Hector's House Nursery
Day Care of Children
Centre 1, Queensway House
Stewartfield Way
East Kilbride
Glasgow
G79 1AA
Telephone: 01355 275892
Type of inspection: Unannounced
Inspection completed on: 6 August 2014
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Contents
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3
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5
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Summary
About the service we inspected
How we inspected this service
The inspection
Other information
Summary of grades
Inspection and grading history
Page No
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4
6
11
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Service provided by:
Bright Horizons Family Solutions Ltd
Service provider number:
SP2003000319
Care service number:
CS2003006689
If you wish to contact the Care Inspectorate about this inspection report, please call
us on 0845 600 9527 or email us at [email protected]
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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 3
Adequate
Quality of Environment 4
Good
Quality of Staffing 4
Good
Quality of Management and Leadership 3
Adequate
What the service does well
Most staff had been employed with the organisation for several years and knew each
other and families very well. Staff worked well together. The management team had
identified staff skills and interests and delegated enhanced responsibilities to the staff
team which had a positive impact on children using the service.
What the service could do better
The provider and managers must address the recommendations and requirements
made within this inspection report. Priority must be given to the safe storage and
administration of medicine.
What the service has done since the last inspection
A change of management within the service since the last inspection has led to
inconsistencies with regards to record keeping and monitoring. Two managers share
responsibility for the management of the service. They are supported by Bright
Horizons Family Solutions Ltd HR team.
Conclusion
The service provides a very caring and welcoming environment for children and
families. Staff knew children and families very well and are responsive to each family's
individual needs.
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1 About the service we inspected
The Care Inspectorate regulates care services in Scotland. Information about all care
services is available on our website at www.careinspectorate.com
This service was previously registered with the Care Commission and transferred its
registration to the Care Inspectorate on 1 April 2011.
Requirements and Recommendations
If we are concerned about some aspect of a service, or think it could do more to
improve, we may make a recommendation or requirement.
- A recommendation is a statement that sets out actions the care service provider
should take to improve or develop the quality of the service but where failure to do so
will not directly result in enforcement. Recommendations are based on the National
Care Standards, relevant codes of practice and recognised good practice.
- A requirement is a statement which sets out what is required of a care service to
comply with the Public Services Reforms (Scotland) Act 2010 and Regulations or
Orders made under the Act or a condition of registration. Where there are breaches of
the Regulations, Orders or conditions, a requirement must be made. Requirements are
legally enforceable at the discretion of the Care Inspectorate.
The service is registered to provide a care service to a maximum of 59 children:
15 children 0 to under 2 years
20 children 2 to under 3 years
24 children 3 years and over.
The hours of operation are 7.45am to 6pm, Monday to Friday, throughout the year.
The service is located within the HM Revenue & Customs building in East Kilbride. The
service provider is Bright Horizons Family Solutions Ltd.
The service aims to:
- nurture each child's unique qualities and potential
- support families through strong partnerships
- collaborate with employers to build family friendly workplaces
- create a work environment that fosters professionalism, growth and diversity
- grow a financially strong organisation.
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Based on the findings of this inspection this service has been awarded the following
grades:
Quality of Care and Support - Grade 3 - Adequate
Quality of Environment - Grade 4 - Good
Quality of Staffing - Grade 4 - Good
Quality of Management and Leadership - Grade 3 - Adequate
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.
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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 that took place on
Tuesday 5 August 2014 between 8.30am and 5.10pm and Wednesday 6 August 2014
between 10am and 6.30 pm. Two inspectors carried out the inspection. Feedback was
given to one of the managers and the regional manager.
We sent 20 care standards questionnaires to the manager to distribute to
families. Twelve completed questionnaires were returned to us prior to the inspection
visit. Feedback from questionnaires was shared with the regional manager and
manager and is documented within this inspection report.
During this inspection process, we gathered evidence from various sources including
the following:
We spoke with:
- the manager
- the regional manager
- the internal quality assurance advisor
- members of staff
- two parents
- children using the service.
We looked at:
- aims and objectives
- children's profiles and care plans
- big floor books
- administration of medication information and records
- child protection policy and procedures
- health and safety records
- risk assessments records
- accident and incident records
- infection control policy, procedures and records
- complaints policy
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- staff files including training and appraisals records
- service monitoring and evaluation systems.
