Children's Home run by Cambian Childcare Limited in Nottingham

Assurance inspection report for children’s home: SC457500 1 SC457500

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Registered provider: Cambian Childcare Limited

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Inspected under the social care common inspection framework

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Information about this children’s home

This home is operated by a large national provider. It provides care for up to six children with learning difficulties.

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Information about this children’s home

Five children lived here at the time of the inspection.

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Information about this children’s home

The manager registered with Ofsted in 2015 and is suitably qualified and experienced.

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Inspection date: 26 March 2024

Date of last inspection: 21 November 2023

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Inspection date: 26 March 2024

Judgement at last inspection: requires improvement to be good

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Inspection date: 26 March 2024

Enforcement action since last inspection: none

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Information about this inspection

At this inspection, the inspector evaluated:

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Information about this inspection

 the care of children  the safety of children  the effectiveness of leaders and managers. The inspector has looked closely at the experiences and progress of children, using the social care common inspection framework. This assurance 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’. Assurance inspection report for children’s home: SC457500 2

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Findings from the inspection

We did not identify any serious or widespread concerns in relation to the care or protection of children at this assurance inspection.

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Findings from the inspection

The three recommendations made at the last inspection have been met.

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Findings from the inspection

Since the last inspection, one child has moved into the home. This was well planned and considerate of the other children already living in the home. The child benefitted from opportunities to visit the home before moving, and to meet the children and staff. He has settled well in the first two weeks with staff spending quality time with him to get to know one another.

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Findings from the inspection

Children continue to progress well in education. Some attend school settings, and some receive personal tuition. Children enjoy educational activities with staff and tutors such as visiting local attractions and exploring their local communities. One child’s school is not in the local area and requires a lengthy journey. Staff take the child to school to ensure that they are supported before and after the school day. Older children are receiving support to explore post 16 options so they can have a voice in their future care planning.

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Findings from the inspection

The number of incidents that have required physical restraint is reducing. Children have been supported to improve relationships with one another which has contributed to this reduction. There have been no further incidents of bullying, or children hurting one another. Staff have worked hard to drive improvements in this area of practice.

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Findings from the inspection

The recording and reporting of incidents have improved. Staff have received training in this area. The manager has provided guidance individually and collectively to the team about the importance of concise record keeping. There were no further shortfalls identified in this area during this inspection.

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Findings from the inspection

Children are given opportunities to discuss and reflect following incidents. The manager has improved this practice since the last inspection. Manager’s oversight is evident throughout the records which allows her the opportunity to evaluate any trends or patterns in children’s behaviours.

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Findings from the inspection

When children have bruises or marks staff use professional curiosity to establish the cause. There is good use of body maps as a safeguarding tool, and some examples of excellent communication with other safeguarding partners such as placing social workers and LADO colleagues. This ensures incidents and accidents for disabled children are evaluated effectively and used as learning opportunities. Assurance inspection report for children’s home: SC457500 3 The manager is experienced and qualified. She has worked with disabled children for many years. She is committed to making the improvements identified at the last inspection. Work is underway in those areas, with some improvements already embedded throughout management systems.

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Findings from the inspection

The manager has taken a proactive approach to staff development. This has included strengthening training and development opportunities for staff to improve their knowledge and understanding of care practice. Where shortfalls have been identified in relation to staff knowledge and development, plans are developing to rectify this and provide staff with the training and development opportunities they need. This develops staff learning and helps to keep children safe.

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Findings from the inspection

The four requirements made at the last inspection will be evaluated at the next full inspection. Assurance inspection report for children’s home: SC457500 4

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Inspection date Inspection type Inspection judgement

21/11/2023 Full Requires improvement to be good 22/06/2022 Full Requires improvement to be good 25/01/2022 Full Requires improvement to be good 03/11/2021 Full Inadequate Assurance inspection report for children’s home: SC457500 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, 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 positive relationships standard is that children are helped to develop, and to benefit from, relationships based on—

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Requirement Due date

mutual respect and trust; an understanding about acceptable behaviour;

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Requirement Due date

and 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

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

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Requirement Due date

understand and communicate to children that bullying is unacceptable;

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Requirement Due date

and that each child is encouraged to build and maintain positive relationships with others. (Regulation 11 (1)(a)(b)(c) (2)(a)(iv)(xii)(b))

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Requirement Due date

This specifically relates to bullying behaviour between the children and managing this to reduce instances. 28 June 2024

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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 28 June 2024 Assurance inspection report for children’s home: SC457500 6 necessary, make arrangements to reduce the risk of any harm to the child;

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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. (Regulation 12 (1) (2)(a)(i)(b))

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Requirement Due date

This specifically relates to staff knowledge and understanding of managing behaviour that challenges them, staff conduct, and ensuring that any injuries, marks, and bruises following incidents of restraint are properly investigated and evaluated.

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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;

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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 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

use monitoring and review systems to make continuous improvements in the quality of care provided in the home. (Regulation 13 (1)(a)(b) (2)(f)(h))

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Requirement Due date

This specifically relates to evaluation and reflection of incidents and events and taking any lessons learned to make and drive development and improvement. 28 June 2024

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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— 28 June 2024 Assurance inspection report for children’s home: SC457500 7 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

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

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Requirement Due date

and 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 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)(vii)(viii)(c))

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Requirement Due date

This specifically relates to the manager fully evaluating each incident and ensuring that appropriate action is taken in response to any injuries observed following the use of restraint. It also relates to children having a debrief following incidents of restraint. Assurance inspection report for children’s home: SC457500 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 EN6 1AG

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Inspector

Rachael Sprigg, Social Care Inspector Assurance inspection report for children’s home: SC457500 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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