My Support Plan: co-ordinated SEN Support

Part 1: Who am I and what’s in my plan?

1.1 Who I am

I like to be known as: Oliver (but my family sometimes call me Oli)

My personal details

My first name(s): Oliver

My surname: Abel

My date of birth: 15/05/13

My address: 15 Portland Road York

My education

Current educational setting: Puddleduck Day Nursery

Current year group: Pre School

Next key transition point: Pre-School to Foundation Stage

Date of next transition: September 2017 due to start Primary School

My plan

Main point of contact for this plan: Jo Byers

Email address: jo.byers@york.gov.uk Phone number: 01904 555 085

Date of this plan: 19/11/15 Plan to be reviewed on: 19.05.16

Date of 1st My Support Plan: 20/05/15

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 1CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

1.2 What’s in my plan?Plan

page no.Date

completed

Part 1: Who I am and what’s in my plancompleted by child/young person

1.1 Who I am – the front cover of my plan 1 09.12.15

1.2 What’s in my plan – contents page 2 04.01.16

1.3 About me – my views, interests and hopes for the future 3 05.11.15

Part 2: Information gathered by me and my familycompleted by child/young person and their family

2.1 What my family thinks is important to and for me 4 05.11.15

2.2 Relevant history 5 05.11.15

2.3 My family and significant people in my life 6-7 05.11.15

2.4 Key information for looked after children / young people 7 05.11.15

Part 3: Information about my special educational needsgathered and updated by the educational setting

3.1 Special educational needs (SEN) 8-10 05.11.15

3.2 Educational attainment and progress 11-13 09.11.15

3.3 Special educational provision 14 09.11.15

3.4 Education and learning history 15 09.11.15

Part 4: Information about health and social care needs related to by special educational needsprovided by health and social care professionals

4.1 Health needs 15-17 30.11.15

4.2 Health provision 17-19 02.12.15

4.3 Social care needs 20 -

4.4 Statutory social care provision 20 -

4.5 Additional social care provision 20 -

Part 5: Information shared and agreed at my meetingcompleted/finalised by educational setting after review meeting

5.1 My review contribution 21-22 08.11.15

5.2 My family’s review contribution 23 05.11.15

5.3 Contributions from people who support me 24 04.11.15

5.4 Views shared at my meeting 25-26 19.11.15

5.5 Agreed outcomes 27-29 19.11.15

5.6 Agreed actions 30 19.11.15

5.7 Review record 31 19.11.15

Part 6: Relevant advice and information that supports my planprovided by advice-givers

6.1 Additional information 32 09.11.15

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 2CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

1.3 About me – my views, interests and hopes for the futureThis section updated on: 05/11/15

Have you filled in this section independently? No

If NO, who has supported this contribution?

Name: Molly Paver

Relationship/role: Mother

How has this contribution been supported? Through close observations

Things I’d Like You To Know About Me – Oliver Abel

Things I like…

Bathtime Thomas the Tank Engine Being carried up the stairs My cuddly penguin Being able to explore toys

My comforter Bubbles Park Drawing

ThingsI don’t like …

Fruit Really cold food eg. yoghurt straight out of the fridge Eating some meals Movicol

ThingsI am good at …

Screaming! Bum shuffling Working out how toys work Understanding of language

Things I needhelp with …

Communicating Spoon feeding Getting dressed Washing hands and face Getting around on my feet

I learn best

when …

I am interested in the toys There are few distractions Things are demonstrated to me first I get repeated opportunities to try it out

I communicate

by …

Shouting using vowel sounds Choosing a preferred toy from a choice of two pictures Signing more

You also needto know

I can get upset and frustrated if you don’t understand I can be a bit unsure around a group of children initially

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 3CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Part 2: Information gathered by me and my family

2.1 What my family thinks is important to and for meThis section updated on: 05/11/15Contributed by: Molly Paver (mum)What my child is good at, interested in and enjoys:Oliver is very good at playing. He loves Thomas the Tank Engine and laughs if he hears a dog!Oliver is enjoying being able to explore now he can bum shuffle.Oliver enjoys bath time.What’s important for my child in the future – my longer term hopes and dreams:I would like Oliver to become more mobile and communicate effectively.Important information you need to know about my child:Oliver gets tired easily.He can get frustrated as he cannot tell you what he wants so you have to offer him choices.How to support my child to communicate, make choices and be involved in decision making:

Use picture cards, offer two toys so that Oliver can make a choice.Makaton has been introduced but as yet Oliver is only signing ‘more’.What helps my child to learn, be independent, play, enjoy leisure time, spend time with friends and keep healthy?

learn? Visual clues, demonstration

be independent? Offering him pictures or choice of toys.

play? Being shown ways of playing with new toys.

Being given the time to explore toys independently

keep healthy? Using his inhalers when needed.

Taking all medication as required.

As much as possible to stay away from people that are poorly.