We also observed staff interaction with children and families.
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
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What the service has done to meet any requirements we made at
our last inspection
The requirement
The provider must ensure that the service premises are fit for purpose and
maintained to a standard appropriate for the care service. This includes finding the
source of the fly infestation and removing it reducing the risk of cross infection. This
is in order to comply with: SSI 2011/210 Regulation 10 - fitness of premises.
Timescale - by 31 March 2013.
What the service did to meet the requirement
We found the service premises to be fit for purpose. Action had been taken to
identifying the fly infestation and removing it.
The requirement is: Met - Within Timescales
What the service has done to meet any recommendations we made
at our last inspection
We made the following three recommendations at our last inspection.
1. Management should source guidance about the use of blue shoe covers and ensure
that staff operate within best practice and reduce the risk of cross infection. National
Care Standards Early Education and Childcare up to the age of 16: Standard 2 - A safe
environment.
Management had consulted with staff and parents about the use of blue shoe covers.
We saw evidence of the consultation where parents had made comments that they
wanted to continue with the use of shoe covers. We saw some parents using blue
shoe covers during our inspection.
The recommendation is: Met.
2. Management should ensure that the wooden bridge is replaced or repaired to
enable children to access all areas of the rear garden. National Care Standards Early
Education and Childcare up to the age of 16: Standard 2 - A safe environment.
We looked at the wooden bridge and saw that it had been repaired and was fit for
purpose. We also looked at risk assessments relating to the wooden bridge.
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The recommendation is: Met.
3. Management should ensure that bins in place reduce the risk of cross infection.
National Care Standards Early Education and Childcare up to the age of 16: Standard 2
- A safe environment.
We noted that appropriate bins were available throughout the service.
The recommendation is: Met.
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 fully completed self assessment document from the provider. We were
satisfied with the way the provider had completed this and with the relevant
information included for each heading that we grade services under.
Taking the views of people using the care service into account
During our inspection, we observed happy and confident children engaged in a variety
of play experiences. Some of their comments included:
"We have to play in this nursery and tidy up."
"This is the house corner, and this is for the baby."
"I love doing music and going on the iPad, if it's charging it doesn't work."
"I went to the Commonwealth Games, I saw Clyde."
"I saw the gymnastics."
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Taking carers' views into account
We received the following comments from parents:
"Both of my daughters have loved their time at Hector's House. I have found the staff
to be very professional and caring. I have felt very involved throughout my time at the
nursery being part of the parent committee. Now my youngest daughter is leaving for
school I will really miss everyone."
"One of my children has multiple allergies and the team have tried to help me with
food options."
"My son moved to Hector's House when he was nearly four and I was extremely
impressed with the set up. The staff and children have welcomed him and he has
thrived in the environment. My son always looks forward to going to nursery and due
to the level of care and attention he has received he is now ready for school."
"All staff are pleasant and helpful. Child very happy going to nursery full time so that
is the best indicator for me."
"Staff are always friendly and helpful with my children. Always keen and enthusiastic.
Always get a report on my children's day when I collect them at night which is nice.
Staff very professional, especially if there is an issue with my children health wise."
"A particular strength of the nursery in my opinion is the quality of the staffing. Each
member of the under 2s takes a genuine interest in my child and can willingly enter
into conversation about her needs and or progress for that day. I have noticed that
the nursery are trying to invest in their staff by providing CPD opportunities in the
form of Bookbug training and leadership courses. This ultimately benefits my child."
"My child is a relatively recent addition to Hector's House so some of the responses
where I have ticked disagree may simply be a result of his short time attending.
Overall the staff have come across as being experienced and knowledgeable such that
I have complete confidence in the day to day care of my child from the outset,"
"Excellent staff who go out of their way to Get It Right for Every Child."
"Hector's House has been a great nursery. The staff are friendly and have a great
relationship with my daughter. I couldn't ask for better support."
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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: 3 - Adequate
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
After examination of relevant documents, feedback from service users, staff and
management this service was found to have a good performance in relation to this
statement.
An attractive reception area displayed relevant information for families using the
service. Information relating to local and national priorities was displayed as well as
organisational information. A What's Happening Today board gave parents at a glance
information relating to what was planned for the day including information about
staff absence. This enabled parents to talk to and prepare their child for any changes
to their routine.
