scamps out of school clubs ltd day care of children · 2017-07-03 · • emergency procedures •...

Scamps Out of School Clubs LtdDay Care of ChildrenBeechgrove Scout BuildingOakhill Crescent LaneKings GateAberdeenAB15 5HY

Type of inspection: Unannounced

Inspection completed on: 17 June 2014

ContentsPage No

Summary 31 About the service we inspected 52 How we inspected this service 73 The inspection 124 Other information 295 Summary of grades 306 Inspection and grading history 30

Service provided by:Scamps Out of School Clubs Ltd

Service provider number:SP2013012015

Care service number:CS2013315234

If you wish to contact the Care Inspectorate about this inspection report, please callus on 0845 600 9527 or email us at [email protected]

Inspection report continued

Scamps Out of School Clubs Ltd, page 2 of 31

SummaryThis report and grades represent our assessment of the quality of the areas ofperformance which were examined during this inspection.

Grades for this care service may change after this inspection following otherregulatory activity. For example, if we have to take enforcement action to make theservice improve, or if we investigate and agree with a complaint someone makesabout the service.

We gave the service these grades

Quality of Care and Support 4 Good

Quality of Environment 4 Good

Quality of Staffing 4 Good

Quality of Management and Leadership 4 Good

What the service does wellThe manager and staff provide a welcoming and relaxed environment for children.Children are able to choose from a range of activities including, outdoor play, to keepthem engaged and happy.

Parents and children are encouraged to participate in assessing and improving theservice in a range of ways.

What the service could do betterEffective systems for ensuring children's records are kept up to date, need to bedeveloped and implemented.

Medication procedures need to be improved, to ensure medication is well-managed inthe service.

The manager should continue to develop effective quality assurance systems, topromote further improvements within the service.

What the service has done since the last inspection

This was the first inspection following registration.



ConclusionStaff worked well together, to provide a reliable and valued service to children andtheir families.

Parents were very pleased with the service they and their children received, and findstaff approachable and friendly.

Children appeared to enjoy attending the club and taking part in the range ofactivities on offer.

The manager and staff are keen to continue to improve the service and outcomes forchildren.



1 About the service we inspectedThe Care Inspectorate regulates care services in Scotland. Information about all careservice is available on our website at www.careinspectorate.com.

The service registered with the Care Inspectorate on 25 June 2013.

Requirements and Recommendations

If we are concerned about some aspect of a service, or think it could do more toimprove, we may make a recommendation or requirement.

-A recommendation is a statement that sets out actions the care service providershould take to improve or develop the quality of the service but where failure to do sowill not directly result in enforcement. Recommendations are based on the NationalCare Standards, relevant codes of practice and recognised good practice.

-A requirement is a statement, which sets out what is required of a care service tocomply with the Public Services Reform (Scotland) Act 2010 and Regulations or Ordersmade under the Act, or a condition of registration. Where there are breaches of theRegulations, Orders or conditions a requirement must be made. Requirements arelegally enforceable at the discretion of the Care Inspectorate.

Scamps Out of School Ltd is registered to provide a care service to a maximum of 40primary school age children at any one time. The service may operate between 7amand 9am and 3pm to 6pm Monday to Friday during term time and from 8am to 6pmduring school holidays.

The club operates from a Scout Hut in a residential area of Aberdeen. Theaccommodation consists of two hall areas, a small room, a kitchen area and toiletfacilities. Children also have access to a grassed area outside the Scout Hut.

The ethos of the service is described by the provider as being 'child led'. The aims andobjectives of the service include:

• To provide good quality care with the emphasis on healthy outdoor andphysical activities and a home style nurturing environment

• Enable children to have the opportunity to explore their natural curiosity bothoutside and in with a good variety of games and activities to expand bothbody and mind

• To encourage children to take ownership and responsibility for their club andhave delegated roles (if they choose) during club sessions as junior helpers



• To encourage good communication and relationships as well as participationand parents involvement wherever possible

• Where practical try to implement suggested ideas and changes• To promote responsible world citizens, confident individuals, effective

contributors and successful learners.

Based on the findings of this inspection this service has been awarded the followinggrades:

Quality of Care and Support - Grade 4 - GoodQuality of Environment - Grade 4 - GoodQuality of Staffing - Grade 4 - GoodQuality of Management and Leadership - Grade 4 - Good

This report and grades represent our assessment of the quality of the areas ofperformance which were examined during this inspection.

