Angels and Co Day Care of Children St.Clements Church Mastrick Drive Aberdeen AB16 6UF Telephone:

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1 Angels and Co Day Care of Children St.Clements Church Mastrick Drive Aberdeen AB16 6UF Telephone: Inspected by: Marion Sutherland Type of inspection: Unannounced Inspection completed on: 15 January 2013

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 12 4 Other information 24 5 Summary of grades 25 6 Inspection and grading history 25 Service provided by: Angels and Co (Aberdeen) Limited Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Marion Sutherland Telephone enquiries@careinspectorate.com Angels and Co, page 2 of 27

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 5 Very Good Quality of Environment 5 Very Good Quality of Staffing 5 Very Good Quality of Management and Leadership 4 Good What the service does well The service provides a family centred, caring environment for young children. Staff help them to learn to make friends, as well as becoming more independent. The consistent staff group know the children and work with parents to provide a positive experience for the children during their time away from home. What the service could do better The nursery is continuing to work on self evaluation as the basis for making improvements in the service. They also need to ensure that the older children have the chance to explore their interests in more depth and have greater challenge in their learning. What the service has done since the last inspection The service had implemented recommendations from the last report about giving children choices and encouraging their independence. Children were also given more choice about including work in their folders. Conclusion The manager and staff work hard to provide a secure and happy nursery, where parents and children feel welcome and special. The manager and staff are aware of Angels and Co, page 3 of 27

4 the importance of ongoing training to keep practice up to date and work to implement changes in the nursery which they feel will benefit the children. Who did this inspection Marion Sutherland Angels and Co, page 4 of 27

5 1 About the service we inspected Before the 01 April 2011 the service was registered with the Care Commission. On that date the new scrutiny body, the Care Inspectorate, took over the work of the Care Commission, including the registration of care services. This means that from 01 April 2011, this service continued its registration under the Care Inspectorate. The service is currently registered to provide a care service to a maximum of 31 children at any one time. The care service operates between the times of 8.00 am and 6.00 pm and must comply with the following staff : child ratios. Age of Children Ratio Adults : Children 0-2 years 1:3 2-3 years 1:5 3 and over 1:8 2 adults to be on duty at any one time. 25% of the manager's time (or person acting in her absence) shall be supernumerary. The nursery is accommodated in a pre-constructed building composed of approximately eight portacabin sized sections. There is a main playroom, a baby room, a sleep room, staff room, office, kitchen, nappy changing area, three child sized toilets and one adult/disabled toilet. The rooms are of a good size and bright with a lot of windows and natural light. They also have access to the large hall of the adjoining church, which gives ample room for physical play, in addition to an enclosed outside area. The service intends to provide and promote high quality, research based, up to date childcare for the local community. Aims and Objectives state:- - To provide a high quality, sustainable and safe day care facility. - To provide affordable accessible childcare for families by offering flexibility in the service we aim to deliver. - To contribute to the local economy by providing opportunities for parents to gain access to education, training and employment. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 5 - Very Good Quality of Environment - Grade 5 - Very Good Angels and Co, page 5 of 27

6 Quality of Staffing - Grade 5 - Very Good Quality of Management and Leadership - Grade 4 - Good Inspection report continued 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. Angels and Co, page 6 of 27

7 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection This report was written following an unannounced inspection by Marion Sutherland from the Care Inspectorate, which took place between approximately 9.00 am and 4.30 pm on 15 January Feedback was given to the manager at the end of the inspection. As requested by us, the care service completed an annual return. The service also completed a self assessment form. We issued 25 care standards questionnaires to parent/carers, 14 of which were completed and returned to us before the inspection took place. In this inspection we gathered evidence from various sources, including the relevant sections of policies, records and other documents, including: Aims & objectives Registration certificate Annual return Self assessment Child protection policy Health and safety policy Risk assessments Staff CPD files Infection control policy Medication policy Written information to parent/carers Returned completed care standards questionnaires from parents/carers Children's folders Planning and evaluation records Photographs Newsletters Angels and Co, page 7 of 27

8 - Observation of staff working with the children. - Observation of the premises. Inspection report continued 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. 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 Angels and Co, page 8 of 27

