Care service inspection report

Transcription

1 Care service inspection report Full inspection Dalry Out Of School Care Day Care of Children Dalry Community Centre St. Margaret's Avenue Dalry Inspection completed on 20 April 2016

2 Service provided by: The Committee of Dalry Out Of School Care 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 Inspection report page 2 of 35

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 Good Quality of environment 4 Good Quality of staffing 3 Adequate Quality of management and leadership 3 Adequate What the service does well Children are happy and enthusiastic and can choose what they want to do. Staff are committed to service development and improvement. Parents are happy with the service provided for their children. What the service could do better We have made two requirements and two recommendations within this report that the service provider and staff need to take action to remedy. The service will send us an action plan detailing their plans to address these matters. What the service has done since the last inspection The service has: Taken action on and met some of the requirements and recommendations contained in the previous report. page 3 of 35

4 Reviewed and updated children's information. Begun to complete personal plans for some children. Reinstated management/staff meetings. Conclusion The management committee, service manager, staff and volunteer helper are approachable and have established friendly working relationships with the children and their families. Children enjoy coming to the service and meeting up with their friends. The management committee and staff need to continue with their improvement agenda to further enhance service development and to improve outcomes for children. page 4 of 35

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 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 and healthier lives. 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 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. From April 2016 we will carry out a quality audit to gather information relating to 'How Good is Our School Aged Childcare?' The audit will focus on the quality of children and young people's play experiences and how their rights to play and have fun are promoted and protected. The 'Getting it Right for Every Child' (GIRFEC) framework - SHANARRI, Playwork Principles and Article 31 will underpin a list of outcome-focused questions developed for inspectors to work from when inspecting. page 5 of 35

6 The information gathered will form the basis of an end of year report 2017, along with information on service demand for school aged childcare throughout Scotland. Further information can be found at The Hub at Dalry Out of School Care is a voluntary parent committee run, daycare of children service based within a community centre in the town of Dalry. The service is within walking distance of local schools, shops and bus routes. The service operates during school term time and school holiday times depending on demand. Dalry Out of School Care is registered to provide for up to a maximum of 32 primary school age children after school hours and a maximum number of 16 primary school age children, at the before school breakfast club. There are currently 69 children enrolled in the service. Attendance numbers at our inspection were as follows: 19 April Breakfast Club = Eight children 19 April After School club = 15 children 20 April After School Club = 24 children Dalry Out of School Care's mission statement has incorporated the GIRFEC wellbeing indicators to support children attending the service. The service aims to provide a service in a safe, happy and comfortable environment with an emphasis on the social and educational welfare of each child. 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 page 6 of 35

7 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: Quality of care and support - Grade 4 - Good Quality of environment - Grade 4 - Good Quality of staffing - Grade 3 - Adequate Quality of management and leadership - Grade 3 - Adequate 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 35

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 wrote this report following an unannounced inspection. The inspection took place between the times of 7:50am and 9:10am and 2:30pm and 5:45pm on Tuesday 19 April We returned the following day Wednesday 20 April 2016 to complete the inspection process and to feedback to the service manager on our findings. As part of the inspection we took account of the completed annual return and self assessment forms that we asked the provider to complete and submit to us. We sent 20 care standards questionnaires to the manager to distribute to parents/carers. Five questionnaires were completed and returned to us before the inspection took place. During the inspection process, we gathered evidence from various sources, including the following: We spoke with: - Children as they played - The service manager - A staff member - A volunteer helper - Six parents/carers - The centre caretaker. page 8 of 35

9 We looked at: - Attendance registers - Returned children's questionnaires - Children's enrolment forms - Personal plans for 12 children - Children's snack suggestions - Risk assessments - Newly constructed blank appraisal form - Minutes of management committee/staff meetings - Photographs - Observing children at play - Insurance certificate. 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 page 9 of 35

10 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 Inspection report page 10 of 35