Grades for this care service may change following other regulatory activity. You canfind the most up-to-date grades for this service by visiting our websitewww.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of ouroffices.



2 How we inspected this service

The level of inspection we carried outIn this service we carried out a low intensity inspection. We carry out theseinspections when we are satisfied that services are working hard to provideconsistently high standards of care.

What we did during the inspectionWe wrote this report following an unannounced inspection. The inspection took placeon 11 June 2014 between 7.10am and 8.55am and 2.25pm and 5.25pm. Feedback wasgiven to the manager on 16 June 2014.

As part of the inspection, we took account of the completed annual return and selfassessment forms that we asked the service to complete and submit to us.

We sent thirty Care Standard Questionnaires to the provider to distribute to parents.Twenty-two parents sent us a completed questionnaire, before the inspection.

During this inspection process, we gathered evidence from various sources, includingthe following:

We spoke with:

• The manager• Three staff• Children• Parents of children using the service.

We looked at:

• Observations of how staff work• Children's engagement and enjoyment of activities• Children's records• Children's art work and displays• Contracts• Information sheets for parents• Correspondence with parents• Newsletter• Vision and aims of service



• Child protection policy• Medication policy• Accident and incident records• First aid box• Daily checklist records• Risk assessments / daily health and safety audits• Emergency procedures• Complaints policy• Staff training records• Public liability insurance document• Certificate of registration• The environment, equipment and resources.

Grading the service against quality themes and statementsWe 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'. Undereach quality theme are 'quality statements' which describe what a service should bedoing well for that theme. We grade how the service performs against the qualitythemes 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 ourinspections. These are extra checks we make on top of all the normal ones we makeduring inspection. We do this to gather information about the quality of these aspectsof care on a national basis. Where we have examined an inspection focus area we willclearly identify it under the relevant quality statement.

Fire safety issuesWe do not regulate fire safety. Local fire and rescue services are responsible forchecking services. However, where significant fire safety issues become apparent, wewill alert the relevant fire and rescue services so they may consider what action totake. You can find out more about care services' responsibilities for fire safety atwww.firelawscotland.org



The annual returnEvery year all care services must complete an 'annual return' form to make sure theinformation we hold is up to date. We also use annual returns to decide how we willinspect the service.Annual Return Received: Yes - Electronic

Comments on Self AssessmentEvery year all care services must complete a 'self assessment' form telling us howtheir service is performing. We check to make sure this assessment is accurate.The Care Inspectorate received a fully completed self assessment document from theprovider. We were satisfied with the way the provider completed this and with therelevant information included for each heading that we grade services under.

The provider identified what it thought the service did well, some areas fordevelopment and any changes planned. The provider told us how the people whoused the care service had taken part in the self assessment process.

Taking the views of people using the care service into accountDuring the inspection we spoke with children who attended the breakfast and afterschool clubs. In the main, children told us they were happy with the range of activitieson offer and that they were frequent opportunities for playing outside. Children alsoconfirmed that staff asked them for their views, in relation to activities and snack. Weobserved that children were relaxed and settled within the club.

Comments from children included the following:

• "Staff are helpful, kind and do what's best for us"• "There's a system of star of the week, it's good, you get this if you've been

good all week. Staff try and find a mix of people to get this"• "I think it (the club) is really good"• "Staff are really nice"• "The good think about it is that everyone knows each other"• "If it's a U film everyone gets to watch it, if it's a PG, you, mum or dad, need

to say it's okay for you to watch"



• "It's okay, not good"• "We get to choose snack, it's a vote"• "Sometimes Scamps can be boring"• "I like how we get snack"• "Staff are sometimes strict. I like them all (staff)".

Taking carers' views into accountBefore the inspection, we asked the service to distribute 30 Care StandardsQuestionnaires to parents and carers who use the service. Twenty-two completedquestionnaires were returned to us, before the inspection. All parents respondedpositively to the statement 'Overall I am happy with the quality of care my childreceives in the service'.