Children's big floor books showed us that consultation with children took place about
their particular interests. Observations in playrooms showed us that staff listened to
and respected children's ideas and wishes. For example, we observed a child asking to
use the iPad, a staff member explained to the child that it was currently charging. We
later observed the staff member return to the child with the iPad.
We also heard children asking if they could go to the gym hall, again staff were
observed to be responsive in checking that the gym hall was available for nursery use
and discussing with the children when they would be able to go to the gym hall.
During term time, the service followed a more structured approach to planning
learning experiences for children, however outwith term time a free play approach
was implemented. We observed children choosing activities and resources very
independently.
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Feedback we received from parents told us that they felt involved in the service and
were invited to attend meetings, social events and fundraising activities within the
service. A parents' committee had been formed, although conversation with the
manager told us that these meetings were not well attended. The manager told us
that an attempt would be made in the new term to encourage more parents to be
involved and hold more regular meetings.
A staff member who had been involved in Bookbug training told us that she had
organised workshops for parents to come along and participate in a storytelling/
literacy programme with the children. The service planned to develop further
workshops in the new term.
The service had carried out a survey for 2013/14 recently and was currently working
on the analysis to distribute to parents. Consultation with parents and formal analysis
showed parents and carers that the organisation was committed to improvement and
that their feedback was valued.
The service distributed newsletters to parents. This gave parents information about
what was happening in the service. We looked at recent newsletters and found that
they were informative and sought opinions from parents on developing the service.
From the 12 care standards questionnaires returned to us, all parents strongly agreed
or agreed that the service had involved them and their child in developing the service,
by asking for ideas and feedback, and that staff share information about their child's
learning and development. Some comments we received from parents included:
"Both of my daughters have loved their time at Hector's House. I have found the staff
to be very professional and caring. I have felt very involved throughout my time at the
nursery being part of the parent committee. Now my youngest daughter is leaving for
school I will really miss everyone."
"Staff are always friendly and helpful with my children. Always keen and enthusiastic.
Always get a report on my children's day when I collect them at night which is nice.
Staff very professional, especially if there is an issue with my children health wise."
Areas for improvement
The service had not consulted with parents and children as regularly as it had in the
past. Consultation was now carried out more informally. A display about the children's
committee was dated December 2013. Parents' and children's committee meetings
had not been carried out as regularly.
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We discussed this with the manager and regional manager who explained that a
change in management had led to priorities changing within the service. We were
confident that a more rigorous approach to consultation and involvement would be
carried out by the new management team. (See Recommendation 1)
The service should use feedback and comments received from parents as a tool for
improvement. For example the service should ensure that findings from surveys and
questionnaires are shared with parents and action plans are developed.
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 1
Recommendations
1. The service should re-introduce systems to formally consult with children and
families in order to involve them in assessing and improving the quality of the care
and support provided by the service.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 13 - Improving the service.
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Statement 3
We ensure that service users' health and wellbeing needs are met.
Service strengths
We found the service had performed to an adequate standard in the areas covered by
this statement. As part of this inspection, we have focused on how the service has
promoted children's health and wellbeing through infection prevention measures.
Before children started to use the service parents were required to complete a range
of forms detailing children's individual needs and requirements. The service used this
information to develop care plans for children in consultation with parents. Both
parents we spoke with during the inspection told us they had met with management
and keyworkers before their children started the service and had shared relevant
information about their children with the service.
Throughout the inspection, we could see staff demonstrating very nurturing and
responsive care towards children. Children were happy and comfortable in their
environment. We observed a child who was on a settling in visit being welcomed into
the baby room. We later observed staff giving positive feedback to the child's parent
on collection.
Staff knew children very well. Information about children's dietary requirements and
allergies was displayed prominently in the snack preparation area. We saw within
children's personal plans that medical information and requirements were recorded
and reviewed regularly.
The service had a healthy eating policy in place. Parents provided children with
packed lunches. The service provided breakfast and afternoon tea for children. We
looked at sample menus and found that they provided a range of healthy options for
children. Children were offered milk or water with their snacks and lunches. There
were opportunities for older children to access cool drinking water throughout the
day.
