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Care and Social Services Inspectorate Wales Children and Families (Wales) Measure 2010 Child Minding and Day Care (Inspection and Information for Local Authorities) (Wales) Regulations 2010 The Child Minding and Day Care (Wales) Regulations 2010 Inspection report Child Minding and Day Care Morlo Nursery Gwelfor Community Centre Ffordd Tudur Holyhead LL65 2DH Date of publication 3 October 2011 You may reproduce this Report in its entirety. You may not reproduce it in part or in any abridged form and may only quote from it with the consent in writing of Welsh Ministers.

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Page 1: Care and Social Services Inspectorate Walescareinspectorate.wales/docs/cssiw/report/inspection... ·  · 2017-10-29Full Day Care Report Format (XE0042.0000714342) Version 6.0 June

Care and Social Services Inspectorate Wales

Children and Families (Wales) Measure 2010Child Minding and Day Care (Inspection and Information for Local Authorities)

(Wales) Regulations 2010The Child Minding and Day Care (Wales) Regulations 2010

Inspection reportChild Minding and Day Care

Morlo Nursery

Gwelfor Community CentreFfordd Tudur

HolyheadLL65 2DH

Date of publication 3 October 2011

You may reproduce this Report in its entirety. You may not reproduce it in part or in any abridged form and may only quote from it with the consent in writing of Welsh Ministers.

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Care and Social Services Inspectorate Wales

North Wales RegionGovernment Offices

Sarn MynachLlandudno Junction

ConwyLL31 9RZ

0300062560903000625030

Name of setting : Morlo Nursery

Contact telephone number: 01407 763233

Registered Person/Responsible Individual

Joan Marie Roberts is the Responsible Individual

Person in charge: Linda Williams

Number of places: 28

Date of this visit : 24 August 2011

Dates of other relevant contact since last report:

01/02/2011 – new staff arrangements27/04/2011 – new staff employed

Date of previous report publication: 08/12/2010

Inspected by: Moira Lowden

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IntroductionMeithrinfa Morlo is a single storey, purpose built nursery which is located adjacent to the Gwelfor Community Centre in Holyhead. The nursery is registered to provide care for 28children, the ages of which are divided between three playrooms. Within the nursery there are toilet and nappy changing areas. There is a toilet for the disabled. The outdoor play area is enclosed.

The setting is managed by a board of directors who had nominated a Responsible Individual, Joan Roberts and the Person in Charge is Linda Williams. The nursery is a limited company.

Summary of inspection findings:

What does the provider do well?

The copies of the children’s contracts are given to their parents. The staff members plan for the children’s play and learning experiences. Information for parents, including the CSSIW inspection report, is on display within

the nursery. All of the children are able to experience the outdoors on a daily basis, depending

on the weather. The person in charge had undertaken a concise review of the quality of care. The parents are provided with detailed information about the setting prior to their

child commencing placement. There is clear direction as to the management of the setting. There are clear procedures in place to ensure that new employees are

appropriately vetted. The supervision and the annual appraisal of staff members had been established. Risk assessments are undertaken and updated as is necessary. The person in charge is open to new ideas and following feedback from parents

requesting a nursery school pick up for their children, will be assessing the viability of this request through undertaking a trial period in the Autumn of 2011.

What has improved since the last inspection?

The leak in one of the baby rooms had been repaired.The children are taken on trips/outings.The nursery had developed a website.

What needs to be done to improve the service?

a.) prioritiesNo regulatory requirements were made at this inspection visit.

b.) other areas for improvementThe child protection policy should include:

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Information on all of the areas of abuse. The action taken by the person in charge when referring a concern relating to child

protection to the local Social Services department.

To ensure that all medication is clearly labelled and stored – Standard 11 of the National Minimum Standards for Regulated Care.

To ensure that the quality of care review includes information as to how many staff hold current certificates to First Aid and Food Hygiene.

To include information in the quality of care review as to why healthy food options are not always available

To allow the children in the pre-school room more wall space to display their own craftwork.

The person in charge was advised of the need to implement a written risk assessment for outings.

The person in charge must implement clear procedures for both staff members and parents when using the nursery’s social networking internet page.

Inspection methods

The person in charge had completed the CSSIW Self Assessment of Service form which had been signed by both herself and the Responsible Individual.