Twelve of the forms had written comments which included:

• "Excellent and very clear communication from first contact"• "My child is very happy at Scamps and talks positively about his time spend

there"• "All the kids seem happy at Scamps and good relationships have been built

between them all. This is evident outside of scamps when my P1 son greets/is greeted by lots of kids from different years when we are out and about"

• "Our son thoroughly enjoys Scamps and the staff are great with him. The onlyformative feedback we have is we would prefer the snacks to be a bithealthier and a bit of care taken on film choices if smaller children arewatching. Overall we are very happy with the service""I could not be happier with the service provided. I have peace of mind mychild is well cared for. My child is happy in this environment and that countsfor a lot"

• "We are completely satisfied with the care our daughter receives"• "Well organised service with very friendly staff. All communications from the

manager are very clear and any queries are responded to promptly. Meals arefreshly prepared on site and children's preference are taken into account. Mychild is well looked after and enjoys attending Scamps"

• "I am extremely happy with services provided by Scamps. Ruth is a wonderfulwoman who runs a very successful after school club for children and parentsneeds. My daughter has made lots of friends at Scamps. Thank you Scamps"

• "The staff are very helpful and friendly and very professional. My child reallylooks forward to her after school club as well as the holiday club as theyalways vary the activities and ask the children for their suggestions"



• "Excellent service. Manager always warm and welcoming to children andparents. Offer good initiatives like child (star) of the day, good role modelling/ good behaviour rewarded and promoted at this service"

• "An excellent service. Great common sense approach. Positive staff attitudes.My son regards the service as a second home".

One parent identified a range of maintenance issues they felt required to beaddressed.

We spoke with seven parents during the inspection and three by telephone, whoprovided further information about their experiences of using the service. Theircomments contributed to the overall evaluations of the service.

Overall those spoken with were very pleased with the service and the way in whichstaff and the manager communicated with them.

Comments from parents and carers included:

• "The snacks are very good and very varied"• "There is a good balance of indoor and outdoor activities"• "I feel it is a well set up and well run service"• "Staff are all approachable"• "Staff are always very friendly"• "We are not always notified if anyone (staff) leave"• "Staff are fabulous and very welcoming"• "We get exactly the right amount of information. Ruth (the manager) always

backs up information with an email which is fantastic"• "I am delighted with the service, I can't fault it"• "I am very happy with the service"• "The food is pretty good"• "The club is very well organised"• "Communication is very good"• "You get a lot of advance notice of any changes".

Additional parent comments and reference to our questionnaires are includedthroughout this report.



3 The inspectionWe looked at how the service performs against the following quality themes andstatements. Here are the details of what we found.

Quality Theme 1: Quality of Care and SupportGrade awarded for this theme: 4 - Good

Statement 1We ensure that service users and carers participate in assessing and improving thequality of the care and support provided by the service.

Service strengthsAt this inspection we found the service to have a very good performance in relation tothis quality statement. We came to this conclusion after we looked at records, talkedwith the manager and staff, and observed practice. We also took account ofinformation from parents and responses to our Care Standards Questionnaire.

Parents and children were able to gain relevant information about the service, prior tousing it via pre-registration visits, information sheets and individual contracts. Thishelped parents and children to be clear about what they could expect from the servicefrom the onset.

Well presented notice boards, enabled parents and children to readily access a rangeof helpful information about the service. This included, the service's registration andinsurance certificates and information about the manager's qualifications andtraining. Daily breakfast and snack choices were also displayed. A playschemenewsletter (October 2014) provided parents with interesting information about theactivities their children had taken part in and enjoyed. This helped to keep parentsand children updated and informed about what was happening in the service.

Parents told us they were very pleased with the way in which the manager and staffshared information, and kept them up to date. This included, daily discussions andregular emails.

Parents commented as follows:



• "Excellent and very clear communication from first contact"• "We get exactly the right amount of information. Ruth (the manager) always

backs up information with an email which is fantastic"• "Communication is very good".

Alongside daily discussions parents were encouraged to give feedback through asuggestions box and questionnaire. Records evidenced, that one questionnaire hadbeen completed by parents. We sampled responses and found in the main, parentswere very pleased with the service offered. (See areas for improvement)

Parents told us that the manager responded very promptly to any feedback or queries.One parent described the manager as being "open to suggestions and views", anotherstated their views were "very much listened to". This helped to promote effectivecommunication and contributed to parents feeling included and respected.

An appropriate complaints procedure was in place. When asked, parents told us theywould be confident about raising any issues with the manager and staff.

