residential family centre

Amber Project (The) DS0000049051.V310951.R01.S.doc Version 5.2

RESIDENTIAL FAMILY CENTRE

Amber Project (The)

36 Sutton Rd Plaistow E13 8EX

Lead Inspector Sharon Lewis

Announced Inspection24th – 27th & 30th October 2006 10:00


The Commission for Social Care Inspection aims to:

• Put the people who use social care first • Improve services and stamp out bad practice • Be an expert voice on social care • Practise what we preach in our own organisation

Reader Information Document Purpose Inspection Report Author CSCI Audience General Public Further copies from 0870 240 7535 (telephone order line) Copyright This report is copyright Commission for Social

Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI

Internet address www.csci.org.uk


This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Residential Family Centres. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop Every Child Matters, outlined the government’s vision for children’s services and formed the basis of the Children Act 2004. It provides a framework for inspection so that children’s services should be judged on their contribution to the outcomes considered essential to wellbeing in childhood and later life. Those outcomes are:

• Being healthy • Staying safe • Enjoying and achieving • Making a contribution; and • Achieving economic wellbeing.

In response, the Commission for Social Care Inspection has re-ordered the national minimum standards for children’s services under the five outcomes, for reporting purposes. A further section has been created under ‘Management’ to cover those issues that will potentially impact on all the outcomes above. Copies of Every Child Matters and The Children Act 2004 are available from The Stationery Office as above.

This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection.


SERVICE INFORMATION

Name of service

Amber Project (The)

Address

36 Sutton Rd Plaistow E13 8EX

Telephone number

020 7474 7912

Fax number

Email address

Provider Web address

Name of registered provider(s)/company (if applicable)

The Amber Project

Name of registered manager (if applicable)

Ms Ameenah Charles

Type of registration

Residential Family Centre

No. of places registered (if applicable)

5

Category(ies) of registration, with number of places


SERVICE INFORMATION

Conditions of registration:

Date of last inspection

26th April 2005

Brief Description of the Service:

The Amber Project is a Family Residential Assessment Centre. The purpose of the project is to carry out assessments on families who are in need of further guidance and support to enable them to care for their children independently in the community. The age range for the admission of parent/s to the project is currently fourteen upwards. The centre is made up of two separate buildings, on one site. One building is designated as predominately office space, whilst the other, houses families in five self-contained flats. The aim of the project is to maximise a parent’s potential to care for their children, whilst protecting them from significant harm. The project uses an assessment model derived from the framework for the assessment of Children in Need, based on the child's development, parenting capacity and family and environmental factors. The project works in partnership with other professionals to provide an eclectic and holistic approach/service. The mission statement states "The Amber Project creates an environment where everyone working or using the service feels safe and valued, and does not experience any prejudice".


SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection lasted five days, starting on a Tuesday morning and ending on the following Monday. The total time spent undertaking this Inspection was approximately 30 hours. The Inspector spoke to the three families currently living at the home as a group and also separately. A discussion was also held with a parent who is being assessed in the community. Questionnaires were received from one staff member and two placing social workers. Positive feedback was received from placing authorities. Individual discussions were also held with the Project Manager, Deputy Manager, Social Work Senior Practitioner, Family Group Conference Co-ordinator, Family Workers, Project Social Workers, Team Administrator and the Handy/Maintenance Person. Group discussions were additionally held with Family Workers. A tour of the premises was undertaken, files, records, policies and related documentation were examined. A staff handover, parents teaching session, resident’s meeting, referral meeting and a professionals meeting were also observed. The Inspector would like to thank all families, staff members and involved professionals for their assistance with this Inspection. What the service does well: All parents were able to give positive feedback. Parents related, “The staff and manager are good.” “Staff give good feedback, they come and help me. They teach me, I appreciate that.” “I like it here.” “ The flat is good. My children had confused behaviour, now it is better”. Parents identified individual staff members as being “very nice” and “very kind.” The Amber Project benefits from an experienced and hard working management team and supportive, family style working relationships. All levels of staff from senior management to family workers are aware of the complex individual needs of families. The Amber Project demonstrated the ability to complete a large amount of assessments within a changeable social work staff team. There is good partnership working with field social work teams and a demonstration of independence. A placing officer stated the most positive aspect of the Amber


