Care service inspection report

Transcription

1 Care service inspection report Full inspection St. Serf's R C Primary School Nursery Day Care of Children Preston Street High Valleyfield Dunfermline Inspection completed on 14 January 2016

2 Service provided by: Fife Council Service provider number: SP Care service number: CS Inspection Visit Type: Unannounced Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and set out improvements that must be made. We also investigate complaints about care services and take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com page 2 of 33

3 Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of care and support 4 Quality of environment 5 Quality of staffing 5 Quality of management and leadership 5 Good Very Good Very Good Very Good What the service does well The nursery provides a bright and spacious environment where stimulating activities can be provided to suit the age and stage of development of the children attending. Staff have formed excellent bonds with the children and were aware of their individual needs. Good professional working relationships had been established in the staff team. Staff were respectful of the different social and cultural backgrounds of the families using the service. What the service could do better The nursery have endeavoured to encourage parents and families to be involved in the nursery. Unfortunately there has been very little response to requests and invitations made for families involvement. They should continue to look at ways in which they may get parents involved in nursery events and requests for their views on the service. page 3 of 33

4 All staff should receive training in G.I.R.F.E.C. and use the SHANARRI indicators when planning children's individual development. What the service has done since the last inspection Since the last inspection the staff team have become more established and had a shared vision of where the nursery should continue to improve. Improvements were made to the outside area which unfortunately has now been destroyed by vandals. Conclusion We considered the nursery was being run by a management and staff team that were enthusiastic and extremely committed to ensuring the needs of the children were being met and that the curriculum planned took account of some children's next steps for development. From our observations of children playing and interacting with the staff we considered they were happy in the nursery. page 4 of 33

5 1 About the service we inspected Inspection report The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April Requirements and recommendations If we are concerned about some aspect of a service, or think it needs to do more to improve, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service based on best practice or the National Care Standards. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. St. Serf's Primary School Nursery is located in the High Valleyfield area of Dunfermline and is part of the local authority's nursery provision. The service is registered to offer daycare to a maximum of 30 children aged from three years to not yet attending primary school. The service is provided in one open plan playroom. There is direct access to the outdoor area. The nursery has timetabled access to the school sports hall. The nursery aims to support the development of all children through the provision of a broad and balanced curriculum, building on existing skills and knowledge. We check services are meeting the principles of Getting it right for every child (also known as GIRFEC). Set up by Scottish Government, GIRFEC is a national approach to working in a consistent way with all children and young people. It page 5 of 33

6 is underpinned by the principles of prevention and early intervention. The approach helps services focus on what makes a positive difference for children and young people - and what they can do to improve. Getting it right for every child is being woven into all policy, practice, strategy and legislation that affect children, young people and their families. There are eight wellbeing indicators at the heart of Getting it right for every child. They are: safe, healthy, achieving, nurtured, active, respected, responsible, and included. They are often referred to as the SHANARRI indicators. We use these indicators at inspection, to assess how services are making a positive difference for children. Recommendations A recommendation is a statement that sets out actions that a care service provider should take to improve or develop the quality of the service, but where failure to do so would not directly result in enforcement. Recommendations are based on the National Care Standards, SSSC codes of practice and recognised good practice. These must also be outcomes-based and if the provider meets the recommendation this would improve outcomes for people receiving the service. Requirements A requirement is a statement which sets out what a care service must do to improve outcomes for people who use services and must be linked to a breach in the Public Services Reform (Scotland) Act 2010 (the "Act"), its regulations, or orders made under the Act, or a condition of registration. Requirements are enforceable in law. We make requirements where (a) there is evidence of poor outcomes for people using the service or (b) there is the potential for poor outcomes which would affect people's health, safety or welfare. Based on the findings of this inspection this service has been awarded the following grades: page 6 of 33

7 Quality of care and support - Grade 4 - Good Quality of environment - Grade 5 - Very Good Quality of staffing - Grade 5 - Very Good Quality of management and leadership - Grade 5 - Very Good Inspection report This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website or by calling us on or visiting one of our offices. page 7 of 33

8 2 How we inspected this service The level of inspection we carried out In this service we carried out a medium intensity inspection. We carry out these inspections where we have assessed the service may need a more intense inspection. What we did during the inspection We gathered evidence from various sources, including policies, procedures, records and other documents including: Certificate of Registration; Certificate of public liability insurance; The service's most recent self assessment and annual return; The service's own parents' questionnaires; Nursery newsletters; Children's Personal Learning Journal's (PLJs); Planning materials; Quality improvement plan; Staff records; Staff meeting minutes; Quality assurance information; Accident & incident recordings; Risk assessments; Discussion with the Head Teacher, Nursery teacher, staff and parents. Also, we observed staff practices, the environment and the range of resources available. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. page 8 of 33