Throughout the inspection, we saw that children were given choices and that theirviews and suggestions were actively sought by staff. Daily discussions at snack timeprovided children with an opportunity to give feedback about the club. For example,children were asked to vote for snack choices. We observed that staff respondedpositively to requests from children. As a result children appeared confident aboutparticipating in discussions and making suggestions. Records evidenced that mindmaps were also being used to gather children's views. This supported children to feelvalued and included and to develop a sense of responsibility.

The manager and staff were able to give examples of when children's feedback hadled to improvement within the service. This included, more frequent outdoor play.

We saw that staff also made good use of the space and storage available, to promotechildren's ability to make choices about the activities they took part in. The main hallhad areas for activities, such as, arts and crafts, board games, lego construction andcomputer games. A smaller room was available for children to relax and watch DVDs,whilst a second hall was used for more active play and group games. Child friendlystorage enabled children to access the toys and equipment independently. Childrenwe spoke to, confirmed that staff asked for their views and preferences whenplanning activities.

Areas for improvementWe identified that responses from the questionnaire completed by parents, had notbeen collated and shared with parents. During feedback the manager agreed toensure that information gathered from future questionnaires, is effectively sharedwith parents. This will better enable parents to identify and evaluate how theirfeedback is used, to develop and improve the service.



Parents on request were able to access a full list of the services policies andprocedures. We suggested that it would be beneficial for parents to have direct accessto some key policies and procedures including, those relating to complaints and childprotection. The manager agreed to review information available to parents and makeimprovements where required.

Grade awarded for this statement: 5 - Very Good

Number of requirements: 0

Number of recommendations: 0

Statement 3We ensure that service users' health and wellbeing needs are met.

Service strengthsAt this inspection we found the service to have a good performance in relation to thisquality statement. We came to this conclusion after we looked at records, talked withthe manager and staff, and observed practice. We also took account of informationfrom parents and responses to our Care Standards Questionnaire.

The manager and staff had created a welcoming and relaxed environment for childrenwhere they could enjoy a range of activities. As a result we saw that childrenappeared settled and happy within the setting. This was confirmed by feedback fromparents.

Comments from parents included:

• "My child is happy in this environment and that counts for a lot"• "My child is well looked after and enjoys attending Scamps"• "My son regards the service as a second home".

We observed that staff promoted positive behaviour through praise andencouragement. They took the time to discuss club rules and expectations withchildren. This helped children to understand how their actions may affect themselvesand others. Children were encouraged by staff to help and support each other andwere involved as snack helpers and handwashing monitors. This supported children todevelop a sense of responsibility and respect for others.

A 'Star of the Week' award was in place to celebrate children's achievements. Childrentold us they liked receiving this title. Children's birthdays were also celebrated by thegroup. This contributed to children feeling valued and developing self-esteem andconfidence.



Individual contracts and care plans, provided staff with children's basic details andinformation about their health needs, including medical and dietary requirements(See areas for improvement). Significant events relating to children were recorded onindividual daily sheets. A range of permissions were also in place to keep children safeand ensure that parent's wishes were respected.

We also saw good communication between staff and parents at drop off and pick uptimes, with relevant information being shared. This helped to keep staff up to datewith any issues affecting children and contributed to children's needs being meteffectively. Discussions with the manager and staff and observations of practice,demonstrated that they had a good knowledge of children's needs and preferences.

A variety of helpful information in relation to children's health and wellbeing was ondisplay and readily accessible to parents and children. This included, information onhealthy eating, promoting child safety, children's rights and 'Getting it Right for EveryChild' (GIRFEC). GIRFEC is the Scottish Government's approach to improving outcomesand wellbeing off all children.

We found that children's health and wellbeing was promoted by staff in a range ofways. Children and parents confirmed there were frequent opportunities to take partin active outdoor play. Children were also able to enjoy energetic play indoors, such asfootball and roller blading.

In the main, children were offered healthy snack and breakfast choices (see areas forimprovement). Fresh fruit was available daily. We observed that snack time was asociable experience for children and that they appeared to enjoy being involved assnack helpers.

The manager and staff told us, where children had specific dietary needs, these weremet. This included, providing suitable options for children who were vegetarian.

Procedures for recording accidents and incidents and sharing this information withparents was being effectively implemented. A well stocked first aid box was in placeand two members of staff had first aid training. This contributed to children receivingappropriate care and support in the event of an accident or incident.

Appropriate systems were in place to safeguard children, including a child protectionpolicy and missing child procedure. This provided guidance for staff in the event ofany concerns. Discussion with staff evidenced that they had a good knowledge oftheir responsibilities in relation to protecting children and sharing concerns.

