HSC South Eastern Health J and Social Care Trust Quality"of Staffirtg-, Managemen-t & Leadership Inspection Report Sessional & F Sarp. Name of Service: Addrass of Sorvice: Tiddliwinks playgroup 68 Groomsport Road Bangor Postsode: BT206NE Telephone No: Name of Registored Person: Name of Manager: Days service provided.. 07929465421 pamgibb@sky.com Gillian Cassidy Monday -Friday Hours service provided: 9AM- 12PM (please tick as appropriate) ull Day . Car? Play. group Oth•r (pleasa advlse 8Ghool Privats Profit , Numbor,of Childroni. . Re istered for Range 2 years 10 .Numb•rAofts. Chi .Numbbt.'Of'""' oom1. 26 16 months - statutory school a Claire Goldring .Pate of inspection..:: 15.06.2023
HSC South Eastern Health J and Social Care Trust The following inspection was carried out by the Early Years TÉam, Southern Health & Social Care Trust Under the Children (Nl) Order 1995 settings are required to be registered with their local Trust if they provide a service as a day nursery, crèche, playgroup, out of school club or holiday club. The Trust is then required to inspect the setting at least once per year. The setting is required to adhere to the requirements of their registration certificate and to the Childminding and Day Care for Children under Age 12 - Minimum Standards. The Standards contain a number of Quality Areas. The Standards can be downloaded at ervice The following are the definitions used when inspectors make a requirement for compliance or a recommendation for improvement R•qulr?ment lor Complianc• A requirement for compliance is a statement which sets out what the Registered Provider must do to improve the outcomes for people using the service. It will be linked to a non-compliance of a condition of registration andlor legislative r8quir8ments or regulations, andlor the Childminding and Day Care Minimurn Standards for under 12 (July 2012) and Implementation Guidance. Re¢omm•ndations for Improvom•nt A recommendation for improvement is a statement which sets out the actions a registered provider should take to improve or develop the quality of the seprfice. It will be linked to the Childminding and Day Care Minimum Standards for Children under 12 (July 2012) and accompanying Implementation GuidanGe' Regional or National guidance issued by other professional bodies associated with day care provision and/or Best Practice guidance. ,'Ins ection Details The Minimum Standards document contains four Quality Areas which all providers are expected to meet. The8e are: Quallty of Care. Quality of Staffing? Management and L•adorship;
HSC South Eastern Health J and Social Care Trust Quality of the Physical Environment; Quality of Monitoring and Evaluation. The Inspection process operates on a 4 year cycle. Each year the Health and Social Care Trust will inspect each registered setting on 1 of th• 4 Quality Areas. This means that all 4 areas will have been inspected in a 4 year period This was an announced inspection assessing the Minimum Standard quality area of Staffing, Management and Loadorship. The quality of staffing, management and laadership impacts directly and indirectly on children's care. Strong, competent and effective management means efficient running of a setting and high standards set for others. Staff who are happy in their role, secure in the knowledge of their responsibilities and well-trained to deal with all aspects of their job provide an environment wharo children can thrive. A culture of professional. reflective practice and a willingness to challenge practice is vital. A whole-team approach and ownership of the setting is key to ensuring a Safe, high-quality service for children, parents and families. Safeguarding has been placed at the stsrt of this section as safety is at the cantre of a quality service. These Standards will help reassur8 parents that their children are receiving quality care in a safe environment. Standard 1 Saf•guardlnq and Child Protoctlon is included in all Inspections. This inspection considered the following stsndards. Saf•guarding and Child Protsction (stsndard 1) Managemènt and Monitorlng Arrangements ( Standard 10) Organisation of tha Sotting (standard 11) Sultabl• Person (8tandard 12) .8elf' Èvlttta710n.. As part of the Inspection process all registered day care providers are required to complete and submit a Self-Evaluation Form prior to the Inspection which provides information on how they operate their service. This is a component part of the overall inspection process. The Self-Evaluation tells the Health and Social care Trust how a Provider views the performance of their service. It also sets out how a Provider meets specific criteria within some of the Standards. Providers are encouraged to be open and honest, sharing all appropriate information as part of the Self-Evaluation proGess. Providers are asked to confimi the information they submit is complete and accurate. By completing the Self-Evaluation, provider8 will reflect on practice and therefore engage in tha inspection process.