Safe sleeping procedures were observed to be carried out by staff. Sleep mats were
available for children, as well as their own bedding which was laundered on site
daily. A ten minute timer was set to remind staff to check babies whilst they were
asleep. We observed children sleeping in the sleep room and observed staff to
routinely check children were safe.
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Areas for improvement
We found that staff stored children's lunch boxes in the fridge. We discussed this with
the manager and advised that food from lunch boxes should be transferred into the
fridge and that lunch boxes should not be stored in the fridge in order to minimise
the risk of cross contamination. When we returned on the second day of the
inspection the manager had addressed this issue and children's lunches were stored
safely.
Children had detailed corporate care plans. Having sampled some care plans, we
found inconsistencies in the recording. Management and staff should monitor care
plans to ensure that all staff are recording the same detail of information in order to
support the care and development of all children using the service.
We found that whilst the service had a medication policy in place good practice was
not being followed. We found medicines including an EpiPen and asthma
inhaler which were out of date. We discussed this with the manager who told us that
she had asked the parent to provide a new EpiPen. On the second day of inspection,
we found that the service had been supplied with an appropriate EpiPen for the child.
We found that the service did not risk assess the storage of the EpiPen well. For
example on the second day of inspection, some staff had taken a group of children to
the gym hall, the child who required the EpiPen and inhaler was in the gym hall,
however staff had not taken the EpiPen or asthma inhaler with them. The manager
must ensure that staff take life saving medications and first aid equipment with them
whilst accessing other parts of the building and when on outings. (See Requirement
1)
We observed one member of staff supporting five young children in the toilet. The
group was unmanageable for one staff member and children's safety and risk of
infection was compromised. For example, children went in and out of each other's
cubicles, touched doors, sinks and soap dispensers before being able to wash their
hands. The managers should revisit staff remits and support staff to establish safe
amounts of children to escort to toilets.
We also observed a member of staff changing a child's nappy and found that current
best practice around the use, removal and disposal of plastic gloves and aprons was
not always followed. We discussed this with the manager and the regional manager.
The provider should ensure that staff have access to infection prevention and control
training and that good practice is followed to avoid the risk of cross contamination.
(See Recommendation 1)
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Grade awarded for this statement: 3 - Adequate
Number of requirements: 1
Number of recommendations: 1
Requirements
1. The provider must ensure suitable arrangements are in place for the monitoring of
medications coming in and out of the service and ensure that staff follow good
practice around the safe storage, administration and recording of medicines
administered.
This is in order to comply with:
The Social Care and Social Work Improvement Scotland (Requirements for Care
Services) Regulations 2011 (SSI 2011/210), Regulation 4 (1)(a)
Timescale: two weeks from receipt of this report.
Recommendations
1. The service manager should ensure that all staff comply with the service infection
control policy and procedures at all times. Staff should refer to the good practice
guidelines for nappy changing procedures found in the Care Inspectorate
document: Nappy changing facilities in early years, nurseries and large
childminding services, publication code: OPS - 0314-266.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 2 - A safe environment.
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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
After examination of relevant documents, feedback from service users, staff and
management this service was found to have a good performance in relation to this
statement.
Service strengths identified in Quality Theme 1, Statement 1, are also relevant to this
statement.
Areas for improvement
Areas for improvement identified in Quality Theme 1, Statement 1, are also relevant to
this statement.
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 0
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Statement 2
We make sure that the environment is safe and service users are protected.
Service strengths
We found this service had performed to a good standard in the areas covered by this
statement.
Access to the building was via a secure buzzer entry system. Visitors to the service
were required to sign a visitors' book. Staff took daily registers of children in
attendance. All of these procedures contributed to the health and safety of the
children using the service.
We found the premises to be clean, bright and well-maintained. A variety of
information was available for parents in the attractive reception area. Children's work
and photographs were displayed throughout.
The large accommodation provided good opportunities for children to play, learn and
relax in comfort. Good quality furniture and resources were available to children.
A range of health and safety policies was in place to promote the safety of children,
staff and visitors. Most staff had completed first aid and food hygiene training. Signs
showing which staff held first aid and food hygiene certificates were displayed in the
hallway. This ensured that parents and visitors were made aware of who could
administer first aid.