9 What the service has done to meet any requirements we made at our last inspection The requirement Staffing ratios must comply with the Certificate of Registration at all times. The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011, No 210: 4(1)(a) - Requirements to make proper provision for health and welfare of service users. Timescale : immediate. What the service did to meet the requirement Staff rotas always ensure there are sufficient staff on duty to meet with the Certificate of Registration. The requirement is: Met What the service has done to meet any recommendations we made at our last inspection The range of age appropriate activities accessible to the children should be increased - The range of accessible resources had been improved but there was still work to improve the resources accessible to the older children. Staff were working at making observations more focused and purposeful and involving children more in their learning journeys. 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 Angels and Co, page 9 of 27

10 Comments on Self Assessment Inspection report continued 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 self assessment had been completed very thoroughly showing areas of good practice and areas where the nursery was working on improvements and changes in the light of recent research. Taking the views of people using the care service into account The children in the nursery were all seen to be engaged with the activities on offer and to relate well to the staff. The children who were chatted to were happy to be at nursery with their friends and were pleased to show their activities and achievements, as well as make visitors a 'cup of tea' in the play house. The children who were out playing in the snow had a great time making snow angels and snowmen. Taking carers' views into account Fourteen Care Standards Questionnaires (CSQs) were returned out of 25 which were sent. Thirteen strongly agreed and one agreed that 'Overall, I am happy with the quality of care my child receives in this service'. Parents all agreed or strongly agreed that 'Staff regularly assess my child's learning and development and use this to plan their next steps' and 'My child can experience and choose from a balanced range of activities'. Thirteen agreed or strongly agreed that 'Staff share information about my child's learning and development with me and, where appropriate, my child', although one disagreed. They also agreed or strongly agreed that 'The staff encourage my child to form positive relationships with other children' and 'The service has a clear code of behaviour for children, and works with the children to make sure they understand it' apart from one who did not know about the code of behaviour. Parental comments included: - 'Very pleased with service provided by the staff.' - 'Just like a second home for my children. It's fantastic.' - 'My son is always happy when I go to collect him at the end of the day. I am very happy that the staff take good care of him and make sure he has an enjoyable day learning and playing.' - 'My son is happy at Angel's. He is always happy to attend. The staff are always professional and helpful. He has developed and learned a lot whilst attending. I would recommend this nursery.' Angels and Co, page 10 of 27

11 - 'My child has been attending Angels for a year now, and I am very happy how confident and independent my child is since last year. Thank you to all the staff in Angels.' - 'My daughter has now settled into school confidently and I know this is due to the staff at Angels teaching her life skills and I am so very pleased I chose this nursery.' - 'Angels and Co was a very positive, safe and loving environment for my daughter to develop in over the last 2 1/2 years. I have never had one single doubt about their care level the whole time she was with them.' Angels and Co, page 11 of 27

12 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: 5 - Very 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 We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence including parental questionnaires and made observations at the nursery. The nursery staff were seen to involve children with making choices throughout the day. There was free play when the children arrived, followed by circle time when the children were given the opportunity to choose which activities they would like to take part in. Children had opportunities to join in with mind mapping as they developed themes and ideas. They were helped to make choices by having photo resource books so that children could make choices even if they were reluctant, or unable, to say what they wanted to play with. The children were seen to be free to move between activities and staff were responsive to their requests for materials or activities. Children were able to work together or individually and discuss ideas with staff either as part of a group, or on a one to one basis. The children's folders showed that staff observed and recorded children's development and their responses to the activities which were organised and offered. Parents were able to discuss their children with staff, as well as any ideas they had about the nursery, at a variety of times. When parents brought and collected their children they were greeted by the staff and given time to talk about their day and what was planned, or what activities the children had enjoyed. The manager said that parents were always welcome to stay and see their child settled with activities and to look at the children's work. Angels and Co, page 12 of 27