HSC South Eastern Health J and Social CareTrust ection Date of previous Inspection: 16.06.2022 Quality Area Ins.pected:. Quality of Care part 2 ro ra ac R'érfo'irgménts for'Complian¢o.with, LvgislatiC•n:.:and;tho Minimum, Stsndards All requirements for compliance have been completed. No recommendations were made. 'Tri•ws'troin.Chlldre,ri Par.en.ts.and_Carers An important part of tha Inspection procass is to obtain the views, where possible, of the children who are being cared for in the facility and also the opinions of the parents and carers who have chosen to use the facility for their childlchildr8n. .Children's Views During the Inspection a range of children were spoken with. The following comments were made by the children '1 like coming to school., 'M favoun'te thin outside with m As part of the Inspection process the Early Years Social Work Team seeks to issue questionnaires for completion by parentslcarers and staff. Due to legislation relating to the protection of personal information and confidentiality, the Provider is asked to supply the names and contact details of parents with children attending the facility. Normally this consent will have been p provided as part of the enrolment prO3s. however where it has not we ask that the providÉr advigo the parents of Inspection and seek written consent. is la fvends,
HSC South Eastern Health J and Social Care Trust Parpntal Quostionnairgs, A total of 15 questionnaires were sent out to parents. One questionnaire was returned by the time of writing this report. This is a low retum and was discussed with management who said they would remind parents and asked that the link to the questionnaire be sent again. One possible reason for the poor response was that it was near the end of the term. There were 5 questionnaires returned last year and all but one was positive. The parental responses indicatod that they fèel their children are well cared for n the setting. e parental responses in icate att ey feel the setting is manage The following are some of the comments made by parents A wonderful inclusive and fn'endly atmospherp. My child settled in so easily. With (some) difficulties P and staff went over and above to make sure was supported and I was infomied. Very grateful to have had such an amazing experience for my (child). well.
(Child) talked about lovely friends. Enjoyed sharing drawings at home and was able to talk about them. Loved getting outdoors with friends. The excitement of the book bag comin hom ch fantasti S-taff Qu•stionnairos , I... A total of 5 questionnaires were sent to stsff. A total of 3 questionnaires were retumed by the time of wrrting this report. taff responses indicated that they feel equippe setting. to carry out their role in the .1 would raise any issue th my manager and feel comfortable to do so". .1 understand that rf I have concems about a child or rf someone reported concems to m& I would recoml and report this to my Leader who will take the matter further if needed. If a child Game to me and told me something which raised concems I would reGord exaGtly what was told to me and again report to leader. If leader was not available or Goncems were raised bout leader I know to report to Social SeNices, Gateway, Health Visitor orpoliGe". We can approaGh our leader with any concems at any time and through staff Ge
HSC South Eastern Health J and Social CareTrust .Quality of Care Children are safeguarded through systems and practicos that are consistent w.ith-,the.Regio.nal C,hildJPrffiOte,¢.tion,PoJ.iGio.4anP[oSe,<urO5.,:.........--,: . From the evidence provided through provision of recordsldocumentation, discussion and observation on the day of Inspection, the Registered Person demonstrated that children are safeguarded through systems and practices that are consistent with the Regional Child Protection Policies and Procedures. There is a written Safeguarding and Child Protection Policy and Procedure in place which clearly states it is the Setting's responsibility with regard to the reporting of suspected or actual child abuse or neglect and includes relevant contact names and telephone numbers. This was evident at tima of Inspection and included: Trust protocol for reporting concerns; Reporting concerns Without delay to the appropriate HSC Trust. Maintaining a signed and dated record of anything which causes them concern., and Kee in concarns confidential to those who need to know. The elf-Evaluation Form stated the Setting had received relevant training and demonstrated through discussion at Inspection an understanding of the r8sponsibilities and duties in respect of Safeguarding and Child Protection and awareness that trainin must be u dated eve ears. All parents had been made aware at enrolm8nt of the procedures for Safoguarding and Child Protection, including the need to pass information without parental consent if there is a reasonable concern that a child may be at risk of or is sufferin abuse or ne lect. Through discussion it was evident that parents are encouraged and facilitated to express any concerns they rnay have ft)r their child's care and are given details regarding who to contact in the event that they are uneasy about the standard of rotection afforded to their children. he Self-Evaluation Form stated that there 13 a written policy and procedure for: Intimatelpersonal care and that parents are made aware at enrolment of the procedures for children's personal care. The use of Information and Communication Technology (ICT) equipmenusocial Networking. Staff and volunteers have agreed and signed up to this policy at recruitment. Code of Conduct in relation to mobile phones, particularly those with cameras or video ca abili and artici ation in social netsiorkin