11 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 Care Inspectorate received a fully completed self assessment document from the provider. We were satisfied with the way the provider had completed this and with the relevant information included for each heading that we grade services under. The provider identified what it thought the service did well, some areas for development and any changes it had planned. The provider told us how the people who used the care service had taken part in the self assessment process. We used the information contained in this document, along with the previous inspection report to focus on areas for this inspection. Taking the views of people using the care service into account We spoke with approximately ten children attending the service over the two inspection days. They told us about the things they liked to do, most children preferred to play outdoors. They also told us that: "Staff were cool." and that "They look after you." We observed a happy, cheerful, busily engaged group of children enjoying playing with their friends. page 11 of 35

12 All children attending were content and relaxed in their interactions with staff and their peers. Taking carers' views into account Twenty care standards questionnaires were sent to the manager to distribute to parents/carers. Five were completed and returned to us. Of these, two respondents had recorded further comments. In addition we spoke with six parents/carers at inspection. All feedback indicated that respondents were happy with all aspects of the service. They told us: "Staff are approachable and make parents feel involved." "Has recommended group to other parents." "Often child does not want to leave." Further respondent comments are included within this report. page 12 of 35

13 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 We looked at this statement to assess how children and their families were involved in developing and improving the service. We found the service performance for this quality statement to be 4 - Good. We reached this decision through observation, looking at returned questionnaires and by speaking with parents/carers and staff. We observed staff chatting with parents/carers at the beginning and end of the day. It was evident to us that staff knew families well and that friendly, informal working relationships had been established. This had created a quick and simple process to share information. Parents who spoke with us told us that they were happy with all aspects of the service and would be confident in raising any matters with staff. Some comments included: "Happy with all aspects. Staff know child, good with him and give him space as needed." "Staff are approachable, friendly and pass on information from both school and service." "Staff engage with parents, verbally, by text and by phone." "Staff ask for views at pick-up time." page 13 of 35

14 Comments from our questionnaire returns further supported the above, including: "The staff are lovely and if you have any questions they are always there to give you an answer." We also took account of the six children's questionnaires returned in October These indicated that children were happy and enjoyed their time in the service. Children's comments included: "I'm really happy." "I like playing with friends." "I like meeting new friends." Areas for improvement Staff should continue with their plans to support further inclusion; including reestablishing the children's committee and introducing a question of the month for parents. Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 page 14 of 35

15 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 looked at this statement to evaluate how children were included, respected, achieving, nurtured and supported to be responsible. We found the service's performance to be 4 - Good in the areas sampled for this quality statement. We concluded this through observations, discussion with children, staff and parents/carers and by looking at children's records. We observed a contented, busy group of children who were fully engaged in their chosen activities. Children enjoyed good relationships with each other and with staff. Children confidently interacted with the inspecting officer and were happy to chat to us. They made their own play choices, independently selecting their resources and play materials. Most children preferred to play outdoors. This told us that children felt secure in making their own decisions, confident that their views would be respected. Children attending breakfast club had a choice of cereal or toast with drinks of water, milk or juice available throughout the morning. All eight breakfast club children ate breakfast at the club. Children were happy to meet up with their friends before school. Some chatted to us about what they liked at the club. Particularly the morning exercise session and the outdoor play on the bikes and scooters after school. Staff knew children well, they could tell us what they liked to do and who they liked to play with. They knew who liked to have a quiet time and who would engage in more energetic play. Parents/carers who spoke with us told us: "Child is happy at the service, has plenty of space to play and is given choice." "Boys love coming." "Child knows her own mind and is happy at the service." "My son always comes out with a smile." page 15 of 35

