National Occupational Standards Sector Health and Social Care Job Family Childcare Job Title Child Care MQF Level 4 Mandatory Competences CDC 401 Develop and promote positive relationships CDC 402 Develop and maintain a healthy, safe and secure environment for children CDC 403 Promote children’s development CDC 404 Reflect on and develop practice CDC 405 Protect and promote children’s rights CDC 406 Support children with disabilities or individual educational needs and their families CDC 407 Meet regulatory requirements in the childcare setting CDC 408 Plan and implement positive environments for babies and children under 3 years CDC 409 Provide physical care that promotes the health and development of babies and children under 3 years CDC 410 Create environments that promote positive behaviour CDC 411 Maintain and develop a registered child care service CDC 412 Deliver services to children and families who are bilingual or whose preferred language is not Maltese or English Version 1 – March 2017 CDC: 401 Develop and Promote Positive Relationships Description of Unit Workplaces require interaction with others, particularly in care-giving settings, where communication between a variety of stakeholders is required. Developing and promoting positive relationships with both children and adults ensure that the children’s best interests are safeguarded by all those responsible for care-giving, and that children will be able to thrive and develop their own relationships with others The candidate is required to know how to develop meaningful positive relationships with children and support children in developing positive relationships. The development of meaningful positive relationships with children and adults is done by: 1. Communicating effectively. 2. Adapting his/her behaviour according to the age, needs and developmental stage of the child. 3. Supporting the development of the child through the interaction itself. 4. Listening and responding effectively to the children and their parents. 5. Adopting evidence-based strategies that encourage the development of the child. Performance Criteria 6. Reinforcing positive behaviours. 7. Adopting and integrating developing relationships. anti-discriminatory practices when 8. Being sensitive to the communication difficulties that can be experienced by children and adults. 9. Dealing promptly and effectively with conflict. 10. Showing the ability to develop and nurture relationships with other adults, for the benefit of the service and of the service-users. 11. Having a good working knowledge of the relevant legal requirements and procedures covering the way he/she relates to and interacts with children; this includes knowledge of the various laws, standards and legislations that regulate social welfare provision in general and also the particular sector in which candidates is going to work. 2 Level 4 Child Care worker must know: 1. The importance of good working relationships in the setting. 2. The relevant legal requirements covering the way one relates to and interact with children. 3. The relevant legal requirements and procedures covering confidentiality and the disclosure of information. 4. When a child is distressed and/or upset and act accordingly. 5. The importance of encouraging children to be sensitive to the feelings of others. Required Knowledge 6. The relevant legal requirements1 covering the needs of disabled children and those with individual educational needs. 7. Their rights so that they will be able to know which channels to use to try to defend themselves in case of an accusation of misconduct. 8. The communication techniques and strategies needed with children. 9. The importance of encouraging children to be sensitive to the feelings of others. 10. The meaning of anti-discriminatory practice and how to integrate this into one’s relationships with children and other adults . 11. How to adapt one’s behaviour and communication with children to meet the needs of the children of different ages, genders, ethnicities, needs and abilities. 12. The strategies that can be adopted to help children to feel Education Act 2006 & Inclusive Education Equal Opportunity Act 200 (Chapter 413) Early Intervention; Early Childhood Educ. & Care 2006 National Standards for Child Care day facilities 2006 (10) 1 Creating Inclusive schools Inclusive Education Policy 2000 3 welcome and valued in the setting. 13. The importance of relationships with peers and adults in the childcare setting and understand why these relationships are important. 14. What is meant by ‘appropriate’ and ‘inappropriate’ behaviour when interacting with children, the policies and procedures to follow and why these are important. 15. The importance of encouraging children to make choices for themselves and strategies to support this. 16. The importance of involving children in decision-making and strategies one can use to do this. 17. How to negotiate with children according to their age and stage of development. Required Knowledge 18. Strategies that can be used to show children that their individuality is respected. 19. How to balance the needs of individual children with those of the group as a whole. 20. The importance of clear communication with children and specific issues that may arise in bilingual and multilingual settings. 21. Why it is important for children to ask questions, offer ideas and suggestions and how one can help them do this. 22. Why it is important to listen to children. 23. How to respond to children in a way that shows that the carer values what they have to say and the types of behaviour that could show that the carer does not value their ideas and feelings. 24. The importance of being sensitive to communication difficulties with children and how to adapt the way one communicates in different situations. 25. How the carer can help children to understand the value and 4 importance of positive relationships with others. 26. The importance of children valuing and respecting other people’s individuality and how the carer can encourage and support this. 27. Why it is important for children to understand and respect other people’s feelings and how one can encourage and support this. 28. Why it is important to be consistent and fair in dealing with positive and negative behaviour. 29. The importance of positive relationships for the child’s development and future well-being. 30. The strategies the carer can use to encourage and reinforce positive behaviour. Required Knowledge 31. The strategies one can use to challenge and deal with different types of behaviour which are consistent with the organisation’s policies. 32. Why it is important for children to be able to deal with conflict themselves and what support they may need from the carer: according to their age, needs and abilities. 33. Why it is important to encourage and support positive relationships between children and other adults in the setting and strategies the carer can use to do this. 34. The importance of positive relationships for the child’s development and future well-being. 35. Why positive relationships with other adults are important. 36. Why it is important to show respect for other adults’ individuality and how to do so. 37. The importance of clear communication with other adults and how this can be achieved. 38. The importance of being sensitive to communication difficulties 5 with other adults and strategies one can use to overcome these. 39. How and when it may be necessary to adapt the way the carer communicates to meet the needs of other adults. Required Knowledge 40. The typical situations that may cause conflict with other adults and how to deal with these effectively. Level 4 Child care worker is able to: 1. Develop relationships with children: a) Communicate with other adults politely and courteously in a way that is appropriate to them. b) Adapt behaviour to the age, needs and abilities of individual children. c) Negotiate with children about their needs and preferences and involve them in decision-making as appropriate to their stage of development. d)Apply inclusive and anti-discriminatory practice in one’s relationships with children. Required Skills e) Make sure one’s behaviour with children is appropriate at all times. f) Give attention to individual children in a way that is fair to them and the group as a whole. g) Respect confidential information about children, as long as this does not affect their welfare. h) Demonstrate an awareness of legal requirements to work with children and deal with confidentiality issues to facilitate and support children’s relationships within peers and adults in the setting. 2. Communicate with children: 6 a) Communicate with children in a way that is appropriate to their age, needs and abilities. b) Listen to children and respond to them in a way that shows that what they say and feel is valued. c) To understand children by asking questions clarifying and confirming what the children mean. d) Encourage children to ask questions, offer ideas and make suggestions. e) Recognise when there are communication difficulties and adapt the way one communicates accordingly. 3. Support children in developing relationships: Required Skills a) Support children in developing agreements about ways of behaving, according to the requirements of the setting or service. a) Support children who are distressed and/or upset, and act accordingly. b) Support children who have been upset by others. c) Encourage and support children to sort out conflict for themselves, according to their age, needs and abilities. d) Encourage and support other adults in the setting to have positive relationships with children. e) Encourage potential barriers to possible relationship formation. 4. Communicate with adults: a) Communicate with other adults politely and courteously and in a way that is appropriate to them. b) Show respect for other adults’ individuality, needs and preferences. c) Respond to other adults’ requests for information accurately within agreed boundaries of confidentiality. d) Actively listen to other adults, asking questions and clarifying and confirming key points. 7 e) Recognise when there are communication difficulties and adapt the way communicate accordingly. Required Skills f) Handle any disagreements with other adults in a way that will maintain a positive relationship. 8 CDC: 402 Develop and Maintain a Healthy, Safe and Secure Environment for Children Description of Unit Workplaces and work activities contain risks to the health and safety of workers, service-users and visitors. Several regulations are aimed at ensuring the health, safety and protection of children. It is the duty of both the carer and the manager to follow such regulations to minimise any risks to the children’s protection, health and safety. The candidate is required to show understanding and compliance with laws and procedures2 aimed at minimising risks to children’s health, safety and protection. The candidate must be aware of the health and safety requirements mentioned in national standards and legislations. The candidate must be able to assess and deal with the various health and safety risks that a child might be exposed to in the particular sector in which she/he is working. These include the following: Performance Criteria 1. Security and safety risks with regards to arrival and departure of children from facility. 