3 Bears Nursery - Renfrew Day Care of Children

Transcription

1 3 Bears Nursery - Renfrew Day Care of Children 87 Paisley Road Renfrew PA4 8LH Inspected by: (Care Commission Officer) Type of inspection: Yvonne Metcalfe Unannounced Inspection completed on: 16 August /10

2 Service Number Service name CS Bears Nursery - Renfrew Service address 87 Paisley Road Renfrew PA4 8LH Provider Number dummy Provider Name SP Bears Nursery Ltd Inspected By dummy Inspection Type Yvonne Metcalfe Care Commission Officer Unannounced dummy Inspection Completed Period since last inspection 16 August months dummy Local Office Address Central West 4th Floor 1 Smithhills Street Paisley PA1 1EB dummy 2/10

3 Introduction 3 Bears Nursery was registered by the Care Commission on 1st April The nursery is registered to provide care to a maximum of 21 children under 2 years, 25 children aged 2-3 years and 60 children from 3 years to not yet attending school. Children can attend on a full or part-time basis. The service is in partnership to provide pre-school education with Renfrewshire Council. The service is located in Renfrew, within two buildings. Children area cared for in age appropriate groups, each having their own playroom. A small outdoor area is available for children. Included in the services aims: "We believe that the learning environment must be planned to ensure that the children are provided with choice and stimulating experiences to build on what they already know and can do to allow them to realise their potential." Basis of Report This report was written following an unannounced inspection that was conducted on the 16th August 2007, between the hours of 10am and 5.30pm. The inspection was conducted by two Care Commission Officers: Yvonne Metcalfe and Kirsty Ryan The service submitted a completed Annual Return as requested by the Care Commission. The service submitted a self-evaluation form as requested by the Care Commission. Eleven parents responded to the questionnaire. One parent gave their views during the inspection. This service was inspected after a Regulation Support Assessment (RSA) was carried out to determine the intensity of inspection necessary. The RSA is an assessment undertaken by the Care Commission Officer (CCO) which considers: complaints activity, changes in the provision of the service, nature of notifications made to the Care Commission by the service (such as absence of a manager) and action taken upon requirements. The CCO will also have considered how the service responded to situations and issues as part of the RSA. This assessment resulted in this service receiving a low RSA score and so a low intensity inspection was required as a result. The inspection was then based upon the relevant inspection focus area(s) and follow up on any recommendations and requirements from previous inspections, complaints or other regulatory activity. During the inspection the Officers spoke with the manager and eight staff members. A review of a range of policies, procedures, records and other documentation, including the following was undertaken: Child Protection policy Public Liability Insurance Risk Assessment Behaviour management policy. Staff training plans 3/10

4 Infection control information Activity plans within the playrooms. Cleaning schedules Health and safety policy An inspection of the premises as well as observation of practices and interaction with children was also carried out. This year's inspection focus areas (IFAs) have been developed from statutory and policy considerations and have been widely consulted upon. The IFAs are directly linked to relevant National Care Standards (NCS). Details of the inspection focus and associated standards to be used in inspecting each type of care service in 2007/08 and supporting inspection guidance can be found on The following focus areas were covered: Child Protection Active and Energetic Play Infection Control SSSC and training This service was included in the sample of 25% of services with a low RSA score for which the inspection was also based on the focus areas Infection Control and Active Play. Fire Safety Issues The Fire (Scotland) Act 2005 introduced new regulatory arrangements in respect of fire safety, on 1 October In terms of those arrangements, responsibility for enforcing the statutory provisions in relation to fire safety now lies with the Fire and Rescue service for the area in which a care service is located. Accordingly, the Care Commission will no longer report on matters of fire safety as part of its regulatory function, but, where significant fire safety issues become apparent, will alert the relevant Fire and Rescue service to their existence in order that it may act as it considers appropriate. Further advice on your responsibilities is available at Action taken on requirements in last Inspection Report The Care Commission did not receive an action plan from the service detailing how it would meet the requirements/recommendations arising from the last inspection. However, the provider stated an action plan had been returned to HMIE. There was one requirement from the previous report. The requirement was in two elements. The first part stated that robust risk assessments were conducted in relation to the soft play area. This remained outstanding. (see requirement 2 at the end of this report) The second element stated ropes around the large equipment were maintained in good order. This element had been met as repairs had been carried out to the ropes. Comments on Self-Evaluation This was fully completed and returned prior to the inspection. This provided some examples 4/10