HSC South Eastern Health J and Social Care Trust websites. Staff and volunteers have agreed and signed up to this policy at recruitment. Taking photographs and that parents give written permission for their children to be photographed and the use of these photographs is clearly explained (e.g. displays, child records, promotional material). Tha use of CCTV (if applicable). Whistle blowing which encourages staff to report any concern they have regarding the practice of colleagues, volunteers or trainees, relating to the care of children. The Registered Person ensured that Contact Persons, names and telephone numbers are readil available to staff. The Inspector observe that the arrangem8nts for safeguarding chi were reviewed on an annual basis. Through discussion the Inspector was satisfied that staff demonstrated an understanding of child protection issues and safe carin ractices. There is a system in place to ensure that children are collected from the setting by parents or those with parental responsibility or persons authorised by them to do so. Unless they are parents, persons authorised to collect children are a ed 18 or over. The Self-Evaluation Form stated and also through discussion with the Leader it was èvidant that there is a Designated Child Protection Officer with responsibility for Safeguarding and Child Protection who has attended relevant training which is updated every 3 years. She is available at all times during the hours of service provision for contact and consultation with staff and to offer instruction, advice and support. Through discussion, staff were aware of the arrangements of how to contact the Designated Child Protection Officer when nec8ssary. This officeWs details were available to arents and carers. Through discussion with the Leader the Inspector was satisfied that t Leader knew how to respond rf a complaint or allegation was made against her or others in the setting. uirome dren Re None Recommendations for Improvèmènt The Safeguarding PoliGy Gould outline the different types of abuse and offer a brief definition and examples.
HSC South Eastern Health J and Social Care Trust Quali of Staffin , Management & Léadershi standard 10 T..here are effoctive and offieient management and monitoring arrangements in the setting to support the work of staff and the care of ,. children. Inspectors Comments From the evidence provided to the inspecting social worker and through observations and discussion on the day of inspection the Registered Person partially demonstrated there were effective and efficient management and monitoring arrangements in the setting to support the work of staff and the care of children. A record of the name and telephone numbers of the Registered Person was maintained and a contact point was available for parents. There was evidence of monitoring reports from the Person in Charge to the Registered Person on at least a quarterly basis as required to facilitate the re ular review of the uali of the service. There were written roles and responsibilities in plac8 for tha management committeelTrustees of the setting and these are audited regularly. A sample of minutes demonstrated these meetings were used to facilitate the sharing of information and to promote the developmant of a common ethos of work with children and their arents. Minutes of the Management Committee were comprehensive and demonstrated that appropriate monitoring is completed and action is taken to address issues related to compliance with the Minimum Standards. The Self Evaluation Form stated that there was a mechanism in place to ensure that those fulfilling their roles were accountable for their contribution to the uali of the service. The Self Evaluation Form stated that the registered person hae had all job descriptions, person specifications and contracts approved by the Gommittee. The Self Evaluation Form stated that the Registered Person ensured that the setting's recruitment and retention of staff practices complied with equal opportunities and fair em loyment I islation. Discussion with a sample of staff indicated they were supported to work together as a team to plan their work with children and to address issues such as the management of Ghildren's behaviour and assessment of their individual needs indicated that they have adequate resources and time to address these issues.
