A formal inspection of Westbourne Nursery at Victoria Road, Penarth has revealed that it is “not meeting all its legal responsibilities under the Child Minding and Day Care (Wales) Regulations 2010.”
Westbourne Nursery is registered to provide day-care for up to 12 children between 2 and 4 years of age from 07:30 to 18:00 Monday to Friday for 51 weeks of the year.
Under the normal inspection regime, an inspector from Care Inspectorate Wales (CIW) paid an unannounced visit to the nursery – followed by a further visit the following day.
The CIW identified 3 areas of non-compliance during this inspection. These were in relation to : –
- Regulation 28 (2)(b)(ii): Suitability of workers – (this is due to missing documentation
on staff files to assess their suitability).
- Regulation 29 (3)(a): Employment of staff – (this is because staff had not received
supervision or appraisal for some time)
- Regulation 16 (1)(2)(3): (A review of the quality of care had not been completed).
The CIW says that “Because these matters had either already been rectified or a system was in place to move forward by the end of the inspection, and because we did not identify any immediate impact on the well-being of children, we have not issued non compliance notices on this occasion.” However the CIW warns that “The management team must ensure that the improvements made are sustained.”
The inspection “identified some regulatory breaches within leadership and management “. The CIW report says “During our first visit, we identified a number of shortfalls that needed immediate attention. Roles and responsibilities were not always properly defined and it was unclear which members of the management team held responsibility for which areas. This caused some confusion and has meant that some tasks had been overlooked.”
The nursery took the following steps:-
- Paperwork has been amended to refer specifically to this service (establishing
a separate identity to school);
- A lock has been fitted to the outside of the staff toilet door to ensure children do
not have access to items stored in the room;
- A heater has been fitted in one of the toilet areas;
- The safeguarding policy has been reviewed and now includes a proforma for
pre-existing injuries and a policy has been put in place regarding the Prevent
- The “Statement of Purpose” has been updated;
- Management roles and responsibilities have been reviewed and clarified;
- A system is now in place to ensure staff sign in and out when doing school
- A system has been established to ensure that team meetings take place and
- Supervision sessions have been reinstated and documented, and a plan is in
place for ongoing supervision and annual appraisals;
- Staff files now contain all the relevant information in line with regulations and
a system to evaluate the service and monitor quality of care has begun.
Some recommendations made at the previous inspection were outstanding at the time of this inspection. These have also since been rectified.
Notwithstanding the issues highlighted, the Care Inspectorate Wales says that the nursery “provides children with good opportunities to develop a range of skills, knowledge and experience a sense of achievement. Overall, children have access to a variety of resources and activities that support their all-round development. This includes physical, emotional, social, language and creative experiences.”
The report also says “Staff have a good understanding of the children they care for and practice is interactive and warm. They carry out their duties well to ensure children feel happy and are cared for. A good range of activities are offered to help children learn and develop. Many of the staff have worked at the service for a number of years, but are new to the day care element.”
On Health and Safety, the inspection found that “at the time of the inspection, pre-existing injuries were not being recorded and the policy did not include reference to the Prevent Duty, a government strategy regarding extremism and radicalisation. This has now been rectified.”
The report says staff have all attended safeguarding training with an external provider, as well as attending an annual internal refresher course within Westbourne School.
The report states that “The nursery promotes healthy eating through their planned menus and healthy snacks which are delivered daily from a local café. All staff hold a current first aid certificate and have completed food hygiene training. We found that children were provided with well-balanced foods and drinks.”
The inspectors said “We found that the activity planning is of a very high standard and we saw the early beginnings of how staff are starting to track children’s progress and plan next steps in their learning. We saw that the voice of the child is considered during planning and evaluating, but this is not yet fully evidenced. We did not hear any incidental Welsh used during the inspection.”