Additional information:

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 4CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

2.2 Relevant historyThis section updated on: 25/11/15

Contributed by: Molly Paver (mum)

Relevant history:

Blood tests revealed **** Deletion syndrome at 2 months. Suffered from frequent bronchiolitus and chest infection He had a Full Team Assessment at York Hospital Child Development Centre at one year old. Referred to Speech & Language Therapist, occupational therapist, physiotherapist, orthoptist,

orthotics, audiology, Portage. Recent referral to respiratory department at Leeds General Infirmary. Oliver has been discharged from the orthoptist. He has Lycra shorts to support his muscles. He started Puddleduck Day Nursery and attends Mondays 8am – 1pm and Thursdays 8am –

6pm. Oliver had a broncoscopy at LGI (no scar tissue found). Under review with the dietician due to slow weight gain.

Additional information:

Oliver is prone to having bronchiolitus and chest infections which will probably result in hospital admission. Antibiotics given as soon as he has a cold.

He has large numbers of hospital appointments for health checks and therapies.

It would be helpful if these appointments could be co-ordinated.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 5CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

2.3 My family and significant people in my lifeThis section updated on: 25/11/15

Parent contact details 1

Relationship: Mother

First name: Molly Surname: Paver

Address: 15 P--------- Road York

Telephone 1: 07888 888 888 Telephone 2:

Email:

How do you wish to receive information? Email or Letter

Parent contact details 2

Relationship: Father

First name: Ian Surname: Abel

Address: 6 A------ Road, Haxby

Telephone 1: 07555 555 555 Telephone 2:

Email:

How do you wish to receive information? Letter

Who my child lives with

Name Relationship Additional information

Molly Paver Mother

Other people you need to know about

Name Relationship Additional information

Penny Maternal aunt Very close to both aunts.They babysit and are listed to pick up from pre-school.

Barbara Paternal aunt

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 6CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

People who can provide support and information

Name and role Information/supportthey can provide

Contact detailsEmail/address and phone

Dr **** ******Consultant Paediatrician

Information and advice about primary health care

CDC, York Hospital01904 726 539

***** ******Speech & Language Therapist

Advice and strategies to support my speech and language development

CDC, York Hospital01904 726 539

******** ******,Physiotherapist

Advice and strategies to support my physical development

CDC, York Hospital01904 726 539

**** *****,Occupational Therapist

Advice and strategies day to day motor activities, seating etc

CDC, York Hospital01904 726 599

Jo Byers,Portage Home Visitor

Home visits, structured teaching strategies to support learning/ play / family support

Specialist Early Years Support Team Burnholme Community Hub, Bad Bargain Lane, York. YO31 0GW01904 555 085jo.byers@york.gov.uk

Christine Clarke, Specialist Senior Educational Psychologist (Early Years & Portage)

Advice on early development and educational support

Specialist Early Years Support Team Burnholme Community Hub, Bad Bargain Lane, York. YO31 0GW01904 555 085christine.clarke@york.gov.uk

Dr ***,Respiratory

Information on my respiratory issues

Leeds General Infirmary Great George Street, Leeds. LS1 3EX

******** ********Community Nurse

Information and advice on my health needs

Ward 18, York Hospitalcaroline.atkinson@york.nhs.uk

**** ****** SENCO Puddleduck Day Nursery

Information on how Oliver accesses activities at nursery and EYFS

01904 415 144

2.4 Key information for looked after children/young peopleThis section updated on: 08/11/15

Is the child/young person Looked After (by the local authority)? No

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 7CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Part 3: Information about my special educational needs

3.1 Special educational needsThis section completed/updated on: 10.11.15Broad areas of need identified through the coordinated assessment:Communication and interaction YesCognition and learning YesSocial and emotional difficulties YesSensory and/or physical needs YesDescription of special educational needs and disabilities (SEND) on school census or ILR: Physical Disability Primary Need Speech, Language and Communication Need Secondary Need Details of any specific diagnosis, and who has made this diagnosis:

Oliver has a medical diagnosis of ****** deletion syndromeRelevant descriptors from City of York SEN Banding documents:

2b (from EY banding)

Oliver has a level of need that has been assessed as requiring a highly specialist intervention, teaching and provision which would also include small group work and 1:1

and/or needs specified in a My Support Plan (MSP)

Listening and attention skill

Following adult language (i.e. instruction)

Social skills

Expressing himself verbally

Making relationships (i.e. peer group)

Managing feelings and behaviours

Moving

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 8CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Specific identified need Brief details of strength and needsN1 Sensory and/or

physical needsOliver bum shuffles to reach objects and travel about his home. He can tolerate being in a 4 point crawl position and move his arms forward in this position. He can stand at furniture to play with minimal support and has a standing frame to help him achieve this milestone. He has taken a few cruising steps along the sofa. He enjoys spending time in his walking frame and manoeuvring himself around the house and outside.Oliver can hold objects that are easy to hold but can struggle with smaller items that require a more refined grasp such as crayons. Oliver has small hands so large objects are tricky.Oliver needs:Opportunities to explore his environment Activities to help him develop his fine motor skills as advised by his Occupational Therapist. Support for his physical development and help to follow his treatment plan as advised by his Physiotherapist which includes spending time in his standing frame and walking frame