9 Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at page 9 of 33

10 The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. The service completed and returned a self-assessment as requested by us prior to the inspection taking place. We used the information on this to inform our inspection plan and decide which areas of evidence stated in the selfevaluation we would validate. Taking the views of people using the care service into account Ten children were present on our first visit to the nursery. Two of the children happily approached us we asked them what they liked about nursery, they responded happily giving examples of their favourite things to do. We also observed all the children and saw that they interacted confidently with the staff and their peers. Taking carers' views into account At the inspection we introduced our self to the parents. as they were dropping their children off at nursery and explained the purpose of our visit, their comments were brief but confirmed that those we spoke to were happy with the nursery provision. page 10 of 33

11 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service Strengths The entrance area to the playroom kept parents informed of useful information about local events within the community. The nursery provided many opportunities for parents to be involved in the care of the child of their child. This included play and stay days, informal coffee and chat sessions for the parents, parental questionnaires, suggestions boxes, welcoming parents to share children's achievements and display these in the entrance hall, welcoming parents to come into nursery to be involved in activities such as reading and providing a lending library and helping take children on outings to the local woodland area. Regular newsletters were issued to parents which also advised forthcoming events and welcoming comments from parents. Staff tried very hard to involve parents in these ways but advised us that there was very little response from parents however staff were committed to continue to strive to find ways of how they could get parents more involved. page 11 of 33

12 Areas for improvement The service should continue to provide the opportunities they have for parents to be involved in assessing and improving the nursery. They should also strive to find other ways to involve parents as they discussed with us at inspection. Any suggestions and comments made by parents should be considered when the service completes their self-assessment and develops their School Improvement Plan. Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 Inspection report page 12 of 33

13 Statement 2 We enable service users to make individual choices and ensure that every service user can be supported to achieve their potential. Service Strengths We found that the service had maintained and continued to develop the positive practice we identified during the previous inspection. We found that staff nurtured and valued every child respecting their different social and cultural backgrounds. There was a strong focus on restorative practice in children's relationships with parents, staff and their peers. Staff supported children's individual needs by creating an environment which allowed them to achieve their potential and celebrated their achievements. We looked at the available resources for children on the day of inspection, we considered their was a limited choice. Staff explained to us that this was done in accordance they had received from Fife Council's Quality Improvement Team. Staff advised that resources were frequently rotated to maintain children's interests. We saw that their were plentiful play resources in a store cupboard. We also confirmed the following:- Outdoor learning is well established and provides a wide range of opportunities for children to explore the natural environment. Personal Learning Plans are used to ensure the needs of individual children are planned for and met. Regular meetings with parents/carers are held to share information on strengths, developments and allow parents/carers to contribute to the children's assessment process. Children have opportunities for individual choice in group play and for active outdoor play. New resources have been purchased in order to extend and develop children's play. page 13 of 33

14 Areas for improvement We suggested to the service that they could consider how to make children aware of all the resources they could choose from, for example by providing a pictorial catalogue of resources. This would allow children to have more decisions in choosing what they wanted to play with. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 Inspection report page 14 of 33

15 Statement 3 We ensure that service users' health and wellbeing needs are met. Service Strengths We found this service was continuing to perform to a very high standard in the areas covered by this statement. We concluded this after we spoke to the staff, parents and children. We also observed staff practice and considered relevant policies and procedures. We saw that the staff knew the children very well. They were already aware of the different personalities and needs of all the children who had started after the Christmas break Personal information was reviewed with parents every six months and any changes noted. Children were able to be independent in their choices throughout the day whilst understanding fixed routines e.g. circle time, tidy up time. Snack was available for children to choose from for a period of an hour. We took account of the service's self-assessment and confirmed the following: - Staff had regular training in Child Protection, Health and Safety and Fire Safety. The nursery was involved with the Health Promoting Nursery initiative and their programmes promoted healthy living. - Staff were aware of children's emotional, personal, social and physical needs and promoted their development across the curriculum including the use of Circle Time and Together time to discuss and review all aspects of development. - The nursery participated in the Childsmile programme with daily toothbrushing. - Learning activities for children took into account their interests and developmental needs. page 15 of 33

