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

Inspection report for children’s home: SC456409 1 SC456409 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

The home provides therapeutic placements for children with social, emotional, and behavioural difficulties.

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Information about this children’s home

The manager registered with Ofsted in July 2020, and manages one other home.

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Information about this children’s home

The home is registered to provide care to one child, irrespective of gender, up to the age of 18 years.

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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: good

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good

Enforcement action since last inspection: none Inspection report for children’s home: SC456409 2

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Inspection date Inspection type Inspection judgement

01/03/2023 Full Good 21/12/2021 Full Outstanding 16/07/2019 Full Outstanding 15/05/2018 Full Good Inspection report for children’s home: SC456409 3

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Overall experiences and progress of children and young people: good

One child is living in the home. The child is making good progress. Professionals said that the staff understand the child, and staff are resilient and do not give up. The child is able to identify trusting adults.

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Overall experiences and progress of children and young people: good

The staff and manager understand the child’s needs. Staff use their knowledge and skills to keep the child safe. Staff are child centred and nurturing. Staff communicate on a level that the child can understand. Staff hold reflective discussions to support evaluation and progress.

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Overall experiences and progress of children and young people: good

The child’s medical and emotional needs are paramount to staff. The child is able to safely explore new experiences. Staff maintain consistent rules and boundaries. The child and staff enjoy being involved in charity events. Staff use fun activities to encourage the child’s understanding. This includes exploring topics such as disabilities, illness and culture.

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Overall experiences and progress of children and young people: good

The child has safe and secure relationships with staff. When the child is struggling, they seek staff out for reassurance. Staff are nurturing in their approach towards the child. Staff use professional curiosity to clarify their understanding of children’s needs. Staff use a therapeutic parenting model to enhance communication with the child.

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Overall experiences and progress of children and young people: good

The child is learning how to communicate their wishes and feelings. Staff are responsive to children’s feelings. When the child is struggling to understand, staff use alternative age-appropriate methods to support them.

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Overall experiences and progress of children and young people: good

Staff understand the importance of family and friends. The child has regular time with their family. Staff explore new ways of helping the child to form friendships.

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Overall experiences and progress of children and young people: good

The child has a tailored educational placement. When the child’s educational needs are not met, the manager advocates on their behalf. The manager escalates concerns to the appropriate agencies.

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

The child has excellent relationships with staff. Staff use an incentive approach to promote positive behaviour. Consequences for unwanted behaviour are proportionate and support learning. Staff try to understand and support the child’s emotions and triggers. Staff discuss the child’s behaviours to promote consistency in staff response. Routines and plans promote predictability. This helps the child to feel safe and secure.

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

Staff understand the child’s vulnerabilities while out in the community. The manager and staff work with the professionals and child’s family to keep the child safe. Staff Inspection report for children’s home: SC456409 4 hold age-appropriate discussions with the child to improve their understanding of risk.

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

Staff support the child when they are struggling with their emotions. Staff understand childhood trauma and how this affects them. Staff are nurturing in their approach. The manager and staff use reflective practice to support future decision- making. Staff help the child to recognise emotions and feelings.

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

Physical interventions are proportionate and necessary. The child receives emotional support during incidents. Following all incidents, staff debrief and reflect, to support evaluation and learning. Staff recognise that the child finds it difficult to revisit an incident. The manager should ensure that the voice of the child is captured within incident records.

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

Staff meet the child’s medical and health needs. Staff receive specialised training about the child’s needs. When the child discusses difficulties with medication, staff listen and seek medical advice. This results in the child feeling listened to and respected.

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The effectiveness of leaders and managers: good

The manager is ambitious and child focused. She has high expectations for the child and what they can achieve. She leads by example and is enthusiastic about the staff team’s development. The manager arranges training and specialised support to meet the child’s needs.

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The effectiveness of leaders and managers: good

A well-established and stable staff team supports consistency of care. Staff arrangements for recruitment are robust. This ensures that only suitable people work with children.

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The effectiveness of leaders and managers: good

The manager does not work in isolation. She consults with professionals and the child’s family to support care planning. The manager challenges shortfalls and advocates for children. She uses practice research to improve their practice and understanding of how to support the child. The manager uses the home’s development plan to support improvement in the home.

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The effectiveness of leaders and managers: good

Staff receive regular supervision and clinical support. Team meetings are reflective and promote consistency. The manager reviews incidents to support evaluation. Learning is inclusive, which promotes mutual respect and enhances strengths within the team. The manager encourages discussions to ensure staff’s health and well- being are supported. Inspection report for children’s home: SC456409 5

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Recommendation

 The registered manager should ensure that the children’s feelings are captured following a restraint, to support evaluation and decision-making. (‘Guide to the Children’s Homes Regulations, including the quality standards,’ page 50, paragraph 9.60)

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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: SC456409 6

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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

Sally Hallwood, Social Care Inspector Inspection report for children’s home: SC456409 7 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 looked after children, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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