We found the building to be well-maintained. Maintenance and repairs were the
responsibility of the client landlord HMRC. The client landlord also had the
responsibility for cleaning the service.The client landlord employs cleaners to maintain
high standards.
Children had access to a gym hall within the HMRC building. We observed children
involved in physical activity in the gym hall. Children also had access to a large garden
area which provided opportunities for learning outdoors.
Areas for improvement
We found some parts of the outdoor play space to be untidy and unkempt. For
example, a large planting and growing area had been unattended and had weeds
growing in it. Attention to the maintenance of the growing area would have led to
additional learning opportunities for children.
We also observed uneven concrete slabs in the outdoor play area which may have
been hazardous to children. The provider should ensure that all areas of the garden
area are safe and accessible to children.
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We looked at garden safety checks and found that these were not carried out by all
rooms routinely. Management should ensure that systems are in place to ensure staff
are aware of their responsibilities with regards to checking the outdoor play areas
prior to children playing outdoors.
We looked at a range of risk assessments and found that some had not been
reviewed or updated for some time. Particular risks within the building and activities
undertaken had not been formally considered and risk assessed. The service should
ensure relevant risk assessments are carried out for particular children,
accommodation, resources and activities in order to ensure the safety of children
using the service. (See Recommendation 1)
We found a strong malodour in the baby changing area. We saw evidence that regular
nappy uplifts took place however there were no windows in the changing area and
the extractor fan did not eradicate the odour. The provider should contact the landlord
to arrange the repair or replacement of the extractor fan in order to provide a more
pleasant environment for children and staff.
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 1
Recommendations
1. The provider should ensure that there is a systematic approach to environment
checks and risk assessments in order to ensure the safety of children using the
service.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 2 - A safe environment.
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Quality Theme 3: Quality of Staffing
Grade awarded for this theme: 4 - Good
Statement 1
We ensure that service users and carers participate in assessing and improving the
quality of staffing in the service.
Service strengths
After examination of relevant documents, feedback from service users, staff and
management this service was found to have a good performance in relation to this
statement.
Service strengths identified in Quality Theme 1, Statement 1, are also relevant to this
statement.
Areas for improvement
Areas for improvement identified in Quality Theme 1, Statement 1, are also relevant to
this statement.
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 0
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Statement 3
We have a professional, trained and motivated workforce which operates to National
Care Standards, legislation and best practice.
Service strengths
We found this service had performed to a good standard in the areas covered by this
statement.
All staff held childcare qualifications and were registered, or in the process of
registering, with the Scottish Social Services Council (SSSC). Some staff had been
involved in training opportunities since the last inspection. Examples of training staff
had participated in included:
- First aid
- Bookbug training
- Pikler training.
All staff had access to Bright Horizons' online learning zone.
Management were aware of, and respected, the particular interests and skills of staff
members. Management used the information they had about staff to distribute
enhanced responsibilities. Enhanced responsibilities included:
- Outdoor learning
- Eco-Schools project
- Health and safety
- First aid.
We spoke to some staff who had enhanced responsibilities. They spoke to us
enthusiastically about their roles and how they planed to further develop their roles to
promote positive outcomes for children and families using the service.
Staff we spoke with had a good understanding of legislation and best practice,
including their responsibilities with regards to maintaining registration with the SSSC.
We observed staff encouraging older children to choose activities and resources they
were interested in. Staff spoke with children in a respectful and caring manner.
Children in the baby room benefited from very caring, nurturing staff. We observed
staff feeding, changing and comforting babies in a very relaxed and calm way.
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Areas for improvement
As noted in Quality Theme 1, Statement 3, we found that at times staff did not follow
best practice guidelines around nappy changing and infection control. We discussed
this with the manager and regional manager and recommended that staff participate
in infection control training. We also advised that infection control should be closely
monitored by the management team. (See Recommendation 1)
We felt that staff and children would benefit from further training around Pre-Birth to
Three: Positive Outcomes for Scotland's Children and Families, the Curriculum for
Excellence and Getting it right for every child (GIRFEC). We discussed this with the
manager and regional manager who agreed that training in these areas would be
ongoing. (See Recommendation 2)
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 2
Recommendations
1. The provider should ensure that staff have the opportunity to participate in
infection control training. The provider should ensure that practice is monitored by
the management team.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 6 - Support and development.
