Rose's Rugrats Wishaw Inspection completed on 20 June 2016
Service provided by: Rose's Rugrats Service provider number: SP2010978716 Care service number: CS2010253799 Inspection Type: Unannounced Care services in Scotland, including childminders, cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and set out improvements that must be made. We also investigate complaints about care services and take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 www.careinspectorate.com @careinspect page 2 of 13
1 Introduction The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website www.careinspectorate.com Rose's Rugrats is registered to provide a care service to a maximum of six children at any one time under the age of 16, of whom no more than three are not yet attending primary school and of whom no more than one is under 12 months. Numbers are inclusive of children of the childminder's family. From 26/10/15 until 22/8/16, on Mondays between 10.00am and 1.00pm, Tuesdays and Wednesdays between 8.00am and 2.30pm and Thursdays between 8.00am and 1.00pm, to provide a care service to a maximum of six children at any one time under the age of 16, of whom no more than four are not yet attending primary school and of whom no more than one is under 12 months of age. Numbers are inclusive of children of the childminder's family. This element of the condition applies only to the children referred to in the variation application dated 8/8/15. Should any named child attending on the said days leave the service before 22/8/16, this element of the condition will cease. The childminder was clear that she should apply for a variation through the eforms system in August 2016 to have this element of the condition removed. The childminder is currently caring for six children on different days on a flexible, part-time basis to meet families individual needs. The service is provided by Rose Gillespie from her family home which is in the Wishaw area of North Lanarkshire. The children have access to the downstairs of the property, where there is a toilet, an open plan lounge and toyroom, which leads on to an enclosed decked area within the back garden. The childminder's aims include: 'to provide a quality service in a clean, caring, stimulating and safe home-like environment'. page 3 of 13
The Care Inspectorate is committed to improving the health and wellbeing of all children receiving a care service to ensure that they have the best start in life, are ready to succeed and live longer, healthier lives. The Care Inspectorate has an important role to play in supporting this approach by inspecting care services for children. The 'Getting It Right For Every Child' (GIRFEC) approach is underpinned by the principles of prevention and early intervention. It is a consistent way for people who work with all children and young people. The approach helps practitioners focus on what makes a difference for children and young people and how they can act to deliver these improvements. GIRFEC is being threaded through all policy, practice, strategy and legislation affecting children, young people and their families. In Scotland, the GIRFEC approach puts wellbeing at the heart of its approach. The eight indicators of wellbeing which form the basis of GIRFEC are: safe, healthy, achieving, nurtured, active, respected, responsible and included, often referred to as SHANARRI. What we did during our inspection We wrote this report following an unannounced inspection. This took place on Monday 20 June 2016 between the hours of 1.15pm and 3pm, where we met the childminder and three minded children. Over the course of the inspection we gathered information from various sources. This included observations of interactions between the childminder and the children, activities and choices available to the children and discussions about general routines and practices. We viewed the areas accessible to the children and sampled relevant sections of documentation. Views of people using the service Three children were present over the course of the inspection. One child was aged one and two children were aged four. The children were observed to be happy and content in the care of the childminder, as they took part in a variety of indoor activities. One parent returned the Care Inspectorate's care standards questionnaire before the inspection. All 'ticked' responses and written comments were very positive. We have included some of these comments within the relevant sections of this report. page 4 of 13
Self assessment Every year all care services complete a 'self assessment' telling us how their service is performing. We check to make sure this is accurate. The letter requesting the submission of the self assessment document had only recently been sent by the Care Inspectorate. What the service did well The childminder provided a homely, nurturing environment for the children in her care. She was responsive to each child's personal care needs, aware of safety and responded to the children's requests for various activities throughout the inspection. What the service could do better The childminder should ensure each child's personal care plan is kept up to date and reviewed every six months or sooner with parents in line with current legislation. She should review and update nappy changing procedures to ensure they are in line with her own policy and current infection prevention and control guidance. 2 The grades we awarded We grade the quality of care and support, the quality of the environment and the quality of management and leadership. If the childminder employs an assistant, we also grade the quality of staffing. In each case, we award a grade on a scale from 1 to 6, where 1 is unsatisfactory and 6 is excellent. Quality of care and support Quality of environment Quality of staffing Quality of management and leadership 5 - Very Good 4 - Good not assessed 4 - Good page 5 of 13