Project was “The support they give to the clients and the quality of the assessments.” The Amber Project is commended for it’s translation and interpreting services which enable the assessment programme to be delivered in the service users first language. Additional one to one staffing is in place, to address linguistic needs. There is focused, reflective practice that does not accept information at 'face value' but awareness of underlying issues and need for specialist assessments e.g. referral for forensic assessment. There is good engagement with parents, through assessments tailored to their specific needs. Life Story Work, which included good exploration of feelings. Parents benefit from Family Group Conference Work and a varied range of information on local resources. Parents are assisted with life skills, which enhances their self-development. Parents have a structured weekly programme, which includes teaching sessions, community appointments and weekly reviews. Teaching sessions were child-focused, interactive and included cultural examples. Bridge Consultancy also provides a specialist support service, for families and staff. What has improved since the last inspection? The support given to parents has improved. Parents now benefit from weekly reviews with their Care Co-ordinators. These meetings assist in identifying the progress made in their assessment and address any areas of concern. Emotional support is being provided through the re-introduction of the Independent Visitor. Staff have also investigated the provision of additional support through Women’s group and specific cultural groups. Children are better protected by the home’s training policy. All staff including administration and ancillary staff have received child protection training. A first aid training programme is also in progress. The aim is to ensure a staff member with a current first aid qualification, is available on all shifts. Staffing has improved with the introduction of a Social Work Senior Practioner. The overall assessment system has improved with better observation records, the introduction of core group working and all staff members being given designated areas of responsibility.


Since the last Inspection the following policies have been developed case recording, restraint, infection control, treatment of those who have been abused, care needs of parents and children from minority ethnic groups, dealing with sexuality and personal relationships.

What they could do better: As previously stated the Amber Project provides a good service and has the potential for excellence. During this Inspection however twelve requirements were highlighted. Nine of these requirements are repeated from the last Inspection. The service can further improve on good practice by the implementation of the eight recommendations. Parents and placing officers must benefit from up-to-date information regarding the service. The Statement of Purpose must be updated to include all information detailed in Schedule 1. The Resident's Guide must also be updated to include the Commission for Social Care Inspection details, in relation to complaints. Families must be protected by the organisation’s recruitment and employment practices. New Criminal Record Bureau checks must be undertaken for all newly appointed staff. Families must benefit from well-supported staff. All staff must have receive regular recorded supervision and a structured written induction. Annual staff performance appraisals must be undertaken. Families must live in a safe, well-maintained environment. Stained carpets throughout the Project must be steam cleaned or replaced. A copy of the electrical installation certificate must be forwarded to the Commission for Social Care Inspection. Fire safety records must be more robust. The names of all family members involved in fire drills must be recorded and weekly fire


alarm tests must be undertaken. All notifications specified in Schedule 5 must be promptly reported to the Commission for Social Care Inspection. The policies and practices with the Amber Project must fully meet the needs of families. The quality review of the service must include resident consultation. A policy for dealing with mental health issues must be produced and the medication policy must be further developed. Please contact the provider for advice of actions taken in response to this inspection.

The report of this inspection is available from [email protected] or by contacting your local CSCI office.


DETAILS OF INSPECTOR FINDINGS

CONTENTS

Being Healthy

Staying Safe

Enjoying and Achieving - There are no NMS that map to this outcome

Making a Positive Contribution

Achieving Economic Wellbeing

Management

Scoring of Outcomes

Statutory Requirements Identified During the Inspection


Being Healthy The intended outcomes for these standards are:

• Families have access to health care, education, employment and leisure activities which promote their good health and well being, including their mental health, in a safe environment.(NMS 4)