2. Security risks during outings. 3. Risks associated with the safe storage of dangerous objects and materials (including but not only cleaning materials, medicines and medical supplies, etc). 4. Signs, symptoms and treatment of childhood health problems (such as disease and allergies). 5. The storage of food and disposal of waste. Data Protection Act (Chap. 440 of the Laws of Malta); Occupational Health and safety Authority Act (Chap. 424); Equal Opportunities (Persons with Disabilities) Act (Chap. 413); National Standards for Child Day Care Facilities (2006). 2 9 6. Hygiene. Performance Criteria 7. How to physically handle children to minimise risks for him/herself and child. 8. Safe physical restraint of the child when necessary. 9. Recognising signs and symptoms of childhood health problems and administrating First Aid to children. Level 4 child care worker must know: 1. Good practice surrounding manual handling of children and the risks associated with lifting and carrying children. 2. The basic stages of child development and the implications these have for health, safety and security arrangements. 3. How to be sensitive of different attachment styles. 4. How to carry out safety checks of the children’s indoor and outdoor environment before and during work activities, to include: a) facilities and equipment; b) toilet and washing areas; c) movement and activity of children. 5. About security arrangements; which should include: Required Knowledge a) children’s arrival at the setting; b) children’s departure from the setting; c) outings. 6. The regulations and procedures for the storage and administration of medicines. 7. The principles and models of risk assessment that are applied in one’s setting to cover the environment for children and colleagues, both 10 indoors, outdoors and on outings. 8. Why it is important to allow children to assess and manage risk according to their stage of development and how this can be done. 9. How to record accidents and incidents. 10. What the appropriate contents of a first aid kit are. 11. The correct responses to situations involving accidents and injuries, taking into account the age of the children and the procedures of the setting. 12. Signs and symptoms of common childhood illness and allergies and appropriate responses according to established procedures. 13. How to keep up to date with the health requirements of each child making use of the facility. 14. How to the legal implications of care and custody. 15. The Civil Code, Cap 16 part IV entitled ‘Parental Authority’. Required Knowledge 16. About good hygiene practice, including: a) principles of cross infection; b) appropriate systems to dispose of different types of waste, food handling; c) handling body fluids; d) issues concerning spread of HIV and AIDS virus and hepatitis. 17. The emergency procedures in the setting, concerning fire emergencies, missing children, evacuations, etc. 18. The statutory and regulatory arrangements covering health and safety for the children, colleagues, families and visitors in the setting or service. 11 Level 4 child care worker is able to: 1. Establish a healthy, safe and secure environment for children: Required Skills a) Have up-to-date and accurate information about the health, safety and security requirements for one’s setting. b) Have up-to-date and accurate information about the health and dietary needs of all children using the facility. c) Check all areas of the setting and identify and record hazards. d) Identify and remove those hazards that can be eliminated. e) Assess the levels of risk for all other hazards and establish procedures for managing these risks to an acceptable level. f) Make sure that all children and adults using the setting have information about the health, safety and security procedures relevant to them. g) Review and revise health, safety and security procedures in line with changing circumstances and requirements, and to make improvements. h) Deliver a service to children with different attachment styles. 2. Maintain a healthy, safe and secure environment for children: a) Assess the health, safety and security of the setting before starting, during and at the end of work activities. b) Follow health, safety and security procedures. Required Skills c) Make sure children and adults in the setting are following health, safety and security procedures, providing them with help and support when necessary. d) Maintain supervision of children appropriate to the levels of risk and the child’s age, needs and abilities. e) Encourage children to help manage risk for themselves. f) Encourage children’s awareness of their own and others’ safety and their personal responsibility. 12 g) Contribute to safety on outings, according to one’s role and responsibility. h) Knows how to provide first aid to children aged between 0 and 5 years. 3. Supervise procedures for accidents, injuries, illnesses and other emergencies: a) Identify signs and symptoms which may indicate health problems. b) Make sure that accidents, injuries, signs of illness and other emergencies are promptly identified. c) Follow the correct procedures to deal with accidents, injuries, signs of illness and other emergencies calmly and safely. d) Make sure that oneself and others are not put at unnecessary risk. e) Provide comfort and reassurance to those involved. Required Skills f) Make sure that first aid and medication are provided, according to the correct procedures. Follow the correct procedures for recording and reporting accidents, injuries, signs of illness and other emergencies. 13 CDC: 403 Promote Children’s Development Description of Unit Children develop rapidly during the first few years of their life. Children’s development is heavily influenced by the environment in which they live. Workers in childcare settings, thus, have the responsibility to ensure that children are given all the necessary support to develop in a healthy manner. The candidate is required to show understanding of the development of children aged between 0 and 3 years. Additionally, the candidate must be able to: 1. Assess, assist and promote children’s development to enable children to reach their full potential. Performance Criteria 2. Assess the progress of the child through the use of various ‘tools’ (such as observation) and develop realistic goals and expectations for the child. 3. Assess children and develop goals in line with current theories of development and play, and thus the candidate requires in-depth holistic knowledge of such theories and must demonstrate the ability to apply such theories to practice. Level 4 child care worker must know: Required Knowledge 1. The importance of involving children and families as partners in observation and assessment and testing out findings with colleagues, families and other agencies. 2. The safeguards that need to be in place when assessing children and the need for objectivity. 3. The importance of having high expectations of children, based on 14 realistic expectations of what they can achieve. 4. The techniques of observation that is appropriate for different purposes. 5. The setting’s processes and procedures for observing, assessing and recording: when and how these link to external requirements or ‘baselines’ or curriculum frameworks followed in the home country. 6. The difference between formative and summative assessment, the use of profiling and different forms of assessment used in the setting. 7. How to plan a programme of activities according to the child’s ability (after this has been carefully observed) and how to use scaffolded activities to promote development). Required Knowledge 8. The influences3 on how children develop and what these might mean in the context of the children the carer is working with. 9. How current theories of play can inform practice. 10. To which agencies children should be referred too when there are concerns about their development. 11. The importance of recognising that children's development is holistic, even though for convenience it is divided into different interconnected areas, and how this affects practice. 12. That there are competing theories of how children develop and how current theoretical views influence practice. 13. That children develop at widely different rates, but in broadly the same sequence 4. 3 • • • • • • • Examples might be: Health status: physical and mental health Genetic inheritance Gender Social, cultural, environmental, financial and family background and circumstances Disability and sensory impairments Play opportunities and environment Discrimination 15 14. That development depends on the children's level of maturation and their prior experiences and that adult expectations should be realistic and take this into account. 15. How a detailed knowledge of children and young people’s development helps the carer recognise when they might need additional support, when and where the carer will need to forward her/his concerns to parents or other agencies or professionals. 16. About children and young people’s expected patterns of development. The pattern of development includes the expected order or sequence in which development takes place, the development the carer would expect to see and the usual rate of development. The carer must know and understand how the following apply to children aged 0-5: a) Physical development. Required Knowledge b) Communication, intellectual development and learning. c) Social, emotional and behavioural development. Level 4 child care worker is able to: 1. Observe development: a) Identify the reasons for observing and assessing development. Required Skills b) Select appropriate techniques of observation and types of recording format. c) Obtain necessary permissions to observe children from the appropriate adults. d) Discuss the observation with the children to be observed and respond appropriately to their views, according to their age, General sequence is: • Moving from simple to complex actions • From head to toe (developmental progresses downwards) • From inner to outer (actions near the body to more complex ones further from the body) e.g. co-ordinating their arms: using gross motor skills before developing fine motor skills to use their fingers • From general responses to those that are more specific e.g. a baby showing pleasure using its whole body, to an older child using appropriate words and gestures 4 16 needs and abilities. e) Minimise distractions and observe children without intruding or causing unnecessary stress. f) Use appropriate techniques to observe children, covering all required aspects of their development and their behaviour. g) Maintain confidentiality, according to setting procedures. h) Implement data protection procedures. 