N2 Communication and Interaction

Oliver’s understanding of language is ahead of his expressive language. He can understand and follow simple instructions e.g. give me a kiss etc. Oliver uses picture cards to help him make a more independent choice. He can make a choice from 2 picture cards. He is able to correctly identify familiar pictures from a choice of 2 and post the correct card in a post box.Makaton has been introduced and we are currently working on auditory bombardment of sounds.Oliver needs:Clear instructions using simple language and to be given visual clues through pictures and Makaton to support his understanding of instructions.Face to face modelling of sounds to help him imitate sounds.Support to follow his treatment plan as advised by his SALT

N3 Cognition and Learning

Oliver has a great explorative nature and loves to explore new toys and try and work out how they work. He is good at problem solving and can work out which buttons he need to press to make a toy work.Oliver needs:Demonstration of new activitiesTime to explore and try a new toy outSmall steps approach to help him learn new skillsDistractions to be kept to a minimum and good seating position at a table to enable him to attend to and focus on a task

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 9CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

N4 Social and Emotional Oliver is wary of new people, both adults and children. He can become upset in new situations and when he is unsure what you are asking him to do. Oliver has settled well into nursery and has built up relationships with the staff. He enjoys watching the other children.When Oliver is familiar with you he will greet you with lovely smiles and welcome play opportunities.Oliver needs:The support of a keyperson on a one to one basis to help him settle into a new environmentTime in small groups with adult support to get to know his peersAdults to model appropriate ways of playing with his peersAdult support to encourage interaction and social skills in small groups

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 10CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

3.2 Educational attainment and progressThis section completed/updated on: 11/11/15Current educational attainment and evidence of educational progressWhere screenshots or records are inserted here, information should be clearly referenced by source and date. A sentence explaining what the inserted data shows, in regards to expected levels and expected progress, should also be includedAssessment date Area/subject assessed or accreditation taken Result/level

11/11/15 Portage holistic assessment using the Early Support Developmental Journal, parent information, observation and structured teaching activities.

Please see the full Portage Review report dated 11/11/15The Early Support Journal Profile has been reproduced below to give an overview of his development under the ESDJ headings.

Autumn 2015 Oliver Abel EYFS Tracker See next page L

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 11CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 12CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Please see Oliver Abel’s EYFS Baseline and 2 year check to find a detailed evaluation of how he is progressing in all areas of the EYFS

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 13CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

3.3 Special educational provisionThis section completed/updated on: 09/11/15Provision is funded within CYC SEN banding threshold: 2bPortage visits are being provided by City of York Portage Service, which is managed by Christine Clarke, Specialist Senior Educational Psychologist (Early Years and Portage)Puddleduck Nursery - Oliver has received his two year funding as he is in receipt of DLAOliver also receives EYIF of 7 hours for 1:1 support at nurserySpecial educational provision

Strategies and key approaches Specific identifiedneeds this supports

During Portage Home Visits the following have been used: Oliver needs visual clues and demonstration of what you want him to do N2 Use clear, short sentences when giving Oliver instructions N2 Face to face during activities N2/3 Makaton sign language N2 Picture choice cards N2/3 Sound games to model speech sounds N2 Opportunities to increase his mobility and develop his core strength N1 Sitting at a table to engage Oliver in activities N3

Equipment and resources Specific identifiedneeds this supports

Makaton sign language N2 Objects relating to Jolly Phonics sounds N2 Table and chair provided by Occupation Therapist N1/2/3 Standing frame and walking frame provided by Physiotherapist N1 Picture cards for choice making N2

Weekly timetable to support provision for academic year: 2015Weekly timetabled sessions

Time allocated Support by/level of expertise

Specific identified needs this supports

Attends Monday morning 8-1Thursday full day 8-6

30 min physical programme standing frame / walker each day. 10 min 1-1 SALT activity each day10 min small group fine motor skills activity Thurs pmGeneral support to interact, play and access areas of the nursery

7 hours one to one support given to him by his key person through EYIF

N1 Sensory & PhysicalN2 Communication

N3 Cognition & Learning

N4 Social & Emotional

Does the school receive pupil premium funding for the child/young person? No

If YES, how is the pupil premium being used to support the child/young person’s learning? n/a

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 14CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

3.4 My education and learning historyThis section completed/updated on: 09/11/15Educational settings/schools attended (including current provision)

Date from Date to

Portage Home visits 03.02.14 On going

Puddleduck Day Nursery September 2015 On going

AttendanceAcademic year Days attended 2015 Monday morning 8 am -1 pm

Thursday full day 8 am – 6 pm

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 15CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Part 4: Information about health and social care needs related to by special educational needs