3 Quality of care and support Findings from the inspection The childminder used various methods to consult and involve the children and their parents in decision making and improvement of her service. This was done through questionnaires and newsletters, which were sent our periodically and through conversations, daily feedback sheets for younger children and text messages on a day to day basis. The parent who completed the care standards questionnaire 'agreed' that the childminder asked for her views on how she wanted her child cared for. She added: 'There are 'all about me' booklets for parents to complete about their child, daily chats, feedback, reviews and parents' nights. A monthly newsletter is produced with a list of activities undertaken/due to be undertaken and holiday reminders.' It was clear that the childminder knew the care, health and support needs of each of the children in her care. We sampled three children's personal plans. Although these contained required information about the child, consent forms and permission slips, these had not been kept up to date to include the child's current interests, likes/dislikes, stage of development, identified next steps or reviews by the parent. (see recommendation one) Grade The quality of care and support is graded 5 - Very Good Requirements Number of requirements - 0 Recommendations Number of recommendations - 1 1. The childminder should ensure that all information within each child's personal plan is current and is reviewed and updated with parents at least once every six months, or sooner, if required or requested. National Care Standards Early Education and Childcare up to the age of 16: Standard 3: Health and Wellbeing page 6 of 13
4 Quality of environment Findings from the inspection The childminder's home was clean and safe. There was a homely, nurturing environment where the children had access to an open plan lounge/toyroom, with a wide variety of toys and resources. This enabled them to make their own choice of activities throughout the afternoon. The children worked well together making an obstacle course, playing musical instruments, using push along toys, drawing and writing. The childminder reminded them to be mindful of their own and others safety during their play and praised them in their achievements. The toyroom led on to an enclosed decked area, with an area for planting and growing. The children were currently involved in growing strawberries and monitoring the changes on the fruit trees. The childminder stated that this outdoor area would be risk assessed prior to the children going outdoors, gates would be made secure and certain objects removed to ensure their safety. One parent commented: 'A variety of activities such as playgroup, bookbug, soft play, trips to parks and outdoor play areas. Rose has a large toy room with a variety of toys for all age ranges. She has all equipment required such as car seats, high chairs, baby walkers and activity centres. Each child has their own drawer for keeping things like change of clothes, nappies, wipes, comforters.' We observed and discussed nappy changing procedures. The childminder did not use a changing mat, disposable gloves or an apron as advised within best practice guidance. We discussed the reasons behind this guidance and recommended that these procedures, which are also detailed in the childminder's hygiene policy, are followed. (see recommendation one) Grade The quality of environment is graded 4 - Good Requirements Number of requirements - 0 page 7 of 13
Recommendations Number of recommendations - 1 1. The childminder should ensure that she follows her own hygiene policy with regards to nappy changing, which is in line with current best practice guidance. This includes using a changing mat and wearing disposable gloves and apron. This is to support infection prevention and control guidance and the health and safety of the children. National Care Standards Early Education and Childcare up to the age of 16: Standard 2: A Safe Environment 5 Quality of staffing We only assess this where the childminder employs an assistant. 6 Quality of management and leadership Findings from the inspection The childminder was a member of the Scottish Childminding Association (SCMA) and referred to their publications, online information and training to assist her in the ongoing development of her service. She was also aware of 'the hub' section within the Care Inspectorate website to access current news and best practice guidance. She had attended first aid, food hygiene and cot death awareness training since the last inspection and felt this had refreshed her knowledge in these areas. She had read a recent publication 'child-led participation' and found this to be informative and interesting and was in the process of reviewing her practice in line with this guidance. Policies and procedures used within the service had been reviewed, updated and shared with parents to ensure everyone was included in the service. The childminder planned to access child protection training later in the year to refresh her knowledge, share information with parents and contribute towards the health and safety of children in her care. page 8 of 13
