Healthy Early Years Review Tool Healthy Early Years Review Tool Setting: Flora Gardens Children’s Centre Borough: Hammersmith and Fulham Page 1 of 29 Healthy Early Years Review Tool Tri-borough Healthy Early Years Programme Overview The Tri-borough Healthy Early Years Programme is funded by the Triborough Public Health Service. Based on the success of Healthy Schools this pilot programme seeks to build on the achievements made in the Triborough by expanding it to pre-school settings. In the first instance, up to 40 settings will be able to participate and then after a successful pilot the programme will be made available to all Early Years settings from January 2015. Resources, Communication and Support Each setting signing up will be expected to work towards gaining the award. In return they will receive the following: Bi-monthly newsletter (progress and offers from partners) Email network (updates, targeted information) Directory of services (provision from partners in early years settings) Free training for staff (both central and in-house) Free consultancy support Promotion and recognition of achievement in achieving the Healthy Early Years Award Health Education Partnership have been commissioned to provide free training and consultancy support around health and wellbeing including oral health, immunisation, breastfeeding, physical development, healthy eating, and personal social and emotional development. Participating settings will be supported to undertake this audit to demonstrate they have achieved the requirements of Healthy Early Years Award. There are a number of criteria relating to the emotional and physical environment that settings need to fulfil in order to achieve the Healthy Early Years Award (both in policies and practice). The Healthy Early Years Award will compliment national policy e.g. the Early Years Foundation Stage and Start4Life and will help early years settings to meet existing best practice guidelines and identify good practice and evidence for Ofsted inspections. The main aim of the programme is to support and encourage early years settings to develop and deepen their focus on health and wellbeing, which will support the attainment, achievement and happiness of children, parents/carers, staff and the wider community. Contact Details If your setting requires additional information or support in working with the Healthy Early Years Programme and gaining recognition, contact: Anna Brennan-Craddock Email: anna.brennan-craddock@healtheducationpartnership.com Freephone: 0800 048 8663 Mobile: 0770 381 4831 Page 2 of 29 Healthy Early Years Review Tool Benefits and Relevance to Settings Healthy Early Years Review Tool Every child deserves the best possible start in life and the support that enables them to fulfil their potential. Children develop quickly in the early years and a child’s experiences between birth and age five have a major impact on their future life chances. Early years settings can play a key role in improving children’s health by setting strong foundations to help them make healthy choices both early in life and in the future (Early Intervention: the next steps 2011). The Review Tool is based around the learning and development, safeguarding and welfare requirements set out in the Statutory Framework for the Early Years Foundation Stage (2014)1. It is also based on guidance from Ofsted (2013)2,3 NICE publications (20084, 2012)5 and Tri-borough Public Health Priorities. Health Education Partnership will support settings to register for the award and complete the review tool, which will help settings to: Highlight what is working well and any gaps in the settings policies or practice Plan and develop health and wellbeing interventions Monitor and record progress Evaluate effectiveness Identify outcomes. The Healthy Early Years programme and award will provide infants and children with specific learning opportunities around health and wellbeing, will enhance and maintain high standards of care and will support staff to make healthy choices within their own lives, as well as accessing relevant training around health issues in order to deliver the programme. Early years settings that achieve the award will have demonstrated that they: Promote the health and wellbeing of all children, staff and parents/carers Understand the importance of investing in health to raise levels of achievement for children Provide a safe, comfortable and secure environment for children, staff and parents/carers. Involve parents/carers in health related activities within the setting, and link health related messages to life at home. Work in partnership with local agencies and the wider community to promote health and support children and their families. Promote health in the workplace by providing choices, support and opportunities for all staff Meet the requirements of national and local statutory guidance 1 The award will recognise good practice demonstrated by settings and will also allow settings to access free training and consultancy support to enhance their work in identified areas. Department for Education (2014). Statutory Framework for Early Years Foundation Stage Ofsted (2013) Records, Policies and Notification Requirements for the EYS Register 3 Ofsted (2013) Early Years Self Evaluation Form Guidance. 