4.1 Health needsThis section updated on: 18/11/15Name of health professional who has provided this information: Dr ***** Paediatrician

Date of contribution: 18/11/15

Does the child/young person have assessed health needs? Yes

What goal/outcomeis to be achieved? Assessed health needs Who assessed the need Date assessed

Monitor growth and development and address any medical issues as they arise

Developmental delayFaltering growthRecurrent chesty symptoms

Dr ***** Paediatrician 22-09-2015

Name of health professional who has provided this information:

**** *****, Senior Children’s Occupational Therapist and ******** ******Senior Paediatric PhysiotherapistDate of contribution: 08/10/2015 and 9.10.15

Does the child/young person have assessed health needs? Yes

Oliver has a diagnosis of chromosome ****** depletion syndrome, with developmental delay and faltering growth. He is open to physiotherapy, occupational therapy, speech and language therapy and the dietetics team at YDH.

What goal/outcomeis to be achieved? Assessed health needs Who assessed the need Date assessed

Oliver to develop his manual dexterity to improve his access to play and self-feeding

Oliver has delayed manual dexterity skills

**** *****, Senior Children’s OT

08/10/20152015

Oliver to develop a more efficient pincer grasp to improve his self-feeding and more intricate manipulative play

Oliver has an palmer grasp and will occasionally use a lateral pincer grasp

**** *****, Senior Children’s OT

08/10/2015

Oliver to develop more fluid and consistent bilateral manual movements to increase his confidence in play and upper limb activities

Oliver tends to play with one hand a time, rather than both together.

**** *****, Senior Children’s OT

08/10/2015

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 16CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Oliver to be safe and well supported in sitting, in order that he develops his fine motor and self care skills to the best of his ability.

Oliver currently requires a specialist Heathfield chair with accessories

**** *****, Senior Children’s OT

08/10/2015

Oliver to continue to show progression of gross motor skills. To achieve safe independent standing at a low table

Oliver has delayed gross motor skills due to reduced muscle strength/ control and reduced core stability

******** ******Senior Physiotherapist

8/10/15

Oliver to develop his mobility skills using a mustang walker – to be able to tolerate the walker for 10 minutes.

Oliver unable to take independent steps, he requires support from a walker.

******** ******Senior Physiotherapist

08/10/2015

Name of health professional who has provided this information:

******* ****** Advanced Clinical Specialist Speech & Language Therapist (Dysphagia)

Date of contribution: 4th November 2015

Does the child/young person have assessed health needs? Yes

What goal/outcomeis to be achieved? Assessed health needs Who assessed the need Date assessed

1. Oliver will select identified objects and toys (taken from Vocabulary Building programme) at nursery when requested by an adult.

1. Oliver has significantly delayed receptive language skills. Assessed 11.09.15 using Pre-School Language Scales PLS4. Receptive skills 12-17 months with early emerging skills 18-23 months.

1. ******** ********Advanced Clinical Specialist Speech & Language Therapist

1. September 2015

2. Oliver will look at and then post pictures of everyday actions (from starter vocabulary set supplied by SLT) named and signed when prompted by an adult.

2. Oliver has significantly delayed receptive language skills. Assessed 11.09.15 using Pre-School Language Scales PLS4. Receptive skills 12-17 months with early emerging skills 18-23 months.

2. ******** ********Advanced Clinical Specialist Speech & Language Therapist

2. September 2015

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 17CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

3. Oliver will copy some sounds when modelled naturally in play activities e.g. animal sounds, vehicle motor noises which are modelled as repeated single sounds e.g. ‘mmmm’, ‘ee’ ‘ah’.

3. Oliver has significantly delayed expressive language skills in association with his diagnosis. Expressive skills assessed using PLS4 early emerging skills 12-17 months.

3. ******** ********Advanced Clinical Specialist Speech & Language Therapist

3. September 2015

4.2 Health provisionThis section updated on: 18/11/15Name of health professional who has provided this information: Dr ****** Paediatrician

Date of contribution: 18-11-2015

Does the child/young person have an Individual Health Care Plan? No

Health provision recommended to meet assessed needType of support/

provision and datesFrequency of support/

provisionWho is responsible for delivery of provision Outcome

1. Children’s Community Nursing team

2. Physiotherapy

3. Dietician

4. SALT

5. OT

6. Orthoptist/Audiology

Regular contact

As necessary

As required

As required

As required

6 monthly

******* *******

******** ******

***** *****

***** ******

**** *****

***** *****/ **** ****

Ongoing support

Provided lycra shorts, Pedro boots, standing frameFortini milk, Calogen/Maxijul added to feeds

Name of health professional who has provided this information:

**** *****, Senior Children’s Occupational Therapist and ******** ******Senior Paediatric PhysiotherapistDate of contribution: 08/10/2015 and 9.10.15

Does the child/young person have an Individual Health Care Plan? Yes/No

Date of Individual Health Care Plan:

