Gingerbread - Lorne

1. To support children's care, play and learning needs, the provider should ensure children's personal plans are further developed to fully reflect their needs, wishes and interests. This should include, but not be limited to, recording how children's care, play and learning needs will be met in practice. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'My personal plan (sometimes referred to as a care plan) is right for me because it sets out how my needs will be met, as well as my wishes and choices' (HSCS 1.15).

2. To secure children's safety and wellbeing, the provider should ensure medication and health care plans include a detailed stepped approach to managing the child's needs and condition. This would include, but not be limited to, ensuring the service records the steps staff must take should the condition worsen or if the medication is not effective. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'Any treatment or intervention that I experience is safe and effective' (HSCS, 1.24).

3. To secure children's wellbeing, the service should develop the approach to recording significant information to ensure that there is a chronology of relevant events and communications. This is to ensure care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I am protected from harm, neglect, abuse, bullying and exploitation by people who have a clear understanding of their responsibilities' (HSCS 3.20).

1. The provider should develop and embed quality assurance processes to ensure they are robust and effective in order to drive forward improvement. This would include but not be limited to; - developing processes to monitor and improve the quality of children's care, play and learning experiences, - developing processes to monitor and enhance staff practice, - developing processes to audit and reflect on accidents and incidents in the service, - developing the service's use of good practice guidance to monitor and benchmark the quality of the service. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I benefit from a culture of continuous improvement, with the organisation having robust and transparent quality assurance processes' (HSCS, 4.19).

1. To promote positive outcomes for children, the provider should ensure staff are supported to develop the skills and knowledge needed to effectively and sensitively meet the needs of all children. This would include but not be limited to, supporting staff to develop their skills, knowledge and confidence when working with children who require additional support and supporting staff to develop their understanding of play, play types and the promotion of children's play. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I have confidence in people because they are trained, competent and skilled, are able to reflect on their practice and follow their professional and organisational codes' (HSCS, 3.14).

1. To ensure children's safety during trips and outings, the provider should ensure the service further develops the approach to risk assessing and managing risks related to these experiences. This would include but not be limited to, ensuring all outings are fully risk assessed and all risks are effectively recorded and planned for. This is to ensure that care and support is consistent with the Health and Social Care Standards (HSCS) which state: 'I am helped to feel safe and secure in my local community' (HSCS, 3.25).