Care Avenues Limited - London

Most risks had been identified and assessed, which provided information to staff on how to reduce these risks to keep children safe. However, for some children with specific health conditions, there was lack of robust risk assessments in place to ensure they were safe at all times. We made a recommendation in this area. There were sufficient staffing levels to support people. Staff had been trained in safeguarding vulnerable adults and knew how to keep children safe. There was a safe recruitment process in place to ensure staff were suitable to support children.

Staff had the knowledge, training and skills to care for children effectively. Staff received regular supervision and support to carry out their roles. Children had choices during meal times and were supported with meals when required. Staff knew what to do if children were not feeling well. Children's needs and choices were being assessed regularly through review meetings to achieve effective outcomes.

Relatives told us that staff were friendly and caring. Children were treated in a respectful and dignified manner by staff. Relatives had been involved with making decisions about their care.

Care plans were person centred and included clear information on how to support children. Relatives were aware of how to make complaints if they wanted to and staff knew how to manage complaints.

Staff felt well supported by the management team. Quality assurance and monitoring systems were in place to make continuous improvements.

The five questions we ask about services and what we found