2. Assess development and reflect upon implications for practice: a) Undertake formative and summative assessments. b) Make sure that the assessments are based on observational findings and other reliable information. c) Use information from colleagues, families, children and other appropriate adults to inform one’s assessments. d) Record the assessments, maintaining confidentiality as appropriate to the procedures of the setting. e) Share findings with children and family members, as appropriate. f) Refer concerns about children to relevant external agencies when required. g) Reflect upon the assessments of children’s development and identify implications for practice. 3. Plan provision to promote development: a) Plan provision for individual children, based on one’s assessment of their developmental progress and the reflection on practice. b) Regularly review and update plans for individual children. c) Ensure plans balance the needs of individual children and the group in settings where this is appropriate. 4. Implement and evaluate plans to promote development: a) Implement plans flexibly and evaluate their effectiveness in 17 promoting development. b) Evaluate the implementation of plans. c) Evaluate the outcomes of planning for individuals and groups, in settings where this is appropriate. d) Regularly review practice in terms of positive developmental outcomes for children. e) Promote activities in a non-gender-biased manner. 5. How to promote children’s development from 0 to 3, how and why the carer: a) Provide a safe, secure and encouraging environment in partnership with families. b) Adapt practice and supports all the children in one’s care, including those with disabilities and special educational needs. c) Adapt the environment and activities so that all children can take part equally and, where necessary, provide alternative activities. d) Provide a framework to support inclusion and antidiscriminatory practice to meet individual needs. e) Develop close, relationships which include an appropriate level of physical contact with the child, which is also important for the child’s mental health. f) Support emotional well-being and intelligence. g) Encourage independence, moving from a base of secure close relationships. h) Provide an environment that is baby and child friendly and encourages play, exploration and problem solving. i) Encourage babies and young children to make choices, express individual preferences and become aware of others. j) Be realistic, positive, consistent and supportive in one’s responses to children’s behaviour. k) Sensitively support toilet training. 18 l) Encourage sensory learning through the provision of appropriate sensory experiences. m) Encourage babies to learn and develop from birth through practising skills and repeating activities. n) Encourage creativity from the earliest age. o) Play with and alongside babies and children to encourage and support their creativity from the earliest age. p) Use everyday routines and culturally and developmentally appropriate activities, materials and first-hand experiences to support learning and intellectual development. q) Identify and support children’s early literacy and numeracy e.g. counting, mark making, interest in environmental print, using mathematical language. r) Restrict exposure to TV and video and provide a balance of quiet and noisier periods. s) Support children’s communication as they move from listening/watching through to talking, reading and writing. t) Use a range of verbal and non-verbal communication strategies such as talking, listening, making eye contact, persona dolls, singing, rhymes, and stories. u) Adapt strategies for children where English or Maltese is not the home language or where there are communication difficulties. v) Support children’s early communication in bilingual or multilingual settings. w) Meet physical needs including nutrition and healthy eating. x) Encourage development of gross and fine motor skills, through the provision of appropriate activities and equipment. y) Provide a safe environment that encourages children’s to develop physical skills and confidence in movement. 19 CDC: 404 Reflect on and Develop Practice Description of Unit Being reflective is a fundamental part of self-development: it enables practitioners to learn from past experience and improve practice in an informal way, and also urges practitioners to seek formal training in particular areas. The candidate is required to: a) Show understanding of the importance of both formal and informal continuous professional development (both through formal vocational and academic training courses and informal education). Performance Criteria b) Monitor and assess one’s own work. c) Evaluate her/his own performance. d) Come-up with solutions for any problems (in his/her own performance) or issues that might become apparent. e) Strengthen the areas where performance seems to be satisfactory. f) Seek to improve her/his competence. Level 4 child care worker must know: Required Knowledge 1. Why reflection on practice and evaluation of personal effectiveness is important. 2. How learning through reflection can increase professional knowledge and skills. 3. How reflection can enhance and use personal experience to increase confidence and self-esteem. 20 4. Techniques of reflective analysis: a) Questioning what, why and how b) Seeking alternatives c) Keeping an open mind d) Viewing from different perspectives e) Thinking about consequences f) Testing ideas through comparing and contrasting g) Asking ‘what if?’ h) Synthesising ideas Required Knowledge i) Seeking, identifying, and resolving problems 5. The use of reflection as a tool for contrasting what the carers says they do and what they actually do. 6. How to use reflection to challenge existing practice. 7. The difficulties that may occur as a result of examining beliefs, values, and feelings. 8. How to assess further areas for development in one’s skills and knowledge through reflection, feedback and using resources such as the internet, libraries, journals. 9. How to develop a personal development plan with objectives that are specific, measurable, achievable, realistic and with timescales. 10. The availability and range of training and development opportunities in the local area and how to access these. 11. The importance of integrating new information and/or learning in order to meet current best practice, quality schemes or regulatory requirements. 21 Level 4 child care worker is able to: 1. Reflect on practice: a) Monitor processes, practices and outcomes from one’s own work. b) Evaluate one’s own performance (achievements, strengths and weaknesses) using best practice benchmarks. c) Reflect on the interactions with others. d) Share reflections with others and use their feedback to improve one’s own evaluation. e) Use reflection to solve problems. Required Skills f) Use reflection to improve practice. 2. Take part in continuing professional development: a) Identify areas in one’s knowledge, understanding and skills where this could develop further. b) Develop and negotiate a plan to develop the knowledge, skills and understanding further. c) Seek out and access opportunities for continuing professional development as part of this plan. d) Use continuing professional development to improve one’s practice. e) Support the managers in appraisals of self and others. 22 CDC: 405 Protect and Promote Children’s Rights Description of Unit Children’s holistic well-being is of paramount importance. It includes the child’s right to have a voice, to be treated with dignity as an individual, and to be protected and safeguarded. The candidate must have: a) Knowledge of (National & international) legislation, regulations and good practice surrounding children’s rights and protection.5 b) Knowledge of how to meet the requirements posed by the aforesaid legislation and practices. c) The ability to identify any threats to such rights and protection (such as discrimination, abuse or neglect) and report through the appropriate channels. Performance Criteria d) Awareness of the factors that increase the children’s vulnerability to abuse and discrimination. e) The ability to recognise and remove barriers to participation that might hinder the child’s development. f) The ability to make use of the personal, community and societal resources available to be able to overcome such barriers. Furthermore, the candidate must: a) respect persons as individuals; b) indiscriminately promote children’s rights; c) be able to asses and plan for the child’s individual needs; d) promote equality of opportunity for all children and their parents; e) ensure that all children receive a high quality service without The candidate must have basic knowledge of the following: UN Convention on the Rights of the Child (1989); Equal Opportunities (Persons with Disability) Act (Chap. 413) and Equality for Men and Women Act (Chapter 456); Legal Notice 85 of 2007 - Equal Treatment of Persons Order, Legal Notice 181 of 2008 - Access to Goods and Services and their Supply (Equal Treatment) Regulations. 5 23 discrimination; Performance Criteria f) contribute to collect data on the effectiveness of antidiscriminatory practices and reformulate such practices according to the findings; g) show knowledge of how to involve the parents and families of the children in anti-discriminatory practices. Level 4 child care worker must know: 1. The legislation covering children’s rights and laws covering equality and inclusion within the home country and how these relate to the setting. 2. How to work with children in the context of the UN Convention on the Rights of the Child, e.g. the child’s right to self-expression, play, cultural identity, freedom from exploitation. 3. The various forms of discrimination, the groups most likely to experience discrimination and the possible effects of discrimination on the children and families. Required Knowledge 4. How inequalities are embedded in society. 5. The negative effects of inequalities on all children: this must include the negative effects on children who are not themselves directly experiencing inequality. 6. The Difficulties in accessing provision and services that might be experienced by children and families and how procedures and practices can work to overcome these and improve services. 7. What barriers to participation might be present, e.g. attitudes, language, mobility; lack of information/knowledge of the benefits of children’s services, environmental barriers, discrimination; and how the carers would ensure these were recognised and removed. 8. The kinds of community resources and support that are available to support equality access, the scope of opportunities for referral if necessary and sources if information for children and families. 24 9. How to ensure that service-provision aims to meet current guidance for implementing inclusion and anti-discriminatory practice. 10. How to assess and plan for children’s needs, drawing on available resources and support services. 11. That children have a right to high quality provision that meets their individual needs. 