13 The manager had an open door policy and had drop in surgeries for parents with dates displayed on a monthly basis. She found this was especially useful for parents who did not find a fixed appointment time convenient. She also felt that it was important that she was present in the playroom when the majority of parents were arriving or leaving with children. Parents and grandparents were welcomed, and there was a poster inviting them to stay for story time, sticky kids exercise time or whatever activity they wished to join in with. There were also six monthly open evenings when parents were invited to come and review their child's development file and see the work of the nursery. The management of the nursery had a very positive and proactive approach to parental involvement and there were policies and procedures in place which reflected this commitment to a meaningful partnership and communication with parents/ carers and children. The nursery had tried to form a Parent's Committee but parents had been reluctant to become involved at this time. Newsletters were issued regularly to parents to keep them up to date with topics such as staff information, training, open events and nursery policies and procedures. These were ed to most parents, though paper copies were available for parents who preferred that format. They reminded parents of the open door policy and asked parents to update the nursery on children's activities outside the nursery. Also to comment on achievements, events or ideas that parents wanted the nursery to incorporate into the nursery day. Parents had been welcomed and encouraged to join in with the Christmas carols which had been held all week before Christmas to allow parents to attend on whichever day suited them. There was a suggestion box for parents and questionnaires were issued on a number of topics throughout the year. The manager stated that they addressed any action points that came from the questionnaires and felt it was important to get feedback from parents to help assess how the nursery was performing. The menus were now displayed in response to a suggestion from a parent. Nursery policies were available for parents. There was a whiteboard which was used by staff to let parents know what had been happening that day and daily diaries were available for the children up until they were two. Of the 14 parents who returned the care standards questionnaires, seven of them strongly agreed and four agreed that 'The service has involved me and my child in developing the service, for example asking for ideas and feedback'. Three parents felt it was not applicable. Angels and Co, page 13 of 27

14 Thirteen parents agreed or strongly agreed that 'The staff ask for my child's views about the activities and outings and use them to plan future activities' and one did not know. All parents agreed or strongly agreed that 'I am kept informed about what is happening in the service, for example through newsletters and information boards'. Areas for improvement The mind mapping for children could be further developed by using a larger format which would enable the children to write or draw on the paper, with staff scribing their ideas to accompany their drawings. These can then be further developed in floor books with photos, art work and ideas as children work through a theme or interest. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. In their self assessment, the nursery stated that 'we promote our children's health and well-being at all times' and 'staff are trained and systems are in place to ensure we meet the holistic needs' of the children. The nursery gathered and recorded information on children's health and support needs. As well as details of their family, likes/dislikes, pets, how they expressed their feelings, toilet training and other routines. Parents and children were given opportunities to have an extended transition/settling in period and the number of visits depended on the children and how easily they settled within the nursery. Staff discussed the ways in which they tried to assess the children's emotional, social and personal needs through observation and conversation with parents and children. They were seen to offer appropriate comfort and support when the children were upset or sad and to be positive about achievements. The staff team were seen to encourage the children to respect their peers, share toys and care for each other. The older children were allowed to visit the babies and toddlers in their room and to enjoy playing with them and learning about their needs. The younger children were in the main room for lunch and the older children obviously enjoyed interacting with them. Staff gave examples of how they tried to teach children about healthy food through a variety of discussion and interaction. The children were shown and given Angels and Co, page 14 of 27

15 opportunities to try various fruit and vegetables, as well as looking at posters, magazines and books and talking about different kinds of fruit and vegetables. There were photos of the visit children had made to the local shop to purchase fruit and vegetables. The children were able to make choices and were advised by staff about what food is healthy and what should only be consumed on special occasions or in small amounts. The nursery was part of the national toothbrushing scheme and procedures were in line with national guidance. Lunch and snack menus were discussed with the children, to identify any likes or dislikes and where needed to implement changes to snack or lunch menus. Questionnaires were sent home for children and parents to complete with favourite food choices. The nursery recorded any allergies and records were kept available for staff in the kitchen and playroom. The children were seen to be able to have a rest or a sleep when required throughout the day. The nursery had cots and sleep pads in a sleeping room where the room temperature was controlled. Staff checked the sleeping children regularly, recording sleep checks and the length of the child's rest or sleep. Each child had fresh bedding stored in a separate bag with their name on it to prevent cross infection. Younger children were changed regularly in the nappy changing room and suitable protective clothing was provided and used by staff. Nappy changes were recorded and there were toileting charts for children who were being toilet trained. Younger children's fluid consumption was also monitored and any concerns passed onto parents. The older children were seen to have opportunities for going out in the garden area in the snow, which they very much enjoyed. The children were also able to use the adjoining church hall for physical play and were seen to make the most of the space with bikes, cars, scooters and balls. There were also art activities available for the children in the hall if they needed a change of pace. There were child protection policies in place and staff were trained to identify and if necessary instigate child protection procedures with the appropriate authorities. The manager regular liaised with the Joint Protection Team for advice and to discuss concerns. One parent commented on how well the nursery had dealt with an incident of biting involving her child, putting in place protection and reassurance measures while maintaining the confidentiality of the other child. Staff had first aid training and there were policies and procedures for the administration of medication. Medication records were maintained by staff and shared with parents, as were accident and incident reports. Angels and Co, page 15 of 27