The inspection was carried out by examining:- A sample of the nursery’s written information Two staff files One child’s personal file A sample of the records maintained Direct observation of the activities that had been prepared for the children Discussion with the staff members The CSSIW data collection form and the CSSIW Self Assessment of Service form 9 CSSIW parent questionnaires 3 staff members questionnaires Inspection of the areas used to care for the children

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Information on service

Inspector`s findings: There is a concise pack of information which is given to parents who wish to place to their child at the setting. This pack includes the setting’s statement of purpose, policies and procedures, contract, child registration form and permission forms. On the day of the inspection visit two parents who were having a look around the nursery were given an extensive pack of information at the end of their visit. One parent stated that she felt that the visit had been worthwhile and informative.

The inspector sampled one child’s file which was seen to include the contract, a copy of which is given to parents. This is good practice.

The CSSIW issued the nursery with twelve parent questionnaires and nine were returned. they had chosen to place their child at Morlo Nursery for the following reasons;-

The locality Recommended Friendly staff Stimulating environment Heard good reviews about the setting Older child attended Wide variety of activities Affordable

The CSSIW’s Self Assessment of Service form had been completed and returned before the unannounced inspection visit. This document evidenced that the provision had undertaken an annual review of the quality of care and the views of the children, staff members and parents had been sought. The person in charge evidenced that any matters following the review had been addressed. The inspector explained that as the Self Assessment of Service form is going to be sent to the setting annually that this form, if fully completed, could be used as the nursery’s review of quality of care report. The person in charge will need to ensure that all of the information collated during the year is made available to the parents, to any Local Authority who may use the nursery and to the CSSIW.

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

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New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations:

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Planning for individual needs and preferences

Inspector`s findings: There is a settling in policy in place and parents are asked to complete a child registration form and a ‘likes and dislikes’ form’. Parents are also welcome to visit the setting before their child commences and short sessions can be undertaken by the child on his/her own. The procedures and the written information provide the staff members with a good account of the child’s needs and preferences.

A policy is in place for children with special needs. The entire nursery is located on one level which would enable a child with mobility problems access throughout. There is a toilet for the disabled located at the premises. The person in charge should ensure that the toilet is not used for storing some of the nursery’s equipment.

Information about the nursery including the menu, the policies and procedures, the current theme and the activities linking into the theme is on display. The CSSIW inspection report and the certificate of registration are on display in the reception area. Parents are provided with newsletters throughout the year. Open days are held whereby the parents can discuss their child’s development. The staff members complete daily sheets with information regarding the child’s day at the nursery. This is good practice.

The inspector observed that children arriving at the nursery were warmly welcomed by staff members. Verbal discussions between staff members and the children’s parents were seen to take place when children were either brought to the nursery or collected from the nursery. This reflects a positive way of sharing information in order to provide a continuity of care for the children.

Documentation pertaining to the staff and children attendance records was in place. These included the times of arrival and departure.

Accident and incident records were being completed and had on most occasions, been maintained appropriately. One record pertaining to a child having displayed unacceptable behaviour towards another child had not been fully recorded for the children involved in the incident. The person in charge was informed that if an incident of unacceptable behaviour occurred then a record should be kept of all children involved in the incident. The record must be signed and dated by both a staff member and the children’s parents. (Regulation 30, Schedule 3, point 7) One child did hurt herself on the soft play equipment later in the afternoon and one staff member was seen to record the injury immediately with the parent waiting nearby to sign the record. Incident records are kept in the nursery’s diary and these too had been signed by both a staff member and the child’s parent.

The CSSIW had been informed of staff changes at the nursery which is in compliance with Regulation.

All parents stated in the CSSIW parent questionnaires that they were aware of their child’s key worker and that they received information about the activities that their child participated in.

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Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations:

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Empowering service users, encouraging life style choices

Inspector`s findings: The person in charge stated within the CSSIW Self Assessment of Service form:

‘The children’s response to their keyworkers on a day to day basis is warm and enthusiastic which conveys their enjoyment of the activities’

‘ The themes are also taken from the children and parents e.g. a parent may be having a baby so we would plan a theme on babies to get the child use to new experiences’

‘Questionnaires are sent out to parents and other service users (Coleg Menai, Flying Start) to see what they think of the service’

‘A Flying Start teacher visits us termly to discuss what we are doing and how we could improve the service we provide. She will then leave us recommendations to try and ways in which we can improve our planning and the setting up of the room’.

