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Adult & Community Support

Response to the Children and Young People's Service Quality Audit – June 2007

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Thank you to everyone who took the time to complete the quality assurance questionnaire sent out before the summer holidays.

The overall feedback was very positive and we were delighted to hear your comments as well as your thoughts and suggestion as to ways we can continue to develop and improve.

Click here to return to the ChYPS Quality Audit 2007.

Communication with Families

Prime Contact / Key Worker Role
There’s still some confusion about this although it was really good to hear that most people know who their prime contact is and a number of people can broadly describe their role. We have attached our “Communication with Families” policy which we hope will provide clarity on this.

Communication Books
It seems that the introduction of the green, yellow and red communication books has been received positively; this is really pleasing as it was a direct result of feedback from families that they were implemented. We do try to complete them as fully as possible and we also prioritise the children over completion of these books so occasionally there will be times where something happens and it’s more difficult to fill in the book entirely.
Thank you to those people who use the communication books to give us information, it is really helpful to hear what you child has been up to and often we can make links between this information and things that happen during the day.

Notice of Dates
We will try to give as much notice as possible for service closures. In the nursery we will send out an updated term dates sheet in January once we have set dates for the calendar year ahead. We do tend to find that reminders nearer the time are appreciated by families and we will either put these into the yellow book or contact families in person. We are always looking for ways to tighten up on communication and we will trial the suggestion of sending all letters etc home in the yellow book, sometimes this hasn’t work in the past as the yellow book comes back the following day with the letters still inside.
Treetops dates are now being sent out two months in advance and more recent feedback from families has indicated that this has been very well received.

TAC Paperwork
This is currently being revised, thank you for your feedback. Hopefully when the new format is introduced it will be easier to read, we would welcome your feedback on this.

Sharing of Nursery Parents Contact Details
There was a request to send out a list of contact details of the families who attend nursery. This isn’t something we would take on ourselves but if one of the nursery parents wants to take this on, much in the same way as some of the schools do, we would be very happy for this to happen. Please do let us know.


Staff

Communication
Due to the scope of service provided by White Lodge we have to make sure that the communication between staff across the various different areas is good and as tight as possible. This isn’t always easy due to the number of people that work for the organisation but the results of the audit show that that on the vast majority of occasions this is successful. Some of the things we have in place to help are:
- the addition of the prime contact role
- a weekly meeting between the nursery and therapy staff focussing on children
- the monthly referral and planning (RAP) meeting focusing on children who use family link, Treetops, domiciliary and out of school activities.
- key worker updates in staff meetings
- discussion about key children in staff supervisions.

We constantly endeavour to ensure that these systems work, it appears that on a couple of occasions it has slipped. If you do experience this please do speak to either your prime contact or a co-ordinator at the time so that we can resolve any difficulties at the earliest possible opportunity, this may also help us to identify ways in which we can further improve the systems.

Skills
The vast majority of responses were extremely positive in relation to staff skills, understanding of children’s needs and support. We constantly strive to ensure children achieve to their full potential and although we do this we are also led by their family, and the amount that each family likes us to stretch their children does vary. Again please do let us know if you think we should be doing more.

Activities
We have recently set up an Activity Steering Group and representatives from the various different parts of ChYPS sit on this group. The aim is to further develop the range of activities on offer across the ChYPS by pooling the ideas of the staff team rather than each part focussing on their own activities. Ultimately we will develop a library of resources around particular themes, e.g. around the world, which will include onsite activities, entertainers / workshops that may visit and outings. Eventually this is a resource we would like to make available to families. In the meantime if you have any leaflets or information about activities and outings you have undertaken, either successfully or not so, please do let us know. You can send things to the “activity steering group” at White Lodge or just drop them in to reception.

One of the documents we use for activity planning is the All About Me so please do make sure that your son or daughters preferred activities are clearly on this.