12. The Organisational strategies and practice issues to ensure equal access and compliance with legislation for disabled children and children with special educational needs within your workplace. 13. The requirements of legislation, regulation and codes of practice for safeguarding and protecting children relevant to the setting. The duty of all within the sector to safeguard children, includes: Required Knowledge a) Whistle blowing where there are concerns about colleagues or in other difficult circumstances. b) Where one’s concerns may not be seen to be taken seriously or followed through when following normal procedures. 14. The importance of monitoring provision and the need for accountability to children, parents, families and other agencies. 15. The importance of partnerships with parents and families and how these partnerships can be developed and supported. 16. The importance of following procedures without forming premature judgments regarding suspected or actual abuse. 17. The understanding what increases child’s vulnerability to abuse and exploitation and the importance of empowerment, confidence and resilience for a child’s welfare. 18. The recognition of social emotional, psychological factors and/or abuse of substances which may cause or aggravate the adults which might increase the risk abuse on a child. 25 19. The policies and procedures and the lines of reporting in the setting or service concerning suspected or actual abuse. Required Knowledge 20. The safe working practices that protect children and adults who work with them. 21. The importance of promoting children’s assertiveness, self confidence and self-esteem which enable children to protect themselves. 22. The benefits of a multi-professional, multi-agency approach in maximising the children's experiences and learning, drawing on local communities and external expertise. 1. Promote equality of access: a) Provide information for children, families and communities that promotes participation and equality of access. b) Implement transparent procedures and information about access to provision to meet the needs of all children. c) Welcome children from all backgrounds (cultural, social, familial, economic), ensuring barriers to participation are identified and removed. d) Seek and respect the views and preferences of children, adapting the practice to the child's age, needs and abilities. Required Skills e) Embrace the involvement of all relevant local community groups and other organisations in the setting or service and provide information on services and resources. f) Find appropriate ways to provide information about equality of access to children and families who have found services hard to access. g) Provide information to children about their rights and responsibilities in the context of your setting 2. Implement strategies, policies, procedures and practice for inclusion: a) Use inclusive and anti-discriminatory practice in planning and delivery of provision, according to current guidance. 26 b) Provide an environment, activities and experiences that promote positive images of diversity present in the wider society. c) Assess and contribute to meeting the individual needs of children. d) Organise the provision to facilitate access and participation for disabled children and children with individual educational needs. e) Promote all children’s entitlement to the full range of activities and learning experiences. f) Monitor and evaluate how effective the provision is in implementing inclusive practice and implement change to improve the service you offer. g) Ensure confidentiality and privacy for children, except where their well-being and the well-being of others is at stake. Required Skills 3. Maintain and follow policies and procedures for protecting and safeguarding children: a) Maintain and follow organisational procedures for the protection and safeguarding of children and refer accordingly. b) Follow policies and procedures for safeguarding children under your care. c) Recognise indicators of possible child abuse. d) Help children to protect themselves from abuse. e) Respond sensitively to a child’s disclosure of abuse. f) Promote an environment of openness and trust, allowing children to express themselves in their chosen way. g) Follow safe working practices that protect children and practitioners. h) Promote participation and equality practices amongst children and within the child care centre. Collect relevant data and contribute to the development of an individual educational programme that is designed adapted for the needs of the child 27 CDC: 406 Support Children with Disabilities or Individual Educational Needs and Their Families Description of Unit Childcare facilities must be able to offer a good service to all children, without discriminating against children with disabilities and/or individual educational needs. The workplace must be geared towards providing full accessibility not only to the physical premises and equipment but also to the activities that go on with the facility. The candidate must show an understanding: a) of the skills that contribute to the inclusion of children with disabilities; and b) of individual educational needs; c) of how to support children with disabilities and individual educational needs participate in the full range of activities and experiences; d) ofthe fact that certain parents are capable of providing information and knowledge on hot to cater for the needs of children with disabilities. Performance Criteria The candidate must also be aware of the resources available to support children with disabilities and their families, and must be able to guide them on how to access such resources. The candidate must: a) be able to plan his/her work according to the developmental requirements of the children; b) be able to adapt her/his practice to each individual child’s requirements; c) know how to use various approaches when working with children with disabilities and how to use the equipment that individual children may need; d) be aware of the importance of early assessment and intervention to reduce the worsening of developmental and educational difficulties. 28 Level 4 child care worker must know: 1. The possible impact of having a child with a disability or individual educational needs within a family and the varied responses of carers, siblings, and the wider family. 2. The legislation, regulations and codes of practice affecting provision for children with disabilities and children with individual educational needs within the carer’s home country. 3. The assessment and intervention frameworks for children with individual educational needs. 4. The rights of all children to participation and equality of access as stipulated by the relevant legislation. 5. About the specialist local and national support and information that is available for the carer and for the children and families. Required Knowledge 6. How to develop and nurture partnerships with parents, families and guardians. 7. That there are ‘expert parents’ with wide-ranging and in-depth knowledge of their child and the disability or individual educational need, who can offer support to others. 8. About integration and inclusion works in the carer’s setting and local area and the reasons for its benefits or otherwise. 9. The details about particular disabilities or individual educational needs as they affect the children and the carer’s ability to provide a high quality service. 10. The expected level of development for the children for whom he/she is responsible. 11. The possible effects of communication difficulties and attention deficits. 12. The purpose and use of Augmentative and Alternative Communication and assisting children through use of all available senses and experiences. While also be aware of the benefits that all children gain 29 from an inclusive setting. 13. How to plan for each child’s individual requirements according to his/her age, needs, gender and abilities. 14. How to adapt one’s practice to meet the needs of all the children for whom one is responsible, according to the children’s age, needs and abilities. Required Knowledge 15. What specialist aids and equipment are relevant and available for the children the carer works with and how to use these safely and effectively. 16. About the importance of early recognition and intervention to prevent other difficulties from developing. 17. Of and be able to use, specialist terminology in the interest of the children with whom the carer works, whilst ensuring that use of such terminology does not act as a barrier to communication. 18. The different levels of modifications that may be needed to deliver a service to children with disabilities. Level 4 child care worker is able to: 1. Contribute to the inclusion of children with disabilities and their individual educational needs: Required Skills a) Seek information about children from families and external support agencies in order to assess and respond to the child's individual needs. b) Identify barriers to participation; take steps to remove these and support children’s participation and equality of access. c) Involve and consult children and families at each stage of determining the steps that have to be taken to support participation and access. d) Develop individual plans to meet each child's needs. e) Contribute to the drawing-up of children’s development 30 reports. f) Able to identify resources needed. g) Draw the attention of superiors when a statutory assessment is required. h) Support children appropriately through transitions to ensure continuity of experiences. i) Refer concerns about children, according to setting procedures and policies. 2. Help children with disabilities and individual educational needs to participate in the full range of activities and experiences: a) Identify and take steps to overcome barriers to communication and socialisation. Required Skills b) Identify and take steps to overcome barriers to participation in the full range of activities and experiences. c) Offer alternative activities if appropriate. d) Implement adaptations that can be made without the use of special aids and equipment. e) Identify and deploy specialist aids and equipment as necessary. f) Adapt the environment, including layout of furniture and accessibility of equipment, where this is necessary and within one’s role and responsibility. g) To request boundaries for behaviour with children and families and guardians. 3. Support families and guardians to respond to children's needs: a) Encourage family members and guardians to participate in observing and identifying the needs of children. b) Actively encourage family members and guardians to participate in activities with children. c) Establish partnerships with families and guardians in recognition that they are the child's primary carers and may have detailed knowledge about their child. 