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

Inspection report for children’s home: SC456418 1 SC456418 Registered provider: Cambian Childcare Limited

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This privately run children’s home provides care for one child who may have social or emotional difficulties.

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Information about this children’s home

There was one child living at the home at the time of this inspection

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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 requires improvement to be 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: SC456418 2

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Inspection date Inspection type Inspection judgement

29/05/2024 Full Good 23/01/2024 Full Requires improvement to be good 01/02/2023 Full Good 05/10/2021 Full Good Inspection report for children’s home: SC456418 3

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Overall experiences and progress of children and young people: good

Since the last inspection one child who had lived at the home for five years has moved on to their own accommodation in line with their care plan. The stability and quality of relationships the child experienced over this time has provided them with a solid foundation to move towards adulthood.

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Overall experiences and progress of children and young people: good

One younger child is now living in the home. The child is making good progress and told the inspector they enjoy being in the home and has staff caring for them that they like and can talk to. The child’s independent reviewing officer said: ‘I have never seen [name of child] so settled. They are doing so well.’

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Overall experiences and progress of children and young people: good

The child is helped to maintain their relationship with family through staff supporting regular visits to the family home. This gives the child the opportunity to enjoy this family time in a relaxed and familiar environment.

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Overall experiences and progress of children and young people: good

Staff support the child to continue in their previous school which is in their home community and some distance from the home. This provides the child with continuity and stability at a key time in their education.

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Overall experiences and progress of children and young people: good

The child’s physical health needs are met through registration with local primary care services. There is ongoing review of their emotional health needs, and the registered manager is proactive in advocating on their behalf for the provision of appropriate services.

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Overall experiences and progress of children and young people: good

The child has been encouraged to develop an active and healthy lifestyle. The child has a healthy diet and takes part in a range of activities such as weekly horse-riding lessons and regular bike rides. The child attends church and is learning about different religious and cultural practices through watching and talking to staff from diverse backgrounds working in the home.

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

Local authority plans and assessment are used to inform the home’s internal care planning and behaviour support for the child. The registered manager ensures internal plans and assessments are regularly updated and provide staff with the information they need to care for the child effectively and meet their individual needs.

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

Staff use agreed strategies to avoid and reduce risks. Particularly those associated with the child potentially putting themselves at risk in the community by running away from staff. Where staff have not followed agreed plans, the registered manager has had good oversight of this and has reminded the staff team of the agreed practice standards in order to keep the child safe. Inspection report for children’s home: SC456418 4 Where the child has to be physically held by staff for their own safety, minimal levels of physical intervention are used, and these holds follow the home’s agreed practice model for restraint. A small number of staff records of physical interventions which are handwritten are difficult to read. This impacts on transparency and accountability of practice. There is timely oversight of these incidents of physical intervention from the registered manager, providing a review of staff practice and the impact on the child.

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

The majority of staff help the child to understand and demonstrate positive behaviours through their own day to day care of the child. There are some isolated incidents where a small number of staff say and write things in relation to the child which lack sensitivity. This does not show an understanding of the importance of language. Where this has happened, the registered manager has addressed this quickly to avoid repetition of this behaviour.

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

The physical environment of the home keeps the child safe. The registered manager has worked with the local authority to agree that external doors to the home are kept locked to reduce the likelihood of the child leaving the home without staff and being at risk in the community. The child continues to have access to all internal communal areas of the home. This balanced and well-considered approach ensures the child has the least restrictions on their movement, taking into consideration the child’s age and levels of understanding.

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The effectiveness of leaders and managers: requires improvement to be good

The permanent registered manager is currently on a planned period of absence from the home. During this time, another manager in the organisation has registered with the regulator to lead the home alongside her existing home. This arrangement is providing oversight of day to day practice. Staff say they are well-supported.

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The effectiveness of leaders and managers: requires improvement to be good

Since the last inspection there has been a high turnover of staff leading to the regular use of staff who work on a part time or casual basis for the organisation. Despite this the child has developed positive relationships with members of the core staff team who care for them on a daily basis. There is now a permanent staff team in place which is in the process of developing as a team.

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The effectiveness of leaders and managers: requires improvement to be good

Staff are not receiving supervision of their practice with the frequency detailed in the home’s supervision policy. The quality of supervision is poor. These meetings are not providing staff with sufficient support and challenge to develop the quality of their practice and helping them to meet the specific needs of the child in their care.

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The effectiveness of leaders and managers: requires improvement to be good

Regular team meetings take place which are purposeful and child centred. These are used to reflect on the child’s progress against the home’s practice framework. The registered manager uses these meetings to address practice issues with the team and as a mechanism to improve practice where this is needed.

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The effectiveness of leaders and managers: requires improvement to be good

Staff have access to a range of training which is relevant to their role and the needs of the child currently in their care. Staff have not received training in relation to intrafamilial Inspection report for children’s home: SC456418 5 sexual harm despite this being relevant to their current practice. This means they are not being provided with the skills and knowledge to practice in an informed manner and understand the impact of the child’s previous trauma and how to respond to this.

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The effectiveness of leaders and managers: requires improvement to be good

Leaders and managers have a number of quality assurance processes in place to oversee practice and the day to day running of the home. The registered manager and deputy manager are aware that there is more work to do to build a consistent and cohesive staff team.

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The effectiveness of leaders and managers: requires improvement to be good

The registered managers quality of care reviews demonstrate an understanding of the child’s experience. These reviews are not yet been informed by the views of children, families, staff, and external professionals. This is a missed opportunity to develop a more comprehensive understanding of how best to support the child’s progress and experience. Inspection report for children’s home: SC456418 6

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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 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 promotes their welfare.

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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

ensure that staff have the experience, qualifications and skills to meet the needs of each child.

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Requirement Due date

Specifically, the registered person should ensure that staff have training in relation to the impact of intrafamilial sexual harm. 31 October 2025

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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

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Requirement Due date

Specifically, the registered person should ensure that staff have supervision which is of sufficient quality to support the development of effective child-focussed practice and as a minimum, at the frequency set out in the home’s supervision policy. 30 September 2025

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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— 31 October 2025 Inspection report for children’s home: SC456418 7 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

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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

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Recommendation

 The registered person should ensure that children’s care records are written sensitively and in language which is respectful to children and helps children to understand their care experiences. Handwritten records should be legible. (‘Guide to the children’s homes regulations including the quality standards’, page 62, paragraphs 14.4) Inspection report for children’s home: SC456418 8

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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: SC456418 9

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Children’s home details

Registered provider: Cambian Childcare Limited

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Children’s home details

Registered provider address: 4th Floor, Parkview, 82 Oxford Road, Uxbridge UB8 1UX

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Children’s home details

Registered manager: Kimberley Hoy Charlotte Grant

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Inspector

Dawn Parton, Social Care Regulatory Inspector Inspection report for children’s home: SC456418 10 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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