Children were escorted to and from school by staff. We observed that children werevery well supervised walking to school and that they were reminded of safety rules.This helped to keep children safe.



Areas for improvementWe sampled records, containing mandatory information about children and theirneeds, and found that they had not all been updated as required. This meant thatstaff were not able to readily access up to date written information about allchildren's health and wellbeing needs. (See Requirement 1).

The date that children first started using the service was not recorded for all children.(See Requirement 2).

An appropriate policy was in place for the administration of medication. We sampledmedication records and found that insufficient information was recorded about onechild's medication needs and that no consent was in place for self administration ofthe medication. We also found that another child's medication records had not beenreviewed and updated as required. (See Requirement 3).

One parent told us they would prefer if snack was a bit a healthier. A system was inplace to encourage all children to have fruit. However, we identified that somechildren were not choosing healthy options at snack time. We discussed at feedbackthe manager and staff continuing to review snack options, to ensure that theyfollowed best practice guidance and encouraged children to make healthy choices.

Helpful information is available in the document Healthy Eating in Schools: A guide toimplementing the nutritional requirements for food and drink in school (Scotland)regulations 2008. This document can be found at:

http://www.scotland.gov.uk/Publications/2008/09/12090355/0

Grade awarded for this statement: 4 - Good



Requirements

1. The provider must ensure that they meet the health and wellbeing needs of allchildren. In order to achieve this they must:

a) Ensure that registration forms / support plans are updated at the request ofservice users, when there are significant changes in children's needs or at leastonce in every six month periodb) Ensure a quality assurance system is effectively implemented to checkinformation recorded in relation to children's needs is reviewed and up-dated asrequired.

This is in order to comply with:



The Social Care and Social Work Improvement Scotland (Requirements forCare Services) Regulations 2011 (SSI 2011/210), regulations 4(1)(a) and 5(1)and (2)(b).

Timescale: Within 4 weeks of receipt of this report.

2. The provider must keep a record of the date on which the service is first providedto the service user.


The Regulation of Care (Requirements as to Care Services) Regulations2002 (Scottish Statutory Instrument 2002/114): Regulation 19(1)(d).


3. The provider must ensure safe and effective systems are in place for theadministration of medication. In order to achieve this the provider must:

a) Ensure that sufficient information is sought from parents in relation to children'shealth and medical needs and that this is appropriately recorded in children'srecordb) Ensure appropriate written permissions are in place for the administration ofmedicationc) Ensure that medication records are reviewed and updated as required.

Further information is available in the document 'Management of medication indaycare of children and childminding services, Care Inspectorate 2014. Thisdocument can be found at:

http://www.scswis.com/index.php?option=com_docman&task=cat_view&gid=330&Itemid=378


The Social Care and Social Work Improvement Scotland (Requirements forCare Services) Regulations 2011 (SSI 2011/210), regulation 4(1)(a).




Quality Theme 2: Quality of Environment

Grade awarded for this theme: 4 - Good

Statement 1We ensure that service users and carers participate in assessing and improving thequality of the environment within the service.

Service strengthsInformation in relation to this quality statement has been included in Quality Theme 1,Quality Statement 1.

Areas for improvementRefer to Quality Theme 1, Quality Statement 1.




Statement 2We make sure that the environment is safe and service users are protected.

Service strengthsAt this inspection, we found the service to have a good performance in relation to thisquality statement. We came to this conclusion after we observed the accommodation,spoke with staff and observed practice. We also took account of information fromparents and responses to our Care Standards Questionnaire.

The service operated from accommodation within a local Scouts Hall. The club hadaccess to two large halls and a small room. This offered flexibility around how thespace was used and range of activities available to children. Suitable toilet and handfacilities were accessible.

Maintenance for the premises was the responsibility of the Scout Association. Themanager told us that there was a system in place for reporting maintenance issuesand that in general these were dealt with promptly (see areas for improvement).Records evidenced that staff undertook daily checks prior to both the breakfast andafter school clubs to ensure that the environment was safe and suitably organised forchildren to use. The manager was able to describe appropriate daily and weekly



cleaning routines. As a result we found the environment appeared clean, reasonablywell maintained and suitable for the service.

We saw that children were encouraged to look after the environment, recycle and tidyup after themselves. This also contributed to maintaining a tidy and safe environmentfor children.

