Celtic Cross Nursery Day Care of Children 56 Station Road Banchory AB31 5YJ Telephone: 01330 824744 Type of inspection: Unannounced Inspection completed on: 22 August 2014
Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 12 4 Other information 25 5 Summary of grades 26 6 Inspection and grading history 26 Service provided by: Celtic Cross Nursery School Limited Service provider number: SP2003000377 Care service number: CS2004078050 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 Celtic Cross Nursery, page 2 of 28
Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 5 Very Good Quality of Environment 4 Good Quality of Staffing 5 Very Good Quality of Management and Leadership 4 Good What the service does well The service follows proper provision when managing medication. Children are provided with regular opportunities to access fresh air and take part in active play. Staff recognise the importance of providing a nurturing environment. Mealtimes are sociable, providing opportunities for lots of discussion. Staff use online learning journals to support and plan children's individual needs. What the service could do better Management informed us that there is a planned review of the personal plans. As children were in and out of the nursery throughout the day we discussed with management to review current practice to reduce the amount of time staff and children spent changing clothes. We identified the need for further develop of the risk management for the use of the garden and outdoor play. We found the service had the toilets, nappy changing and hand washing facilities as Celtic Cross Nursery, page 3 of 28
recommended during registration, we concluded that the accessibility could be improved. What the service has done since the last inspection Since the last inspection we found the management and staff had taken positive steps and had addressed the four requirements made since the last inspection. Conclusion The service had worked hard to maintain the quality of the service provided. We found children enjoyed a range of play experiences both indoors and outdoors. Celtic Cross Nursery, page 4 of 28
1 About the service we inspected The service is registered to provide a care service to a maximum of 64 children aged from birth to those not yet attending primary school. The care service will operate Monday to Friday between the times of 7.30am to 6.30pm. The services vision is to provide a safe, stimulating, happy and nurturing environment, through play. We place a strong emphasis on the desire to help children reach their potential, building our children into confident individuals, respectful citizens, successful learners and effective contributors. We value the relationships with parents and carers to make their child's experiences memorable. The service aims state: - staff are committed to providing the highest quality of care, being enthusiastic, respectful of each other and have a genuine passion for working in childcare. - to provide a service where children, parents and staff experience an environment of mutual respect, trust, open communication and where views and ideas are encouraged welcomed and valued. - to foster a culture of self-evaluation and improvement taking account of all national and local advice. Encourage service users, children and staff to contribute to the life and evaluation of the Centre. - as a Centre we will promote Curriculum for Excellence and Pre-Birth to Three through play and discovery to develop confidence and independence to ensure every child reaches their full potential. - we provide a caring, nurturing and holistic approach to care creating a positive ethos by all for all. - we create a safe, stimulating and homely environment where children learn and develop with parents as partners and having effective links with the wider community. - to prepare your child for a pleasurable and reassuring transition from the known environment into their next stage of learning. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 5 - Very Good Quality of Environment - Grade 4 - Good Celtic Cross Nursery, page 5 of 28
Quality of Staffing - Grade 5 - Very Good Quality of Management and Leadership - Grade 4 - Good Inspection report continued This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Celtic Cross Nursery, page 6 of 28
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 carried out by an inspector on Wednesday 20 August 2014 between 1:00pm and 4:45pm. It continued on Thursday 21 August 2014 between 7:40am and 5:45pm and concluded on Friday 8 August between 7:40am and 1:30pm. As part of the inspection, we took account of the completed annual return and selfassessment we asked the provider to complete and submit to us. We sent sixteen care standards questionnaires to the manager of the service to distribute to relatives or carers of children who use the service. Relatives and carers returned thirteen questionnaires before the inspection. We asked the service to inform parents we were carrying out the inspection and provide parents with the inspectors contact details, if they wished to share their views on the service. We also asked the manager to give out six staff questionnaires to staff to complete. Four staff returned questionnaires. To further support the staffs views we spoke to majority of the staff present. During this inspection process, we gathered evidence from various sources, including the following; We spoke with: - the service manager - the service area manager - practitioners - the children using the service We looked at - children's information records/personal plans - medication policy and records - policies and procedures focusing on infection prevention - risk assessments Celtic Cross Nursery, page 7 of 28
- accident records - Improvement plan - staff training - registration certificate - 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 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 Celtic Cross Nursery, page 8 of 28