31 d) Tailor support to families’ and guardians’ different needs, recognising that the material and personal resources available to them will vary. Required Skills e) Encourage family members and guardians to express their feelings in a non-judgmental environment. f) Adapt the use of technical language to ensure clarity and understanding. 32 CDC: 407 Meet Regulatory Requirements in the Childcare Setting Description of Unit Workplaces must be compliant with the regulations, directions and standards issued by the authorities that regulate the sector, and the management of the facility must be able to apply these regulations to the workplace. The candidate must: a) Show an understanding of the regulatory requirements of the sector6. Performance Criteria b) Be able to plan for inspection, in consultation with colleagues, by collecting the required evidence. c) Take appropriate action to meet any requirements that emerge following the inspection process. Level 4 child care worker must know: 1. The details of the standards and criteria for the provision of childcare in the setting. 2. The different regulatory bodies for each aspect of provision. Required Knowledge 3. The appropriate language to describe the setting and the roles and responsibilities of those caring for children. 4. The details of the required curricula for the age range of children in care. 5. What is considered to be good practice in one’s setting and how this relates to minimum regulatory standards. For carers working child day care facilities these include knowledge of the National Standards for Child Day Care facilities (2006). 6 33 6. Why it is important to plan in advance for inspections and how to involve colleagues in the planning process. 7. The regulatory and employment requirements for regulation. Required Knowledge 8. The different policies, procedures, records and documents that will provide evidence against regulatory requirements. 9. Why it is important to inform parents of an impending inspection. 10. Where to obtain information about the requirements for inspections. Level 4 child care worker is able to: 1. Identify regulatory requirements: a) Identify and interpret for requirements relating to: Required Skills the setting, the regulatory Premises and equipment. The provision of food and drink, including the guidelines for healthy eating. Health and safety, including those for first aid and fire safety. Colleagues’ numbers/ratios, suitability and qualifications. Management of information systems and records, including those of confidentiality. Curriculum requirements for babies and pre-school children. 2. Plan for inspection, in consultation with colleagues: a) Clearly explain to colleagues the purpose and process of inspection and its benefits for the setting. b) Ensure that colleagues are aware of the policies and procedures employed in the setting that are in line with regulatory requirements and current best practice. c) Make information and guidance on inspections available to colleagues. d) Work with colleagues to ensure they are confident and well 34 prepared for inspection. e) Ensure that colleagues understand their individual responsibilities in relation to inspection and the language used to describe roles and responsibilities of those caring for the children. f) Identify with colleagues where the carer complies with the conditions of registration and where there are potential weaknesses. g) Consult previous inspection report where appropriate and use to prepare an inspection plan with colleagues. h) Ensure that curriculum plans will meet regulatory requirements and children's needs. i) Prepare and complete any forms associated with the inspection. j) Inform families and guardians that an inspection is due and that they will be consulted and their views sought by inspectors. 3. Collect required evidence: Required Skills a) Consider the different sources of evidence that could be put forward to demonstrate compliance with regulatory requirements. b) Refer to any guidance to assist in identifying sources of evidence. c) Ensure the written plans to support curriculum development and delivery is available for inspection. d) Ensure that policies in relation to the care and protection of children are available for inspection. e) Provide documentary evidence of compliance with health and safety, environmental health and fire regulations. f) Ensure that records of children's care and developmental progress are available for inspection. g) Ensure that management systems reflect best practice and are clearly documented. 4. Take appropriate action to meet requirements: 35 a) Review and update policies and procedures to ensure they meet regulatory requirements. b) Examine premises and make arrangements for any necessary changes to be completed prior to the inspection. c) Liaise with colleagues to ensure that personal details are correct and up-to-date. d) Ensure that records of children's development are up-to-date and based on observations. e) Undertake a review of equipment and resources provided for children to ensure they meet health and safety requirements and are fit for purpose. Required Skills f) Review curriculum plans and amend where necessary to ensure they meet objectives. g) Ensure records of children's attendance, sickness and absence, contact details and significant information are up-to-date, checking with parents and families where necessary. h) Keep accurate records of meetings and discussions. i) Work with colleagues to develop confidence in the inspection process in order to use it positively for children and families. 36 CDC: 408 Plan and Implement Positive Environments for Babies and Children under 3 Years Description of Unit Childcare facilities must offer a service that helps the holistic development of all the children. Candidates must be able to plan and implement activities to enhance the development of the children following an observation and assessment of the various developmental needs of the individual children. Thus the candidates must: a) have knowledge of the developmental milestones of the children; b) be able to assess the children’s development against empirical baselines; Performance Criteria c) be able to record efficiently such observations (whilst adhering to national legislation that legislates individual privacy and data protection); d) show understanding of what causes children’s development to deviate from baselines and assess when such discrepancy is problematic; e) be aware of how to discuss observations of development with parents and professionals; and f) develop action plans that help in the development of the children and stimulate their interest, curiosity and growth. Candidates must also involve the parents/guardians of the children in the planning of such activities, through constant communication. 37 Level 4 child care worker must know: 1. When and how to carry out observations on babies, including the purpose of observations, the different methods that can be used and when the carer would use them. 2. When and how to carry out observations on children under 5 years; why a different approach from that used for babies might be necessary; and the reasons for carrying out observations on this age group. 3. What factors might affect the reliability or validity of her/his observations and why the carer would document this. 4. What is meant by baseline information, how to obtain such information and why it is necessary to facilitate children's development. Required Knowledge 5. Why it is important to obtain permission from parents before carrying out observations on babies and children under 5 years and how this may be accomplished. 6. How to keep records of incidents that occur while the child is within the carer’s care. 7. The expected pattern of development for children 0-5, including the acceptable range and recognised limits. 8. The organisational policies and procedures that must be followed when reporting and referring any concerns about development and why it is important to report/refer concerns as soon as possible. 9. Why and how to record observations of development accurately and clearly, using accepted language and formats; what these are. 10. The legislation relating to the use of personal information e.g. Data Protection Act, including the limits to confidentiality. 11. What is meant by a warm and respectful approach e.g. tone of voice, expression, use of appropriate language; and how this affects relationships. 38 12. Who it is appropriate to share information with relating to the development of individual babies and children and why such information should be shared. 13. What methods would the carer use to engage the attention and interest of babies and what effect developmental competence will have on his/her choice. 14. Why it is important to allow children to initiate communication and how to recognise signals that indicate that the baby or child wishes to communicate, disengage from communication or does not wish to communicate at all. 15. The range of communication methods the carer can use with babies and young children, including non-spoken languages. 16. How to recognise communication differences and difficulties, and the possible reasons for these. Required Knowledge 17. The likely emotional and behavioural responses to communication differences of children under 5 years and how these can be managed in ways that benefit the child. 18. The activities that will support different areas of learning and development for babies and children and under 5 years, including: a) gross and fine motor development; b) hand/eye co-ordination; c) language and communication development; listening and responding; d) emotional expression and social competence; e) intellectual skills and understanding; f) imagination and creative skills. 19. To contribute to the development of the program of activities. 39 20. The circumstances where the carer might change routines or activities; how the carer would adapt existing or planned activities or routines. 21. How to encourage children to communicate through their play and learning activities. 22. The patterns of communication development from 0 to 5 years, covering listening/watching, talking, early interest in reading, early writing and mark making. 23. What the organisation’s policies and practices are regarding risk assessment and safety and why it is important to follow these. Required Knowledge 24. What is meant by challenging activities for individual babies and children and the link between challenging activities and developmental progress. 25. Why it is important to carry out risk assessment, how she/he would do this and what action to take if the surroundings or equipment do not meet requirements. 26. Why it is important to share information with parents and the sort of information that can affect the care and well-being of babies and children under 5 years. 27. Why it is important to respect parents’ preferences concerning the care routines for their children, and how the carer would reach agreement where these do not meet the requirements of good practice. 28. About the sources of advice available to parents, locally and nationally and in different formats, including language. 