Barnardo's - Melbourne House Holiday Activity Programme Day Care of Children Melbourne House 94 Mid Street Bathgate EH48 1QF Type of inspection: Unannounced Inspection completed on: 18 September 2014
Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 11 4 Other information 23 5 Summary of grades 24 6 Inspection and grading history 24 Service provided by: Barnardo's 'known as' Barnardo's Scotland Service provider number: SP2003003405 Care service number: CS2003011798 If you wish to contact the Care Inspectorate about this inspection report, please call us on 0845 600 9527 or email us at enquiries@careinspectorate.com Barnardo's - Melbourne House Holiday Activity Programme, page 2 of 26
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 4 Good Quality of Management and Leadership 4 Good What the service does well The co-ordinator and staff provided a caring environment where the children and young people could relax, play and form positive relationships. Staff promoted an inclusive programme where the children and young people were encouraged to express their views and influence the daily activities and experiences. Staff took time to get to know the children and young people and gather relevant information that would help them to provide the right level of care and support. What the service could do better Management should continue with their plans to develop the ways in which families can express their views and influence the service provided. Consideration should be given to reviewing the planning process to increase responsiveness and further develop the child centred approach. Management should support staff to increase their knowledge and understanding of the national practice model 'Getting it right for every Child' (GIRFEC). Gaining a better understanding of 'GIRFEC' will help staff to improve their practice by considering how they promote the children and young people's wellbeing and gather relevant information. Barnardo's - Melbourne House Holiday Activity Programme, page 3 of 26
What the service has done since the last inspection Inspection report continued Since the last inspection the manager, co-ordinator and staff had continued to evaluate the service and make improvements to enhance the experiences of the families who use the service. Staff had continued to update the support plans for each child and young person to ensure the information remained relevant and useful when planning daily provisions, activities and staffing. Conclusion Barnardo's - Melbourne House Holiday Activity Programme provided a caring service which valued the views of each family. The staff team were committed to meeting the needs of each child and young person and demonstrated a desire to continually improve their experiences within the service. Barnardo's - Melbourne House Holiday Activity Programme, page 4 of 26
1 About the service we inspected The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at www.careinspectorate.com. This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April 2011. The Care Inspectorate will award grades for services based on findings of inspections. Grades for this service may change after this inspection if we have to take enforcement action to make the service improve, or if we uphold or partially uphold a complaint that we investigate. The history of grades which services have been awarded is available on our website. You can find the most up-to-date grades by visiting our website, by calling us on 0845 600 9527 or visiting one of our offices. Requirements and recommendations If we are concerned about some aspects of the service, or think that it could do more to improve its service, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service but where failure to do so will not directly result in enforcement. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 and Regulations or Orders made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions a requirement must be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Barnardo's - Melbourne House Holiday Activity Programme (HAP) is provided by Barnardo's West Lothian Family Support Team and is registered to provide a care service to a maximum of 32 children aged 2 years - 16 years. The Holiday Activity Programme operates outwith school hours from a variety of registered premises. The staff team consists of permanent staff, sessional staff and volunteers (all will be referred to as staff in the body of this report). During our first visit, the service was operating from Beatlie School Campus in Livingston. The second visit was carried out at Melbourne House, in Bathgate. Children and young people were not present during the second visit. Barnardo's - Melbourne House Holiday Activity Programme, page 5 of 26
The written aims of service included: "Provide Disability Support Services to children and young people, from birth to school leaving age, with significant learning disabilities (including complex health needs) Provide Family Support Services to parents and carers of children and young people who access the Disability Service Provide Short Breaks Services to parents and carers of children and young people who access the disability service through home sitting and activity sessions." 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 4 - Good Quality of Management and Leadership - Grade 4 - Good 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 www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Barnardo's - Melbourne House Holiday Activity Programme, page 6 of 26