Details of Individual Health Care Plan:

Where a child or young person has an Individual Health Care Plan (including health care plans for those children or young people who are Looked After) it should be clearly referenced here and appended in part 6 of the My Support Plan.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 18CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Health provision recommended to meet assessed needType of support/

provision and datesFrequency of support/

provisionWho is responsible for delivery of provision Outcome

Type of support/ provision and dates

Frequency of support/ provision

Who is responsible for delivery of provision

Outcome

Home visits OR CDC appointment at least annually to review his upper limb programme

Minimum Annually Health – York Paediatric Occupational Therapy Team

Progress in his upper limb movements and functional abilities

Home visits to review his seating

Annually Health – York Paediatric Occupational Therapy Team

Oliver to remain in suitable seating which can be adjusted to suit growth, or reassessed for change in needs

Physiotherapy review either at home or at the CDC to ensure gross motor skills are continuing to progress.

At least 6 sessions in a year.

Health - York Paediatric Physiotherapy Team

Continued progression of gross motor skills.Maintenance of symmetrical body shape, muscle length and joint range.

Home visit to review walker and stander.

Bi annually Health - York Paediatric Physiotherapy Team

Oliver to remain in suitable stander/ walker which can be adjusted to suit growth, or reassessed for change in needs.

Provision of piedro boots and inlays

6 monthly reviews Health- Orthotic Services, York Hospital

Good foot posture

Name of health professional who has provided this information:

******** ********Advanced Clinical Specialist Speech & Language Therapist (Dysphagia)

Date of contribution: 4-NOV-2015

Does the child/young person have an Individual Health Care Plan? unknown

Date of Individual Health Care Plan: unknown

Details of Individual Health Care Plan: unknown

Where a child or young person has an Individual Health Care Plan (including health care plans for those children or young people who are Looked After) it should be clearly referenced here and appended in part 6 of the My Support Plan.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 19CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Health provision recommended to meet assessed needType of support/

provision and datesFrequency of support/

provisionWho is responsible for delivery of provision Outcome

Therapy provision detailed below may alter to meet the needs of the child and will be subject to review/reassessmentPre-school visits from a qualified Speech and Language Therapist

1 X termly assessment & advisory visit to pre-school setting.

York Hospitals NHS Foundation Trust Speech and Language Therapy

To meet Speech and Language Therapy goals

Follow up of Speech and Language activities and/or strategies as per speech & language programme

At least 2-3 times per week for 10-15 minutes when Oliver attends pre-school

A designated member of pre-school staff

To meet Speech and Language Therapy goals

Follow up of Speech and Language Therapy advice and strategies

When Oliver is in pre-school setting, during play and everyday routines

Setting staff To meet Speech and Language Therapy goals

Speech & language attendance at MSP review meeting(s) OR provision of a written update if the Speech and Language Therapist is unable to attend the review.

Six monthly or annually as appropriate

Speech and Language Therapist

To meet Speech and Language Therapy goals

Written Speech & Language Therapy Targets

Targets to be reviewed and updated termly.

Speech & Language Therapy, York Teaching Hospitals NHS Trust Staff

To meet Speech and Language Therapy goals

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My Support Plan: co-ordinated SEN Support

4.3 Social care needsThis section completed/updated on: N/AName of social care professional who has provided this information:

Date of contribution:

Has a Family Early Help Assessment (FEHA)/CAF been made? Yes/No

Does the child/young person have any assessed social care needs? Yes/No

Identified needs/area of eligible need Outcome Date assessed

4.4 Statutory social care provisionThis section completed/updated on: N/AName of social care professional who has provided this information:

Date of contribution:

Is social care support provided to meet the child/young person’s assessed need which would come under statutory section H1 of a EHCP?

Yes/No

Identified needs/area of eligible need

Action to bringabout change Who will do what? When will it happen?

4.5 Additional social care provisionThis section completed/updated on: N/AName of social care professional who has provided this information:

Date of contribution:

Is social care support provided to meet the child/young person’s assessed need which would come under statutory section H2 of a EHCP?

Yes/No

Identified needs/area of eligible need

Action to bringabout change Who will do what? When will it

happen by?

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 21CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

Part 5: Information shared and agreed at my meeting

5.1 My review contribution

This section updated on: 08/11/15

Have you filled in this section independently?

No

If NO, who has supported this contribution?

Name: Molly Paver

Relationship/role: Mother

How has this contribution been supported? Through photographs of me doing activities I enjoy and knowledge and observation of what is important to me.

What have been the highlights in the last year?

Since I started nursery only three months ago, my highlights have been making/forming close bonds with staff that take care of me. Especially **** my key worker. I have adapted to the nursery routine well with the support of my chair and standing frame. Both these sets of equipment have enabled me to sit with my friends for the full duration of a mealtime and also to take part in activities with my peers and on a one to one basis.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 22CYC VERSION 09-15

I love exploring the outside world in my walking frame

Look at me standing I love looking at books

My Support Plan: co-ordinated SEN Support

What’s important in the next 3–5 years? Are the long term goals/outcomes still appropriate?