JUDGEMENT – we looked at outcomes for the following standard(s): 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care provision at the Amber Project promotes healthy lifestyles. Improvements to the medication policy will ensure the health needs of families are fully met. EVIDENCE: Health care is actively promoted at the Amber Project and is seen as a key educational issue for parents. Parents are encouraged to register with a doctor, the local health centre and SureStart. The Amber Project has a designated health visitor attached to the establishment. Evidence was seen of good liaison with the health visitor to effectively address the monitoring of children’s health needs. During the Inspection a teaching session was observed, which focused on healthy eating and well-being. It was observed that a mobile market visits the project on a weekly basis. Service users are able to purchase a range of culturally reflective fresh fruit and vegetables. Leisure activities are encouraged and evidence was seen of social activities, which included attendance at the Baby Gym, park and making use of the project’s adventure playground. Several staff members had first aid qualifications and a training programme is in place to ensure a staff member with a current first aid qualification is available on all shifts. Lockable medication storage is available in individual flats. The Medication Policy must be further developed to include the need for staff to seek medical advice prior to instructing parents. This requirement is repeated from the last Inspection.


Staying Safe The intended outcomes for these standards are:

• Parents and children enjoy a level of comfort and security within the centre based on mutual respect and an understanding of what may have an adverse effect on other residents.(NMS 8)

• The privacy of parents and children is respected and information about them is handled with appropriate confidentiality.(NMS 9)

• Parents and children are able to complain if they are unhappy with any aspect of the centre. They are confident that any complaint will be taken seriously, investigated and addressed without delay and they will be kept informed of the progress.(NMS 10)

• The welfare of children is promoted, children are protected from abuse, and an appropriate response is made to any allegation or suspicion of abuse.(NMS 11)

• Families are protected from abuse, neglect and self-harm.(NMS 12) • All significant events relating to the protection of children or vulnerable

adults within the centre are notified by the registered person to the appropriate authorities.(NMS 13)

• There is careful selection and vetting of all staff and anyone else resident on the premises.(NMS 15)

• Parents and children stay in accommodation that provides physical safety and security.(NMS 22)

• Parents and children enjoy a level of comfort and security within the centre based on mutual respect and an understanding of what may have an adverse effect on other residents.(NMS 8)

JUDGEMENT – we looked at outcomes for the following standard(s): 8. 9, 10, 11, 12, 13, 15 & 22. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and safety and recruitment practices must further promote and protect children and their families.


EVIDENCE: The Amber Project has a clear written policy, procedures and guidance setting out the standards of behaviour expected of parents and children. A Visitor’s Policy is in place and all parents were aware of the standards of conduct. Where visiting has been breached the Project was seen to have acted appropriately and endeavour to safeguard families. The Amber Project meets the diverse needs of the local community and has an anti discriminatory policy, which encourages respect for differences in race, language, sexual orientation, religion, cultural background and disability. A restraint policy has been produced. Although the Amber Project does not operate a restraint policy as such, there are occasions when restraint may become necessary. The policy addresses the use and techniques of physical restraint. Restraint will only be used to prevent a child or parent from receiving significant harm. A confidentiality policy is in place. Parents had access to a public telephone, in the upper floor hallway. Private calls could be taken in the residential flat. Management stated that they had considered the possibility of providing telephones within the flats, however this was not a viable option. Currently there is one complaint undergoing investigation. Parents were aware they could make a complaint, however the majority of parents felt raising their concerns would have a negative effect on their assessment. Copies of the London Child Protection procedures and Adult Protection procedures are available. Discussions with staff and examination of training records evidenced a good awareness of the child protection procedures. Since the last Inspection all staff including administration and ancillary have undertaken child protection training. Since the last Inspection the Commission for Social Care Inspection has received one notification relating to a child protection issue. Discussions with management and staff and examination of records evidenced that a further four notifiable incidents had occurred. The Project Manager must ensure that all notifications are reported to the Commission for Social Care Inspection. Corporate recruitment procedures are in place and staff have the necessary job descriptions. Four personnel files were examined. Three files evidenced that new Criminal Record Bureau checks had not been undertaken. The local authority had accepted previous Criminal Record Bureau checks. Criminal Record Bureau checks are not transferable. Families must be protected by