16 Since last inspection staff had updated and reviewed children's enrolment forms to ensure that the information they held was accurate. They had also gathered information from parents and children about what was important to them and had begun to make use of this to complete personal plans for some children. This process supported family inclusion in their child's personal plan. Areas for improvement Staff now need to complete personal plans for all children attending the service. Plans should include children's next steps developmental targets and detail the review timescale and process. Staff could also make better use of the GIRFEC well-being indicators in the development of children's personal planning. (See recommendation 1 for Quality Theme 1, Statement 2.) Grade 4 - Good Number of requirements - 0 Recommendations Number of recommendations Staff now need to establish personal plans for all children in their care. Plans should clearly detail how the service will provide for children's health, welfare and safety needs and should include, agreed next steps targets and a review process. National Care Standards for Early Education and Childcare Up to the age of 16. Standard 6: Support and Development. page 16 of 35

17 Quality Theme 2: Quality of Environment Grade awarded for this theme: 4 - Good Statement 2 We make sure that the environment is safe and service users are protected. Service Strengths We looked at this statement to assess how the environment supports the safety of the children. The grade achieved on the evidence sampled was 4 - Good. We reached this decision through observations and discussions with staff and parents/carers and after we looked at environmental risk assessments, and the indoor and outdoor areas used by the children. Access to the service is suitable for all users. The premises benefits from CCTV coverage of external areas and alarm buzzers on external doors. A Community Centre Caretaker is present on the premises while the service is in operation. The building is well maintained and in a good state of repair. Attendance registers are marked up by staff as children arrive and parents sign their children out of the service and record their departure time at the end of the day. This means that staff can monitor who is in the building at all times. The service has the use of a large sports hall for more energetic play and a smaller lounge for quieter activities. We observed as children moved freely between areas. Children also have direct access to an enclosed, well organised and exciting outdoor play area. Indoor service resources are conveniently stored in a large walk-in cupboard to the rear of the hall and outdoor resources are stored in a locked outdoor container. We observed as children independently accessed the toys and resources they wanted to play with. page 17 of 35

18 Comprehensive; resource, environmental, outdoor and food preparation risk assessments had been completed following guidance provided at the previous inspection. Areas for improvement We have asked staff to complete a risk assessment for other centre users and also to liaise with the caretaker to ensure that visitors to the service sign the visitors' book. Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 Inspection report page 18 of 35

19 Statement 3 The environment allows service users to have as positive a quality of life as possible. Service Strengths We looked at this statement to assess how the environment supports positive outcomes for children. We found the service's performance to be 4 - Good in the areas sampled for this statement. We concluded this focusing on how children and staff used the space and resources available. On arrival at the centre, after school children sat together for snack before going off to choose what they wanted to do. This offered them a relaxing, sociable experience to meet up with and chat with friends from their own and from another local school. We observed that children were active in their learning and enjoyed using the equipment and resources available. Outdoor play was popular on both inspection days, with children climbing trees, jumping off tyres, crawling through the large tunnel and participating in organised bike and scooter races. A few children preferred to spend some time indoors, playing table tennis, with others watching the game while waiting for their turn. Some girls and a few boys had lots of fun with the dressing up costumes. Some were dressed as characters from shows, including; cats, court jesters, Charlie Chaplin, and lots more. Children were clearly having lots of fun and were keen to show us how they looked their costumes. The few children who remained at the end of the day helped staff to tidy away the toys and equipment before home time and staff rewarded them for their help. This told children that staff appreciated their help. Opportunities were provided for children; parents/carers and staff to join in with other centre and community initiatives. Several parents told us about their involvement in fundraising activities and events. These included; raffles, home baking, parties, summer gala days and Christmas fairs. page 19 of 35

20 Parents felt that there were plenty of activities for their children to choose from. They told us: "Great service plenty of toys." "Good after school club, well organised, provides a healthy snack and has good outside space." Areas for improvement Staff should continue to consult with children and families on future service developments and improvements. Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 page 20 of 35