4 NICE (2008) Maternal and Child Nutrition 5 NICE (2012) Social and Emotional Wellbeing in Early Years 2 Page 3 of 29 Healthy Early Years Review Tool Healthy Early Years Review Tool This Review Tool is for use by all early years’ settings including children’s centres and nurseries. It enables you to record your setting's provision for infant and children’s health and wellbeing in order to achieve the Tri-borough Healthy Early Years Award. The Review Tool is organised under seven headings: 1. Leadership and managing change 2. Policy and procedures 3. Learning, planning and resources 4. Ethos and Environment 5. Signposting to support services 6. Staff continuing professional development (CPD), health and wellbeing 7. Partnerships with parents/carers, local communities and external agencies Against each of the seven headings there is a table with 2 columns: Column 1 – criteria and minimum evidence Column 2 – prompts against which to record your school’s evidence You can use this Review Tool to record and update your setting’s progress around healthy eating, physical activity, emotional wellbeing and safety under the seven headings. As you enter information it will help you develop an action plan. There is space at the end of each table where progress notes and additional evidence can be recorded. The appendices provide further examples and a series of self-review questions that you can use to stimulate thinking about additional evidence. It might be helpful to print off the appendices and refer to them as you complete your review. Page 4 of 29 Healthy Early Years Review Tool Description of the setting Flora Gardens Children’s Centre is a stand-alone centre that was first designated in 2008. The centre is managed by the governing body of Flora Gardens Primary School on behalf of the local authority. The local authority runs its 16 children’s centres on a ‘hub and spoke’ model. Flora Gardens Children’s Centre is one of five hubs in the North locality of the borough covering the Ravenscourt Park and Hammersmith Broadway wards. The centre offers a wide range of services for families with young children, including health services as well as providing or facilitating access to services for adults via the other children’s centres in the borough and various key partners. In 2013, the local authority undertook a review of all the children’s centres’ areas. As a result, the number of children under five in the area served by this centre decreased from 2496 to 1444 from December 2013. The area includes 15 separate defined localities, three of which are considered to be in the top 10% least advantaged, compared to the rest of the country. The majority of children are from White British heritage families. Minority ethnic families account for a third of the local population. The percentage of children under five living in workless households is 34% which is well above national averages, but similar to that found locally. Almost two thirds of children in the area are living in poverty. Children’s skills and abilities on entry to early education are below the levels expected for their age. The centre has identified priority groups needing most support as: families living in the three least advantaged areas located around Ravenscourt Park and Hammersmith Broadway, families of ethnic backgrounds, and teenage parents. Page 5 of 29 Healthy Early Years Review Tool 1. Leadership and Managing Change Criteria and Minimum Evidence The setting provides clear leadership to create and manage an enabling environment, which enhances emotional and physical health and wellbeing supporting children to fulfil their potential. Setting Evidence Healthy Eating (names and job titles) Management Lead: Jennifer Quarcoopome – Deputy Head Staff member responsible: Kasia – Katarzyna Kwiatecka Early Years Curriculum Practitioner, Melissa Samuel – Senior Early Years Educator Staff, parents/carers and children can identify this staff member by: The setting has: 1. A member of the management team and, 2. A member of staff responsible for: Healthy Eating including breastfeeding, oral health and food safety and hygiene Physical Development Emotional Wellbeing Safety including child protection, immunisations. 