Continue to meet the targets that have been set for me.

Continue to have the support I need from the correct resources and equipment.

What support is working well?

The support from my key person **** is working really well for me. As she is the one person that knows my needs, my likes and what targets I aim to meet. Also the support from my chair, standing frame and walker, which all work really well at nursery.

What would you like to do, learn or achieve in the next year? Meet my targets by the correct deadline date.Continue to learn new sounds and repeat them.Begin to interact with my peers during free flow.Thinking about what you want to do, what would help you?.Interacting with my peers = Activities both adult led and child led at different levels around the room to encourage Oliver to approach groups of friends.Learn new sounds = Continue with flash cards, slowly introducing new ones, and old ones are met. Is there anything else you would like to say?

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 23CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

5.2 My family’s review contribution

This section updated on: 05/11/15

Contributed by: Molly Paver (mum) & Ian Abel (dad)

What have been the highlights in the last year?

Oliver’s highlights in the last year are that he has learned to bottom shuffle giving him more independence to explore his surroundings. He can also stand against a table and sofa and play unaided. Also his understanding has come on a lot.

He recently started nursery – which he loves.

What do you want for your child in the next 3–5 years? Are the long term goals/outcomes in the plan still appropriate?

Oliver to start school and to continue learning.

What support is working well?

All Oliver’s support is working well such as Portage, nursery and all input from professionals.

Planning short term outcomes for the coming year - are there specific things you would you like your child to do, learn or achieve?I would like Oliver to be able to be more mobile i.e. Stand unaided, also for him to be able to interact with other children more whilst playing. Also to learn new words and sounds and to use Makaton more to help him communicate.

Is there anything that you would like to be added or changed in your child’s plan to help meet their needs? This could be activities, equipment, adult support or the way people work with your child.

Is there anything else you would like to say?

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My Support Plan: co-ordinated SEN Support

5.3 Contributions from people who support me

This section completed/updated on: 04.11.15

Contributed by: Jo Byers

Views contributed by: Jo ByersRole: Portage Home VisitorDate of contribution: 04.11.15

What have been the highlights in the last year?

Oliver has made some lovely progress with his gross and fine motor skills. He can bum shuffle with speed and has taken a few independent steps to cruise the furniture. He can now hold a crayon and mark make effectively.What’s important in the next 3–5 years? Are the long term goals/outcomes still appropriate?

It is important that Oliver continues to receive 1:1 support to help him reach the outcomes set. When looking at school placement it would be beneficial for his parents to be supported on visits so that they can make an informed choice as to where would be the best place for Oliver.

Medical support should also continue.

What support is working well?

Oliver likes the Portage visits and although during the winter when he is unwell it can be tricky to get him to focus he normally gives everything a go.

Oliver has settled well at nursery and separates from his Mum really well. The EYIF provides opportunities for 1:1 time to work towards his outcomes.

Planning short term outcomes for the coming year - are there specific things you would like the child/young person to do, learn or achieve? Oliver needs time to further develop his gross and fine motor skills. He also needs to have a focus on Speech and Language activities to develop his expressive language.Is there anything that you would like to be added or changed in the child/young person’s plan to help meet their identified needs? E.g. specific provision, strategies, approaches, resources and activities.Renew application for EYIF for next term.Is there anything else you would like to say?

Oliver is a lovely little boy who needs support in all areas of learning to develop his skills.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 25CYC VERSION 09-15

My Support Plan: co-ordinated SEN Support

5.4 Views shared at my meetingThis section completed/updated on: 19/11/15What have been the highlights in the last year?

Molly (mum): Oliver has learnt to bottom shuffleHe got Lycra shorts which help him standNew soundsSigning ‘more’

******(Setting): Knowing/adapting to nursery routineSitting for mealtimes with his peersEquipment has helped Oliver to take part in more activitiesChoosing from pictures to decide what he wants to do and sing

****(occupational therapist) - Seating has helped with upper limb skills******** (physiotherapist) - Propelling himself in walkerJo (Portage) - Mark making with crayons, signing ‘more’At the last review, this is what we planned for the child/young person to do or learn:

How did the child/young person get on and did it make a difference?

1. Spend 10 minutes in his walking frame per day, as advised by his physiotherapist, to explore his environment

1. Achieved at home. Can be difficult at nursery due to layout. Oliver has more freedom and independence.

2. To be able to develop self feeding skills both finger foods and with a spoon to increase his independence

2. Feeding has really improved. Oliver can feed himself 75% of spoon/fork meals. Finger feeding is whole hand grasp which can hinder slightly.Oliver has gained independence.

3. Work on sound work and choosing a named picture from a choice of 2 as advised by Speech and Language Therapist

3. Sound work is developing.Oliver is trying hard to make mouth shapes for sounds. Oliver can choose from a choice of 2 and post the correct picture.