As the childminder was preparing and serving food for some of the children, we referred the service to the Food Standards Agency (Scotland) website and the 'safer food, safer business' pack for childminders, for advice on food whether the service is required to be registered as a food business with the local authority. The childminder should become more familiar with GIRFEC and 'building the ambition' documents to further develop her knowledge, outcomes for children and service as a whole. We emailed the childminder information to assist her with this. Grade The quality of management and leadership is graded 4 - Good Requirements Number of requirements - 0 Recommendations Number of recommendations - 0 7 What the service has done to meet any recommendations or requirements we made at our last inspection Previous requirements 1. Personal Plans should be in place for every child using the service. These must include a written plan which sets out ways in which the child's health, welfare and safety needs will be met. These must be available to the child or representative. The personal plans should be reviewed at least once every six months or if there is any significant change in the child's needs. This is to comply with SSI 210 5 (1) (2)- personal plans page 9 of 13
Timescale: one month from the date of receiving this report. This requirement was made on 20 September 2012 There was a personal plan in place for each of the children who attended the service. These were initially made available to parents every six months and detailed the ways in which the child's health, welfare and safety needs would be met. This was done within the one month timescale specified at the last inspection and therefore we have agreed that the requirement has been met at that time. However, currently not all personal plans were complete or up to date to reflect the current ways in which the child's health, welfare and safety needs would be met. Therefore, we have made a recommendation in relation to keeping personal plans up to date within theme one of this report. Met - Within Timescales Previous recommendations 1. The childminder should consider ways to ensure the children are involved in the development of the newsletter and that it reflects the kind of information the children and parents want. National Care Standards Early Education and Childcare up to the age of 16: Standard 13: Improving the Service This recommendation was made on 20 September 2012 The childminder had further developed her newsletter to include planned activities resulting from the children's interests. The parent who completed the questionnaire agreed that the newsletter was informative. Therefore, this recommendation is met. 2. The childminder should review the structure of the questions in the questionnaire to ensure that she is creating opportunity for the process to be participative. National Care Standards Early Education and Childcare up to the age of 16: Standard 7: A Caring Environment This recommendation was made on 20 September 2012 page 10 of 13
We saw that current questionnaires had open-ended questions to enable the parents to share their views and suggestions. All responses had been very positive with no suggested areas for improvement by parents. Therefore, this recommendation has been met. 3. The childminder should be specific about medication being given when obtaining consent from parents and when recording the type of medication This recommendation was made on 20 September 2012 The childminder highlighted this as an important area of improvement within her service. She had updated her records and procedures to be in line with current best practice guidance. 'Management of Medication in Daycare of Children and Childminding Services'. Therefore, this recommendation has been met. 4. The childminder should ensure that all safety checks are fully recorded in a clear and timely manner. National Care Standards Early Education and Childcare up to the age of 16: Standard 2: A Safe Environment This recommendation was made on 20 September 2012 This recommendation was made in regards to recording her monthly fire evacuation practice. The childminder now recorded this in a diary. Therefore, this recommendation is met. 8 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at www.careinspectorate.com. 9 Enforcements No enforcement action has been taken against this care service since the last inspection page 11 of 13
10 Other issues There were no other issues identified. 11 Inspection and grading history Date Type Gradings 20 Sep 2012 Announced (Short Notice) Care and support Environment Staffing Management and Leadership 4 - Good 4 - Good 4 - Good Not Assessed 28 Jul 2011 Unannounced Care and support 3 - Adequate Environment 3 - Adequate Staffing 3 - Adequate Management and Leadership Not Assessed page 12 of 13
To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. You can also read more about our work online. Contact Us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com 0345 600 9527 www.careinspectorate.com @careinspect Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is c?nain eile ma nithear iarrtas. page 13 of 13