5 of good practice to support the National Care Standards being inspected. The service had also highlighted some areas where they knew improvement was needed. View of Service Users Children in the 3-5 room were happy to talk to the officers. Children could describe their favourite activities and knew who their keyworker was. Children described the routine of the day and were aware of the rules within the playroom. Children appeared happy and relaxed with the staff team. Some comments from children included: "I like coming to nursery" "I like the computer" View of Carers Eleven parents responded to the questionnaire. Eight parents felt staff always spoke to them privately about their child, while three parents felt this was usually the case. All parents were happy or very happy that staff treated their child respectfully and fairly. All parents were very happy that staff knew their child as an individual. Ten parents felt staff always interacted well with their child, one parent felt this was usually the case. Seven parents felt their child always had regular access to fresh air and energetic physical play, while four felt this was usually the case. Eight parents were very happy with the cleanliness of the service while three parents were happy with it. Ten parents were very happy with the overall service provision. The following comments were made by parents: "Excellent, child came on leaps and bounds, staff approachable, no concerns" "The 3 Bears are a great nursery who provide a good service to me and my child" 5/10

6 Regulations / Principles Regulation : Strengths Areas for Development National Care Standards National Care Standard Number 2: Early Education and Childcare up to the age of 16 - A Safe Environment Strengths The nursery offered children adequate indoor space for physical and energetic play. Playrooms were flexible and staff were observed using the available space to its full potential. The service made good use of the local park. Various policies relating to infection control were available within the service. Cleaning schedules were located within the playrooms. Areas for Development A small outdoor space was available for children. However, this space was not used effectively. Large groups of children were observed using this space which did not offer a quality experience of outdoor play (see recommendation 1). The service did not carry out risk assessments on the premises, outdoor area, or on contact with animals/pets on a regular basis. (see requirement 1). The manager advised that there was no maintenance contract in place relating to the soft play equipment. There was no risk assessment in relation to the soft play equipment, which was a requirement at the previous inspection. (see requirement 2). Nappy changing practice was observed and found not to follow good practice guidelines. Staff did not have access to appropriate gloves and were observed not to wash their hands between nappy changes. There were no written procedures displayed for staff within changing areas (see requirement 3). Staff were observed not to follow good practice when assisting children to use the potty. Staff did not use gloves, wear an apron or clean the potty. Children were observed to not be adequately supported during toilet training. There were no procedures in place to ensure the safe use of potties (see requirement 4). Toilet areas, playrooms and resources were in need of cleaning. Balls within the false ceiling 6/10

7 on the upper floor required cleaning. Although some cleaning schedules were in place, they had not been completed for a number of months. Staff stated resources were cleaned with anti bacterial spray, however there was no cleaning carried out prior to the use of the anti bacterial spray (see requirement 5). Although a number of infection control policies were available within the service, observations of staff practice found they were not implementing the services policies. Staff did not have access to up to date infection control information (see recommendation 2). National Care Standard Number 3: Early Education and Childcare up to the age of 16 - Health and Wellbeing Strengths This report does not include comments on elements one, four and seven of standard 3, as these did not apply to the nursery at this visit. The nursery encouraged parents to provide appropriate footwear and clothing for children which enabled them to take part in outdoor play. All children within the nursery were offered opportunities to take part in active and energetic play. This was reflected through observations of practice, planning folders and photographs displayed throughout the nursery. The service had a child protection policy in place. Staff were aware of how to access this policy. Some staff had received child protection training and the manager had planned future training for the remaining staff team. The service's child protection policy was displayed throughout the nursery for parents to view. 80% of parents who responded to the questionnaire were aware of the policy. Areas for Development The service's child protection policy did not contain all relevant information required by the national care standards and needed to be updated (see recommendation 3). Staff within the service were not familiar with the Children's Charter or the framework standards for child protection (see recommendation 4). Lunchtime in the 2-3 room did not provide children with opportunities to develop social skills(see recommendation 5) Medication systems within the service did not follow best practice guidelines. The medication cabinet was found to be unlocked. Several creams & paracetamol based medicines were not labelled. Medication consent forms were in place, however storage of these forms did not offer any confidentiality to service users. This was a requirement at the previous inspection.(see requirement 6) National Care Standard Number 5: Early Education and Childcare up to the age of 16 - Quality of Experience 7/10

8 Strengths This report does not include comments on elements three, four and six of standard 5, as these did not apply to the nursery at this visit. The nursery provided a wide range of resources and activities for children on a daily basis. This included sand, water, construction materials and arts and crafts. Each playroom within the nursery had a good range of physical play resources including soft play, trampolines and slides. Children also had access to props which encouraged dance and drama. The majority of children observed during the inspection were motivated by the activities provided. The majority of staff interacted effectively with children during the inspection. Training on the good practice document 'Birth to three: supporting our youngest children' was planned for the staff team in the near future. Areas for Development While the service had used questionnaires as a means of consulting children and parents, these had not yet been evaluated.(see recommendation 6). National Care Standard Number 12: Early Education and Childcare up to the age of 16 - Confidence in Staff Strengths The manager had undertaken a training needs assessment of the staff group. This highlighted training to be planned and took account of the service's aims and objectives. An annual training plan was in place which detailed training to be accessed during the coming year for all staff members. The plan included food hygiene and first aid training for staff, on a rolling programme. Annual appraisals were used as a basis for discussing staff training needs. Staff were able to access training courses through Renfrewshire Council. The training programme took account of the need for staff to achieve qualifications to register with the Scottish Social Services Council(SSSC). Staff held a range of appropriate childcare qualifications, with several staff in the process of completing them. Staff spoken with were familiar with the SSSC and the registration process. Areas for Development There was no learning and development policy in place for staff within the service (see requirement 7). Staff had not received any training specific to active play. (see recommendation 7) The manager was in the process of introducing monitoring and evaluation systems to audit the work of the service as a whole. This had been recommended at the previous inspection. 8/10