2. The provider should continue to seek and access training for staff particularly
around Getting it right for every child (GIRFEC).
National Care Standards Early Education and Childcare up to the age of 16:
Standard 6 - Support and development
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Quality Theme 4: Quality of Management and Leadership
Grade awarded for this theme: 3 - Adequate
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
After examination of relevant documents, feedback from service users, staff and
management this service was found to have a good performance in relation to this
statement.
Service strengths identified in Quality Theme 1, Statement 1, are also relevant to this
statement.
Areas for improvement
Areas for improvement identified in Quality Theme 1, Statement 1, are also relevant to
this statement.
Grade awarded for this statement: 4 - Good
Number of requirements: 0
Number of recommendations: 0
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Statement 4
We use quality assurance systems and processes which involve service users, carers,
staff and stakeholders to assess the quality of service we provide
Service strengths
We found this service had performed to an adequate standard in the areas covered by
this statement.
The service is supported by various operational managers within the company. The
company offered a range of staff benefits and a staff recognition programme was in
place. An annual country-wide awards ceremony was planned for August 2014.
Management planned staff meetings. We looked at minutes from staff meetings and
found that relevant topics were discussed to improve and further develop the service
and the quality of the care experience for children.
Corporate surveys carried out contributed to the provider providing a quality service to
families.
The service identified areas for development and improvement through an annual
improvement plan. The service had support from a South Lanarkshire Council quality
development officer. We looked at feedback given to the service from the
development officer and found that the service had been working to address the
recommendations and advice given. The service had not yet written or submitted this
year's improvement plan or standards and quality report. We were therefore unable to
examine the service priorities for the new term.
We looked at action plans that the service had created as a result of regulatory
activity. We found that the service responded well to advice given and prioritised
areas for development.
Areas for improvement
We found that due to a change of management structure, staff review and appraisal
meetings had not taken place for some time. We discussed this with the manager
and regional manager who confirmed that staff review and appraisal meetings were
currently being planned.
We found little evidence of formal monitoring of staff practice and performance. The
provider should ensure that management carry out formal review and appraisal
meetings with staff and use information from appraisal meetings to identify and plan
staff training. (See Recommendation 1)
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A lack of consistency around medication, accidents and environment checks may
have caused harm or put children at risk. The managers should develop a monitoring
calendar to include these areas as well as formal monitoring of staff performance.
(See Recommendation 2)
We discussed with the manager and regional manager the remit of the two job share
managers. We discussed how the use of a communication diary may underpin more
effective and immediate sharing of information between the two managers.
Grade awarded for this statement: 3 - Adequate
Number of requirements: 0
Number of recommendations: 2
Recommendations
1. The provider should ensure that management carry out regular monitoring of staff
performance.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 13 - Improving the service.
2. The provider should ensure that regular monitoring of all aspects of the service
takes place to ensure the health and wellbeing of children and staff using the
service.
National Care Standards Early Education and Childcare up to the age of 16:
Standard 13 - Improving the service.
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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
N/A
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).
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5 Summary of grades
Quality of Care and Support - 3 - Adequate
Statement 1
4 - Good
Statement 3
3 - Adequate
Quality of Environment - 4 - Good
Statement 1
4 - Good
Statement 2
4 - Good
Quality of Staffing - 4 - Good
Statement 1
4 - Good
Statement 3
4 - Good
Quality of Management and Leadership - 3 - Adequate
Statement 1
4 - Good
Statement 4
3 - Adequate
6 Inspection and grading history
Date
Type
Gradings
11 Jan 2013
Unannounced
Care and support
Environment
Staffing
Management and Leadership
5 - Very Good
4 - Good
5 - Very Good
4 - Good
11 Jan 2010
Unannounced
Care and support
Environment
Staffing
Management and Leadership
4 - Good
Not Assessed
4 - Good
Not Assessed
24 Mar 2009
Unannounced
Care and support
Environment
Staffing
Management and Leadership
5 - Very Good
5 - Very Good
5 - Very Good
5 - Very Good
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All inspections and grades before 1 April 2011 are those reported by the former
regulator of care services, the Care Commission.
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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: [email protected]
Web: www.careinspectorate.com
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