HSC South Eastern Health J and Social CareTrust The Inspector obserded that staff were employed in sufficient numbers to meet statutory requirements. The Self Evaluation Form stated that all staff were over 18 years. The Self Evaluation Form ststed that the Registered Person or Person in Charge ensures that staff respect the privacy of children and parents and only share information in line with the Infonnation Commissioner's Data Sharing Code of Practice. 'The ICO re istration had la The sed but was renewed the same da elf Evaluation Form stated that there were measures to ensure that training and developmental needs of stsff were identified and addressed to facilitate staff to avail of develo mental o portunities. The Self Evaluation Fomi stated that records are maintained of training, including dates and attending staff. The Self Evaluation orm stated that tha Registered Person had identified a process of assessing the effectiveness of training provided for staff. whether internal or external, and used this information to inform future trainin There were rninutes of staff meetings held at least every two months. lans. There was evidence of regular supervision but this should be more in depth and annual appraisals are reportedly taking place but there is not a standardised record of this. iscussion with some staff demonstrated that they recognise ow their individual work contributed to the attainment of the setting's aims and objectives and how consistency and tsamwork contribute to children's wellbein and develo ment. Requirements for ompliance with glslatlon an Staff supervisions should be more detailed, in line with Minimum Standard requirements. A staff appraisal form needs to b8 dev81op8d and utilised annually. The setting's registration with the Information Commissioners Office had expired. This was renewed on the same day but management should make a note of the renewal date so this continues to be kept in date. the Minimum tan ards. Recommendations for Improv•mont None
HSC South Eastern Health J and Social CareTrust standard 11 Adultlchild ratios, space and resources are organised to meet the children's needs effectively and to comply with the stipulations on the Registration Certificate. Inspectors Comments From the evidence provided to the inspecting social worker and through observations and discussion on th8 day of inspection the Registered Person demonstrated through discussion and observation that adultlchild ratios, space and r8sources are organised to meet the children's needs effectively and to comply with the stipulations on the Registration Certificate. The Self Evaluation form stated that there was a suitably qualified Person in Char e of the settin at all times and that arents can identi this erson. It was evident from the self-evaluation form that the managers have a current Safe uardin and Child Protection Certificate. From the self-evaluation form and from checking staff records it was evident that any staff who are required to attain QCF level 5 in Child Care Learning and Developm8nt have now achiaved this qualification or an 8quivalent ualrfication. From discussion with the Person in Charge it was evident that all planned absences of whatever duration of the Person in Charge as well as on-going unplanned leave such as sickness was covered by the deputising of a ualified erson. From discussion with the Person in Charge it was evident that arrangements were in lace to cover emer encies and unex ected staff absences. Evidencè showed that within on8 month all newly appointed staff received induction training that covered as outlined in the standards. The setting's policies and produres. Child protection, including whistle blowing" Manaoement of children's behaviour. Recording; Working with parents; Health and safety" and portunities. There was written evidence that staff had read, understood and agreed the settin olicies and rocedures. It was evident from the self*valuation and from discussion with the manager that existing staff who do not hold a qualifiGation are encouraged to attend trainin 10-
HSC South Eastern Health J and Social CareTrust Evidence showed that any staff who were appointed since the Minimum Standards were published, and they did not hold a relevant child care qualification, have since achieved a relevant child care qualification. Individual records on all staff were kept securely, were comprehensive as re uired b the standards and available for ins ection. There are no studentsltrainees on placement currently however the setting are aware that there must not be more than one student at an one time From discussion with the Person in Charge, it was apparent staffing ratios were reviewed whenever a child with additional needs attended. From the selféva uation form an daily register it was evident that any volunteers that were included in the staff ratio did not compromise the ualification r uirement for the settin he Person in Charge ensured that the number of staff avai able to accompany childr6n on excursions or visits out of the setting was sufficient to safeguard them. The arrangements took account of individual children's needs and the nature of the outin From the inspection of records it was evident that a Risk Assessment has been completed re arding children's outin arents were awar8 of outings and gave written consent artici ation. The elf Evaluation Fonn stated that a cook was not employed. As this is not required. eirc The daily register contsined the required information as determined in the standards. A daily record was maintained of all visitors to the setting which included their arrival and de arture times. The Self Evaluation Form ststed that the Statement of Purpose was mada available to arents on re uest. Staff demonstrated that they had a shared sense o the aims and ob"ectiV88 of the settin The Self Evaluation Form indicated at east 500/0 of all child care staff in addition to the Person in Charge and any Deputies were suitsbly qualified as re uired b Minimum Standards. The deployment of staff was effective within the setting to promote the safety, wellbein and develo ment of the children's full The setting had a otential. tatement of Purpose, t liant with Minimum Standards. e contents of which were com Records demonstrated that staff developed an understanding of each child's needs and wishes and that signifiGant information was recorded, collated and exchanged with arents. A minimum ratio of 1 stsff member to 8 children was maintained at all times. Regardless of the group siza, at least two staff were on duty in each room at all times. purpose In eeping wit Requirements for Complianc• with Legislation and tho Minimum Standards. 11-