16 - Children were developing independence and social skills through a variety of activities both indoors and outdoors. This promoted their social skills and sense of taking care of their environment. It was very evident that children benefited from warm, close and supportive relationships with staff. Children were observed approaching staff willingly for support and reassurance. This demonstrated that they felt secure and settled. For example, we observed an incident when a child had become upset by another child. We saw staff comfort the upset child and also provide a calm approach to the errant child explaining how their actions had affected the other child, simple rules were re-inforced and the child sense of being respectful of others enhanced. Children had the opportunity for daily outdoor play in the outdoor area and a weekly Forest Kindergarden activity. They had an appropriate policy and procedure for the storage and administration of medication. Inspection report Children with Additional Support Needs are identified and supported through Individual Support Plans. Other agencies were involved to meet the needs of individual children eg Speech and Language Therapy, Occupational Therapy, Educational Psychology and Health Visitors. The nursery children participate in ECO initiatives eg Bird Watching, Recycling and Gardening Children with Additional Support Needs are identified and supported through Individual Support Plans. Experienced staff shared the common goal of supporting children to learn and reach their potential through the provision of high quality play experiences. They had created a learning environment which allowed children to have some choice in their play. page 16 of 33

17 Areas for improvement The service should continue to provide this level of provision for children. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 Inspection report page 17 of 33

18 Quality Theme 2: Quality of Environment Grade awarded for this theme: 5 - Very Good Statement 2 We make sure that the environment is safe and service users are protected. Service Strengths A secure entry system was in place. We saw on our second visit to the service that a staff member stood in the entrance during drop off and pick up times to ensure that no unauthorised person could enter the nursery. The entrance area to the playroom kept parents informed of useful information about local events within the community. There was a variety of toys, resources and equipment which were suitable for the age and stages of development of the children attending.the children had opportunities for indoor physical play in the school gym. They also had easy access to an outdoor play area where children were supervised. A First Aider was appointed for the nursery. Staff were aware of procedures to be followed in an accident occurred, they were also aware of correct evacuation procedures should this be required. Appropriate risk assessments were in place which identified steps to be taken to minimise risks to children. Areas for improvement The service should continue to ensure that the environment is safe and service users are protected. page 18 of 33

19 Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 page 19 of 33

20 Statement 5 The accommodation and resources are suitable for the needs of the service users. Service Strengths The nursery provided high quality furnishings which defined areas of play for different activities e.g. role play, block play, table top areas and an art and craft area. The children moved freely around the areas and were able to choose where they played. The session was informal. There was a good supply of play resources for both indoors and outdoors. The outdoor play area provided good opportunities for children to get fresh air and exercise therefore promoting their physical well-being. The playroom was bright, well ventilated, warm and pleasant. The art area was used well.as was the water tray and toys. Staff told us children were given choice in what they wanted in the water tray e.g. bubbles or coloured water. This afforded the children some independence in their choice. Areas for improvement The service should continue to ensure that the accommodation and resources are suitable for the needs of the service users. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 page 20 of 33

21 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 5 - Very Good Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service Strengths There was good evidence that the service had a professionally trained and motivated workforce. There was some evidence that staff were planning for children's next steps in learning. We discussed this with the Nursery Teacher and confirmed that all children's next steps in learning should be identified and acted on. Children experienced continuity of care because the staff team was stable and consistent in their approach to care and learning. This allowed families to got to know staff and establish good relationships with them. Parents we spoke to were happy with the staff and said they found them very approachable. The staff confirmed they had all received an annual performance review. We looked at a sample of these.this enabled the management to discuss staff practice and encourage staff to consider how they could improve outcomes for children in their care. Staff demonstrated a good understanding of the procedures they would follow if they had any concerns about the children in their care. This protected children because staff knew the importance of managing these concerns effectively through passing their concerns on to the relevant professionals. Throughout our visit we could see that the staff had good relationships with the children. Weekly team meetings were used to discuss the provision and helped staff consider how they could improve the service. The Head Teacher attended these meetings, on a fortnightly basis, to ensure the team were supported. page 21 of 33

22 Staff confirmed that the Head Teacher visited the nursery often and spoke with the children. This meant she was available to speak with staff if they needed to discuss anything with her. The staff had adequate qualifications and were registered with the Scottish Social Services Council (SSSC). This meant staff were expected to attend a minimum amount of training and development for their role. We found the staff to be well-trained and confirmed they had opportunities to attend training which interested them and met the needs of the children. Most staff were aware of G.I.R.F.E.C. and the nursery teacher intended to gain knowledge in this. The were all aware of the document 'Buidling the Ambition' and referred to this to confirm their practices were in accordance with all current good practice documents. Areas for improvement The service should continue to ensure that they have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 page 22 of 33