A secure entry system was in place, which allowed staff to monitor who accessed thepremises. Visitors were required to identify themselves and sign in and out of theservice. Accurate attendance records were kept and only authorised adults were ableto collect children. This helped to keep children safe and secure.

The service had access to a grassed area directly outside of the Scout Hut, whichallowed children to enjoy outdoor play and fresh air. Discussions with staff andexamination of records, evidenced that appropriate safety checks were carried outprior to the area being used. During the inspection, the area appeared reasonably wellmaintained and free from hazards.

A range of relevant risk assessments were in place for activities including outdoor play(See areas for improvement). We found that staff had a very good awareness of safetyand risk and that children were very well supervised. Children were involved in dailydiscussions about risk assessments and reminded of safety rules, before playingoutside and walking to and from school. Children we spoke to were aware of safetyrules and told us that they were only allowed to climb trees to a certain height. Thissupported children to learn about managing risks and keeping themselves and othersafe.

Infection prevention and control procedures were in place. Staff were observed toencourage children to wash their hands before breakfast and snack (See areas forimprovement). We saw that good hygiene practices were followed whilst preparingfood for children. Staff wore aprons and tables and work tops were cleanedappropriately. This helped to maintain a safe and hygienic environment for children.

Areas for improvementNo all areas of the accommodation used by the service had been risk assessed. Themanager agreed at feedback to undertake a comprehensive risk assessment for theaccommodation which identified any potential hazards and actions required to reduceor eliminate these. (See Recommendation 1).

We observed that not all children followed best practice, in relation to hand washing.This did not adequately protect children from the risk of infection. (See Requirement1).

We found there was an unpleased smell in the boys' toilet. The manager advised thatstaff were aware of the issue and had taken a number steps to address this, including



frequent cleaning of the area. We noted that the area did appear clean. The toiletfacilities were used by other services, outwith the times that the breakfast and afterschool clubs operated. The provider and manager need to continue to identify asolution for this issue, in order to provide a safe and hygienic environment forchildren. (See Requirement 2).

During feedback, we suggested that a maintenance log be used to enable themanager and staff to monitor progress, in relation to any issues raised. The manageragreed to implement an effective recording system.




Requirements

1. The provider must ensure that appropriate infection prevention and controlprocedures are being followed. In order to achieve this they must ensure thatappropriate hand washing procedures that reflect best practice are implemented.

Further guidance is available in the document Infection Prevention and Control inChildcare Settings, Health Protection Scotland 2011. This document can be foundat:

http://www.documents.hps.scot.nhs.uk/hai/infection-control/guidelines/infection-prevention-control-childcare.pdf


The Regulation of Care (Requirements for Care Services) Regulation 2011(Scottish Statutory Instrument 2011/210), regulation 4(1)(a).

Timescale: Within 24 hours of receipt of this report.

2. The provider must ensure that toilet facilities used by children provide a safe andhygienic environment for children.


The Regulation of Care (Requirements for Care Services) Regulation 2011(Scottish Statutory Instrument 2011/210), regulation 4(1)(a).




Recommendations

1. The manager and staff to ensure that an appropriate risk assessment is in placeand implemented for all areas of accommodation used by the service.

Reference: National Care Standards for Early Education and Childcare up tothe age of 16, Standard 2: A safe environment.



Quality Theme 3: Quality of Staffing


Statement 1We ensure that service users and carers participate in assessing and improving thequality of staffing in the service.






Statement 3We have a professional, trained and motivated workforce which operates to NationalCare Standards, legislation and best practice.

Service strengthsAt this inspection, we found the service to have a good performance in relation to thisquality statement. We came to this conclusion after we looked at records, talked withthe manager and staff, and observed practice. We also took account of informationfrom parents and responses to our Care Standards Questionnaire.

Staff appeared very motivated to provide a service, that promoted good outcomes forchildren. They spoke enthusiastically about their roles and the service provided. Wesaw that staff had created a welcoming environment for children and their families.They communicated with parents in a professional and friendly manner and werecaring and responsive in their interactions with children.