4. Fully include Oliver in all aspects of the nursery day and access all areas of provision whilst he is there

4. Oliver is exploring the nursery and self choosing activities which means he can be with his peers.

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My Support Plan: co-ordinated SEN Support

Actions agreed at last review: Were the actions completed and effective?

1. **** OT to visit nursery to assess chairs and to apply for charitable funding for a chair at nursery if necessary

1. Yes, this has helped in all aspects of his day.

2. ***** to arrange training for staff at nursery on meeting Oliver’s needs

2. Yes, physio, speech & language therapist, occupational therapist, have all been in to provide in depth training to staff.

3. Nursery to create a Health Care Plan 3. Yes, all information is in for all to see to help nursery.

4. Jo to hold Portage Review 5. Yes, although delayed.

5. Jo to visit Nursery to share the Portage review 6. Not yet due to delayed review. Visit in 2016.

6. ******* Community Nurse to be available for Molly as needed. Overnight study for oxygen saturation when well

7. Yes, Molly can ring at any time.

What’s important in the next 3 to 5 years? Are these priorities reflected in the long term goals/ outcomes? Become more mobileBecome more vocal Request an Education, Health & Care Plan for OliverTransition between rooms at nursery when appropriateStarting School - Visit local schoolsWhat support/provision is working well?

All medical services are a great support for Oliver. Table and chair helps Oliver. 1:1 sessions at nursery. Portage Home visits. Effective multi-agency working.

What does everyone want the child/young person to do learn or achieve in the coming year? Play with peers at nursery Oliver to approach his peers to play at nursery Moving into Adventurers room at nursery Pull himself to stand Mark making to develop to copying strokes Bi-manual play – toys that encourage 2 handled play

What specific provision needs to continue, changed or be put in place to support identified outcomes? EYIF to provide 1:1 support for Oliver at nurseryMedical support and equipment provided to continue Portage Home visits to continueMaintain MSP and at an appropriate time make request for Education, Health & Care Plan assessmentOther matters discussed Visiting local schools with a view to choosing a school for Oliver for September 2017.

Name: Oliver ABEL Date of birth: 15/05/13 Initial plan date: 20/05/15 Current plan date: 19/11/15 Page 27CYC VERSION 09-15

My Support Plan

5.5 Agreed outcomesThis section completed/updated on: 09/12/15Need 1: Sensory and Physical Long Term Goal (3-5 years): LTO1 Increase Coordination of Gross Motor SkillsOutcomes for this year:What am I going to do or learn to achieve my outcomes

By when will I achieve my outcomes?

What support / provision will help me achieve my outcomes? (Strategies / Key Approaches; Timetabled Sessions; Resources needed: (including staffing))

What difference will my outcomes make to me?

1. Oliver to high kneel May 2016 Strategies and advice from Physiotherapist 1:1 sessions at nursery to support this outcome Regular time at home to practice this outcome

I will be more mobile and independent which will mean that I can access more resources on my own.

2. pull to stand, 3. cruise furniture

Who will support me to achieve these outcomes and monitor my progress towards achieving them: Parents, Physiotherapist, Portage Home Visitor and Nursery

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My Support Plan

Need 2: Communication Long Term Goal (3-5 years): LTO 2 Increase Understanding and Develop Speech SoundsOutcomes for this year:What am I going to do or learn to achieve my outcomes

By when will I achieve my outcomes?

What support / provision will help me achieve my outcomes? (Strategies / Key Approaches; Timetabled Sessions; Resources needed: (including staffing))

What difference will my outcomes make to me?

4. Oliver will get a named object / toy (taken from Vocabulary Building programme) at nursery in a structured activity when requested by an adult.

May 2016 Advice and strategies from Speech and Language Therapist

Resources to be provided to the nursery 1:1 structured activity with keyperson at nursery

I will be able to respond to simple requests and show recognition of everyday objects / toys

5. Oliver will look at and then post pictures of everyday action pictures (from starter vocabulary set supplied by SLT) when a familiar adult names and signs the action word

May 2016 Advice and strategies from Speech and Language Therapist

Resources to be provided to the nursery 1:1 structured activity with keyperson at nursery 1:1 structured activity at home

I will broaden the vocabulary that I understand to include action words supported by Makaton signs.

6. Oliver will copy some sounds when modelled naturally in play activities e.g. animal sounds, vehicle motor noises which are modelled as repeated single sounds e.g. ‘mmmm’, ‘ee’ ‘ah’.

May 2016 Advice and strategies from Speech and Language Therapist

Resources to be provided to the nursery Small group play at nursery practice at home with parents

I will be able to use a wider range of sounds during my play.

Who will support me to achieve these outcomes and monitor my progress towards achieving them: Parents, Occupational Therapist, Portage Home Visitor, Nursery

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My Support Plan

Need 3: Cognition and LearningLong Term Goal (3-5 years): LTO 2 Increase dexterity in fine motor skillsOutcomes for this year:What am I going to do or learn to achieve my outcomes

By when will I achieve my outcomes?