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 We wrote this report following an unannounced inspection which took place on 23 July 2014, between 9:15am and 1:00pm. A second visit was made on 18 September 2014; this visit was to meet the manager, gather further information and provide feedback. As part of the inspection, we took account of the completed annual return and selfassessment forms that we asked the provider to complete and submit to us. We sent 15 care standards questionnaires to the manager to distribute to relatives and carers. We received two completed questionnaires before the inspection. During this inspection process, we gathered evidence from various sources, including the following: We spoke with: children and young people parents the manager, co-ordinator and staff. We looked at: The participation strategy (this is the service's plan for how they will involve service users') observing the children and young people observing how staff work sampling individual support plans information shared with families information gathered from families activity plans and evaluations Barnardo's - Melbourne House Holiday Activity Programme, page 7 of 26
Incident and accident reports aims of the service minutes of meetings and evaluations observation of the environment, toys and equipment. 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 www.firelawscotland.org Barnardo's - Melbourne House Holiday Activity Programme, page 8 of 26
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 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. Taking the views of people using the care service into account Six children and young people were using the service at the time of the inspection. They were happy and mostly relaxed throughout the session. They made use of the large hall for ball games, one child baked, two enjoyed time in the garden. Two children spent time relaxing in a soft play area and sensory room. Some staff and children visited the local library. The younger children enjoyed looking at books, whilst the older children spent time in the computer lounge. We spoke to two children who indicated they liked going to the activity programme and enjoyed spending time with staff. Barnardo's - Melbourne House Holiday Activity Programme, page 9 of 26
Taking carers' views into account Two parents completed and returned our care standards questionnaires. On the day of the inspection visit, we had the opportunity to speak with another two parents whose children attended the Holiday Activity Programme. All parents spoken to confirmed they were very happy with the overall service provided. In the returned questionnaires the two parents agreed that overall they were happy with the quality of care their child received. Parents told us their child had settled well and made positive comments about staff. They told us staff were supportive and provided daily information about their child's experience. Both parents who returned the questionnaire disagreed that they and their children were able to visit the service before starting. The manager and co-ordinator should consider these parents' responses and take action to address this issue. More of the parents' responses can be found throughout the body of this report. Barnardo's - Melbourne House Holiday Activity Programme, page 10 of 26
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 found this service was performing well in the areas covered by this statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people, looked at information shared with families, sampled children's files and considered the parents' responses to our questionnaire. We also assessed the opportunities given to the parents, children and young people to express their views. Most of the children attending the Holiday Activity Programme used other services provided by Barnardo's West Lothian Family Support Team. This meant that some children and young people were familiar with staff and that the team had a sound knowledge of the children and young people's needs and interests. To ensure their knowledge of the children and young people remained up to date, visits were made to their homes. This gave parents, children and young people opportunities to discuss the service, activities, care needs and specific requirements. This also helped families to build a positive and confident relationship with staff. The good relationship with the children, young people and their families helped to maintain effective communication and positive information sharing about the children and young people's progress, individual needs and specific care requirements. Staff and management worked with families to develop 'Individual Support Plans' for each child, this contained relevant information about the children's personalities, likes, dislikes, medical needs and daily routines. Where possible, the children and young people contributed to the information included in these plans. Barnardo's - Melbourne House Holiday Activity Programme, page 11 of 26
Staff completed 'daily feedback sheets'. This information was shared with parents and detailed what the children and young people had been doing, the activities taken part in and any relevant observations. Staff and management used a variety of ways to encourage parents, children and young people to express their views about the care and support offered and the activities and experiences provided. These included daily discussions, questionnaires and evaluations. The two parents who returned out questionnaire agreed that the service had involved them and their child in developing the service, for example asking for ideas and feedback. Throughout the inspection, we saw staff encouraging the children and young people's independence and supporting them to make individual choices. They made requests and most staff took appropriate action to ensure these were met and the necessary resources were made available. This demonstrated a respectful environment where children and young people were encouraged to take ownership of their time spent in the service. Areas for improvement Management were in the process of developing the methods in place for gathering the views of families and enabling them to become more involved in the service. This will enhance the evaluation process and ensure the service provided remains centred on the children and young people's current needs. One parent disagreed that they were kept informed about what was happening in the service. Although we found there were good methods in place for keeping families informed and updated, consideration should be given to how information is shared and that methods are in place to suit all families. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 12 of 26