16 Infection control policies and procedures were in place to limit the spread of infections and staff were aware of the need for hand washing for themselves, as well as the children. All staff who worked with food had food hygiene training. There was a housekeeper who prepared meals and any staff who were going to be in the kitchen did not take part in nappy changing on the same day. The nursery gave examples of when it had liaised with outside agencies such as the health visitor and the social work department, as well as accessing speech and language therapy for a child following discussion with the family. Areas for improvement To ensure that children get regular opportunities to explore more aspects of the curriculum outside, as well as having physical play. The older children still need more consistent opportunities to explore aspects of the curriculum and develop themes and activities in more depth. The open plan nature of the nursery can make it more difficult for them to access age appropriate activities, including books throughout the session and staff to date have implemented segregation and splitting age groups to meet the needs of the older children. However, they need to continue to consider ways in which this can be achieved. See Recommendation 1. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 1 Recommendations Inspection report continued 1. To ensure that the children all have activities which allow them to explore and learn about themes and ideas in depth, in a way which will challenge them and assist their learning and development. National Care Standards Early Education and Childcare up to the age of 16 Standard 5: Quality of Experience. Angels and Co, page 16 of 27

17 Quality Theme 2: Quality of Environment Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths See Quality Theme 1, Quality Statement 1. Children's interests were able to influence the use of areas within the nursery. Areas for improvement As above. Continue to ensure parents have the opportunity comment on the environment. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 2 We make sure that the environment is safe and service users are protected. Service strengths We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. The nursery building was four years old and in a good state of repair. There was a safe entry system so that the door was only opened by staff members. There was a cloakroom area at the entrance so that coats and bags were safely stored and children changed into indoor shoes. The building had heating/air conditioning units to keep the temperature at a fixed level and there were thermometers so that staff could check that the temperature was suitable. Water heating was also thermostatically controlled. Windows were only able to open three inches without staff using an override mechanism, and this was only done on the windows which the children could not access. Angels and Co, page 17 of 27

18 The building had appropriate fire system which was passed by Grampian Fire Brigade and regular fire drills were held. There was a maintenance contract to ensure fire warning and management system was in good condition. The building had regular visits from the Environmental Health department, the latest on 09 January The manager was asked to check that her cleaning materials met the appropriate standards, which she had done. Staff were aware of who to report any faults or breakages to and the manager then instigated repairs or replacements. Risk assessments were carried out for nursery activities and outings using the Five Steps to Risk Assessment produced by the Health and Safety Executive. The nursery had a copy of the latest guidance on Infection Prevention and Control in Childcare settings and staff were aware of infection control procedures. Waste products were removed from the nursery at least twice a day to the outside bins, which are stored outwith the garden area. The nursery was cleaned regularly but a major clean was done by staff on a monthly basis using a steam cleaner. The inside of the nursery was bright and decorated with examples of the children's art work, as well as information and posters. Information for parents was at the entrance. Furnishings were suitable for young children and there was a range of toys and books that the children could choose from. The outside area was fenced and gated and staff checked the area before the children were taken out to play. The nursery had two walkadiles which they used when they were going on outings with the older children. There were buggies for taking the younger children out. The nursery manager and staff were aware of the difficulty of trying to provide challenge for the older children within an open play area and tried to make opportunities to divide the group, with younger children outside or in the hall, to allow the older children to work more intensively on exploring themes or ideas which interested them. Areas for improvement To ensure that the guidelines in the Infection Prevention and Control in Childcare settings are followed with regard to limiting the use of antibacterial sprays in the playroom. This is especially important when children are in the vicinity and may inhale these sprays. Cleaning of many nursery items can be done with detergents to prevent the build up of resistance to antibacterial products, which should be restricted to kitchens and toilets. Angels and Co, page 18 of 27

19 Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Angels and Co, page 19 of 27

20 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. Parents were able to see the recruitment policy, as well as the qualifications of the staff team. Two thirds of the nursery team were qualified practitioners at the present time. The staff all wore name badges to ensure parents knew who they were talking to and parents have reported that they find this very helpful. Areas for improvement The manager was planning to try and interest parents in a parent forum, which she would be able to consult with over recruitment and training issues. Grade awarded for this statement: 5 - Very Good Number of recommendations: 0 Number of requirements: 0 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. The staff who were interviewed were all very motivated and were either qualified or keen to start their training. Eight of the staff had SVQ 3 and one was about to start her training. The assistant manager had Level 4 and had commenced her Level 9 in Childcare and the manager was undertaking her BA in Childhood Practice. The Angels and Co, page 20 of 27