‘In the over 2’s room the theme is changed fortnightly, the parents receive a letter every two weeks giving them a breakdown of the activities we will be carrying out, we also have wall displays, a photo wall and scrap books which are updated regularly. We ask parents if they have any suggestions for the themes and many have brought in toys and books from home which we can incorporate into the theme’.

There was great excitement on the day of the unannounced inspection visit as the children were attending a ‘Fun Day’ in the Gwelfor Community Centre which is located next to the nursery. The children in the over 2s room were sitting with staff members discussing the fun day whilst the remainder of the staff members organised which staff member would be responsible for which children. Each staff member being allocated 2 children each. Whilst the children were waiting they told the inspector about their visit to ‘Voel Farm’ the week before and which animals they had seen.

The children donned high visibility jackets and each had a rein which could be held by the staff members. The children were also encouraged to hold the staff members’ hands. The ‘Fun Day’ was a community event and was busy with many members of the community attending with their children. The children were able to visit the many events and had the use of the indoor bouncy castle, which three staff members also enjoyed. As the event was busy, the children were taken outside and treated to an ice cream each. One child who had an allergy to ice cream was given an ice lolly. The only children to miss out onthe trip were two of the babies who were asleep at the time. The children were well supervised throughout their time away from the nursery.

The nursery is not registered with Estyn as a day care provider for children aged over the age of three; however information via the Flying Start officer is shared with the staff members about the Foundation Phase. Staff members are also able to access the Foundation Phase training. The over 2s playroom is therefore laid out with activities and corners of interest which link into the Foundation Phase. The children can access their own choices of toys and equipment with more structured activities also being available. The inspector was informed that the children’s craft work display board was currently being developed to incorporate the next theme. As with the last inspection visit, the inspector requested that the wall displays within the room evidenced the children’s own craft work creations and that there were less printed items on display. The children had however used their favourite paint colours on a sheet of paper which the staff members

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had cut out in the shape of a balloon. This was being used to display the children’s birthdays. The children were seen to have fun playing with the soft play ‘gym’ shapes towards the end of the afternoon.

There were two babies in the baby room towards the end of the day. A large cushion had been placed in the middle of the baby room floor with toys and books being available for play and reading. Both staff members were sat on the floor supporting the children’s play and learning experiences. The staff members read them stories and encouraged the children to respond to objects, shapes, colours and words.

The staff members in both rooms listened to what the children had to say and responded appropriately to any questions or conversation. The children were at ease in their surroundings and they were given cuddles or comforted when needed.

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations: To allow the children in the pre-school room more wall space to display their own craft work – consideration could also be given to the children using their own imagination to identify and replace the computer printed information which is currently on display identifying the Foundation Phase of Play and Learning areas.

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Quality of care

Inspector`s findings: The person in charge confirmed in the CSSIW Self Assessment of Service form:

‘In the nursery we have 3 key workers who work full time. Holly Owen is in the baby room and also has two other regular members of staff with her to promote continuity. Rachel Hughes is a key worker for the children aged 3 years plus and Sarah Owen for the children aged two years plus. Having these three full time staff members helps the parents, children and staff to build a good relationship. Thesethree members of staff also carry out their key children’s development charts and plan to their individual needs.

When a child is about to turn two years of age they will have some settling in sessions in the over 2’s room for them to meet the other staff, children and to see the room as it has a completely different set up to the baby room.

The over 2’s room is set up according to the foundation phase which allows the children to play in the area of their choice promoting independence and they can choose what they would like to play with. This helps them with the transition to school as they continue with the foundation phase.

Each week our health and safety officer will make risk assessments on the building discussing with members of staff anything they feel needs fixing. The health and safety officer will then transfer these onto risk assessment forms deciding on the rating of the risk. I will then organise for the risk to be fixed or removed.

If a child requires medicine then it is stored in the office out of reach of the children clearly labelled with the child’s name. The parents will complete a form stating the medicine to be given the times to be given and the dose. Either the manager, deputy or nursery supervisor can then give the medication to the child. After giving the medication the staff member will then complete a form stating what time the medicine was given and dose, when the child is picked up the parents will be asked to sign the form to ensure they know the time of the last dose as it could be different to the time they actually stated due to sleep times etc.

5 members of staff have attended a tiny tums course and from this we have reviewed our menus to include more choice for the children and now have more homemade foods e.g. homemade sauces rather than packets. We complete the safer food, better business pack as required by the foods standards agency. Children are provided with age appropriate eating utensils.