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 statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also reviewed planning records, the stated aims of the service, chatted to some children and young people and observed their experiences and interactions. The stated aims reflected the intentions of the service. This helped to ensure the well-being of the children and young people and also helped parents to consider their expectations of the service. Before the daily session started, staff met as a team to spend time planning and discussing the needs of each child who would be attending. This gave staff time to refresh their knowledge of the children and young people to ensure they could offer the right level of care and support required. Supervision of the children and young people was organised in advance, to ensure they were matched to a member of staff who had the necessary skills to meet their specific care needs. On arrival, children, young people and their families were individually welcomed by staff who took time to greet them and engage in positive discussions and share relevant information. This promoted the children and young people's sense of belonging and inclusion. This also helped to keep parents involved in their child's time in the service. Throughout the inspection, staff engaged in good quality interactions with the children and young people, continually supporting them to enjoy their time in the service. Most of the time staff demonstrated skills when to intervene in children's play and when to encourage the children to take responsibility and make independent choices. The planning of activities was focused on the children and young people's individual needs and interests. Staff used skilful observations of the children and young people's progress and information gathered from their families when planning and providing activities and experiences. The activities on offer encouraged choice and provided opportunities for co-operative play and time alone. This helped the children and young people to form friendships and develop their social skills, for example taking turns and sharing. Barnardo's - Melbourne House Holiday Activity Programme, page 13 of 26
We saw the older children supporting the younger children with games and activities. It was evident that promoting kindness and inclusion was part of the daily life of the service. This good practice helped the children and young people to feel included and become aware of the needs of others and reflected a nurturing, respectful and caring environment. The daily programmes included use of the local community for example, trips to the park, local walks and a visit to the library. This encouraged the children and young people to become aware of their local surroundings and be remain part of the community. Staff demonstrated a good knowledge of the procedures in place to protect children's health and promote their well-being. Examples included: Minimised risk of cross infection by staff wearing personal protective clothing, such as aprons and gloves when dealing with bodily fluids Children were routinely encouraged to wash their hands before eating and after using the toilet Regular access to outside activities Links with other professionals such as speech and language therapists and physiotherapists Areas for improvement We found that, although planning was generally very good, improvements could be made to reflect a more responsive approach; for example, one child requested to bake. Staff could have responded more positively to encourage this activity. Also, consideration should be given to developing individual activity plans for the children and young people. This would enhance the current planning system and further promote choice and responsive planning. Some children received regular medication. The service had implemented a good procedure to gather relevant information and ensure specific staff were appropriately trained to administer this medication. To enhance the procedure and ensure all parents are kept informed when medication has been given consideration should be given, to giving parents a copy of the medical forms. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 14 of 26
Quality Theme 2: Quality of Environment 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 environment within the service. Service strengths We found this service was performing well in the areas covered by this statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also reviewed the opportunities given to families to make comments and suggestions about the environment and how they could become actively involved in the service. When grading this statement we also took into account the strengths highlighted in quality theme 1, statement 1. In the main premises a new bathroom was in the process of being fitted. The manager described how the children and young people had been involved in the designing of this room. One child commented that the sink area should be changed to enable wheelchairs to fit in with ease. This had been taken on board and action was taken to meet this request Areas for improvement The areas for improvement highlighted in quality theme 1, statement 1 also apply to this statement. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 15 of 26