21 manager and assistant manager had undertaken multi agency training in child protection. All the staff had files identifying their qualifications with copies of certificates and a training needs and appraisal forms. Staff were all encouraged to identify courses put on by the Early Years and Education team at Aberdeen City Council which would compliment their personal skills, as well as keep core training up to date. Staff were aware of the need for continuous professional development as part of their registration with Scottish Social Services Council (SSSC). The baby room had dedicated staff who had experience in working with the under twos and was aware of the pre-birth to Three framework. Staff training would be relevant to the age group they were working with and would keep them up to date with recent research. The nursery staff were aware of the SSSC Codes of Practice and the National Care Standards. They attended regular workshops within the nursery to cover areas such as the Curriculum for Excellence and play theories and theorists. All training was recorded whether it was in-house or at external courses. The manager monitored the staff training needs to ensure that the children were benefiting from the most recent research about education and childcare. All parents who had completed the care standards questionnaires strongly agreed or agreed that 'My child appears happy and confident with the staff' and 'I am confident that the staff will protect my child from harm, abuse, bully and neglect'. Parents also agreed or strongly agreed with the statement 'I am confident that staff have the skills and experience to care for my child and support their learning and development'. Areas for improvement The manager was working with staff in monthly workshops to improve their self evaluation and assessment of practice within the nursery. Staff should continue to update their knowledge through accessing a range of training opportunities both in-house, online and professional courses. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Angels and Co, page 21 of 27

22 Quality Theme 4: Quality of Management and Leadership 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 management and leadership of the service. Service strengths We found this service was performing very well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. The manager issued regular questionnaires to parents and then audited the responses and where possible implemented any suggestions from parents. She also had regular formal and informal meetings with parents to gain their views on all aspects of the nursery. For additional evidence see Quality Theme 1, Quality Statement 1. Areas for improvement The manager was planning to continue to encourage parents to join a parents forum which would have input into all areas of the running of the nursery. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 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 We found this service was performing well in the areas covered by this Quality Statement. We concluded this after we spoke to the manager and staff, saw written evidence and made observations at the nursery. The nursery used the Child at the Centre as the basis for their self evaluation, along with the quality themes and statements used by the Care Inspectorate. The self Angels and Co, page 22 of 27

23 assessment which had been completed for the Care Inspectorate took into account recommendations from the last inspection report. The nursery management team was aware of the Getting it Right for Every Child model in assessing the quality of the service it provided. They also had documentation on Assessment is for Learning from Education Scotland, which they were using to try and assist with assessing children's progress. Staff were involved in regular staff meetings and able to contribute to the agenda. They were also expected to contribute to evaluations of their own performance and that of their team. The manager had completed a development plan to identify her own strengths and weakness and was planning to attend seminars and courses, as well as undertake private reading which would assist in her management of the nursery team. Questionnaires to parents were audited and responded to, with suggestions put into effect whenever possible. The nursery had asked for feedback from the schools they worked with at transition time as the children moved up to primary one. Areas for improvement The nursery was considering developing a website which would help to share information with parents. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Angels and Co, page 23 of 27

24 4 Other information Complaints No complaints have been upheld, or partially upheld, since the last inspection. Enforcements We have taken no enforcement action against this care service since the last inspection. Additional Information Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Angels and Co, page 24 of 27

25 5 Summary of grades Quality of Care and Support Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Environment Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Staffing Very Good Statement 1 Statement Very Good 5 - Very Good Quality of Management and Leadership Good Statement 1 Statement Very Good 4 - Good 6 Inspection and grading history Date Type Gradings 25 Oct 2011 Unannounced Care and support 4 - Good Environment 4 - Good Staffing Not Assessed Management and Leadership Not Assessed 23 Sep 2010 Unannounced Care and support 4 - Good Environment Not Assessed Staffing 4 - Good Management and Leadership Not Assessed 18 Sep 2009 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good Angels and Co, page 25 of 27

26 All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Angels and Co, page 26 of 27

27 To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: or by telephoning Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: enquiries@careinspectorate.com Web: Angels and Co, page 27 of 27