What support / provision will help me achieve my outcomes? (Strategies / Key Approaches; Timetabled Sessions; Resources needed: (including staffing))

What difference will my outcomes make to me?

7. Oscar to use a pincer grasp to manipulate small play items

Summer 2016 Support from Occupational Therapist and strategies to implement during play

Small world play items, bead posting, peg toys etc 1:1 structured activities at nursery Structured activities at home to practice the strategies

I will be able to play with a wider range of toys.

8. Oscar to use two hands together to manipulate a toy

Summer 2016 Support from Occupational Therapist and strategies to implement during play

Toys that require two hands together 1:1 structured activities at nursery and home to

demonstrate how to operate the toys

I will be more confident in my abilities and will be able to access more areas of provision and toys at nursery and home.

Need 4: Social & Emotional DevelopmentLong Term Goal (3-5 years): Interact with PeersOutcomes for this year:What am I going to do or learn to achieve my outcomes

By when will I achieve my outcomes?

What support / provision will help me achieve my outcomes? (Strategies / Key Approaches; Timetabled Sessions; Resources needed: (including staffing))

What difference will my outcomes make to me?

9. Play a short turn taking game with his peers

Summer 2016 Small group activities with support from his key person at nursery to guide the turn taking and demonstrate how to play

I will have increased confidence and learn how to play with my peers appropriately.

10. Approach his peers to play with them

Summer 2016 1:1 support from his key person at nursery to support interaction with peers

I will have increased confidence and learn how to play with my peers appropriately.

Who will support me to achieve these outcomes and monitor my progress towards achieving them: Parents, Occupational Therapist, Portage Home Visitor, Nursery

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My Support Plan: co-ordinated SEN Support

5.6 Agreed actionsThis section completed/updated on: 09/12/15

Who? What will they do? When? How will things improve things for me or my family?

******* **** Order handles for walking frame so Oliver can steer.

Spring 2016 This will mean that I can be more independent in my mobility and manoeuvre my walking frame with ease.

Molly Explore swimming options

Spring 2016 This will provide me with a fun activity that will support my physical development

**** Key worker Make post box for activities

January 2016 I will be able to carry out the activities set by the Speech and Language Therapist.

Jo Byers Visit nursery to share Portage review

February 2016

This will help towards a coordinated package of support.

Jo Byers Ensure all get a copy of the finalised MSP

February 2016

Everyone involved will have a record of what was discussed and agreed.

******* SENCO and **** Keyperson

Update My Agreed Outcomes

January 2016 To be based on the outcomes outlined in the MSP but with specific activities and strategies detailed that I can work on to support my development.

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My Support Plan: co-ordinated SEN Support

5.7 Review recordThis section completed/updated on: 09/12/15During this meeting, we reviewed:

Education YesShort breaks provision (<100 hours per year) NoCare plan (LAC) NoPEP NoChild in Need plan NoAdult social care plan NoMeeting chaired by:

**** ***** SENCO

Role: SENCo at Puddleduck Day Nursery Day NurseryWho was invited to the review? Role Attended How have they contributed?

Oliver Abel Child/young person

No Through parents (and Portage Home Visitor and Key Person at nursery)

Molly, Paver Mum Yes Parts 1,2,5 and verbal contribution at meeting

Ian Abel Dad Apologies Seen draft of Part 1, 2 & 3 phoned nursery to say nothing additional to add.

Dr ****** Consultant Paediatrician

Apologies Part 4.1 & 4.2

******* ***** Speech & Language Therapist

Apologies Part 4.1 & 4.2

Jo Byers Portage Home Visitor

Yes Parts 3, 5 and verbal contribution at meeting

**** ***** Keyperson

Puddleduck Day Nursery

Yes Parts 3, 5 and verbal contribution at meeting

**** ******, SENCO

Puddleduck Day Nursery

Yes Parts 3, 5 and verbal contribution at meeting

******* ****** Physiotherapist Yes Part 4.1 & 4.2 and verbal contribution at meeting

**** ***** Occupational Therapist

Yes Part 4.1 & 4.2 and verbal contribution at meeting

******* ******* Community Paediatric Nurse

Apologies

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My Support Plan: co-ordinated SEN Support

Following this meeting, a request is made for the My Support Plan:

The decision of this meeting is: - for coordinated SEN support to continue to be planned and reviewed through a My Support

Plan-- to make a request to the local authority for a statutory Education, Health and Care Needs

Assessment- for coordinated SEN support to be discontinued

Delete as applicable

6.1 Additional advice and informationThis section completed/updated on: 09.11.15Document title Written/provided by Where is this document held? Date Portage Review Queenie McNally and

Jo ByersSEYST computer filesDistributed prior to the MSP Meeting

November 2015

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