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 statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also reviewed safety procedures and looked at the environment. During our first visit the service was operating within Beatlie School Campus, this building was purpose built and equipped for children and young people with a wide variety of needs and mobility. This included appropriate toilets, furnishing and rest areas. This environment gave children confidence in their surroundings, promoted respect and a pleasant experience. In both premises visited, the entry and exits areas were secure, promoting the children and young people's safety. Visitors were required to sign in and out to enable effective recording of those who had been in the buildings and interacting with the children and young people. On the day of our visits the premises and areas used by the service were clean, bright, warm and well ventilated. The layout allowed the children and young people to move freely with no obstructions. This helped to maintain a safe and stimulating environment and enabled the children and young people to access activities with ease. To promote safety, daily checks were made to ensure the suitability and maintenance of the environment. This included all premises used and the toys and equipment. Effective procedures were in place for dealing with maintenance issues. Staff were given daily tasks to ensure the continued safety of the children and young people. Where necessary, risk assessments were in place for the children and young people to ensure that activities were safe for them to take part in. Staff took additional measures to make sure they could join in and not be excluded. Staff had received training to help the children move safely weather they used wheelchairs or required other kinds of assistance. In the returned questionnaires the parents confirmed the service was a safe, secure, hygienic, smoke free, pleasant and stimulating environment for their child to attend. Areas for improvement Inspection report continued When using premises other than the main building, staff should consider how they can make the surroundings more personal and relaxing; for example, displaying the children and young people's art work, pictures of interests and other items to promote a nurturing and homely environment. Barnardo's - Melbourne House Holiday Activity Programme, page 16 of 26
Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Barnardo's - Melbourne House Holiday Activity Programme, page 17 of 26
Quality Theme 3: Quality of Staffing Grade awarded for this theme: 4 - 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 statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also reviewed the opportunities given to families to make comments and suggestions. When grading this statement we took into account the strengths highlighted in quality theme 1, statement 1. In the returned questionnaires, the parents confirmed they were confident that staff had the skills and experience to care for their child and support their learning and development. They also confirmed they were confident there were always enough staff to provide a good quality of care and their child appeared happy and confident with staff. Areas for improvement The areas for improvement highlighted in quality theme 1, statement 1 also apply to this statement. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 18 of 26
Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths Inspection report continued We found this service was performing very well in the areas covered by this statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also observed staff practice and looked at relevant records, including staff files and minutes of staff meetings. The skilled staff team were enthusiastic and confidently supported the children and young people to get the most out of their play experiences and time spent in the service. Most staff used positive language offering continual praise and encouragement. Staff worked well as a team, promoting a positive and nurturing environment where the children and young people could feel safe, secure, respected and included. Staff told us the manager and co-ordinator were supportive and that they would happily approach them to discuss any issues or concerns they may have. Staff demonstrated a clear understanding of their roles and responsibilities in protecting the children and young people. They were fully aware of appropriate procedures to be followed in the event of a child protection concern. The parents who returned our questionnaires confirmed they were confident that staff would protect their child from harm, abuse, bullying and neglect. They also confirmed staff treated their child fairly and with respect. Through discussions, staff demonstrated a strong knowledge of the service's own policies and procedures, including reporting any practice they felt was poor or had a negative impact on the children. Staff regularly engaged in team meetings and discussions to assess their work and to ensure the daily experiences on offer supported the children and young people's interests and individual needs. Regular training helped staff to remain up to date with latest guidance and best practice. Staff confirmed they were involved in daily decisions about the service and were encouraged to take on leadership roles. They were kept informed of relevant changes within the activity programme and premises used. This promoted a respectful environment and gave staff opportunities to express their views and ensure the smooth running of the service. Barnardo's - Melbourne House Holiday Activity Programme, page 19 of 26