23 Statement 4 We ensure that everyone working in the service has an ethos of respect towards service users and each other. Service Strengths We spoke with staff and through our discussions ascertained that they worked well as a team and respected each others' opinions. They shared responsibilities and tasks within the nursery and were aware of each others' strengths. This was further evidenced by our observations of them working with each other and sharing information. There was a warm and friendly ethos in the nursery, we saw that the children confidently approached staff and communicated their needs to them. The staff were caring and calm in their responses to children and dealt with behavioural issues sensitively. The staff welcomed the children and parents as they arrived at nursery and on pick up they informed the parents how their children had been and some of the activities they had been involved in. Staff described to us how they had worked with parents to provide consistent approaches in care and told us they ensured differences in cultural and social values were respected. Areas for improvement The service should continue to ensure that everyone working in the service has an ethos of respect towards service users and each other. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 page 23 of 33

24 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 5 - Very Good Statement 2 We involve our workforce in determining the direction and future objectives of the service. Service Strengths Staff and management told us that they were included in determining future goals to improve the provision of service for children to enhance outcomes for children's learning. Staff were involved in the assessment process and regularly evaluated their provision. They were involved in developing the School Improvement Plan and deciding priorities to be taken forward to improve children's development and learning, for example there was now to be a strong focus throughout the whole school and nursery to improve the listening and communication skills for children. The nursery team were clear how they would ensure this was implemented and would continually evaluate the provision to ensure children were able to achieve their goals. Planning meetings took place weekly to develop learning and share ideas. The Headteacher attended these meetings every two weeks to provide additional input and support. Performance Review and Development for staff took place annually and staff were regularly involved in Continuous Professional Development both through courses and in reading of new guidelines and documents. page 24 of 33

25 Nursery staff engaged in opportunities for shared practice through visits to and from other nurseries. Areas for improvement The service should continue to ensure that they involve their workforce in determining the direction and future objectives of the service. Grade 5 - Very Good Number of requirements - 0 Number of recommendations - 0 page 25 of 33

26 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide. Service Strengths As described in Quality Theme 1, Statement 1 within this report the service used several methods to try to involve parents and families in the assessment of their service. They also ensured staff took part in the self-assessment process to identify areas of strengths and areas for improvements. They were then involved in the decisions on what the priorities for improvement should be and how they would be implemented. The Head Teacher regularly visited the nursery and evaluated the provision for children and observed staff performance. Whilst these were informal staff were given credit for good practice observed and where there were any issues for improvement they would be discussed with staff and any further training needs identified if required. The school and nursery was part of a cluster group with other schools and nurseries in the local area. The Headteachers were involved in monitoring visits to each others nurseries and findings discussed between them to share examples of good practice and offer advice for changes that would improve the provision. There were also visits from a Quality Improvement Officer from Fife Council's Education department. There role was to evaluate the provision and give advice on changes to be made in accordance with their current guidance. Areas for improvement The service should continue to ensure that they use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service they provide. page 26 of 33

27 Grade 5 - Very Good Number of requirements - 0 Number of recommendations What the service has done to meet any requirements we made at our last inspection Previous requirements 1. In order to meet the requirement the provider must ensure each child has a personal plan which is reviewed at least once in every six month period. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations SSI 210 Regulation 5 (1) and (2) (a) (b), Personal Plans. Timescale: Within one month from receipt of this report. This requirement was made on 26 February 2015 The service now ensures that each child has a personal plan which is reviewed at least every six months. Met - Within Timescales 2. In order to meet the requirement the service must develop an effective system to record when medication has been given in the service in line with current best practice guidance. This should include: The name and date of birth of the child The name and dosage of medication to be given The time the medication is to be given and the time the last dosage was given The reason for the medication to be given If appropriate the length of time the medication is to be given Confirmation the parent or carer has given the first ever dose and sign to page 27 of 33

28 confirm there were no adverse reactions A parent or carer's signature giving permission for the service to give the medication The signature of the person who gave the medication A parent or carer's signature to evidence they have been told the medication has been given The child's name should be clearly written on the medication/or a pharmacist's label should be on it There should be daily audit of medication i.e. records of medication brought in from home, medication administered and medication sent home. This should be recorded. All medication should be provided by the parents and carers and not supplied by the service. More information can be found under the publications section of our website in the document named 'The management of medication in daycare and childminding services'. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations SSI 210 Regulation 4 (a) Welfare of users. National Care Standards Early Education and Childcare up to the age of 16, Standard 3 - Health and wellbeing. This requirement was made on 26 February 2015 Medication records were in place as requested. Met - Within Timescales Inspection report 3. The provider must ensure the health and safety of all children at all times. This includes ensuring: there are enough staff to ensure adequate supervision of all children at all times -staff deploymentshould include consideration of the room layout and the support needs of the children attending the layout of the room discourages running indoor physical equipment has adequate space and safety mats page 28 of 33