3. System that ensures that staff, parents/carers and children are able to identify the named person Name badge Picture board with job titles Physical Development (names and job titles) Management Lead: Jennifer Quarcoopome – Deputy Head Staff member responsible: Kasia – Katarzyna Kwiatecka Early Years Curriculum Practitioner, Melissa Samuel – Senior Early Years Educator Staff, parents/carers and children can identify this staff member by: Same as above Emotional Wellbeing (names and job titles) Management Lead: Jennifer Quarcoopome – Deputy Head Staff member responsible: Kasia – Katarzyna Kwiatecka Early Years Curriculum Practitioner, Melissa Samuel Senior Early Years Educator, Aba Oppon Senior Family Support Worker Staff, parents/carers and children can identify this staff member by: Same as above Page 6 of 29 Healthy Early Years Review Tool Safety (names and job titles) Management Lead: Jennifer Quarcoopome Deputy Manager & Kasia – Katarzyna Kwiatecka Early Years Curriculum Practitioner Staff member responsible: Jennifer Quarcoopome Deputy Manager, Katarzyna Kwiatecka Early Years Curriculum Practitioner, Melissa Samuel Senior Early Years Educator, Aba Oppon Senior Family Support Worker Staff, parents/carers and children can identify this staff member by: Same as above Notes/Additional Evidence: 2. Policy and Procedures Criteria and Minimum Evidence The setting has the following policies that are reflected in practice and through ethos, culture and the environment. There must be a named policy in place, with a clear consultation and review process. Statutory policies (indicated by *) may need to be reviewed annually or biannually. Some policies may be combined or separate. Setting Evidence Safeguarding Children (Statutory) including: - The procedure to be followed in the event of an allegation being made against a member of staff - The use of mobile phones and cameras at the setting - Dealing with alcohol and drug related incidents and disclosure of domestic violence - Checking the identity of visitors - Statement on confidentiality and consent for young parents Safeguarding children* Last review date: 15th June 2015 Equal Opportunities * Equal Opportunities (Statutory) including: Administering medicines* - All children have equal opportunities and there is support for children with special education needs or disabilities Page 7 of 29 Next review date: 15th June 2016 Healthy Early Years Review Tool Health and Safety* Last review date: 5th May 2015 Behaviour management* Administering Medicines (Statutory) including: (Included in Creche and Creche Induction Policy) No Smoking* - Systems to support individual children with medical needs Immunisation Statement - Procedures for children who are ill or infectious Healthy Eating Oral Health Physical Development Last review date: Sep 15 Next review date: 4th May 2019 Next review date: Sep 17 Health and Safety (Statutory) including: - Procedures for accidents, hazards and faulty equipment including dental trauma - Procedures for infection outbreaks and related exclusions Last review date: June 2015 Next review date: June 2018 Behaviour Management (Statutory) including: - Positive behaviour management and anti-bullying guidance Last review date: 10th May 2015 Next review date: 15th January 2018 No Smoking (Statutory) including: - Guidance that no one smokes within 15m of building, buggy park or garden. Last review date: Sep 15 Next review date: Sep 17 Immunisation Statement- Statement that encourages immunisation. Last review date: Sep 15 Next review date: Sep 17 Healthy Eating (Food and Nutrition Policy) Last review date: Sep 15 Oral Health Page 8 of 29 Next review date: Sep 17 Healthy Early Years Review Tool Last review date: Sep 15 Next review date: Sep 17 Physical Development including: Purposeful Physical Play Last review date: Sep 15 Next review date: Sep 17 Consulted groups and process: School Board of Governors Meeting Advisory Board Children’s Centre Meetings Parents attend the board of governor meetings Children Centre Parent Forum held every month – (Parent consultation and feedback) Staff consultation Does staff understand their role? Staff meetings Induction process Discussed in the staff induction Staff sign off that they have read and understood the policies Regular supervision sessions Do staff, parents/carers know where and how to access the policy? There is a policy folder both electronically and printed- kept in the managers office Open door policy for parents to access the policy Policies can be viewed and on FGCC website when construction completed Notes / Additional Evidence: A recently established parents’ forum ensures families’ voices are heard, however; parents feel their views are acted on, such as changing the timing of sessions. Increasing the number of sessions for babies, planning family trips within the London area rather than outside, having flyers made in four different languages. Page 9 of 29 Healthy Early Years Review Tool 3. Learning, Planning and Resources Criteria and Minimum Evidence The setting includes these areas of delivery which are planned, assessed and evaluated to ensure the quality of learning: Healthy Eating including breastfeeding, oral health and food safety and hygiene Physical Development Emotional Wellbeing Safety including child protection, immunisations Child progress and achievement in these areas are assessed and reported in line with current guidance and celebrated appropriately. Setting Evidence Healthy Eating and drinking including oral health and breastfeeding? Delivery takes places via: Cook and play together sessions Encourage children who are fussy eaters to participate in sessions supported