At the end of each programme, the manager and co-ordinator met with staff to carry out formal appraisals. This time was used to discuss their practice, highlight strengths and identify areas for improvement and training. The manager confirmed that any issues with performance would be addressed as they arose, in order to support staff and ensure continuous professional development. Management encouraged staff to keep up to date with current good practice and changing government policy. Information on self-directed support was in the process of being highlighted to parents and staff. Areas for improvement Through their own research, some staff had gained knowledge of 'Getting it right for every child' (GIRFEC). This is a Scottish Government approach which supports practitioners to work together to ensure children and young people achieve to their full potential. Management should now support staff to access training on this national practice model and embed their learning in the daily provisions of the service. Gaining a better understanding of 'GIRFEC' will help staff to consider how they promote the children and young people's wellbeing and gather relevant information to ensure the children are safe, healthy, achieving, nurtured, active, respected, responsible and included. More information about 'GIRFEC' can be found on www.scotland.gov.uk Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 20 of 26
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 well in the area covered by this statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We also reviewed the opportunities given to families to make comments and suggestions about the management and leadership within the service. When grading this statement we took into account the strengths highlighted in quality theme 1, statement 1. Families were made aware of the written policies in place. This included the complaints policy. Families were informed of who to contact should they wish to raise a concern and also the process that would be followed to ensure their concern was dealt with effectively and in an appropriate time scale. Areas for improvement The areas for improvement highlighted in quality theme 1, statement 1 also apply to this statement. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 21 of 26
Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service strengths Inspection report continued We found this service was performing well in the areas covered by this statement. We concluded this after we spoke to the manager, co-ordinator, staff, parents, children and young people. We looked at minutes from staff and management meetings and records of consultations with families and other professionals within the community. We also took into account the strengths highlighted in quality themes 1, 2 and 3. Management had implemented a variety of ways to ensure continuous evaluation and improvements throughout the service. These included: Planning meetings to allow staff to effectively assess if the experiences they provided for children and young people met their interests and specific care needs. This good practice enabled staff to provide responsive care for families using their service. Management monitoring the experiences provided to the children and young people. Meetings between management and staff at the end of each programme to discuss the success of the programme and the experiences of the children and young people. This fed into the planning of future programmes. As highlighted in quality them 1, statement 1, parents, children and young people were given good opportunities to express their views and influence the planning and provision of the service. All staff contributing to the development plan - this supported management to ensure identified improvements and action plans were achievable and relevant to the service type and those attending. Areas for improvement We identified that management could improve the methods in place for monitoring staff practice and the on-going experiences of the children; for example, developing a formal plan to observe staff practice and other areas of the service provision. This will support management to ensure a high quality service which continues to meet the current needs of the families. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Barnardo's - Melbourne House Holiday Activity Programme, page 22 of 26
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 the Care Inspectorate re-grading a Quality Statement within the Quality of Management and Leadership Theme (or for childminders, Quality of Staffing Theme) as unsatisfactory (1). This will result in the Quality Theme being re-graded as unsatisfactory (1). Barnardo's - Melbourne House Holiday Activity Programme, page 23 of 26
5 Summary of grades Quality of Care and Support - 4 - Good Statement 1 Statement 3 4 - Good 5 - Very Good Quality of Environment - 4 - Good Statement 1 Statement 2 4 - Good 5 - Very Good Quality of Staffing - 4 - Good Statement 1 Statement 3 4 - Good 5 - Very Good Quality of Management and Leadership - 4 - Good Statement 1 Statement 4 4 - Good 4 - Good 6 Inspection and grading history Date Type Gradings 23 Oct 2012 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 5 - Very Good Management and Leadership 4 - Good 30 Jul 2010 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing Not Assessed Management and Leadership Not Assessed 21 Aug 2009 Unannounced Care and support 5 - Very Good Environment 4 - Good Staffing 5 - Very Good Management and Leadership 5 - Very Good Barnardo's - Melbourne House Holiday Activity Programme, page 24 of 26
15 Jul 2008 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Barnardo's - Melbourne House Holiday Activity Programme, page 25 of 26
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 0845 600 9527. 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: www.careinspectorate.com or by telephoning 0845 600 9527. Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: 0845 600 9527 Email: enquiries@careinspectorate.com Web: www.careinspectorate.com Barnardo's - Melbourne House Holiday Activity Programme, page 26 of 26