Salford Learning Support Service IN Salford Early Years Initial Checklist Possible indicators of speech, language and communication needs (SLCN) Name of child: Dob: School: SENCO Year group: Chronological age in years and months: Date checklist completed: Class teacher: This checklist is to help identify children who are a cause for concern and may have speech, language and communication needs. This form should be completed by someone who knows the child well. Refer to www.speakupsalford.nhs.uk for the developmental norms if needed. To refer a child to the Learning Support Service please request a referral form from: LSSreferrals@salford.gov.uk Please tick as appropriate: = most of the time = some of the time O = hardly ever/never Has this child any other known difficulties? If so – please specify: Is this child EAL? YES/NO. If yes - what is their home language? ECAT – If you are an ECAT setting, remember to monitor using the ECAT monitoring sheet to ascertain if a child is at “risk” level - i.e. two levels below the expected age band. Being at “risk” level is another indicator to refer to LSS General Signs Poor listening skills. Has poor eye contact. Shows little interest in communication. Is unable to engage in pretend play. Is unable to play co-operatively with others. Responds inappropriately or misinterprets what has been said. Displays inappropriate behaviour. Is disruptive. Has a limited vocabulary. Is unable to communicate basic needs verbally? Is unable to remember instructions. Additional comments: Speech Speech sounds are not clear Salford learning support service – SLCN – Early years initial checklist Has difficulties in making themselves understood by adults and/or other children. Stammers For more information on stammering go to: www.stammering.org/ Additional comments: Expressive language Uses language typical of a much younger child. Word-retrieval difficulties – has “tip of the tongue” moments. Frequently hesitates. Uses “filler” words – frequent use of words such as: thing, there, that. Uses highly inventive words e.g. orange peas for baked beans. Uses general “all purpose” verbs e.g. “he do the picture” instead of “he’s painting the picture”. Additional Comments: Receptive Language Has poor attention – “switches off”. Rarely follows spoken instructions. Tends to have own agenda. Is reluctant to respond. Only does the last thing you asked of them. Is the last to finish. Copies others readily. Uses all the non verbal cues within the setting to help them understand. Is unable to follow stories without seeing pictures. Gives irrelevant answers. Additional comments: Reminder: Please refer to www.speakupsalford.nhs.uk for advice on strategies, resources and developmental norms etc Salford learning support service – SLCN – Early years initial checklist