Care service inspection report

Care service inspection report Full inspection Skelmorlie After School Club Day Care of Children Skelmorlie Primary School Innes Park Road Skelmorlie Inspection completed on 06 May 2016 Service provided
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Care service inspection report Full inspection Skelmorlie After School Club Day Care of Children Skelmorlie Primary School Innes Park Road Skelmorlie Inspection completed on 06 May 2016 Service provided by: Skelmorlie After School Club a Scottish Charitable Organisation Service provider number: SP Care service number: CS Inspection Visit Type: Unannounced Care services in Scotland 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 Inspection report page 2 of 30 Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of care and support 4 Quality of environment 3 Quality of staffing 3 Quality of management and leadership 3 Good Adequate Adequate Adequate What the service does well The service has built positive relationships with children and their families. Children enjoy playing and meeting their friends. Staff place value on children's ideas. What the service could do better The service should continue to progress the recommendations and areas for improvement within this report. What the service has done since the last inspection The voluntary management committee have worked hard to develop and sustain the service. As a result, one requirement and four recommendations from the previous inspection have been met. page 3 of 30 Conclusion Inspection report Skelmorlie After School Club provides a reliable and flexible service for families. Parents and children are happy with the service provided. The service is included within the local community page 4 of 30 1 About the service we inspected Inspection report The Care Inspectorate regulates care services in Scotland. Information about all care services is available on our website at This service registered with the Care Inspectorate on 20 August Skelmorlie After School Club operates from Skelmorlie Primary School, Skelmorlie, North Ayrshire. The service is registered to provide a care service to a maximum of twenty children who are attending primary school and secondary school up to the age of sixteen years old. Areas of the building children can access include gym hall, dining room and after school club room. Children can also access outdoor play within the school playground. The service is provided by a voluntary management committee made up of parents whose children use the service. A manager is employed who is responsible for the day-to-day running of the club. A full statement of aims is available from the service. Recommendations A recommendation is a statement that sets out actions that a care service provider should take to improve or develop the quality of the service, but where failure to do so would not directly result in enforcement. Recommendations are based on the National Care Standards, SSSC codes of practice and recognised good practice. These must also be outcomes-based and if the provider meets the recommendation this would improve outcomes for people receiving the service. Requirements A requirement is a statement which sets out what a care service must do to improve outcomes for people who use services and must be linked to a breach in the Public Services Reform (Scotland) Act 2010 (the Act ), its regulations, or orders made under the Act, or a condition of registration. Requirements are enforceable in law. page 5 of 30 We make requirements where (a) there is evidence of poor outcomes for people using the service or (b) there is the potential for poor outcomes which would affect people's health, safety or welfare. Based on the findings of this inspection this service has been awarded the following grades: Quality of care and support - Grade 4 - Good Quality of environment - Grade 3 - Adequate Quality of staffing - Grade 3 - Adequate Quality of management and leadership - Grade 3 - Adequate This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website or by calling us on or visiting one of our offices. page 6 of 30 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection We wrote this report after an unannounced inspection. The inspection was carried out by one inspector, with another inspector attending on the first visit. The inspection took place on Wednesday 27 April 2016 from 3pm until 4.45pm. A further visit took place on Tuesday 3 May 2016 from 3pm until 6pm. We gave final feedback to the manager and a representative of the voluntary management committee by . As part of the inspection, we took account of the completed self-assessment form that we asked the provider to complete and submit to us. We sent the service fifteen care standards questionnaires for the service to give to parents using the service. Five were returned prior to inspection. During this inspection process, we gathered evidence from various sources including the following: We spoke to: - children attending the service - three parents - staff - manager - voluntary management committee. We looked at: - registration certificate - insurance certificate - children's information records page 7 of 30 - medication records - accident and incident records - newsletters - staff meeting minutes - voluntary management committee meeting minutes - staff appraisal form - staff training record - policies and procedures - children evaluations - observations of how staff worked with the children - observations of the environment and resources. page 8 of 30 Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at page 9 of 30 The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. The Care Inspectorate received a fully completed self-assessment