40 Level 4 child care worker is able to: 1. Observe, assess and record developmental progress of babies and children under 5 years: a) Clearly identify the purpose and objectives for undertaking observations of individual babies and children, ensuring that organisational policy and procedure are followed. b) Obtain permission to observe babies or children from parents and identify suitable opportunities for observing babies or children under 5 years. c) Obtain baseline information about the child’s development from different sources, including parents, to inform observations. d) Use appropriate techniques of observation to accurately and unobtrusively observe different aspects of development, interaction and behaviour of babies or children under 5 years undertaking specific tasks or activities. Required Skills e) Assess the evidence from observations against baseline information and other identified criteria. f) Evaluate developmental progress based on relevant and significant evidence from observations. g) Make decisions about babies’ or children’s progress that are informed by theories of development. h) Record the results of observations clearly and legibly, using agreed formats and appropriate language, and including any factors that could affect the reliability, validity or outcome of observations. i) Refer any concerns about development to appropriate individuals, professionals or agencies in line with legislation and organisational policy and practice. j) Provide information on the progress of babies and children under 5 years to their parents, positively and in a way that encourages discussion. 41 k) Discuss to child’s development with managers and/or supervisors. 2. Communicate with babies and children under 5 years to develop positive relationships: a) Use a warm and respectful approach when initiating relationships with babies and children. b) Allow babies and young children to initiate and engage in communication at their own pace, making eye contact only when baby or child is comfortable with communication initiatives. c) Engage the interest and attention of babies and children under 5 years, using methods appropriate to age and developmental level. d) Explore the baby or child’s range of interests, sharing activities and using these as a topic of communication in order to develop relationships. Required Skills e) Interact responsively with babies and young children by exchanging information to develop relationships, using appropriate praise and positive language. f) Recognise when babies and children under 5 years do not wish to communicate, or wish to disengage from communication, and respect their wishes. g) Recognise and respect the efforts of babies and children under 5 years to be independent and model behaviour that demonstrates respect for others. h) Communicate clearly and effectively with children under 5 years at a level and pace suited to their development and understanding, and respecting the children’s chosen method. i) Use a range of communication methods, including singing, talking, stories, sounds, rhymes, games and language activities. j) Encourage babies and children under 5 years to communicate through different media such as touch, mark making, pretend play, painting. 42 k) Encourage babies and children under 5 years to communicate respectfully with adults and with each other. l) Manage children’s responses to situations communication differences are experienced. in which 3. Plan and implement activities to enhance development: a) Plan a variety of creative and imaginative daily activities that stimulate different aspects of development for babies and children under 5 years, ensuring that resources are available to support activities. b) Identify the interests and particular needs of individual babies and children under 5 years in discussion with their parents (and colleagues, if in a group setting). c) Identify specific activities for individual babies and children which meet their interests and developmental capabilities. Required Skills d) Provide a range of play activities for individual babies and children under 5 years that are challenging but achievable and appropriate to the child’s level of development. e) Provide activities that encourage babies and young children to extend their range and level of skills and understanding. f) Link activities in a way that stimulates curiosity and the desire to explore. g) Praise and reward appropriately babies and young children’s efforts and achievements. h) Use space effectively and encourage babies and young children to develop their physical skills and to exercise their whole bodies. i) Ensure that the activities provided are in line with the overall plan for the setting. j) Adequately assess risk, in line with legislation and organisational policy, without limiting opportunities to extend and challenge the skills and knowledge of babies and children under 5 years. k) Plan activities with reference to curriculum frameworks for babies and children under 5 years in line with current best 43 practice. 4. Exchange information and respond to parents’ needs and preferences for their babies and children under 3 years: a) Encourage the parents of babies and children under 3 years to share information that may affect the care and well-being of their children, ensuring any particular requirements are documented and shared with all those involved in the child’s care. b) Discuss preferred care routines for babies and children under 5 years with their parents and obtain information to ensure routines are followed. c) Where parents’ preferences are not in line with current best practice, this should be discussed and issues resolved. Required Skills d) Advise parents of sources of advice and information to assist them to make informed decisions about the care and well-being of babies and children under 5 years. e) Routines are monitored, adapted and changed to ensure they continue to meet the baby or child’s needs, in accordance with their changing requirements. f) Regularly exchange information on the progress and achievements of babies and children under 5 years with their parents and discuss any changes to routines and the reasons for these. g) Monitor and adapt relationships in response to change. h) Reassure parents that the information they share will remain confidential, in line with the setting’s policy and where this is in the best interests of the child. i) Provide information within the setting and to individual parents. 44 CDC: 409 Provide Physical Care that Promotes the Health Development of Babies and Children under 3 Years Description of Unit and Children need to be offered a service in a hazard-free and safe environment that promotes their development. The workers must ensure, through constant supervision and observation, that all activities at the facility benefit the child and do not risk causing any harm to the child. The candidate must show understanding of how a safe, secure and beneficial (physical, social, developmental and emotional) environment can be provided for babies and children under 3 years. Candidates must also show an understanding of the following: Performance Criteria 1. nutritional needs of babies and children under 3 and guidelines on infant feeding (including helping women who want to continue to breast feed); 2. healthy eating practices; 3. the adequate preparation and handling of food and drink for children under three years old; 4. reconciling the wishes of the parents with current best practices vis-à-vis feeding and nutrition for children under 3; 5. appropriate care of the physical and hygiene needs of the children; 6. promote the children’s independence during feeding , personal hygiene (such as washing hands before eating), washing and dressing; 7. safety and security requirements of the setting; 8. organisational issues to ensure the health and safety of the children and workers; 9. the importance of having competent and qualified members of staff; 10. the risks of disease and illnesses in children under 3 (including how to recognise symptoms, alleviate these symptoms and when tom seek medical advice); 11. how cross infection can occur and how to reduce it; 12. policies and procedures concerning ill children; 13. effective practice (such as environmental and physical temperature and sleeping position) and risk factors in respect of 45 sudden infant death syndrome. Candidates must also know how to help children learn how to express themselves and to explore their sensory feelings. Candidates must also know how babies and children express physical and emotional distress and must know how to calm and comfort such distress. Level 4 child care worker must know: 1. The regulations for food handling and storage, including baby’s milk and expressed breast milk. 2. The special dietary requirements and food preparation related to culture, ethnicity or religious beliefs. 3. The safety and security requirements of the setting and the relationship between these and regulatory and legislative requirements. Required Knowledge 4. The organisational issues to ensure health and safety of babies and children under 3 years, such as room arrangement, staffing levels, supervision, assessment of hazards and risks. 5. About the importance of having responsive, reflective and knowledgeable adults caring for babies and children under 3 years. The carer must also know the key features of responsive care giving and how these can be implemented in everyday practice. 6. The government’s guidelines on infant feeding and why it is important that these are followed by childcare practitioners. 7. How the carer can support mothers who wish to continue breastfeeding such as by discussing needs and providing facilities. 8. The different nutritional needs of babies and children, according to age, height, weight and preferences. 9. What are appropriate foods to give babies and children under 3 years, and what foods are unsuitable and why. 10. Why it is important that all dietary information is documented and 46 shared with others e.g. food allergies. 11. The special dietary requirements related to health needs and why it is important that these are agreed and confirmed with parents and health professionals. 12. How the carer can encourage healthy eating practices in babies and children under 3 years. 13. How differences between current best practice and parental wishes can be resolved amicably and in the best interests of the child. Required Knowledge 14. How to prepare formula feeds for babies following manufacturers’ instructions, including preparation and sterilisation of equipment using different methods. 15. Why it is important that care routines are not hurried. 16. How to establish what help a child under 3 years needs with self-care in ways that do not undermine the child’s confidence in their own ability. 17. How to care for children’s skin, hair and teeth, appropriate toiletries, sun awareness. 18. The procedures and processes for nappy changing, washing, dressing and toileting that protect children and the adults who care for them. 19. How to recognise when children are ready to start toilet training, how to approach this and why it is important to plan this with parents. 