What the service has done to meet any requirements we made at our last inspection The requirement The provider must update the procedure for the storage, recording and administering of medication and ensure that it is followed at all times, providing an accurate consent and administration record, in order to make proper provision for the health and wellbeing of the children. What the service did to meet the requirement The service had made changes to the medication procedures. As a result we found that medication stored within the service was long-term prescribed medication, the service did not store large amounts of paracetamol. The service completed regular checks to ensure all medication within the service was monitored and stored following the service medication policy. The requirement is: Met - Within Timescales The requirement The provider must ensure that all attendances are appropriately recorded. What the service did to meet the requirement We examined the attendance records over the three days of the inspection. We found that these gave an accurate account of children present. The requirement is: Met - Within Timescales The requirement The provider must ensure that all areas of the service are safe and well maintained while the service is in operation. What the service did to meet the requirement The areas identified at the last inspection had been addressed including the laundry door being lock and children's bikes being maintained and fit for purpose. The requirement is: Met - Within Timescales Celtic Cross Nursery, page 9 of 28
The requirement The provider must be fully aware of requirements relating to notifications to the Care Inspectorate, and should be aware of the procedure for doing so. What the service did to meet the requirement We discussed notifications with the service management, the manager and area managers had a copy of the required notification list. They confirmed that they would ensure those responsible for notification were aware of their responsibilities. The requirement is: Met - Within Timescales Inspection report continued What the service has done to meet any recommendations we made at our last inspection Not applicable 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. We received a completed self-assessment document from the service provider. Taking the views of people using the care service into account We spoke with some of the children using the service. We found children were positive about their experiences within the service. Children told us they felt safe, happy and well looked after. They told us they enjoyed play outside and that the staff were nice. We observed the babies and toddlers over the three-day visit. We found children to be happy, settled and taking part in both indoors and outdoors activities. All the children were familiar with the daily routine and seemed to have formed positive relationships with the staff. Celtic Cross Nursery, page 10 of 28
Taking carers' views into account We sent out sixteen questionnaires and thirteen were completed and returned to us before our inspection. All feedback received indicated relatives of those using the service were happy with the service provided. Most relatives agreed they had been involved in developing the service and that staff asked their child's views about activities and planning. All relatives agreed the environment is safe, secure, smoke free, pleasant and stimulating and that the children had amble space to take part in a range of activities. All relatives were confident about staffs skills and experiences and that there was always enough staff to provide quality care. Some written comments included: Inspection report continued 'The puffins room has recently become very busy, I think the space in this room is a bit small if the room is full of children' 'Our children are very happy at Celtic Cross, our children are always happy to go and often announce 'I love nursery.' The staff all seem genuinely fond of, and interested in, the children and we get a good feeling from the nursery which is important to us.' 'We particularly like the extras-the forest schools and outdoor activities that aren't just swing and sliding.' 'We can see that our children respond well in the setting. With recent reports and parents evening I felt that the staff really knew my children well, including the foibles and that this was ok! 'Celtic Cross is a well run and happy environment for any child, my child goes to nursery with great enthusiasm, something as a parent is a big relief to me. She has made lots of friends and often talks friendly about the 'big ladies'. 'My child joined Celtic Cross recently and the staff were fantastic at making them feel very warmly welcomed. My child seems happy at Celtic Cross and has settled incredibly quickly, which we see as a credit to the welcoming staff and wide provision of activities.' Celtic Cross Nursery, page 11 of 28
3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths At this inspection, we found that the performance of the service was very good for this statement. The service met all aspects considered. We gathered evidence from talking to staff, observing children, collating feedback from family members, and information written and verbally presented by the service. We found the service had maintained the methods used to gather the views of those using the service since the last inspection. The manager told us how they had involved the children and parents in writing the service aims and vision statement. This ensured the service were aware of their expectations and could use these to measure the quality of the service. The various consultations the service had undertaken had produced positive feedback. As a result the service were confident the service provided met the parents and children needs. We found the staff had maintained the use of systems such as children selecting daily meals, children's involvement in creating the playrooms and influencing the daily routine. We found staff were using methods such as floor books and were growing in confidence in using these. We concluded that the service routinely involved children in assessing and improving the quality of the service they received. As a result the children were being included in making decisions about their care and having their views listened to and respected. Since the last inspection the provider had introduced a positive incentive programme to encourage parent/carers to share their views on the service. The management told us that the incentive programme had increased the feedback received which helped them measure the quality of the service in response to parental expectations. As a Celtic Cross Nursery, page 12 of 28