21 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 3 - Adequate Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service Strengths We chose this statement to assess how children and families engagement with staff supported service development and improvement. We found the service's performance to be 4 - Good in the areas sampled for this quality statement. We concluded this through observation and discussions with children, parents/ carers and staff. Please also see information contained in Quality Theme 1, Statement 1. Children were fond of the staff team. They had recorded positive comments on staff members through both their questionnaire returns and in their personal plans, for example; "Love Diane and Gill." They had also written that "the ladies" were important to them. Children who spoke with us told us that the staff were "great", "they were fair" and "they were kind." They also gave us a "thumbs up" to record their views on the staff team. This told us that children enjoyed good relationships with staff. We observed children inviting a staff member to join in with their morning exercise session and appreciating her participation and the helpful suggestions she made to them to try different techniques. Parents/carers also regarded staff highly and felt included and involved in their children's care. They told us: "They enjoy good relationships and feel confident in staff." "Friendly staff, they do a good job and the kids love it." page 21 of 35

22 "The staff are extremely kind to all the children." "Staff are helpful and friendly and are happy to talk to you." Areas for improvement Staff should continue to work with children and families in improving and developing the service. Please also see Quality Theme 1, Statement 1. Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 page 22 of 35

23 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service Strengths We chose this statement to assess how staff member's professional development supported their daily working practices in providing positive outcomes for children and families. We found the service's performance to be 3 - Adequate in the areas sampled for this quality statement. We concluded this through observation and discussions with parents/carers and staff. The service benefits from having a consistent staff team who work well together to support the children in their care. It was evident that children felt at ease in their interactions with staff. Core staff members are registered with the Scottish Social Services Council (SSSC) and are qualified to Scottish Vocational Qualification (SVQ) level 3 in playwork. The manager told us that she was planning to undertake further training to meet the management qualification criteria set by the SSSC. Since last inspection staff had made use of the internet to gather information on the GIRFEC well-being indicators and had used these as the basis of their mission statement. The service is a member of the Scottish Out of School Care Network (SOSCN) and receives information through their publications. The manager told us that she was planning to make use of their self-study facility to help her in managing the service. She also told us that she would be attending a first aid training course later this week. Processes were in place to ensure that correct staffing levels were maintained. A volunteer helps out in the service on busier days. She was working during both inspection days. She undertook her duties as part of the team and children were familiar and relaxed in their interactions with her. The manager had sourced a child protection committee self-study pack for the volunteer to complete. page 23 of 35

24 Areas for improvement The volunteer helper has been working in the service on a regular basis for some time however no checks or references had been requested to confirm fitness. The service provider must ensure that robust recruitment procedures are in place. (See requirement 1 for Quality Theme 3, Statement 3.) Although staff discussed with us their plans to attend training sessions or to complete on-line self-study modules, they had not done any of this since last inspection. Staff would benefit from accessing training to support their understanding of national guidance and to keep up to date with best practice guidance. (See recommendation 1 for Quality Theme 3, Statement 3. Grade 3 - Adequate Requirements Number of requirements The service provider must ensure that robust recruitment procedures are in place to assess an applicant's fitness to work in the service. This must ensure that all necessary background checks and references are completed prior to commencing work. This is to comply with SSI: 2011/210 Regulation 9 (1) Fitness of employees. A provider shall not employ any person in the provision of a care service unless that person is fit to be so employed. Timescale for compliance is 14 days from the date of this report. Inspection report Recommendations Number of recommendations Staff should take measures to keep their skills and knowledge updated and to support their understanding of national and best practice guidance. National Care Standards for Early Education and Childcare Up to the age of 16 - Standard 12: Confidence in Staff. page 24 of 35