9 Enforcement There has been no enforcement action against this service since the last inspection. Other Information Although four members of staff were on duty within the 3-5 room, only one staff member was present with 20 children within the room when officers arrived. This was highlighted to the manager. During the lunch time period, the deployment of staff impacted on staff/child ratios. Ratios were not continually maintained in the 3-5 rooms and the 2-3 rooms. This was highlighted to the manager during the inspection. (see requirement 8). There were two recommendations from the previous report which was a joint inspection with HMIE & the Care Commission. The manager was making progress with both of these. Requirements 1: The service must carry out robust risk assessments relating to the premises and garden. Contact with animals and pets must be included in garden and outing risk assessments. This is in order to comply with SSI/ Regulation 4(a)- Welfare of service users. Timescale for implementation: within six weeks of the date of publication of this report. 2: The provider must provide evidence to the Care Commission in relation to the maintenance of the soft play equipment. A robust risk assessment must also be carried out on the soft play area. This is in order to comply with SSI 2002/114 Regulation 19(3)(e)- Records. Timescale for implementation: within six weeks of the date of publication of this report. 3: The provider must introduce and implement nappy changing procedures which reflect good practice guidance. This is in order to comply with SSI 2000/114 Regulation 4(1)(d)- Welfare of service users. Timescale for implementation: Within one week of the date of publication of this report. 4: Health and hygiene procedures regarding the use, cleaning and storage of potties, along with appropriate waste disposal must be developed and implemented. Children must be supported during toilet training. This is in order to comply with SSI 2002/114 Regulation 4(1)(d)- Welfare of service users. Timescale for implementation: Within one week of the date of publication of this report. 5: Procedures and robust recording tools must be put in place to ensure a clean and healthy environment for both children and staff. This is in order to comply with SSI 2002/114 Regulation 4(1)(a)(d)- Welfare of service users. Timescale for implementation: Within one week of the date of publication of this report. 6: The provider must ensure robust procedures are in place relating to the storage and management of medications within the nursery. This is in order to comply with SSI 2002/114 Regulation 4(1)(a)- Welfare of service users. Timescale for implementation: within two weeks of the date of publication of this report. 7: The provider must design and implement a policy and procedure on staff training and development. This is in order to comply with SSI 2002/114 Regulation 13(C)- Staffing. Timescale for implementation: within 24 hours of the date of publication of this report. 8: The provider must ensure the deployment of staff throughout the day ensures appropriate 9/10

10 staffing levels are maintained particuarly over the lunch time period. This is in order to comply with SSI 2002/114 Regulation 13(C)- Staffing. Timescale for implementation: within 24 hours of the date of publication of this report. Recommendations 1: Staff should review the practice of large numbers of children accessing the garden to maximise the quality of outdoor play for children. National Care Standards Early Education and Childcare up to 16 years. Standard 2: A safe environment. 2: The manager should ensure that all staff are implementing the service's policies and procedures, as well as infection control information. National Care Standards Early Education and Childcare up to 16 years. Standard 2: A safe environment. 3: The service should review its child protection policy to reflect the key areas, specified below, in respect of child protection. National Care Standards Early Education and Childcare up to 16 years. Standard 3: Health and Wellbeing. A description of information to be recorded Arrangements to ensure staff awareness of child protection issues Appropriate phone numbers Arrangements to ensure children have access to independent support/advice as appropriate Arrangements for policy review. 4: Staff, children and parents should be made aware of the Children's Charter and the framework standards for child protection. National Care Standards Early Education and Childcare up to 16 years. Standard 3: Health and Wellbeing. 5: Staff should review the lunch time routine within the 2-3 rooms to ensure staff are able to offer support and assistance to children. National Care Standards Early Education and Childcare up to 16 years. Standard 3: Health and wellbeing. 6: The service should now evaluate the comments from parents and children and use them in the development of active play activities. National Care Standards Early Education and Childcare up to 16 years. Standard 5: Quality of experience. 7: Staff training should facilitate learning opportunities for active and energetic play. National Care Standards Early Education and Childcare up to 16 years. Standard 12: confidence in staff. Yvonne Metcalfe Care Commission Officer 10/10