better recruitment practices. New Criminal Record Bureau checks must be undertaken for all newly appointed staff. The majority of health and safety certificates and policies are in place. A copy of the gas safety certificate was seen and portable appliances are annually checked. A copy of the current electrical installation certificate remains outstanding from the last Inspection. The Project has an appointed health and safety person and weekly fire warden checks are undertaken. The fire risk assessment has been updated. The fire alarm is usually tested on a weekly basis, fire drills are regularly held and fire equipment regularly serviced. Evidence was seen that risk assessments have also been developed to address specific situations. Fire safety records must be more robust. The names of all family members involved in fire drills must be recorded and weekly fire alarm tests must be undertaken.


Making a Positive Contribution The intended outcomes for these standards are:

• Parents and children are admitted to and leave the centre in a planned and sensitive manner.(NMS 2)

• Children and their parents have their needs assessed and written plans outline how the assessment will be undertaken.(NMS 3)

• Parents and children using the centre feel well-informed and party to decisions made.(NMS 6)

• Parents and children enjoy sound relationships with staff based on honesty and mutual respect(NMS 7)

JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 6 & 7 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Planned, structured placements are available to meet diverse cultural needs EVIDENCE: The Amber Project demonstrated good partnership working with field social work teams and a demonstration of independence. Comprehensive admission procedures are in place. Commissioning meetings are generally held prior to admission to develop a flexible programme, which effectively takes into account the child/ren’s best interests and parents needs. In addition viability assessments ensure the Amber Project can meet the needs of the child and parent/s. All cases are referred for consideration at specific referral meetings. The Amber Project accepts emergency admissions. During the Inspection a referral meeting was observed and a case was discussed with a history of violence. It is advised that the Project produces written guidance on cases, which would not be accepted for a residential assessment. Where there are concerns in relation to violence and retribution, appropriate risk assessments must be developed. The Amber Project is able to assess families in their own homes, in the community. One parent stated they were glad to have an assessment at


home, as they would have of found it “hard, the bit about group living.” Families also benefit from post residential outreach support. This Inspection evidenced high quality assessments and focused reflective practice, which does not accept information at 'face value'. Management demonstrated an awareness of underlying issues and the need for specialist assessments e.g referral for forensic assessment. A placing officer stated the most positive aspect of the Amber Project was “The support they give to the clients and the quality of the assessments.” All levels of staff from senior management to family workers were aware of the complex individual needs of families. Documentation and meetings observed were child focused and comprehensive. Staff demonstrated an awareness of parental capacity to improve. Staff also assisted in advocating for parents needs, an example being the need for financial support. Regular residents meetings are held, one was observed during this Inspection. These meetings enable parents to receive information on local resources, activities and cultural events. Parents are also able to express their views and opinions on life at the Project. The overall assessment system has improved with better observation records, the introduction of core group working and all staff members being given designated areas of responsibility. The Amber Project is commended for it’s translation and interpreting services which enable the assessment programme to be delivered in the service users first language. Discussions, records and observations also evidenced good engagement with parents. Where parents have an additional learning need there was good use of the specialist PAMS assessment process. Files also evidenced very good Life Story Work, which included good exploration of feelings. All parents had positive feedback. Parents related, “The staff and manager are good.” “Staff give good feedback, they come and help me. They teach me, I appreciate that.” “I like it here.” “ The flat is good. My children had confused behaviour, now it is better”. Parents identified individual staff members as being “very nice” and “very kind.” One parent found the system quite difficult stating “They tell me if I do not do this, they will take my children away. I feel as if I am always tiptoeing around”. Two parents took offence at the way they were spoken to or treated by individual staff members. Staff should ensure they are professional at all times and instruct in a sensitive manner. Where possible parents should not be reprimanded in front of their children. Regular family group conferences are held. These meetings positively and respectfully enabled families to discuss issues in private and focus on potential conflict resolution. Family group conferences meetings are planned in the