25 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 3 - Adequate Statement 3 To encourage good quality care, we promote leadership values throughout the workforce. Service Strengths We looked at this statement to assess how staff took lead roles to support positive outcomes for children. We found the service's performance to be 3 - Adequate in the areas sampled for this statement. We reached this decision through observations of staff working with the children, discussions with staff and by looking at minutes of management/staff meetings. We found that the staff members and volunteer worked well together supported each other in their work and shared in all tasks. Minutes of management committee/staff meetings detailed individual staff members agreeing to take on responsibility for organising different aspects of fundraising, for example; raffle, baking, poster displays and buying gifts. The service manager showed us an appraisal form that had been constructed to help staff to identify their strengths, areas for improvement and to further develop their particular interests. She told us that she planned to initiate this process with staff and to evaluate the effectiveness. Areas for improvement The manager should proceed with her plans to introduce a staff appraisal system to support staff and service improvement and enable staff to consider their future professional development aims. page 25 of 35

26 We also felt that management/staff meetings could be further developed to provide opportunities whereby all parties could discuss and put forward ideas to promote service developments and improvements and to allow staff to develop areas of interest. Grade 3 - Adequate Number of requirements - 0 Number of recommendations - 0 page 26 of 35

27 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 looked at this statement to assess how well quality assurance systems were working and the impact these had on the quality of the service. We found the service's performance for this quality statement to be 3 - Adequate. We reached this decision following discussion with parents/carers and staff and after we looked at management/staff meetings. Staff had made good progress on meeting some of the requirements and recommendations contained in the previous report. They had also reviewed and had more systematically organised children's records and information. This told us that the service used inspection guidance to good effect to make improvements. Since last inspection, bi-monthly management/staff meetings had been reinstated. These were mainly used to promote fundraising, but nevertheless the result was that management and staff were meeting together regularly. They are therefore well placed to further expand their meeting topics to look at service progress and development. The manager and staff member told us that they informally evaluate on a regular basis to reflect on performance and to focus on areas for development. Together they had completed our self assessment document looking at what they thought they did well and identifying where they could improve. They told us that as they work together on a daily basis, they found daily informal discussions to be more productive. Areas for improvement We have received no management committee member notifications for several years and have therefore have not carried out any fitness checks on the service provider. (See requirement 1 Quality Theme 4, Statement 4.) page 27 of 35

28 We felt that staff and management could make better use of their bi-monthly meetings to monitor service development and to provide support for the staff team. Grade 3 - Adequate Requirements Number of requirements It is a requirement that providers must notify the Care Inspectorate immediately of changes to relevant individuals, including membership of committees or associations. This is to comply with SSI: 2011/28 Regulation 4, - (1) (b) any matters the provider must notify from time to time to SCSWIS whilst the care service is registered. Also detailed in "Records that all registered care services (except childminding) must keep and guidance on notification reporting V3." Timescale for compliance is immediately on receipt of this report. Number of recommendations - 0 page 28 of 35

29 4 What the service has done to meet any requirements we made at our last inspection Previous requirements 1. Staff must keep an accurate record of numbers of children attending the service. This is to comply with SSI/2011: 210 Regulation 4 (1) (a). Welfare of users. A provider must make proper provision for the health, welfare and safety of service users. Timescales for compliance is immediately. This requirement was made on 22 October 2015 Satisfactory processes had been put in place to keep an accurate record of children attending. Please see Quality Theme 2, Statement 2. Met - Within Timescales 2. The service provider must maintain correct staffing levels at all times. This is to comply with SSI: 2011/210 Regulation 4 (1) (a) - Welfare of users. A requirement that a provider must make proper provision for the health, welfare and safety of service users. Timescale for compliance is immediately on receipt of this report. This requirement was made on 22 October 2015 Correct staffing levels were in place. Please see Quality Theme 3, Statement 3. Met - Within Timescales 3. The service provider must ensure that robust recruitment procedures are in place to assess an applicant's fitness to work in the service. page 29 of 35