by parents Staff and parents role model what to do with the food Parent support programmes- parents offered tea, coffee, water and sandwiches including vegetarian (if available) and fruit. Children offered health snacks and parents are encouraged to bring in healthy snacks for the children Vegetable garden and green area patch- the children learn to plant and grow; herbs, runner beans, tomatoes etc. Oral health session every half term, providing timers and literature of tips for parents to support and encourage their children to brush their teeth. Dinosaur Douglas books and charts also provided. Feedback forms completed by parents. Mytime active deliver healthy eating session and they are coming back to do MEND Breastfeeding chair available at all times for mothers who want to feed their baby. Mothers can drop in any time during the day and we also have postnatal support sessions inclusive of breastfeeding support every week facilitated by a midwife assistant. Is monitored and evaluated by: Feedback from parents Page 10 of 29 Healthy Early Years Review Tool Staff evaluations Parent evaluations at the end of term Daily attendance sheet and registrations External facilitators/practitioners identifying issues for parents, offer appropriate advice and support and inform staff. Assesses, records and report child progress and achievement by: Photos Observations Parents Comments EYFS development tracking processes Celebrates child progress and achievement by: Positive praise Certificates Recoded in child’s portfolios Party to celebrate their achievements at the end of term Physical Development Delivery takes places via: Park visits Outside space Water tanks Mud kitchen Page 11 of 29 Healthy Early Years Review Tool Scooters, mini cars to peddle, slide, trampolines, footballs, matts to do hop scotch, Music house every Thursday, they run two sessions a week as it is oversubscribed They ensure all children partake in the activities and try new activities to build confidence with the children’s peer group. Get the children engaging with other children in the sessions. Trips to little Hampton Hobble down farm Odds Farm Is monitored and evaluated by: Staff observe the sessions Staff evaluations Parent evaluations Assesses, records and report child progress and achievement by: Learning journal/Portfolios for the rising threes and targeted adult education and parenting support groups where crèche is provided. Taking electronic photos and then adding comments to these to show change Observations Parents comments Celebrates child progress and achievement by: ‘Wow’ moments are recorded in the children’s portfolios Positive praise Photo’s displayed on framed display boards in crèche and around the centre Page 12 of 29 Healthy Early Years Review Tool Certificate at the end of Rising Three’s Emotional Wellbeing Delivery takes places via: Induction sessions take place prior to crèche care or targeted childcare transition groups such as Rising Three’s. ‘All About Me’ a summative assessment is undertaken at the beginning of child starting crèche and followed through the duration to the end of their crèche period. Transitions work called Rising Threes, which creates a learning portfolio with a list of what they have achieved. Parents and children come in for one session a week and the other session the children are left with staff on their own. Each child has their names on a sticker that they take responsibility for to know how to engage in school Toilet training sessions- discussions with parents to better prepare their child and themselves for when it’s going to happen. Nursery choices are discussed Staff make arrangements to attend visits to nursery’s to support parents to decide which nursery is good for them. Gardening project offers them out-door time to commune with nature Parents are encouraged to access facilities here especially those accessing family support Sleep group to offer support and advice to parent/carers Is monitored and evaluated by: EYFS developmental stages Photographs The parents are encouraged to participate in activities with their child at home and bring it in and share it with us. The results are logged for monitoring. Page 13 of 29 Healthy Early Years Review Tool Staff observations and evaluations Assesses, records and report child progress and achievement by: Portfolio / Learning Journals Photos Rising Threes individual profiles Crèche services where individual profiles are developed on each child Parents comments Celebrates child progress and achievement by: Certificate at the end of the course Rising Threes Party/ceremony to celebrate the children finishing the course Positive verbal praise Safety Delivery takes places via: Daily safety check by two members of staff Six weekly health and safety checks Children learn how to play safely and take turns when doing activities Trips to the park helps the children to learn how to walk safely on the road When out of the centre, children wear name bands with a telephone number on and high vis jackets Talking to the child and the parent, encourage