20. What learning opportunities are available within routines for eating and drinking, personal hygiene, washing and dressing; understanding how these contribute to different areas of learning and development. 21. Why sensory exploration is important to babies and how the carer provides opportunities for this. 22. Why it is important for babies and young children to form attachments to key individuals and how this can be achieved. 23. The different ways in which babies and young children may express 47 emotional distress; techniques for calming and comforting. 24. How he/she shows children the following: that their feelings are important; ways in which they can express their feelings appropriately; and the language young children use to describe their emotions. 25. Why behavioural boundaries are important and how these can be implemented with babies and young children. 26. Why it is important for parents to share information that might affect their children’s emotional well-being, how can encourage this and the importance of confidentiality. Required Knowledge 27. The activities that can be used to promote physical development (gross and fine motor skills), hand/eye co-ordination, intellectual and thinking skills (cognitive and problem-solving), social and emotional skills, language development. 28. How activities for babies and children under 3 years can be themed and linked to extend skills, knowledge and understanding. 29. How to carry out risk assessment that takes all reasonable precautions without restricting opportunities for development; how organisational policy can support this. 30. The signs and symptoms of common illnesses e.g. respiratory infections, gastro-enteritis, chicken pox, measles. 31. The organisational policy concerning babies and children who are ill, why it is important to follow this and the implications of not doing so. 32. How children may describe feeling unwell. 33. The normal temperature of babies and young children; when and how take, read and record this accurately. 34. When and in what circumstances medical advice or attention should be sought for babies and children under 3 years. 35. Basic food handling. 48 36. How to manage symptoms of illness e.g. fever, gastro-enteritis. Required Knowledge 37. The hygiene and cross-infection requirements to keep babies and children safe. 38. Encourage, support and promote potty training. 39. Information about effective practice (e.g. sleeping position, temperature) and risk factors in respect of sudden infant death syndrome. Level 4 child care worker is able to: 1. Provide a safe and secure environment for babies and children under 3 years: a) Check that the environment is free from hazards and follows best safety practice for babies and children under 3 years, according to their age, needs and abilities. Required Skills b) Ensure that necessary safety equipment is installed and securely placed to ensure babies and children under 3 years are safe and secure without unnecessary restrictions to their freedom of movement. c) Use toys and equipment that are safe and hygienic and provide protective clothing for children when they are engaged in activities where they could soil their clothing. d) Ensure that babies and children under 3 years are not left unsupervised at any time. e) Use systems of disposal of waste that meet regulatory requirements and best practice to prevent cross infection. f) Take necessary precautions to safeguard and protect babies and children under 3 years from harm. g) Follow setting procedures for handing babies and children under 3 years back to their parents or approved carers, making sure the family members concerned are capable of caring for them. 2. Provide for the nutritional needs of babies and children under 3 years: 49 a) Ensure that the setting’s policies on nutrition are in line with current best practice and government guidelines on infant feeding. b) Provide support for breast feeding mothers in line with current best practice, parents’ wishes and organisational policy. c) Prepare formula feeds for babies who are not breast-fed, ensuring equipment is sterilised, and formula is made according to manufacturer’s instructions. Required Skills d) Bottle-feed babies at regular intervals, in line with current best practice, parents’ wishes and babies’ requirements. e) Agree and confirm any special dietary requirements and the reasons for these with parents and health professionals as necessary. f) Document all information regarding special dietary requirements and share this with all those in contact with the child. g) Agree weaning diets and schedules with parents, introducing foods in line with current best practice, making mealtimes positive social experiences. h) Provide a varied diet for babies and children under 3 years that encourages healthy eating practices and meets nutritional needs. Discuss and resolve any differences where the wishes of parents are inconsistent with current best practice; providing information or directing parents to other sources of assistance 3. Supervise and use physical care routines to promote development: a) Allow sufficient time for unhurried routines that can be carried out at a comfortable pace suited to the needs of the individual baby or child and can be used as enjoyable learning experiences. b) Use affectionate and respectful touch, speech and gesture with babies and children under 3 years when carrying out personal care routines. 50 c) Change babies’ nappies and care for the skin in line with current best practice and organisational procedures for protecting children and staff. d) Encourage independence and self-care by respecting and following children’s wishes, regarding the level and type of assistance they require. e) Supervise children carrying out self-care and show them how to wash, dress and clean their teeth, encouraging them to care for their environment as part of the routines. Required Skills f) Support parents in helping children gain control of bladder and bowel function. g) Provide opportunities for sensory exploration during care routines for babies and children under 3 years. h) Identify learning and development opportunities within daily routines for children under 3 years, ensuring that all can contribute to and benefit from such opportunities. i) Have high expectations of what babies and children can achieve, whilst ensuring they are appropriately supported. j) Use space effectively, encourage babies and young children to exercise, develop mobility, and explore their surroundings in safety. k) Talk to and communicate with parents to update them on their child’s development, progress and achievements. 4. Provide an emotionally secure and consistent environment: a) Promote routines that recognise and respect the value of attachments to the emotional security of babies and children under 3 years. b) Recognise and respond promptly to signs of emotional distress in babies and children under 3 years. c) Use different techniques to calm, reassure and distract individual babies and children who are distressed, appropriate to their age, needs and level of understanding. d) Acknowledge and communicate respect for the feelings of 51 babies and young children as valid and important. e) Praise and reward appropriately babies’ and young children’s efforts and achievements. f) Support potty training through consistency and positive reinforcement. g) Clearly and calmly communicate the boundaries and limits of acceptable behaviour to children under 3 years. Required Skills h) Encourage children to express their feelings in ways that help them manage their emotions. i) Demonstrate the value and importance of respectful and appropriate physical contact to the emotional security of babies and children under 3 years. j) Encourage parents to share information that may affect children’s emotional security and well-being. k) Reassure parents of the confidentiality of any personal information they share, within the boundaries of legislative and organisational policy and practice. l) Communicate with parents in an effective manner. 5. Recognise and respond to illness in babies and children under 3 years: a) Provide basic physical care of the child. b) Recognise physical signs of illness in babies. c) Recognise changes in the behaviour of individual babies that may be due to illness. d) Recognise physical signs of illness in children under 3 years. e) Recognise changes in the behaviour of individual children under 3 years that may be due to illness. f) Understand and can apply the policy of the setting in relation to the care and treatment of babies and children who are ill. g) Manage the symptoms of illness in babies and children under 3 years calmly and effectively whilst they are in one’s care. h) Inform parents of their child’s illness sensitively and at the 52 earliest opportunity, giving details of any care or treatment in line with organisational policy and practice. Required Skills i) Seek medical assistance when necessary for babies and children under 3 years who become acutely ill whilst in one’s care. 53 CDC: 410: Create environments that promote positive behaviour Description of Unit Children are expected to exhibit behaviour that may not be desirable particularly if it shows lack of care and consideration for others. Staff members must be knowledgeable in encouraging children through positive guidance to take responsibility for their own behaviour, whilst at the same time the safety of the children is ensured at all times. The candidate is required to have knowledge of the following: 1. Legislation, policies and procedures that relate to positive behaviour management. 2. Possible reasons for children’s challenging behaviour, how behaviour links to other things that are happening in the child’s life, and how the worker should meet the demands caused by the challenging behaviour. Performance Criteria 3. The importance of reinforcing positive behaviour and the appropriate techniques how to do so. 4. Appropriate restrictive interventions. 5. Help and communicate with parents to encourage transitions, establishing clear rules, bonding, creating a relaxed and welcoming environment, both at the Child Care Centre and at home through being consistent and promoting, positive behaviour which enhances the child’s good-behaviour and increases the child’s self-esteem. 6. How adults’ expectations affect children’s behaviour and can (where inappropriate) reinforce challenging behaviour. Level 4 child care worker must know: Required Knowledge 1. About the possible effects of communication difficulties and attention deficits. 2. The different approaches to encouraging positive behaviour, according to children’s age, needs and abilities. 3. The policies and procedures that enable a structured approach to 54 encouraging positive behaviour. 4. Why it is important to agree approaches to behaviour with children, families and colleagues. 