30 This must ensure that all necessary background checks and references are completed prior to commencing work. This is to comply with SSI: 2011/210 Regulation 9 (1) Fitness of employees. A provider shall not employ any person in the provision of a care service unless that person is fit to be so employed. Timescale for compliance is 14 days from the date of this report. This requirement was made on 22 October 2015 No progress had been made on this requirement. Please see Quality Theme 3, Statement 3. Not Met 4. It is a requirement that providers must notify the Care Inspectorate immediately of changes to relevant individuals, including membership of committees or associations. This is to comply with SSI: 2011/28 Regulation 4, - (1) (b) any matters the provider must notify from time to time to SCSWIS whilst the care service is registered. Also detailed in "Records that all registered care services (except childminding) must keep and guidance on notification reporting V3." Timescale for compliance is immediately on receipt of this report. This requirement was made on 22 October 2015 No progress had been made on this requirement. Please see Quality Theme 4, Statement 4. Not Met page 30 of 35

31 5 What the service has done to meet any recommendations we made at our last inspection Previous recommendations 1. Staff should continue to explore methods to support and encourage parents and children to express their ideas and to become more involved in developing the service. National Care Standards for Early Education and Childcare up to age 16. Standard 13: Improving the Service. This recommendation was made on 22 October 2015 Progress had been made on meeting this recommendation and staff discussed with us their future plans. Please see Quality Theme 1, Statement Staff need to establish personal plans for all children in their care. Plans should clearly detail how the service will provide for children's health, welfare and safety needs. Parent and children's views should be considered and included in their individual plans. Personal plans should be dated and reviewed at least once every six months or sooner if required. National Care Standards for Early Education and Childcare Up to the age of 16. Standard 6: Support and Development. This recommendation was made on 22 October 2015 Some progress had been made on meeting this recommendation but further work is still required. Please see Quality Theme 1, Statement Environmental risk assessment should be reviewed and augmented to take account of the outdoor play area and other centre users. Staff should clearly identify hazards and detail any additional control measures necessary. National Care Standards for Early Education and Childcare up to the age of 16. Standard 2: A Safe Environment. This recommendation was made on 22 October 2015 Inspection report Good progress had been made in the development of risk assessments. Please see Quality Theme 2, Statement 2. page 31 of 35

32 4. The manager and staff should take measures to keep up to date with best practice guidance. They should consider both online and external training opportunities. National Care Standards for Early Education and Childcare up to age 16. Standard 12: Confidence in Staff. This recommendation was made on 22 October 2015 Some limited progress had been made but further work is still required. Please see Quality Theme 3, Statement The service provider should establish processes to; monitor, evaluate, supervise and to support the staff team. National Care Standards for Early Education and Childcare up to age 16. Standard 14: Well-Managed Service. This recommendation was made on 22 October 2015 Some progress had been made in the development of appraisal forms and the reinstatement of the bi-monthly management/staff meetings. Some further development work is still required. Please see Quality Theme 4, Statement 4. Inspection report 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 32 of 35

33 9 Inspection and grading history Inspection report Date Type Gradings 22 Oct 2015 Unannounced Care and support 3 - Adequate Environment 3 - Adequate Staffing 2 - Weak Management and Leadership 2 - Weak 30 May 2013 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good 13 Sep 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 3 - Adequate 16 Aug 2012 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 19 Jun 2012 Unannounced Care and support 3 - Adequate Environment 3 - Adequate Staffing 3 - Adequate Management and Leadership 3 - Adequate 1 Aug 2011 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 17 Jun 2011 Unannounced Care and support 3 - Adequate Environment Not Assessed Staffing Not Assessed Management and Leadership 3 - Adequate page 33 of 35

34 13 Jun 2011 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 7 Sep 2010 Unannounced Care and support 3 - Adequate Environment Not Assessed Staffing 4 - Good Management and Leadership 3 - Adequate 14 Sep 2010 Re-grade Care and support Not Assessed Environment Not Assessed Staffing Not Assessed Management and Leadership 1 - Unsatisfactory 5 Feb 2010 Unannounced Care and support 3 - Adequate Environment 4 - Good Staffing 3 - Adequate Management and Leadership 3 - Adequate page 34 of 35

35 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 35 of 35