will be dealt with; and

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Requirement Due date

what advocacy support or services are available to the child, how the child may access that support or those services and 22 December 2023 Inspection report for children’s home: 2624657 12 any entitlement the child may have to independent advocacy provision. (Regulation 7 (1)(2)(a)(viii)(b)(ii)(iii)(d)(i)(ii)(iii))

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Requirement Due date

In particular, leaders and managers must ensure that children know how to access the complaints procedure and advocacy services.

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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—

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Requirement Due date

that children are admitted to the home only if their needs are within the range of needs of children for whom it is intended that the home is to provide care and accommodation, as set out in the home’s statement of purpose;

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Requirement Due date

that each child’s relevant plans are followed;

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Requirement Due date

that staff help each child to access and contribute to the records kept by the registered person in relation to the child. (Regulation 14 (1)(a) (2)(a)(c)(f))

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Requirement Due date

In particular, leaders and managers must ensure that staff have the appropriate skills and knowledge to meet children’s needs. 22 December 2023

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Requirement Due date

The registered person must prepare and implement a policy ("the behaviour management policy") which sets out—

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Requirement Due date

how appropriate behaviour is to be promoted in the children’s home; and

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Requirement Due date

the measures of control, discipline and restraint which may be used in relation to children in the home.

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Requirement Due date

The registered person must ensure that— 26 November 2023 Inspection report for children’s home: 2624657 13 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

the date, time and location of 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

details of any methods used or steps taken to avoid the need to use the measure;

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Requirement Due date

the name of the person who used the measure ("the user"), and of any other person present when the measure was used;

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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

a description of any injury to the child or any other person, and any medical treatment administered, as a result of the measure;

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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

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Requirement Due date

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 (1)(a)(b) (3)(a)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii)(b)(i)(ii)(c))

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Requirement Due date

In particular, leaders and managers must ensure that incidents of restraint are clearly recorded and that they are evaluated by managers to ensure they are appropriate and proportionate. Inspection report for children’s home: 2624657 14 Leaders and managers must ensure that children have appropriate routines and boundaries, and that consequences and rewards are recorded to evidence how children are supported to learn from their behaviours.

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Requirement Due date

The registered person may only use devices for the monitoring or surveillance of children if—

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Requirement Due date

the monitoring or surveillance is for the purpose of safeguarding and promoting the welfare of the child concerned, or other children;

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Requirement Due date

the child’s placing authority consents in writing to the monitoring or surveillance;

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Requirement Due date

so far as reasonably practicable in the light of the child’s age and understanding, the child is informed in advance of the intention to do the monitoring or surveillance; and

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Requirement Due date

the monitoring or surveillance is no more intrusive than necessary, having regard to the child’s need for privacy. (Regulation 24 (1)(a)(b)(c)(d))

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Requirement Due date

In particular, leaders and managers must ensure that internal bedroom door sensors or alarms are not used unless carefully assessed alongside any specific safeguarding risks. Leaders and managers must ensure that they have consent from those with parental responsibility. 26 November 2023

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Requirement Due date

The registered person must ensure that the employment of any person on a temporary basis at the children’s home does not prevent children from receiving such continuity of care as is reasonable to meet their needs. (Regulation 31 (1))

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Requirement Due date

In particular, leaders and managers must ensure that there is a consistent staff team who are suitably skilled and experienced to care for the children in their care. 26 November 2023

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Requirement Due date

The registered provider must appoint a person to manage the children’s home if—

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Requirement Due date

there is no registered manager in respect of the home; and

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Requirement Due date

is an organisation or a partnership; 22 December 2023 Inspection report for children’s home: 2624657 15 does not satisfy regulation 28; or

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Requirement Due date

is not, or does not intend to be, in day-to-day charge of the home.

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Requirement Due date

If the registered provider appoints a person to manage the home, the registered provider must, without delay, give HMCI notice of—

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Requirement Due date

the name of the person so appointed; and

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Requirement Due date

the date on which the appointment takes effect. (Regulation 27 (1)(a)(b)(i)(ii)(iii) (2)(a)(b))

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Requirement Due date

The registered person must maintain records ("case records") for each child which—

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Requirement Due date

include the information and documents listed in Schedule 3 in relation to each child;

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Requirement Due date

are signed and dated by the author of each entry. (Regulation 36 (1)(a)(b)(c))

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Requirement Due date

In particular, leaders and managers must ensure that children’s case records are up to date and accurate and that documents are signed and dated. 26 November 2023

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Requirement Due date

Schedule 4 sets out the other information that the registered person must keep in relation to a children’s home.

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Requirement Due date

maintain in the home the records in Schedule 4;

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Requirement Due date

ensure that the records are kept up to date; and

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Requirement Due date

retain the records for at least 15 years from the date of the last entry. (Regulation 37 (1) (2)(a)(b)(c))

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Requirement Due date

In particular, leaders and managers must ensure that there is a record of visitors to the home and the reason for the visits.

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Requirement Due date

Leaders and managers must ensure that a staff rota of actual hours worked is in place. 26 November 2023 Inspection report for children’s home: 2624657 16 This requirement is restated.

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Requirement Due date

The registered person must complete a review of the quality of care provided for children ("a quality of care review") at least once every 6 months.

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Requirement Due date

In order to complete a quality of care review the registered person must establish and maintain a system for monitoring, reviewing and evaluating—

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Requirement Due date

the quality of care provided for children;

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Requirement Due date

the feedback and opinions of children about the children’s home, its facilities and the quality of care they receive in it; and

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Requirement Due date

any actions that the registered person considers necessary in order to improve or maintain the quality of care provided for children.

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Requirement Due date

After completing a quality of care review, the registered person must produce a written report about the quality of care review and the actions which the registered person intends to take as a result of the quality of care review ("the quality of care review report").

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Requirement Due date

supply to HMCI a copy of the quality of care review report within 28 days of the date on which the quality of care review is completed; and

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Requirement Due date

make a copy of the quality of care review report available on request to a placing authority, if the placing authority is not the parent of a child accommodated in the home.

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Requirement Due date

The system referred to in paragraph (2) must provide for ascertaining and considering the opinions of children, their parents, placing authorities and staff. (Regulation 45 (1) (2)(a)(b)(c) (3) (4)(a)(b) (5))

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Requirement Due date

In particular, leaders and managers must ensure that a review of the quality of care is completed at least once every six months and that a copy is supplied to Ofsted within 28 days of completion. 22 December 2023 Inspection report for children’s home: 2624657 17 *These requirements are subject to a compliance notice.

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Recommendations

 The registered person should ensure that children who are not participating in education, because they have been excluded or are not on a school roll for some other reason, have a clear structured plan to engage in educational activities while waiting to resume education. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 28, paragraph 5.15)  The registered person should ensure that children are offered a wide range of activities both inside and outside the home (where appropriate) and are encouraged to participate in those activities. Staff should support children to develop activity plans that consider their interests and leisure activities. (‘Guide to the Children’s Homes Regulations, including the quality standards’, page 31, paragraph 6.5)

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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: 2624657 18

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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

Jenni Gadsby, Social Care Inspector Inspection report for children’s home: 2624657 19 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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