A water fountain is available for the over 2’s children to use as and when required we do provide milk, water and diluted fruit juice during meals and snacks’.

The person in charge informed the inspector that the nursery will not administer anti-biotic medication. This information is recorded within the parents’ contracts with the nursery. There were two bottles of medication stored on top of a cabinet in the nursery’s office. One was a liquid paracetamol which had been clearly labelled and the second was a liquid antihistamine medication. The person in charge stated that the antihistamine medication was being administered to the child by the child’s parent and had been left at the nursery for convenience. A new medication storage box had been fitted in the main office and medications should be stored in this location. The bottles of medication were removed from the top of the filing cabinet and placed in the medication storage cupboard at the inspector’s request. The person in charge stated that she would ensure that any medication stored at the premises would be clearly labelled with the child’s name. The person in charge should also ensure that there is a written record confirming that any

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medication to be administered by the child’s parent is maintained.

There was a three week menu on display in the reception area. This evidenced that the choice of food provided for the children had been reviewed and that the nursery had implemented healthier food options. The children were given a ‘value’ supermarket brand tomato soup with bread for their tea accompanied by a choice of fruit. The cook informed the inspector that she did not have enough time to provide the children with a home made soup and that she presently worked more than her contracted hours. The person in charge had informed the inspector that the children enjoyed this particular brand of soup and that freshly produced alternatives had been offered but had not been enjoyed by the children. The inspector felt that this was an area of the inspection which the person in charge could improve and that she should look at the resources available to ensure that the children are provided with healthier options at all times. There is also one dessert offered to children which is a processed ‘chocolate roll’. The person in charge confirmed that she would resource an alternative to this option.

The cook needs to be commended for her efforts in maintaining the kitchen in compliance with the Food Standards Agency who have awarded the setting with a Level 5 standard which is the highest mark that can be achieved. The person in charge should include information within the setting’s quality of care review as to why the setting cannot always provide the children with healthy food options.

The Self Assessment of Service form could have included information as to how many staff members had achieved a Food Hygiene qualification and a First Aid qualification. At the last inspection visit the written information presented to the CSSIW confirmed that 12 staff members held a First Aid qualification and two staff members had achieved a First Aid at Work qualification. Ten staff members, including the cook had achieved a Food Hygiene qualification.

The nursery had devised a behaviour management policy. The staff members and the children were seen to be polite and courteous towards each other. The children were seen to share with other children, speak nicely to their peers and staff members and saying ‘please’ and ‘thank you’. The staff members were heard encouraging and praising the children positively throughout the inspection visit. This evidences that the children’s behaviour is managed in a way which promotes their welfare and development.

The nursery has a health care policy in place along with information pertaining to the exclusion of children who are ill or infectious. Parents are requested to give their permission for emergency medical treatment. Good hygiene practices were seen to be in place, for example, the children were encouraged to wash their hands and faces after eating their ice cream/ lollipop at the fun day and before eating their tea.

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding

Original timescale for completion

Regulation number

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requirements)

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations: To ensure that all medication is clearly labelled and stored – Standard of the National Minimum Standards for Regulated Care.

To ensure that the quality of care review includes information as to how many staff hold current certificates to First Aid and Food Hygiene.

To include information in the quality of care review as to why healthy food options are not always available.

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Staffing

Inspector`s findings: The person in charge stated within the CSSIW Self Assessment of Service form that the nursery implemented specific procedures when new staff members were employed which included: ‘ When we are recruiting a new staff member we ensure that service users are

safeguarded by interviewing each candidate, this is carried out by two committee members and I (the manager). We ask a number of questions to the candidate to build an accurate profile of them.

Before the interview I will have written to each candidate’s referees which they have stated on their CV. We enclose a questionnaire with many questions about the candidate, to enable us to get a better picture of them and their suitability to the post.

After the interviews we discuss all candidates and decide who we think would be most suitable to the advertised post looking at the qualifications they currently hold.

After deciding on the candidate they are invited to the nursery to receive an induction detailing through various things e.g. accident books, to money handling, contracts and routines. They will also receive a copy of the staff handbook and all policies and procedures; these must be read before they commence work. During the six month probationary period they will be given monthly supervisions to ensure they are enjoying their job and to discuss any concerns etc.

All staff have a current enhanced CRB and/or whilst waiting will have signed a cautions/convictions declaration and will be supervised at all times. Staff will complete a medical declaration to ensure they are all mentally and physically capable of caring for children.