HSC South Eastern Health J and Social CareTrust None Recommendations for Improvament None 'Th05e working with children in oither a paid or voluntsry capacity, or who have .'gubstantial. ac¢ossit•ptha,ffj Insp•ctors Comm•nt8 From the evidence provided to the inspecting social worker and through observations and discussion on the day of inspection the Registered Person demonstrated through discussion that those working with children in either a paid or voluntary capacity, or who have substantial access to th8m, are suitable individuals to do so. Staff selection and recruitment arrangements ensured the safeguarding and rotection of the children. Records indicated that those working in the setting or who have substantial access to the children have had Enhanced Disclosure Ghecks. The Self Evaluation Form stated that the Registered Person had ensured all appropriate checks had been carried out on all those working with children as per the requirements of Minimum Standards to ensure that they were suitable individuals to do so. The Self Evaluation Form demonstrated that appropriate vetting of students had been com leted b the trainin establishment. Evidence from Trust records demonstrated that fit person interviews ha been completed as necessary on th8 R8gistered Person, Person in Charge, De ut Person in Char e and Desi nated Child Protection Officer. Records demonstrated that a15 those who assist in looking after a child, including all those living on the premises and regular visitors had all appropriate checks carried out and all those working with children have An Access Nl Enhand Disclosure Certificate; A letter confirming Trust clearance. Pre-employment health assessment. Ability to provlde waim and Goll5151ent Gare which promotes children's development" Inte ri and ability to be flexible in their work; 12-
HSC South Eastern Health J and Social CareTrust Knowledge, understanding and commitment to treat all children as individuals and with equal concern. and ro riate knowled e, skills, ex erience and ualifications. Requiremgnts for Compliance with Legislation and the Minimum Standards None Recomméndations for Improvomont None Were ther8 issues arising at Inspection that are required to be dealt with that were not part of the Quality Area ins 6Cted? The children were sitting outside sitting in the shade from the sun. The staff were reading stories to them and were using dressing up clothes and props to make it more interactive. There was water freely available and the children had snack of cream crackers, breadlbutter and fruit. They were then asked to form a line, come indoors and sit quietly on the mat. They followed instruction well. The staff made sure that they had gained everyone's attention by asking, "Are we all listening?" The children had been making scrolls and photo frarnes for father's day and the staff used this opportunity to hand these out. The staff praised the children for the artwork that they'd produced. The staff then led the childr8n in singing 'Days of the week, song and 'Twinkle Twinkle traffic lights" The children were clearly enjoying this as well as developing their language skills. The Playgroup is in a large hall which is zoned with various table top activities, home and readin corner and substantial floor s ace for h sical and free la 13-
HSC South Eastern Health J and Social CareTrust No complaintslconcerns have been expressed about this setting since the last annual Inspection. S.elf.Év.aluatlon. A completed S8lf-Evaluation document was received within timescales. This document was completed to a comprehensive standard. . Inspection Summary: Tiddliwinks Playgroup has been registered since 1997 and is located in an urban setting. The facility is registered for a total of 26 places. On the day of Inspection there were 16 children present. Tha childr8nlstaff were preparing for the end of term but the routine was still apparent and was managed in a calm and confident way by the Staff. The staff appeared to work very well together. The outdoor area is a relatively new addition and it was good to see them fully utilising It is the responsibility of the Registered Person to ensure that the réquirements to be met to comply with legislation, the Minimum Standards and Implementation Guidance as detailed in the report are actioned without delay. The Registered Person must submit an action plan which addresses the above requirements to the Trust within the required timescale. . Requiroments for Compliance with Legislation and the Minimum Stsndards: Staff supervisions should be more detailed, in line with Minimum Stsndard requirGmenta. raisal fomi needs to be develo ed and utilised annuall Astaff a 14-
HSC South Eastern Health J and Social CareTrust The setting's registration with the Information Commissioners Office had expired. This was renewed on the same day but management should make a note of the renewal date so this continues to be kept in date. ecommendations for. Improvement-. , The Safeguarding Policy could outline the dirent types of abuse and offer a brief definition and examples. Name of,Ingpactor,. Claire Goldring Signature: ¥ 26.10.2023 "*ocial Work Manaèer. ignature: ate: Karèn Harri8 0410112024 ,£ignature: Date: CONTAGT DETAILS 15
HSC South Eastern Health J and Social Care Trust Early Years Team Grove House Antrim Road Ballynahinch BT24 8BA Tel.. 028 4451380 16-