Children and parents spoke positively about staff and made the following comments:

• "The staff are very helpful and friendly and very professional" (Parent)



• "Staff are fabulous and very welcoming" (Parent)• "Staff are all approachable"(Parent)• "Staff are really nice" (Child)• "Staff are helpful, kind and do what's best for us".(Child)

Staff demonstrated that they worked well together as a team. They had clear roles foreach session but also shared responsibilities as appropriate. Regular team meetingsoffered opportunities to share information and discuss a range of relevant issues. Thisbenefitted children and families, as it promoted greater consistency within theservice. Parents told us they found the service to be well organised.

Records and discussions with the manager and staff demonstrated that they had arange of relevant experience and training. Most staff had attended the CommonInduction programme for childcare workers and Out of School Care Seminars. Somestaff members had also undertaken training in relation to child protection, first aid,food hygiene and attachment (See areas for improvement).

Discussion with staff and records evidenced that one member of staff held a suitablequalification for their role, whilst other staff were either waiting to commence trainingor to apply for a suitable course. The manager was able to identify that a clear planwas in place to support staff to access and achieve appropriate qualifications withinthe required timescales. The manager confirmed that she was undertaking a suitablequalification for her role.

Information about the Scottish Social Services Council (SSSC), the National CareStandards and good practice guidance were available for staff to refer to and guidetheir practice. The manager advised she was using support offered by an externalagency Aberlour Futures to build on resources available to staff, to enhance theirpractice. Discussions at team meetings, newsletters from Aberlour Futures andattendance at Out of School Care seminars also enabled staff to keep up to date withpolicies and procedures and best practice.

An induction process was in place for new staff. We spoke to a recently recruitedmember of staff, who was positive about their process. They advised that they hadbeen given key information about the running of the club, policies and proceduresand health and safety. This helped to ensure new staff were clear about their rolewithin the club and professional responsibilities. (See areas for improvement)

All staff members and the manager were appropriately registered with the SSSC.

Areas for improvementThere were no induction records in place for newly recruited staff. Furtherdevelopment of the induction procedure and records would support the provider andmanager to assess the effectiveness of the induction process and evidence staff'slearning and development needs. (See Recommendation 1).



We examined team meeting minutes and found that they did not clearly identifyactions to be taken forward, persons responsible and timescales. The manager agreedto review and improve team meeting minutes in order to make them more effectiveand useful.

The manager advised that staff received one to one supervision twice yearly. Therewere no supervision minutes available at the time of inspection. Staff told us they feltwell supported by the manager and one staff member confirmed they receivedregular supervision. During the inspection and at feedback we discussed theimportance of offering regular one to one supervision session for staff and keepingappropriate records. The manager had developed a new recording system which sheadvised would be implementing immediately. (See Recommendation 1).

Within the service's self assessment the development of annual training plans forstaff was identified as an area for further improvement. During the inspection wefound that there were some areas where staff would benefit from additional trainingto improve their knowledge and practice. This included infection prevention andcontrol see Quality Theme 2, Quality Statement 2. (See Recommendation 1).

The manager had a good knowledge of 'Getting it Right for Every Child' (GIRFEC) andhad attended relevant training. However, found during discussion with staff they hada limited knowledge in relation to GIRFEC. A good level of understanding of GIRFECwould support staff to meet children's needs. (See Recommendation 1).




Recommendations

1. The provider and manager to ensure that staff receive appropriate support,supervision and training to enable them to undertake their roles competently andin keeping with best practice.

In order to achieve this the provider must:

a) Carry out and record regular support and supervision sessions with staffb) Review staff training needs and develop appropriate individual training plansc) Ensure staff undertake appropriate training to enable them to promote bestpracticed) Ensure up to date records of training and induction are maintained.

Reference: National Care Standards for Early Education and Childcare up to



the age of 16, Standard 12: Confidence in staff, Standard 13: Improving theservice, Standard 14: Well-managed service.The provider and manager to ensure that staff receive appropriate support,supervision and training to enable them to undertake their roles competently andin keeping with best practice.



Reference: National Care Standards for Early Education and Childcare up tothe age of 16, Standard 12: Confidence in staff, Standard 13: Improving theservice, Standard 14: Well-managed service.The provider and manager to ensure that staff receive appropriate support,supervision and training to enable them to undertake their roles competently andin keeping with best practice.



Reference: National Care Standards for Early Education and Childcare up tothe age of 16, Standard 12: Confidence in staff, Standard 13: Improving theservice, Standard 14: Well-managed service.



Quality Theme 4: Quality of Management and Leadership


Statement 1We ensure that service users and carers participate in assessing and improving thequality of the management and leadership of the service.