Staff receive supervisions every 2/3 months but are aware that they can ask for one at any time if needed. The deputy, nursery supervisor and room supervisors receive monthly supervisions to discuss matters and to ensure we have a strong team relationship. During staff supervisions we discuss training staff would like to attend or need to attend, I make sure enough staff are qualified and have the highest possible knowledge to help us provide the best care for the children’.

The staff files viewed by the inspector were the staff files implemented by the staff members employed since the last inspection visit. It was evident that the person in charge had sought the relevant suitability checks for the staff members and that any outstanding checks had been requested for from the employee.

The three staff members who responded within the CSSIW questionnaires confirmed that they had received induction training, that they had attended training since the last inspection visit and that they received guidance and support from their managers. All confirmed that they were able to raise concerns or complaints. None of the responses indicated that they had a matter which they wished to discuss with the inspector.

From the information received within the CSSIW data collection form it was evident that the person in charge endeavours to adhere to the National Minimum Standards for Regulated Care and the Child Minding and Day Care (Wales) Regulations 2010 in employing staff members who have experience and the appropriate qualifications for caring for children under the age of 8 years.

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Positive comments were made within the parent CSSIW questionnaires and included:

‘Cheerful and caring staff’‘Staff are welcoming and excellent at their job’‘Staff easily approachable’

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice Recommendations:

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Conduct and management of the service

Inspector`s findings: The setting is managed by a board of directors who had nominated a Responsible Individual. The person in charge stated that there was a good relationship between the nursery staff, the Responsible Individual and the board of directors. Information received within the CSSIW Self Assessment of Service form stated that two parents with children attending the nursery are also representatives on the management board of directors. The person in charge had regular meetings with the Responsible Individual where any matters arising within the nursery could be discussed. This evidenced that there was a clear management structure established and which was working well.

The nursery is registered to care for 28 children. The children are provided with a variety of toys, equipment and activities which promote an equal opportunities environment.

The person in charge had provided the CSSIW with a concise account of the nursery’squality of care review within the CSSIW Self Assessment of Service form. This evidenced that she continuously looked at areas which could be improved within the nursery and is able to address any matters which need attention. Parents wishing to place a child at this setting should be provided with a copy of the review of the quality of care report as it provides information as to what has already been achieved at the nursery and the nursery’s future plans. The person in charge continues to set ‘achievement’ goals throughout the year in order to raise the standard of care at the setting.

The inspector was informed that all parents are given information pertaining to the CSSIW inspection report which is also on display at the nursery.

The person in charge stated that the nursery is looking at the possibility of opening an out of school club which would be located within the Gwelfor Community centre. A survey will be conducted to identify whether or not there is a demand for the service. The person in charge is aware of the need to apply to the CSSIW to process the application.

Positive comments were received from parents within the CSSIW questionnaires which included:

‘I love this place and so does my child’‘Fantastic nursery’‘My child gets excited when seeing the front door let alone the team’‘Stimulating environment, well done’‘Very happy to recommend the nursery to anyone’‘My child is very happy there’‘I love the fact the place is great but still improving’‘Very pleased with the care my child receives’‘Well run’

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

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Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations: It would be good practice for the person in charge to provide the parents who wish to place their child at the setting with a copy of the nursery’s review of the quality of care report.

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Complaints, protection and other significant events

Inspector`s findings: The setting had devised both a complaint policy and a child protection policy.

The CSSIW had not received a complaint about the setting. One parent stated in the CSSIW parent questionnaire that a concern had been raised and ‘brilliantly handled’. There was no record of such a concern having been raised and the person in charge was requested to record and date any concerns which should be signed and dated by the parent to evidence that they are satisfied with the concern having been addressed.

The person in charge confirmed that there had not been any child protection concerns. The inspector requested that the child protection policy was reviewed and updated to include all of the areas of abuse and to include information as to what action will be taken by the person referring any concern to the local Social Services department.

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required(previous outstanding requirements)

Original timescale for completion

Regulation number

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations: The child protection policy should include:

Information on all of the areas of abuse. The action taken by the person in charge when referring a concern relating to child

protection to the local Social Services department.

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The physical environment

Inspector`s findings: Meithrinfa Morlo is a single storey, purpose built nursery which is located adjacent to the Gwelfor Community Centre in Holyhead. The nursery is registered to provide care for 28 children.