evening, to maximise on extended family attendance and refreshments are also available. The Amber Project has good links with Sure Start, Connexions, Baby Gym, Child and the Family Consultation Service. There is a good range of information on local resources available to families. Bridge Consultancy also provides a specialist support service, for families and staff. Parents are assisted with life skills, which enhance their self-development. Placement plans and agreements are in place for all families. Parents have a structured weekly programme, which includes teaching sessions, community appointments and weekly reviews. Teaching sessions were observed to be child focused, interactive and cultural examples were used to provide relevance to each parent. Individual needs such as the need for assistance with reading and writing were met through the provision of a literacy tutor. The support given to parents has improved. Parents now benefit from weekly reviews with their Care Co-ordinators. These meetings assist in identifying the progress made in their assessment and address any areas of concern. Parents should receive a copy of any review of their progress and the action needed to achieve their objectives. This recommendation is repeated from the last Inspection. Improvements have been made to the emotional support with the reintroduction of the Independent Visitor. Staff are commended for their understanding and input to address cultural needs. It was noted that staff had investigated other forms of support through specialist Women’s Group or cultural organisations.


Achieving Economic Wellbeing The intended outcomes for these standards are:

• Parents and children live in pleasant, well designed and maintained surroundings providing sufficient space and adequate facilities to meet their needs.(NMS 19)

• Parents and children enjoy homely accommodation, decorated, furnished and maintained to a high standard, providing adequate facilities for their use.(NMS 20)

• Shared spaces complement and supplement residents’ private rooms.(NMS 21)

JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 &21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Families benefit from the provision of self contained flats and various play areas. Maintenance, security and use of space should be effectively addressed. EVIDENCE: The Amber Project is situated in a residential area in the Plaistow area that borders on Canning Town, within the London Borough of Newham. A range of shops, services and amenities are situated in the Barking Road. Several bus routes run along the Barking Road. The nearest station is Canning Town, British Rail and underground Jubilee Line. The home has a small car park and unrestricted street parking is also available. The Amber Project is located over two separate buildings, the main office building and residential building. Culturally reflective imagery and information on local services were on display throughout the project. The building proposal has been implemented. The Deputy Manager responsible for residential services is now based in the building were the families reside.


The Project was clean throughout and has a good range of facilities. Family flats were self contained, homely, personalised and had ample storage space. Parents have access to a private phone in the residential kitchen or a payphone in the upper hallway. Children have a range of play areas. The Amber Project has a designated nursery with a range of culturally reflective toys, books and equipment. There are three separate outdoor play areas and a pleasant garden both include seating. The last Inspection highlighted the need for the premises to be secured at all times. Unfortunately it has taken two burglaries to prompt the need for better security. A further security meshed fenced is needed. This must be installed to ensure the security of the Project is must maintained at all times. Stained carpets throughout the Project must be steam cleaned or replaced. This requirement is repeated from the last Inspection.


Management The intended outcomes for these standards are:

• Parents and children who use the centre know what they can expect, how they will be treated, how the centre operates, and have had this information in written form prior to admission.(NMS 1)

• Parents’ progress is recorded to reflect their ability to care for the children in a safe manner, promoting their welfare.(NMS 5)

• Parents and children receive the care and services they need from competent staff.(NMS 14)

• Staff are sufficient in number, experience and qualification to understand the needs of parents and children and who are able to respond appropriately when required.(NMS 16)

• Parents and children receive a service from staff who are themselves supported and guided in safeguarding and promoting the children’s welfare.(NMS 17)

• Staff are trained and enabled to carry out the role to which they are appointed.(NMS 18)

• Parents and children enjoy the stability of an efficiently run service and purchasers have confidence that they are getting value for money.(NMS 23)

• The service’s work with parents and children is continually adapted in the light of information about how it is operating.(NMS 24)

• There are adequate records of both the staff and families using the service.(NMS 25)

JUDGEMENT – we looked at outcomes for the following standard(s): 1, 5, 14, 16, 17, 18, 23 & 25. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Project has an experienced, committed culturally diverse staff team. Highlighted improvements would facilitate a more efficient and effective service.