5. About situations in which programmes for positive behaviour might be necessary. 6. How she/he would monitor the effects of programmes on individual children’s behaviour. Required Knowledge 7. Under what circumstance might programmes for encouraging positive behaviour be modified. 8. What is meant by a firm and respectful approach. 9. What is meant by unambiguous directions, limited choices and defined boundaries for children; why these are important in the carer’s responses to behaviour. 10. The links between behaviour, self-esteem and relationships with others. 11. Possible reasons for children’s challenging behaviour, how behaviour links to other things that are happening in the child’s life. 12. How adults’ expectations affect children’s behaviour and can (where inappropriate) reinforce challenging behaviour. Level 4 child care worker must be able to: 1. Identify appropriate policies and procedures for behaviour in the setting, according to best practice. Required Skills 2. Liaise with professionals, families and children to plan the implementation of evidence-based programmes for responding to challenging behaviour in individual children. 3. Implement the agreed approach in partnership with colleagues and families. 4. Help the child have a smooth, and positive transition into the centre, through communication with parents. 5. Listen to children’s points of view and negotiate with them, checking 55 understanding when agreeing an approach, taking into account the child’s age, needs and abilities. 6. Monitor the effect of behaviour strategies, policies and programmes on individual children. 7. Adapt and modify the planned approach in consultation with colleagues, professionals and families, as required. 8. Adopt a firm and respectful approach when promoting positive aspects of the behaviour of children. 9. Give children unambiguous directions and choices within clearly defined boundaries of acceptable behaviour. Required Skills 10. Ensure you are effectively communicating and exchanging information with children according to their age, needs and abilities. 11. Set limits and firm boundaries as agreed with children, other professionals, colleagues and families. 12. Implement agreed procedures when children continue to challenge. 13. Encourage co-operation and problem solving between children. 14. Deal with difficult or challenging behaviour in a positive way. 15. Prevent negative behaviour by promoting positive behaviour and structuring activities wisely. 16. Positively reward compliance in ways that demonstrate the child is valued as an individual. 17. Identify signs of deviance or pathology early and support parents in their referral to professionals and in carrying out the tasks suggested by the professionals. 56 CDC: 411 Maintain and Develop a Registered Child Care Service Description of Unit Setting up and running a home-based or a centre-based childcare service requires a lot of preparation and planning, to ensure the long-term survival of the project. However, child care is a specialised service, and setting up such a service requires special knowledge and skills, particularly when it comes to meeting regulatory requirements. The candidate is required to have knowledge of the following: 1. Current legislation covering home and centre-based child care and the role of regulatory bodies. Performance Criteria 2. Understanding of the local needs for child care services and national policies that influence these needs. 3. How to develop policies, procedures, contracts of service and any other documents to meet the needs of the proposed facility. Level 4 child care worker must know: 1. The requirements of registration/approval and inspection of the childcare setting and activity according to the requirements of the regulatory authority. 2. What necessary training the carer must undertake for registration/approval and for continuing the registration/approval. Required Knowledge 3. The local information sources about demand for child carers and how can market the services. 4. The advantages and opportunities that exist for child carers who work collaboratively or in formal or informal networks with other childminders. 5. Further training and qualification opportunities that exist for child carers, how these can be accessed and funded. 6. How to develop attractive and interesting marketing information that states clearly the advantages of child care business. 57 7. How to use one’s strengths and previous experiences to support and innovate within the child care business. Required Knowledge 8. The advantages of different forms of record keeping and financial management of one’s business. 9. The importance and benefit of using a contract for child care service; how to use the contract as a basis for a professional relationship with parents and to protect oneself. Level 4 child care worker must be able to: 1. Investigate the demand for child care services within the local area. 2. Identify the types of child care services that parents require and how they will be able meet these needs. 3. Work with information services to market the child care business. 4. Investigate advertising, such as local newspapers or health clinics. 5. Provide references from parents or other appropriate sources, where available, to support the marketing materials. Required Skills 6. Ensure one’s home is welcoming and the carer is supportive when parents make an initial visit. 7. Provide examples of work one has done with children and information about how one has helped children to learn and develop. 8. Establish a professional relationship with families. 9. Work with families to assess their requirements. 10. Set up formal contracts with families that clearly state the range and boundaries of one’s responsibility. 11. Ensure one has all the necessary information from parents. 12. Provide systems for record keeping, appropriate information storage, exchange and updating, in line with the requirements of the regulatory authorities. 58 CDC: 412 Deliver Services to Children and Families who are Bilingual or whose Preferred Language is not Maltese or English Description of Unit Performance Criteria Due to cultural and societal changes, child care services (like other educational establishments) are being requested to cater for children and parents whose preferred language is not a national language of the country. Nonetheless child care facilities and child carers must still be able to meet the needs of such children and offer a service that helps their integration within mainstream society. The candidate must have the ability to understand the speech, language and communication assessment process of children and adults. The candidate must also show cultural sensitivity when assessing the speech, language and communication of the children. The candidate must also have knowledge of the following: 1. Services that may be available locally for children and families whose main language are not English or Maltese. Level 4 child care worker must know: 1. Why it is important to work with families and children to assess their communication needs and how to do this. Required Knowledge 2. What is meant by a non-judgmental attitude and why it is important to demonstrate to families that their diversity is valued and respect and be sensitive of one’s culture beyond language & demonstrate to families and children that diversity in culture, language and religion are values and respected. 3. Encourage children to acquire new language in Maltese and/or English, even if these aren’t their mother tongue. 4. Methods that can be used to communicate with adults and children whose first or preferred language is not Maltese or English. 5. Services that may be available locally for children and families. 6. Specific issues for children’s development and learning in multilingual or bilingual settings or where children are learning through an additional language. 59 7. The advantages and disadvantages of using outside agencies or services to support communication in the setting. 8. The resources the carer may need in the childcare setting to encourage and support communication. Required Knowledge 9. How she/he can encourage children in the setting to communicate with children whose first or preferred language is not Maltese or English and to value linguistic diversity. 10. How to recognise communication differences and difficulties, the possible reasons for these. 11. Why it is important to evaluate the effectiveness of communication, and strategies that can be used to do this. 12. Ways in which communication. the setting could be adapted to support Level 4 child care worker is able to: 1. Identify a range of possible options to support communication with families and between children in the setting. 2. Demonstrate a non-judgmental attitude that values diversity and recognises cultural, religious and ethnic differences. 3. Explore different communication methods with families and children, to facilitate communication. Required Skills 4. Establish and agree families’ and children’s requirements for communication support. 5. Identify resources to encourage and support communication and enable families and children to use these in the setting. 6. Provide information to families and children about local language and communication support services in a format that can be easily understood. 7. Include children of all linguistic abilities in activities. 8. Encourage children express their emotions in a healthy and constructive manner. 60 9. Provide detailed and accessible information about the service to families. 10. Encourage families to express their requirements of the service, using alternative communication methods they find acceptable. 11. Communicate with families using agreed methods and adopting an open and welcoming. 12. Approach that is likely to promote trust. 13. Encourage families to share information about their child’s preferences, habits and routines, using alternative communication. 14. Help children to communicate with others in the setting, using agreed methods. 15. Accurately record the information provided by families, and the communication methods used. 16. Monitor children’s and families’ progress with communication in the setting. Required Skills 17. Identify any communication problems or issues arising as a result of communication differences. 18. Agree with families and colleagues how such difficulties might be solved. 19. Evaluate the effectiveness of resources and services used to support communication. 20. Discuss families’ and children’s views on the effectiveness of communication resources. 21. Agree and implement any changes to communication services or resources. 22. Modify how services are delivered in order to support communication. 23. Show children and families that their cultural identity and right to use their language of choice is recognised and valued. 24. Use visuals to aid communication. 25. Understand, empathise and deal with sensitive issues surrounding the chills and/or his/her parents in a respectful manner. 61 62
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