document from the provider. We were satisfied with the way the provider completed this and with the relevant information included for each heading that we grade services under. The provider identified what it thought the service did well, some areas for development and any changes it had planned. The provider told us how the people who used the service had taken part in the self assessment process. Taking the views of people using the care service into account During the inspection visits, we observed children at play. Children were chatty and enjoyed the company of their friends. They told us how they liked to make dens and showed us how this was done. Children told us they enjoyed coming, particularly playing with their friends. Taking carers' views into account We received five completed care standards questionnaires. Overall, the questionnaires and discussions with parents indicated that they were satisfied with the service provided. Parents spoken with valued the service and the flexibility it offered to support their child and their families. page 10 of 30 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 4 - Good Statement 3 We ensure that service users' health and wellbeing needs are met. Service Strengths We looked at this statement to assess how children and their families were involved in developing and improving the service. We found the service performance for this quality statement to be 4 - Good. We reached this decision through observation and after we reviewed information and spoke with parents/carers, children and staff. Personal plans using SHANARRI format had been developed since the last inspection. This provided staff with information to support them in caring for children as individuals. Drinks of water were made available to children throughout the session and fruit was offered at snack times. Children could talk to us about healthy foods. Opportunity for physical play happened daily either by children accessing the school gym hall or dining area. Children benefitted from having the opportunity to engage in this type of play, using up their energy. Staff used children's ideas and interests when planning activities. Children confirmed how they had organised a party to celebrate the Queen's 90th birthday. They had also developed their own logo for the club. As a result, children presented as confident and able to make choices in their play activities. Children were supported to ensure they washed their hands before snack, staff promoted good hand washing practice and the children had an understanding page 11 of 30 of ensuring their own personal hygiene. At the last inspection, we made a recommendation with regard to administration and storage of medication. Further work is needed to progress this. Areas for improvement Staff should further enhance their responsive planning by forward planning to offer a range of play activities that will support children in making choices and provide the opportunity to learn new skills (see recommendation 1). The administration and storage of medication procedure should be updated with particular attention to the format used for record keeping (see recommendation 2). The manager should continue with her plan to review children's personal plans within the timescale required by legislation. Grade 4 - Good Number of requirements - 0 Recommendations Number of recommendations Staff should forward plan to ensure children are offered a wide range of activities that will offer challenge and support them to learn new skills. National Care Standards for early education and childcare up to the age of 16 - Standard 5: Quality of the experience. 2. The manager should review and update procedures for administration of medication, making sure records provide details if medication requires to be administered and information is shared with parents. National Care Standards for early education and childcare up to the age of 16 - Standard 3: Health and wellbeing. page 12 of 30 Statement 5 We respond to service users' care and support needs using person centered values. Service Strengths We looked at this statement to assess how staff responded to children using person centred values. We found the service performance for this quality statement to be 4 - Good. We reached this decision through observation and spoke with parents, children and staff. The manager told us most children had attended the club for a steady period of time. Staff guided children to positive play, supporting them to make the right choices. They were calm and consistent in their approach, offering gentle reminders. Some children had developed friendships. We saw how they interacted, caring for others as they organised games and activities. This created an inclusive environment that promoted children's rights and respected children's voices. Children were offered appropriate praise and encouragement. Staff made sure all children understood the social boundaries within the service. They took time to make sure all children understood what was happening and why. Children were encouraged to try new activities and games for themselves with staff offering help if needed. We observed positive interactions between staff and children. Together they shared respectful relationships. Staff included children in decision making at a level that was appropriate. A display board was used to show how staff had responded to children's ideas and requests. Parents and children could view a photograph album of activities children had participated in during the session. Areas for improvement Children could be encouraged to be more independent and involved in snack organisation and preparation. page 13 of 30 Grade 4 - Good Number of requirements - 0 Number