In addition we have changed the way we do the planning for the play and youth schemes. The supervisors for each scheme will now meet ahead of the flyers being sent out and outline the activity programme. This means that the flyers will detail the overall activity for that day, something that has been requested by a number of families.
We are also exploring ways in which the youth schemes can operate as more of a base from which both activities take place, and young people go out to access other things. This obviously incorporates a much larger risk assessment and will take a lot of planning, however now having successfully run the youth schemes for some time we are keen to move them on and further develop the opportunities.

For domiciliary and family link, activities tend to be discussed in more detail with families, particularly when there are costs to be agreed.

Thank you for all the suggestions about activities, these were very well received and will be passed on to the activity steering group.

Meeting Health Care Needs
We are fortunate in that we have a close working relationship with the local paediatric nursing teams who provide training for us on rectal diazepam, epipen, gastrostomy feeding and other health care needs. We are able to work with children who are oxygen dependent as we can access training on this, and indeed have done in the past. This isn’t something we need to employ a nurse to do and shouldn’t prohibit a child being able to use Treetops, or any other part of the service. Sometimes the training does take a little while to access as the paediatric nurses are extremely busy, however they are very flexible and do fit us in as soon as possible. Sometimes we may ask you to bring your child to White Lodge on an extra occasion for training to take place and if you are able to do this it may help us to speed up the training.

The area of Surrey in which we are based hasn’t yet finalised their protocol about the administration of buccal Midazolam which is why we aren’t yet able to administer it. We have heard that the health trainers are being trained during the latter part of this term so are hopeful that our training will be able to take place in the early part of next year. We have a couple of children who are prescribed buccal Midazolam for places that are able to administer it. In order to prevent the children from not accessing services they are also prescribed rectal Diazepam for when they visit settings who haven’t yet had the training. In this way children aren’t prevented from accessing services. We appreciate this must be very frustrating for families and we are trying to resolve it as soon as possible.

Security
There will be some changes to the doors at Treetops, which means that only one of the external doors in the front reception can open at a time. In addition the only way to exit through the doors will be to be swiped out by a member of staff through each door individually.
Reception staff do aim to challenge every visitor, sometimes this is more difficult when the telephone is ringing and there are a lot of people in the vicinity. After Christmas we will be introducing a new switchboard which will enable reception staff to answer calls away from the telephone which will help with this.
Our maintenance team will monitor the use of the car parks, particularly for people who drive too quickly , we have introduced more signs but recognise that these don’t always encourage everyone to slow down.
The back garden is one large area, used by all children, the area behind Treetops isn’t specifically for Treetops use and the vast majority of play equipment is actually in the larger area of the garden. We hadn’t intended that Treetops children would access the garden via the play room, the decking on the play room was developed as an extension of the indoor play space. Children will usually go down to the main garden via the wibbly wobbly way. A gate is being ordered for the top of the steps down to the garden.

Play Scheme Dates
We often have feedback from families saying that they would prefer summer schemes to run for the whole holidays, rather than just the first 3 weeks as most do. White Lodge would also like to be able to do this, both for the families benefit and also because it is easier to recruit staff for the whole summer period. However most schools will only allow the first three weeks to be used as they then will have maintenance work done the following two along with a deep clean. In addition staff need to go in and start setting up for the new term. There are a small number of venues that may be available for the whole summer, but these don’t tend to be as suitable or well equipped as the schools and may not be considered appropriate by Ofsted. We will continue to keep an eye out for other options.
We know that the other play scheme providers that we work closely with (Link Leisure, Disability Challengers and Redhill and Reigate YMCA) also have similar difficulties to us as schools do tend to be the best options.


Quality Audit Process

In the letter which accompanies the questionnaire, parents and carers are re-assured that their comments will not affect the service provision for their child. Some parents and carers chose not to identify themselves when returning their completed forms. All comments and constructive feedback are welcomed and we hope that you would feel able to respond truthfully. If you have a particular problem or matter you would like to discuss, please do address this with a member of staff as it occurs.

Thank you once again for taking the time to complete the questionnaire this year. We really do appreciate your comments and have already responded to some suggestions as well as thinking about ways in which we can to others.

The ChYPS Team

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