result of the feedback the service received rewards from the provider, resulting in funds to purchase new resources. The management discussed the impact of feedback they had received through questionnaires and evaluation. This included the change to parents evenings for example parents viewing children progress reports before meeting with staff to discuss planning next steps in children early learning and child care. Another led to improved sharing of the benefit of technology within the service. We concluded that parents were routinely involved in assessing and improving the quality of the service they provided. As a result parents views were listened to and valued within the service improvement plan. Areas for improvement The service should continue to involve the parents and children in the assessment and improvement of the service. Feedback received should be collated and agreed actions shared with those involved including the impacts on the service. The service should continue to support staffs use of floor books to consult with children. This should include further training and support. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Celtic Cross Nursery, page 13 of 28
Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued At this inspection, we found that the performance of the service was very good for this statement. The service met all aspects considered.we looked at how the service provided care to meet children's individual needs, the opportunities to promote healthy living and promotion of children's health and wellbeing through infection prevention measures. Following a requirement made at the last inspection we reviewed the management of medication. We found no large amounts of paracetamol stored. We found the service medication procedures were being followed. The management and staff told us medication within the service was monitored and stored following the service medication policy. We concluded that the service followed proper provision when managing medication. We observed all children taking part in regular outdoor activity during the inspection visits. Children had access to a range of outdoor resources and outdoor areas including mud kitchen, wooden castle, bikes and planting areas. We observed the older children taking part in a planned outdoor physical activity and having fun jumping in puddles. We concluded as a result that all children were provided with regular opportunities to access fresh air and take part in active play. Staff had undergone attachment training, which allowed them time to discuss and reflect their role in this. This led staff to make changes in supporting children through transitions for example improving information and support provided for parents and children when starting the service or moving between playrooms. Staff told us that the found children were both happy and comfortable during transitions. We concluded that the staff recognised the importance of providing a nurturing environment. The service provided home cooked meals for the children. This included breakfast, two course lunch, two course high tea and morning and afternoon snacks. To inform parents and ensure children received a varied nutritional diet the service planned a four-week menu. We observed mealtimes we found them to be a sociable, providing opportunities for lots of discussion. The children told us that the enjoyed the meals and that the food was good. The service was an Eco nursery and encouraged children and parents to support them becoming more environmentally aware. We observed practice focusing on infection control measures in place. We found staff and children followed good hand washing practice. Staff discussed nappy changing procedures demonstrating awareness of following appropriate safety measures to Celtic Cross Nursery, page 14 of 28
reduce the spread of infection. Staff confirmed undergoing regular infection control training. We concluded that staffs practice followed the services infection control policies and procedures and best practice guidance. Staff used online journals to support and plan children's individual needs. We found staff were confident using these and parents liked this method as it kept them up to date and involved them in their children learning and development. The journals viewed reflected children's experiences and how staff planned to support them. Areas for improvement We discussed further development of children's personal plans with management. Management informed us that there is a planned review of the personal plans was on-going. We discussed personal plans reflecting how the service intends to meet children's health, welfare and safety needs and meets the legislative requirements. The management have agreed to take this into account. We examined accident and incident forms completed. We found these were being completed as agreed following the last inspection. We did discuss how the forms should contain more detail on the treatment such as any monitoring or actions taken for example telephoning parent. We did observe an accident that occurred and how staff managed the situation. We found staff to be confident administering the first aid required. We discussed with management the child going outside in the garden following the accident. Management agreed to review how staff support and monitor children following an accident. We found children of all age and stages took part in regular outdoor play. Most children required a change of clothing when re-entering the nursery as a result of wet and muddy clothing. As children were in and out of the nursery throughout the day we discussed with management to review this practice. This is to reduce the amount of time staff and children spend changing clothes when they transferred between indoors and outdoors. We found in the mornings that the younger children were cared for in the toddler room. We discussed with the manager how it may be beneficial for the younger children's transition to start their nursery day in the playrooms in where they spend the majority of their day. The manager agreed to review the morning routine. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Celtic Cross Nursery, page 15 of 28