EVIDENCE: The Statement of Purpose must be updated to include all information detailed in Schedule 1, of The Residential Family Centres Regulations 2002. This requirement is repeated from the previous Inspection. The Resident’s Guide must be updated to include the Commission for Social Care Inspection details, in relation to complaints. This requirement is also repeated from the previous Inspection. All families have separate files, which were examined during the Inspection. All records were securely stored and up-to-date with the necessary information. The project should continue to actively promote their open access to files policy. It was noted by staff members that the quality of observation records had improved. However staff stated there was still a need in some cases, for recordings to have deeper clarity and for all information to be recorded. Staff should ensure all relevant information is clearly recorded and there should be no ambiguity. The Amber Project benefits from a culturally diverse, competent and committed staff team who collectively speak a range of languages, which includes Somalian, Swahili and Yoruba. The staff team are well qualified. All managers and social work staff have a social work qualification. Family worker staff qualifications include bachelor degrees, nursery nurse qualifications, diplomas in childcare, education and social work. Discussions with staff evidenced that they were all aware of their roles and responsibilities. Staff were observed to be very committed and hard working. They worked exceptionally well as a team and were mutually supportive. All staff members are given designated lead areas of responsibility. This included core group facilitator, health and safety, child development, life story work, risk assessment, case chronologies, behaviour management, cultural aspects and the staff rota. The Amber Project has succeeded in recruiting former agency staff to permanent family worker positions. Management arrangements have been strengthened with the introduction of a Social Work Senior Practioner post. Over half the current staff members are supplied through various agencies, this includes the management and social work team. The organisation continues to endeavour to recruit permanently to posts. The Amber Project is commended for the provision of individualised, one-to-one support to meet parents language needs. The Project is able to employ culturally specific staff for interpreting support to families were English is not


their first language. Interpreting support was observed to be available in the allocation of specific support workers and assisting parent’s in resident’s meetings, teaching sessions and other relevant meetings. The Amber Project benefits from a very experienced, committed and hardworking management team. The Registered Manager is commended for immediately producing plans of action to address the highlighted shortfalls from this Inspection. The project management team recognise the need to meet regularly and are planning to meet on a weekly basis. The Amber Project management is not paid for providing an on- call system, as Social Services senior management undertake this duty. The organisation should continue to ensure the on-call system focuses on the best outcomes for children. There are plans to change the current Project Manager post to a Senior Manager role for Assessment and Contact. This post has extensive duties, which includes line management responsibility for the Hamfrith Centre, a Day Assessment and Support Service and a Child Contact Service. Evidence was seen through discussion and records that staff have opportunities for training and personal development. Regular team meetings enable the discussion of practice issues, roles and responsibilities. Staff have access to a range of training located in the Newham Social Services Training Manual. The Project should however ensure that night staff have equal opportunities to attend team meetings and training. Shifts should be flexible to facilitate training arrangements. Discussion with staff and the examination of staff supervision files evidenced that all staff did not benefit from regular supervision. In addition there was limited evidence of staff appraisals and no evidence of structured written induction. These issues were discussed with management and satisfactory action plans have been developed to address these shortfalls. Parents must benefit from well-supported and competent staff team. All staff must receive a structured written induction; have regular supervision and an annual appraisal. The Amber Project has developed a range of policies and procedures for staff. Since the last Inspection the following policies have been developed case recording, restraint, infection control, treatment of those who have been abused, care needs of parents and children from minority ethnic groups, dealing with sexuality and personal relationships. The policy for dealing with mental health issues remains outstanding. The lack of computers was the overwhelming difficulty all staff reported as a hindrance, to effectively undertake their work. Computers were stolen on two occasions during the last year. This has resulted in staff having to use their personal laptops and printers. The provision of replacement computers is still


outstanding. It was additionally noted and staff confirmed that the computer facilities provided for residential staff was insufficient. The organisation should ensure all staff have access to computers or laptops to effectively maintain their records and responsibilities. The Responsible Individual undertakes monthly monitoring visits and case file audits. The home’s budget was examined. The funding of the service is sufficient to finance the fulfillment of the Statement of Purpose. There is acknowledgement of the need to introduce a formal quality assurance system. A comprehensive service development plan, however focuses on the key objectives for the Amber Project. In future the quality review of the service must include resident consultation.


SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Residential Family Centres have been met and uses the following scale.

4 Standard Exceeded (Commendable) 3 Standard Met (No Shortfalls) 2 Standard Almost Met (Minor Shortfalls) 1 Standard Not Met (Major Shortfalls)

“X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable

BEING HEALTHY

Standard No Score 4 2

STAYING SAFE ACHIEVING ECONOMIC WELLBEING

Standard No Score Standard No Score 8 3 19 2 9 3 20 3

10 3 21 3 11 3 12 3 13 2 15 2 22 2

ENJOYING & ACHIEVING MANAGEMENT

Standard No Score Standard No Score No NMS are mapped to this outcome 1 2

5 2 MAKING A POSITIVE 14 3

CONTRIBUTION 16 3 Standard No Score 17 2

2 3 18 2 3 2 23 3 6 3 24 2 7 2 25 3


Are there any outstanding requirements from the last inspection?

Yes

STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Residential Family Centres Regulations 2002 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales.

No. Standard Regulation Requirement Timescale for action

1. RFC1 4 (1) The Statement of Purpose must include all information detailed in Schedule 1. Timescale of 01/06/04 and 01/09/05 not met.

01/04/07

2. RFC1 4 (3) The Resident's Guide must be updated to include the Commission for Social Care Inspection details in relation to complaints. Timescale of 01/08/05 not met.

01/04/07

3. RFC13 26 (1) All notifications specified in Schedule 5 must be reported to the Commission for Social Care Inspection. Timescale of 01/06/05 not met.

01/12/06

4. RFC15 16 (5) (a)

Staff files must be maintained in accordance with Schedule 2. New Criminal Record Bureau checks must be undertaken for all newly appointed staff. Timescale of 01/06/05 not met.

01/12/06


5. RFC17 10 (1) A policy for dealing with mental health issues must be produced. The Medication Policy must also be further developed. Timescale of not met.

01/04/07

6. RFC17 17 (5) (a) All staff must receive regular recorded supervision. Timescale of 01/04/04 & 01/07/05 not met.

01/01/07

7. RFC17 17 (5) (a) Annual staff performance appraisals must be undertaken.

01/09/07

8. RFC18 17 (5) (a) All staff must receive a structured written induction. Timescale of01/07/05 not met.

01/01/07

9. RFC19 21 (2) (c) Stained carpets throughout the Project must be steam cleaned or replaced. Timescale of 01/12/05 not met.

01/05/07

10. RFC22 11 (4) (a) A copy of the electrical installation certificate must be forwarded to the Commission for Social Care Inspection. Timescale of 01/10/05 not met.

01/01/07

11. RFC22 22 (1) The names of all family members involved in fire drills must be recorded and weekly fire alarm tests must be undertaken.

01/12/06

12. RFC24 23 (3) The quality review of the service must include resident consultation.

01/09/07


RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out.

No. Refer to Standard

Good Practice Recommendations

1. RFC2 It is advised that the Project produces written guidance on cases, which would not be accepted for a residential assessment. Where there are concerns in relation to violence and retribution appropriate risk assessments must be developed.

2. RFC3 Parents should receive a copy of any review or their progress and action needed to achieve their objectives. Repeat recommendation

3. RFC5 Staff should ensure all relevant information is clearly recorded and there should be no ambiguity.

4. RFC7 Staff should ensure they are professional at all times and instruct in a sensitive manner. Where possible parents should not be reprimanded in front of their children.

5. RFC9 The guidance on the use of CCTV and monitoring equipment should be in accordance with the UN Convention of the Rights of the Child.

6. RFC19 A further security meshed fenced is needed. 7. RFC19 Additional storage space is needed.

8. RFC23 The organisation should ensure all staff have access to

computers or laptops to effectively maintain their records and responsibilities.


Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: 0845 015 0120 Email: [email protected] Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI

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