of recommendations - 0 page 14 of 30 Quality Theme 2: Quality of Environment Grade awarded for this theme: 3 - Adequate Statement 2 We make sure that the environment is safe and service users are protected. Service Strengths We looked at this statement to assess how the environment supports the safety of the children. The grade achieved on the evidence sampled was 3 - Adequate. We reached this decision through observations and discussions with children, staff and parents and after we looked at environmental risk assessments, accident records and the accommodation. The families who completed our questionnaires told us that they considered the environment to be safe, secure, hygienic, smoke free, pleasant and stimulating. We found that staff used health and safety measures to support the health, welfare and safety of the children. Door entry systems were in place to ensure only those authorised had access to the buildings. Staff told us they checked the outdoor areas prior to use for any hazards taking action as needed. A procedure was in place should a child fail to attend when booked in to the club. Registers for children's attendance were kept by staff. Staff shared verbal updates on flexible bookings for children ensuring staff knew when children would be in their care. A child protection policy and procedure supported staff should they need to take any action to safeguard children. Staff spoken to were confident in their procedures. The manager told us that the service linked with the school and janitor to ensure any maintenance was addressed effectively. page 15 of 30 Areas for improvement We discussed with staff that children's confidential information should not be displayed where others have access (see recommendation 1). We made a recommendation with regard to accident and incident procedures at the last inspection this is carried over to this report. Should children have an accident at the breakfast club, staff should ensure, if deemed necessary, e.g. head injury, contact is made to the parent rather than just a note in school bag or information passed to the class teacher (see recommendation 2). Grade 3 - Adequate Number of requirements - 0 Recommendations Number of recommendations - 2 Inspection report 1. All medical and dietary information relating to individual children should be displayed in an area which is only accessible to staff to ensure privacy and confidentiality. National Care Standards for early education and childcare up to the age of 16 - Standard 3: Health and wellbeing. 2. Staff should ensure accident or incident records contain all relevant information and should be shared with parents, including when they have happened before their school day, to keep them informed. National Care Standards for early education and childcare up to the age of 16 - Standard 2: A safe environment. page 16 of 30 Statement 3 The environment allows service users to have as positive a quality of life as possible. Service Strengths We looked at this statement to assess how the environment supports positive outcomes for children. We found the service's performance to be 3 - Adequate in the areas sampled for this quality statement. Children and their families were welcomed by staff. Staff took time to ask children how their school day had been. Staff had taken action since the last inspection to remove furniture stored with the room used for the club. Resources had been made accessible to children to support choice. Resources sampled were clean and in good order. Space had been organised, should children wish to do their homework using a table. Floor cushions could be used for children to relax. During the visit we saw how children enjoyed a party for the Queen's birthday and played games of their choice. Occasionally staff joined in play activities with the children, creating a sense of fun. Parents felt staff did their best to make the environment appealing to the children and they valued the availability of the club. Areas for improvement Children could develop and display Golden rules for Play as a visual prompt to support positive behaviour and give the children more ownership of their out of school care environment. We suggested children could be more involved in evaluating their space within the environment included in making any changes. The provider and staff should continue to monitor accommodation ensuring furniture etc., is not stored that would limit children's play space. page 17 of 30 Grade 3 - Adequate Number of requirements - 0 Number of recommendations - 0 page 18 of 30 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 3 - Adequate Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service Strengths We chose this statement to assess how staff's own professional development supported their daily working practices in providing positive outcomes for children and families. We found the service's performance to be 3 - Adequate in the areas sampled for this quality statement. We concluded this through observation, discussions with parents/carers and staff and after we looked at staff meetings, staff training and annual reviews. The staff team consists of a manager and a recently appointed support worker. We observed staff working together well, clear in their role and responsibilities. Positive relationships between staff demonstrated positive role modelling helping to create a nurturing environment. Some staff meetings had taken place to share ideas for any planned events. Training had taken place for existing staff since the last inspection. We asked how this had improved their knowledge to support practice. They told us they identified that more involvement from staff would sup
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