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 At this inspection we considered the opportunities for children and their families to give feedback and make suggestions for improving the quality of the service environment. The service met all aspects considered. We gathered evidence from talking to staff, observing children within the service environment, collating feedback from family members, and information written and verbally presented by the service. We have included the strengths under quality theme one, statement one when grading this statement. Areas for improvement The service planned to continue to involve parents and children in the development of the service environment including the outdoor spaces. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Celtic Cross Nursery, page 16 of 28
Statement 2 We make sure that the environment is safe and service users are protected. Service strengths At this inspection, we considered the premises were maintained, how well service users were protected and the promotion of children's health and wellbeing through infection prevention measures. We found all aspects considered were met. We gathered evidence through viewing the areas used by children, considering the space, layout and equipment, examining relevant records and observing how environment and equipment was used. We found the service environment to be clean, well maintained and having appropriate safety measures in place. The service had met the requirements made at the last inspection related to a having a safe and well maintained environment and having accurate records of children's attendance. The service had policies and procedures in place, in which staff were familiar with to reduce any possible hazards. This included use of potties, storage of foods within playrooms and management of medication. We found practice followed the policies and procedures. The service had undergone a recent review of the medication policy and procedures to ensure they followed best practice. We found medications to be stored safety and staff were following the services medication policy and procedures. Staff informed us of the nappy changing procedures. Staff confidently explained the procedures which included use of personal protective equipment (PPE) such as gloves and aprons demonstrating the infection prevention measures followed during nappy changes and assisting children with toileting. Areas for improvement Inspection report continued The service were working at present on improving how they managed risk. We identified the need for further develop of the risk management for the use of the garden and outdoor play. The provider has organised training for all management and staff on identifying risk and taking appropriate actions. This will be followed up at the next inspection. We found the service had the toilets, nappy changing and hand washing facilities as recommended during registration, we concluded these could be improved. For example the location of toilets for the children cared for in the upstairs playrooms and the accessibility of hand washing for staff and children within most playrooms. The management team agreed to review this; we will follow this up at the next inspection. Celtic Cross Nursery, page 17 of 28
Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Celtic Cross Nursery, page 18 of 28
Quality Theme 3: Quality of Staffing Grade awarded for this theme: 5 - Very Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths At this inspection we considered the opportunities for children and their families to give feedback and make suggestions for improving the quality of staffing. The service met all aspects considered. We gathered evidence from talking to staff and children, collating feedback from family members, and information written and verbally presented by the service. We have included the strengths under quality theme one, statement one when grading this statement. Areas for improvement The service planned to further develop how they involve the parents and children in the assessment and improvement of the quality staffing of within the service. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Celtic Cross Nursery, page 19 of 28
Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths At this inspection, we found that the performance of the service was very good for this statement. The service had met the aspects considered. We looked at staff interactions with the children and their families, staff awareness and knowledge of the children in their care, and staffs practice and training opportunities and how they promoted children's health and wellbeing through infection prevention measures. We observed staff interactions with the children in all of the playrooms and out in the nursery gardens. We found staff to be communicating effectively with the children and responded appropriately to children's requests. Staff were well-mannered, polite and respected children's wishes. Staff told us they had formed positive relationships with the children and parents which supported them to work together to meet the needs of the children. Children told us that they enjoyed playing with the staff and that they were nice. Parents gave positive feedback which included staff are genuinely fond, interested and know my child. We concluded that children were being cared for by staff that enjoyed they jobs and cared for the children. We found staff to be confident discussing their roles, training and projects undertaken since the last inspection. Staff told us they had found the training and support undertaken useful and have used new skills and knowledge to improve their practice. We found staff to be motivated and focused to provide quality childcare. One staff spoke with enthusiasm about attending attachment theory training and how this had impacted on how they organised and support new children and families during their induction period. Since the last inspection the provider had developed a training calendar for staff. The areas identified for training events had been chosen in response to staff development needs, provider initiatives and national priorities. We conclude staff valued the opportunities to develop their skills, which resulted in improved the service they provided. We were informed staff employed to care for the children at the time of the inspection required to be were registered with the appropriate professional body. Areas for improvement Inspection report continued The service had a training calendar in place to continue to support staff in their personal development. The service should continue to ensure that training offered meets the staff development needs. Staff with conditions on their SSSC registrations should ensure they attend training to gain qualifications to meet conditions within the timescales. Celtic Cross Nursery, page 20 of 28