The nursery was light and airy and provided sufficient space for the children attending. The rooms were warm, bright, clean and made welcoming for the children and parents.

Much information pertaining to the nursery is displayed on the walls in the reception area. This is also where the children hang their coats and keep any personal belongings.Upon arrival and during the inspection the nursery was found to be secure, with staff admitting parents when they rang the door bell. There is a code key pad entrance into the main nursery which is known to staff members only.

The nursery had adequate equipment, furniture and toys that were appropriate for the ages and developmental needs of the children.

The person in charge evidenced that risk assessments are in place both for indoors and outdoors. Written risk assessments should be in place for outings.

The person in charge will be collecting children from local schools in September this year. There is a trial period for this new development in what the nursery has to offer to parents and will only be implemented if there is continued demand and if it is financially viable. The person in charge had already requested that the parents interested in the new scheme had updated their contracts with information as to which school, time and dates that they wished their child to be collected from or taken to their nursery school. The person in charge was aware that the staff members making these trips had appropriate car insurance, MOT and a driving license to undertake the trips. The staff members were also being provided with an emergency car kit.

The person in charge confirmed that the children had undertaken emergency evacuation exercises and that these had been recorded.

The leak in the baby room had been repaired and one staff member confirmed that there had not been any further problems. A new baby changing unit had been purchased.

The CSSIW parent questionnaires indicated that no parent had a concern with regards to health and safety at the premises.

Requirements made since the last inspection report which have been met:

Action required When completed Regulation number

Requirements which remain outstanding:

Action required Original timescale Regulation number

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(previous outstanding requirements)

for completion

New requirements from this inspection:

Action required Timescale for completion

Regulation number

Good practice recommendations: The person in charge was advised of the need to implement a written risk assessment for outings.

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A note on CSSIW’s inspection and report process:

This report has been compiled following an inspection of the service undertaken by Care and Social Services Inspectorate Wales (CSSIW) under the provisions of the Children and Families (Wales) Measure 2010 and the Child Minding and Day Care (Wales) Regulations 2010.

The primary focus of the report is to comment on the quality of life and quality of care experienced by service users.

The report contains information on how we inspect and what we find. It is divided into distinct parts mirroring the broad areas of the National Minimum Standards.

CSSIW inspectors are authorised to enter and inspect regulated services at any time. Inspection enables CSSIW to satisfy itself that continued registration is justified. It also ensures compliance with:

Children and Families (Wales) Measure 2010 and associated Regulations whilst taking into account the National Minimum Standards

The service’s own statement of purpose.

At inspection, CSSIW tries to capture the views and experiences of service users by means of questionnaires for the parents/carers and any staff, engagement with children who use the setting as well as information drawn from the provider’s own self-assessment. At any other time, visits may also be made to services to investigate complaints and to respond to any changes in the service.

Readers must be aware that a CSSIW report is intended to reflect the findings of the inspector at a specific period in time. Readers should not conclude that the circumstances of the service are the same at all times. The registered provider / responsible individual is responsible for ensuring that the service operates in a way which complies with the regulations. CSSIW will comment in the general text of the inspection report on their compliance. For those regulations which CSSIW believes to be key in bringing about change in the particular service, they will be separately and clearly identified in the requirement section.

As well as listing these key requirements from the current inspection, requirements made by CSSIW since the last inspection which have been met and those which remain outstanding, are included in this report. The reader should note that requirements made in the last inspection report which are not listed as outstanding have been met.

Where key requirements have been identified, the provider is required under Regulation 18 of the Child Minding and Day Care (Wales) Regulations 2010 (Compliance Notification) to advise the appropriate regional office in writing of the completion of any action required by CSSIW.

The regulated service is also responsible for having in place a clear, effective and fair complaints procedure which promotes local resolution between the parties in a swift and satisfactory manner, wherever possible. The inspection report will include a summary of the numbers of complaints dealt with locally and their outcome.

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CSSIW may also be involved in the investigation of a complaint and where this is the case makes a summary of the complaint available to the public. CSSIW will also include within the inspection report a summary of any matters it has been involved in together with any action they have taken.

Should you have concerns about anything arising from the inspector’s findings, you may discuss these with CSSIW or with the provider.

Care and Social Services Inspectorate Wales is required to make reports on registered facilities available to the public. The reports are public documents and will be available on the website: www.cssiw.org.uk