Statement 4We use quality assurance systems and processes which involve service users, carers,staff and stakeholders to assess the quality of service we provide

Service strengthsAt this inspection, we found the service to have a good performance in relation to thisquality statement. We came to this conclusion after we looked at records, talked withstaff, the manager and parents and observed practice and outcomes for children.

As identified in Quality Theme 1, Quality Statement 1, we found very goodopportunities for parents and children to be involved in assessing and improving thequality of the service. All parents who completed our Care Standards Questionnaireagreed or strongly agreed, that the service had involved them and their child indeveloping the service, for example asking for ideas and feedback.

Discussions with the manager and staff, demonstrated that parent and children'sfeedback was valued. We saw that feedback generated from a questionnaire issued bythe provider was in the main very positive about the service.

Parents that we spoke to during the inspection, confirmed that they would be



confident about raising any issues with the staff group. We saw evidence that themanager had responded promptly and appropriately to an issue raised by a memberof the community.

The registered manager worked within the service on a daily basis. This offeredopportunities for her to support and supervise staff and undertake monitoring ofpractice and use of resources (See areas for improvement).

The service was in the early stages of developing and implementing quality assurancesystems, involving staff, parents, children and stakeholders (see areas forimprovement). The manager advised they were receiving support from AberlourFutures with this process. We found that positive progress had been made in a rangeof areas including the development of policies and procedures and daily health andsafety audits.

The manager and staff confirmed that regular team meetings provided an opportunityto discuss practice and planning and any issues arising. Team meeting minutesevidenced that the manager and staff had also began to look at how they could bestmeet National Care Standards and improve practice within the service. The managerand staff had focused on developing good communication with parents andpromoting choice for children. As identified in Quality Theme 1, Quality Statement 1,we saw that good progress had been achieved in these areas.

The manager was keen to improve the service and outcomes for children and wasreceptive to advice and guidance given during the inspection process.

Areas for improvementA system was in place for evaluating activities on a daily basis. We found thatevaluations did not effectively identify and record what had worked well and areas forimprovement. The manager agreed to review practice, in order to focus on how thequality of children's experiences can be improved.

At feedback we also made suggestions, in relation to how the manager and staffcould further include children in the evaluation of the services. For example, usingfeedback posters to records children's view on what worked well and what had notworked well within the service.

There was limited formal monitoring and auditing systems in place, to support themanager with quality assurance and identifying strengths and areas for improvement.We saw evidence that some areas of improvement had not been identified, via currentmonitoring processes. For example, infection prevention and control issues ashighlighted in Quality Theme 2, Quality Statement 2. The manager recognised thatthis was an area that she required to focus on, in order to ensure continuedimprovements. (See Recommendation 1).






Recommendations

1. The manager to develop and implement effective monitoring and auditing systemsthat support service improvement.

Reference: National Care Standards for Early Education and Childcare up tothe age of 16, Standard 13: Improving the service, Standard 14: Well-managed service.



4 Other information

ComplaintsNo complaints have been upheld, or partially upheld, since the last inspection.

EnforcementsWe have taken no enforcement action against this care service since the lastinspection.

Additional Information

Action PlanFailure to submit an appropriate action plan within the required timescale, includingany agreed extension, where requirements and recommendations have been made,will result in the Care Inspectorate re-grading a Quality Statement within the Qualityof Management and Leadership Theme (or for childminders, Quality of StaffingTheme) as unsatisfactory (1). This will result in the Quality Theme being re-graded asunsatisfactory (1).



5 Summary of grades

Quality of Care and Support - 4 - Good

Statement 1 5 - Very Good

Statement 3 4 - Good

Quality of Environment - 4 - Good



Quality of Staffing - 4 - Good



Quality of Management and Leadership - 4 - Good



6 Inspection and grading history

All inspections and grades before 1 April 2011 are those reported by the formerregulator of care services, the Care Commission.



To find out more about our inspections and inspection reportsRead our leaflet 'How we inspect'. You can download it from our website or ask us tosend you a copy by telephoning us on 0845 600 9527.

This inspection report is published by the Care Inspectorate. You can get more copiesof this report and others by downloading it from our website:www.careinspectorate.com or by telephoning 0845 600 9527.

Translations and alternative formatsThis inspection report is available in other languages and formats on request.

Telephone: 0845 600 9527Email: [email protected]: www.careinspectorate.com



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