We discussed how staff evaluate their learning and how staffs learning impacts on the service. The management agreed that this an area that could be further developed. We identified that staff could benefit from further training in use of floor books, outdoor play and in risk based assessment. We discussed with management and staff the opportunity for staff to liaise with other staff employed within the organisation working in other services around Scotland. This could promote good practice and further opportunities for staff to share experiences. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Celtic Cross Nursery, page 21 of 28
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 At this inspection we considered the opportunities for children and their families to give feedback and make suggestions for improving the service. The service met all aspects considered. We gathered evidence from talking to staff, observing children within the service environment, collating feedback from family members, and information written and verbally presented by the service. We have included the strengths under quality theme one, statement one when grading this statement. Areas for improvement The service should continue to further develop opportunities for parents and children to get involved in assessing and improving the quality management and leadership of within the service. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Celtic Cross Nursery, page 22 of 28
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 At this inspection, we found that the performance of the service was good for this statement. We found aspects considered were met. We looked at how the service had self-evaluated, planned and continued to improve the service provided and promoted children's health and wellbeing through infection prevention measures. We found the management had taken positive steps and had met the four requirements made since the last inspection. The service had an improvement plan in place that outlined the service priorities to improve outdoor play and use of technology. We found evidence that the service followed the plan and reviewed the progress. We found the service monitored staffs practice this included staff supervision, annual appraisals and observations of practice. Staff informed us that they felt supported by the service and that training had been provided to support their development needs. The provider regularly reviewed the organisation policies and procedures. This included infection control, medication and nappy changing. Since the last inspection they had reviewed the use of gloves and aprons during meals times. As a result staff now use gloves and aprons during food preparation, however not when assisting children for example during bottle feeds. We concluded that the provider was proactive in ensuring the policies and procedures were kept in line with best practice guidance. Areas for improvement The service improvement plan should show the services progress in meeting the identified priorities. The desired outcomes could benefit from being SMART (specific, measurable, agreed upon, reasonable and timely). This would support the manager to show the progress based on evidence. Appraisals and supervision should support staff to identify their development needs. Staff should evaluate their learning following training and impact on the service should be measured. We were informed that the manager had not had an appraisal since taking up position. We were informed that this would be addressed and we agreed to follow this up at the next inspection. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued Celtic Cross Nursery, page 23 of 28
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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 We provided the manager with six staff questionnaires to hand out to staff to complete. Four were returned questionnaires providing us with information about staffs experiences of the service. All staff indicated they were aware of the service policies/procedures with the majority of staff being fully aware of these. All staff indicated that the service provided them with the opportunity to access education/training in the last 12 months. All staff indicated that they had been given the opportunities to gain the qualification relevant to their roles and responsibilities. All staff indicated they were registered with Scottish Social Service Council (SSSC) and had a copy of the SSSC codes of practice. All staff indicated that the service provides good support to the children. All staff indicated that had undergone supervision with the manager of the service. 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). Celtic Cross Nursery, page 25 of 28
5 Summary of grades Quality of Care and Support - 5 - Very Good Statement 1 Statement 3 5 - Very Good 5 - Very Good Quality of Environment - 4 - Good Statement 1 Statement 2 5 - Very Good 4 - Good Quality of Staffing - 5 - Very Good Statement 1 Statement 3 5 - Very Good 5 - Very Good Quality of Management and Leadership - 4 - Good Statement 1 Statement 4 5 - Very Good 4 - Good 6 Inspection and grading history Date Type Gradings 17 Oct 2013 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing 5 - Very Good Management and Leadership 5 - Very Good 26 Jan 2012 Unannounced Care and support 5 - Very Good Environment 5 - Very Good Staffing Not Assessed Management and Leadership Not Assessed 15 Nov 2010 Unannounced Care and support 4 - Good Environment Not Assessed Staffing Not Assessed Management and Leadership 4 - Good Celtic Cross Nursery, page 26 of 28
2 Jun 2009 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 3 - Adequate All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Celtic Cross Nursery, page 27 of 28
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 Celtic Cross Nursery, page 28 of 28