Childminder inspection report. Roach, Jacqueline Livingston

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1 Roach, Jacqueline Livingston Inspection completed on 16 February 2016

2 Service provided by: Roach, Jacqueline Service provider number: SP Care service number: CS Inspection Type: Announced (Short Notice) Care services in Scotland, including childminders, 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 page 2 of 15

3 1 Introduction The Care Inspectorate regulates care services in Scotland. Information in relation to 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 The Care Inspectorate is committed to improving the health and wellbeing of all children receiving a care service. We want to ensure they have the best start in life, are ready to succeed and live longer, healthier lives. We check services are meeting the principles of Getting it Right for Every Child (also known as GIRFEC). Set up by the Scottish Government, GIRFEC is a national approach to working in a consistent way with all children and young people. It 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. GIRFEC 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 GIRFEC. 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. Mrs Jacqueline Roach, referred to as the childminder throughout this report, provides her childminding service from her terraced home in the Craigshill area of Livingston which is close to local amenities. The areas of her home used for childminding purposes are the lounge, kitchen/diner and downstairs toilet. Children have access to a garden at the rear of the property. The childminder is registered to provide a care service to a maximum of six children at any one time under the age of sixteen, of whom no more than three are not yet attending primary school and of whom no more than one is under twelve months. These numbers are inclusive of children of the childminder's family. There is one child registered with the service. They are aged 11 years old and page 3 of 15

4 attend on a part time basis. The minded child was present at the time of the inspection. The childminder's aims for the service include the following: 'I will be committed to childminding and the children in my care. I will share with parents the care and education of the children.' What we did during our inspection We wrote this report following an announced short notice inspection which took place on Tuesday 16 February 2016 between the hours of 10.05am and 11.25am. We gave feedback to the childminder on the day of the inspection. As part of the inspection, we took account of the completed annual return and self assessment forms that we asked the childminder to complete and submit to us. We sent three Care Inspectorate care standards questionnaires to the childminder to distribute to parents. Parents returned on completed questionnaire after the inspection had taken place. During this inspection process, we gathered evidence from various sources, including the following: We looked at: - the childminder's certificate of registration - the minded child's file - risk assessments - the childminder's annual return - the childminder's policies and procedures - medication recording system - accidents/incidents recording system - information for new parents - evidence from the childminder's self assessment - the childminder's questionnaires for parents and children - the resources and environment. We spoke with the childminder and observed her interactions with the minded child present during the inspection. page 4 of 15

5 Views of people using the service The minded child told us about the different activities she does whilst with the childminder and that she felt like a member of the childminder's family. She carried out a baking activity on her own with support from the childminder when needed. She told us how much she enjoyed being with the childminder. Self assessment Every year all care services complete a 'self assessment' telling us how their service is performing. We check to make sure this is accurate. The Care Inspectorate received a fully completed self assessment from the childminder. We were satisfied with the way she completed this and with the relevant information included for each heading we grade services under. What the service did well The childminder offers a service which is caring, nurturing and flexible. She works closely with the family to ensure she has the information required to meet the care needs of the minded child and their family. What the service could do better The childminder should carry out the recommendations and areas for improvement made within this report to help ensure the continual development of her service. She should continue to provide her service which focuses on providing positive outcomes for the children in her care. 2 The grades we awarded We grade the quality of care and support, the quality of the environment and the quality of management and leadership. If the childminder employs an assistant, we also grade the quality of staffing. In each case, we award a grade on a scale from 1 to 6, where 1 is unsatisfactory and 6 is excellent. Quality of care and support Quality of environment Quality of staffing Quality of management and leadership not assessed page 5 of 15