29 the nursery door is secure at all times and does not rely on staff monitoring risk assessments are carried out and that all staff are aware of these and can add to them when needed. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations SSI 210 Regulation 4 (a) - Welfare of users. National Care Standards for Early Education and Childcare up to the age of 16. Standard 2 - A safe environment. Timescale: Within three weeks of receiving this report. This requirement was made on 26 February 2015 The following points had been met:- the layout of the room discourages running indoor physical equipment has adequate space and safety mats the nursery door is secure at all times and does not rely on staff monitoring risk assessments are carried out and that all staff are aware of these and can add to them when needed. The following point had been partially met:- there are enough staff to ensure adequate supervision of all children at all times - staff deployment should include consideration of the room layout and the support needs of the children attending. A support worker had been employed when there was a child with additional support needs but as this child no longer attends and there were no children with identified support needs attending the service at the time of the inspection a support worker was no longer employed. However on the day of inspection we noted that there were two staff in the service who were both engaged in activities with some of the children. There is a 'blind spot' in the nursery where the building blocks are available and we saw that the children were using this area. One of the children started throwing the wooden blocks and one child was hit by a block, fortunately no injury was sustained although potentially could have been. We spoke with the Headteacher about this incident and said that staff were unaware of this because they were positioned in areas where they could not see the block area. page 29 of 33

30 The Headteacher advised us that the plans were in place to re-design the toilet areas and that the block area would be taken up in these renovations and therefore would no longer be an issue. In the meantime it was advised to us that staff would be reminded to be more vigilant. We re-iterated that we could see it would be difficult for staff to be aware of what was happening in the whole nursery if they continued to provide the good quality of interactions we witnessed on the day of inspection and that if they were unable to engage effectively with children in activities when required it would impact on the quality of experience for all the children. This requirement has not been met in full and is therefore carried forward within this report. Not Met 4. The provider must ensure there are adequate staff in place to meet the needs of the children attending. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations SSI 210 Regulation 15, Staffing. National Care Standards for Early Education and Childcare up to the age of 16. Standard 3, Health and Wellbeing. Timescale: Within two weeks of receiving this report. This requirement was made on 26 February 2015 A support worker had been put in place when required for a child with additional support needs. Met - Within Timescales 5. The provider must put in place and implement systems to monitor and evaluate all aspect of the service. This must include:- * monitoring of staff work practice * evaluation of the provision and learning outcomes for children *assessment of the environment and children's safety * assessment of the support which individual children need and promptly sourcing that support * ensuring appropriate procedures and in place for infection prevention and control This is in order to comply with: Inspection report page 30 of 33

31 The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations SSI 210. Regulation 15 (a)and (b)(i) Staffing. National Care Standards Early Education and Childcare up to the age of 16. Standard 14, Well-Managed Service. This requirement was made on 26 February 2015 Regular monitoring and evaluation now took place. Met - Within Timescales Inspection report 5 What the service has done to meet any recommendations we made at our last inspection Previous recommendations There are no outstanding recommendations. 6 Complaints No complaints have been upheld, or partially upheld, since the last inspection. 7 Enforcements We have taken no enforcement action against this care service since the last inspection. 8 Additional Information There is no additional information. page 31 of 33

32 9 Inspection and grading history Inspection report Date Type Gradings 26 Feb 2015 Unannounced Care and support 4 - Good Environment 3 - Adequate Staffing 4 - Good Management and Leadership 4 - Good 6 Nov 2013 Unannounced Care and support 3 - Adequate Environment 2 - Weak Staffing 3 - Adequate Management and Leadership 3 - Adequate 13 Jun 2013 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 15 Jun 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 3 - Adequate 23 Feb 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 16 Nov 2010 Unannounced Care and support 5 - Very Good Environment Not Assessed Staffing Not Assessed Management and Leadership Not Assessed 4 Mar 2009 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good page 32 of 33

33 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. You can also read more about our work online. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY Other languages and formats This report is available in other languages and formats on request. Inspection report Tha am foillseachadh seo ri fhaighinn ann an cruthannan is c?nain eile ma nithear iarrtas. page 33 of 33