6 3 Quality of care and support Findings from the inspection The childminder told us that she gathered information about minded children when she met with new parents and informed them about her service and the activities she offered. She shared her policies and procedures with them and discussed their care needs and their child's care routines. Parents completed a Scottish Childminding Association (SCMA) 'Information about Minded Child' form with details about their child and other information such as emergency contacts, GP details, their details, dietary requirements and allergies. We discussed with the childminder that she needed to gather more information about the minded children such as their likes, dislikes, interests and their stage of development. We also discussed with her that she was required to update information held about children a minimum of once every six months. We have made a recommendation about this. See Recommendation one. Parents were informed about the childminder's settling in process. She told us that they worked closely with them to ensure their child was happy and settled in her care. Drop off and pick up times were used to share information with parents about their children and to help ensure information was shared between them such as activities, meals and their child's behaviour. It was also a time to share information about any changes within the family or to the child's care needs. The childminder told us that she also used text messaging and phone calls to communicate with parents and to share photographs of the children to their parents by text. The childminder provided snacks for the children which they helped to prepare. She offered them a choice of healthy options such as fresh fruit, salad sandwiches and toasts. The children were given either milk or diluting juice to drink. The childminder had a copy of the new National Health Scotland (NHS) nutritional guidance 'Setting the table' which contains information about meals and snacks for children. A child protection statement was in place which informed parents what the page 6 of 15

7 childminder would do if she had a welfare concern about a child and she had attended child protection training. This helped to ensure children were protected and kept safe from abuse. However, the child protection statement did not contain the contact of the local Social Work Department she would contact if she had a welfare concern. We discussed this with the childminder and she agreed to add this to the statement. We will follow this up at the next inspection. The childminder told us about the ways she shared information with the minded children about how to keep themselves safe and she made them aware of dangers such as traffic and strangers. The childminder told us that she worked with parents on how to deal with challenging behaviour and discussed with them the tactics they use at home. This helped to ensure there was consistency between the service and home. The childminder told us that she used praise to help promote positive behaviour. The childminder was aware of the need to administer medication safely. She used SCMA consent forms for parents to complete and a recording system to record when children were given medication which parents signed. However, she did not have a medication policy to share with parents and inform them that they must give the first dose of any new medication prescribed for their child. We discussed with the childminder that this did not meet with latest guidance and referred her to the document 'Management of medication in daycare of children and childminding services' which can be found on our website We have made a recommendation about this. See Recommendation two. Children were able to choose and suggest activities. The childminder told us that the minded child attending her service liked to be involved in outdoor activities and that they regularly went to the local park. She told us that she set a 'summer challenge' for the minded child which involved her trying different activities such as reading ten books, trying ten different foods or trying ten different sports of their choice. The minded child told us that she enjoyed taking part in the challenges. In the completed Care Inspectorate care standard questionnaire the parent indicated 'agree' to the following statements: page 7 of 15

8 - The childminder asks for your views about how you want your child to be cared for. - The childminder regularly reviews the information they have about my child. - The childminder provides a healthy and well-balanced diet which meets my child's dietary and cultural needs. Parent's written comments included: 'Jacki always keeps me informed on anything to do with (name of child).' '(Name of child) is at an age where she can pick and choose what she wants. Jacki encourages that and always has healthy options.' Grade The quality of care and support is graded Requirements Number of requirements - 0 Recommendations Number of recommendations The childminder should record information on minded children as detailed in the Care Inspectorate 'Records childminding services must keep and guidance on notification reporting'. This information should be reviewed and updated at least once every six months. National Care Standards early education and childcare up to the age of 16 Standard 14: Well-managed service. 2. The childminder should develop a medication policy which includes information for parents that they must give the first dose of any new prescribed medicine. National Care Standards early education and childcare up to the age of 16 Standard 3: Health and well-being page 8 of 15

9 4 Quality of environment Findings from the inspection We looked around the areas of the childminder's home and garden which were used by the minded children. She offered a homely environment for the children attending and it was appropriately heated, lit and ventilated. The areas used for childminding purposes were clean and free of hazards. The childminder carried out daily visual risk assessments before minded children arrived. She also carried out a recorded risk assessment of all the areas used for childminding purposes which she reviewed on an annual basis or when changes were made to her home. The childminder had safety measures in place such as smoke alarms, car seats, safety glass in the shed window and stair gates if needed. This helped to ensure the children were cared for in a safe environment which was well maintained. Children had access to a garden at the rear of the house which allowed them to engage in physical play and be out in the fresh air. The childminder took the children out and about in the local community such as local parks, Almond Dell, Beecraigs Park and Jupiter Artland. To help minimise the spread of infection the childminder ensured children washed their hands after using the toilet and before meals and informed parents about exclusion periods should their child be ill. She told us that she had disposable gloves and aprons which she would use if she had children attending who needed nappies changed. SCMA accidents and incidents forms were used by the childminder to inform parents about what had happened to their child and the actions she had taken. Parents were asked to countersign the form to confirm they had been informed about the accident. In the completed Care Inspectorate care standard questionnaire the parent indicated 'agree' to the following statements: - The childminder's home is a safe, secure, hygienic, smoke free, pleasant and stimulating environment. - There is enough space for the children to play and get involved in a range of activities. page 9 of 15

10 - The childminder provides a suitable range of equipment, toys and materials for the children. - The childminder makes good use of resources in the community, for example the library and parks. Parent's written comments included: 'Jacki has always made her house welcoming for (name of child) with a wide range of toys and they regularly bake cakes.' Grade The quality of environment is graded Requirements Number of requirements - 0 Recommendations Number of recommendations Quality of staffing We only assess this where the childminder employs an assistant. 6 Quality of management and leadership Findings from the inspection The childminder informed us about the ways she kept informed and up to date with best practice and legislation. She was a member of the SCMA and she received their magazine and the Care Inspectorate's Care News which kept her aware of any changes. She also used the internet to research any topic which might be of benefit to her service. The childminder was aware of GIRFEC and had attended a training course. She told us that she attend training regularly through her job at a local school and had recently attended courses on first aid, child protection, food hygiene and page 10 of 15

11 Asthma awareness. This showed her commitment to increase her knowledge in the care of children. The childminder gave parents and children opportunities to be involved in the evaluation of her service. She asked them to complete questionnaires to give their views on different aspects of her service. Parents could speak to her if they had any suggestions or comments about her service. The minded child showed us a booklet she had made with the childminder looking at the SHANARRI indicators and detailing how the childminder met them whilst looking after her. The childminder had a complaints policy which informed parents how she would deal with any concerns they raised. However, the policy did not have the contact for the Care Inspectorate for parents if they wished to raise a concern with us. We discussed this with the childminder and have made a recommendation about it. See Recommendation one. In the completed Care Inspectorate care standard questionnaire the parent indicated 'agree' to the following statements: - The childminder has involved me and my child in developing the service, for example asking for ideas and feedback. - Overall, I am happy with the quality of care my child receives in this service. Parent's written comments included: '(Name of child) had been going to Jacki since she was three years old. She will be twelve this year and will continue to go to Jacki for a long time. She is part of their family. The care that Jacki and her family have given (name of child) over the years is exceptional.' Grade The quality of management and leadership is graded Requirements Number of requirements - 0 page 11 of 15

12 Recommendations Number of recommendations The childminder should review her complaints policy to include the contact details of the Care Inspectorate to allow them to make contact if they wished to raise a concern about her service. National Care Standards early education and childcare up to the age of 16 Standard 14: Well-managed service. 7 What the service has done to meet any recommendations or requirements we made at our last inspection Previous requirements There are no outstanding requirements. Previous recommendations 1. Mrs Roach should develop a system for recording the development of the children in her care and share this information with parents. She should update this information along with the children's records a minimum of every six months. National Care Standards early education and childcare up to the age of 16 Standard 3: Health and wellbeing Standard 6: Support and development. This recommendation was made on 18 November 2011 The childminder has not carried out this recommendation and is reported on under the theme Quality of Care and Support within this report. This recommendation has not been met. page 12 of 15

13 8 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at 9 Enforcements No enforcement action has been taken against this care service since the last inspection 10 Other issues Not applicable. 11 Inspection and grading history Date Type Gradings 21 Mar 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing 3 - Adequate Management and Leadership Not Assessed 7 Mar 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing 1 - Unsatisfactory Management and Leadership Not Assessed 18 Nov 2011 Announced Care and support Environment Not Assessed Staffing page 13 of 15

14 Management and Leadership Not Assessed 13 Jul 2010 Announced (Short Notice) Care and support Environment Staffing Management and Leadership Not Assessed Not Assessed 17 Aug 2009 Announced (Short Notice) Care and support Environment Staffing Management and Leadership Not Assessed 10 Sep 2008 Announced (short notice) Care and support Environment Staffing Management and Leadership page 14 of 15

15 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. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is c?nain eile ma nithear iarrtas. page 15 of 15

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