the child to behave differently, getting the parent to support it as well. Page 14 of 29 Healthy Early Years Review Tool Is monitored and evaluated by: Staff observations Health and Safety record book Session observations Reflective practice Staff meetings Updates from training Assesses, records and report child progress and achievement by: Observations Parents comments EYFS development tracking Completing daily risk assessments Assessment of child’s development ‘All About Me’ portfolios Celebrates child progress and achievement by: Positive praise and updating parents of child’s progress and achievement. Notes/additional evidence: Page 15 of 29 Healthy Early Years Review Tool 4. Ethos and Environment Criteria and Minimum Evidence Indoor and Outdoor Spaces are safe, supportive, enabling environments, providing rich learning opportunities through physical play supporting children to take manageable risks. Setting Evidence Indoor and Outdoor Spaces provide: Energetic activities and heart raisers: Scooters Bus cars Outdoor play area- free flow between indoors and outdoors Trampolines Bucket walls to walk on- for balance Matts with numbers for hop scotch Football Music to move to Balls Hula hoops Beans bags Gardening Mud kitchen Rope tide to a tree with a ball- swing ball Water activities Sand pit Page 16 of 29 Healthy Early Years Review Tool Quiet activities: Jigsaw puzzles Reading area Ball pond Arts and crafts Baby massage Cook and play Setting supervision and support via (include staff: child ratio): Under two 1:3 Over two 4:1 Outdoor supervision and support via: Food that meets nutrient based and food-based standards is provided. The setting provides guidance on healthy eating and oral health. Children have access to free, clean and palatable drinking water at all times. Under two 1:3 Over two 4:1 Eating environment provides: only snacks provided Welcoming, social environment by: Table cloth Background music Page 17 of 29 Healthy Early Years Review Tool Attractive eating environment by: Fruit cut up and laid out on the table Jug of water and/or milk with cups Colourful bowls provided Colourful utensils Promotion of healthy eating by: A variety of colourful fruits available Everything healthy is available e.g. rice cakes Staff eat with the children Baby weaning sessions A clean and hygienic environment by: Children wash their hands in their own toilet area before and after eating Cleaned daily, toilet and bathroom area checked every morning. Lunches that meet the voluntary food and drink guidance (if applicable): N/A Food other than lunches meets the voluntary food and drink guidance (if applicable): N/A Guidance on healthy lunches and snacks disseminated via: My Time Active practitioners. Cook n Play menu’s for healthy cooking and low budget shared with parents. Page 18 of 29 Healthy Early Years Review Tool Free, clean palatable drinking water at all times via: Centre provision Always available Breastfeeding and Weaning (If applicable) Setting provides: The setting provides a welcoming atmosphere for women to breastfeed and facilities for breastfeeding mothers to express and store milk. A welcoming environment for women to breastfeed by: Posters and signs and leaflets promoting breastfeeding Centre provides a breastfeeding support programme and postnatal maternity support Breastfeeding chair and pillows available. Facilities for breastfeeding mothers to express and store milk via: N/A Preparation and storage meets national guidelines: N/A Physical Development Setting provides: The setting promotes motivation, confidence and physical competence, knowledge and understanding and provides opportunities for children to be physically active throughout the day. There is a mechanism for monitoring participation. The setting encourages children and families to stay active outside the setting. Opportunities for physical development including: Baby Massage Stay and play Out door and indoor play areas Local walks around the school and to the park. Focus on confidence building and interaction with physical activities Activities ensure they have heart raisers as part of the sessions Participation is monitored by: Attendance sheets for every session Target some parents to attend especially if family support are involved Page 19 of 29 Healthy Early Years Review Tool Parent feedback Evaluations Active Travel Active travel is promoted by initiatives including: The setting promotes active travel by running active travel initiatives. Completed: 13/10/2015 Travel Plan Coordinator- Jennifer Quarcoopome – Scooters – pushing with one leg whilst balancing with the other, improving gross motor skills, hand eye coordination, positioning and adjustment of pace fast, slow and stop. - Ladybird wheelies - Children sit on ladybirds and using their legs forward pull, then back push to get around , improves leg muscles and gross motor skills. - Pedal Cars (Little tikes) – use of feet to pedal the little cars to get from a to b, improvement of gross motor skills, hand eye coordination, role play learning to navigate in and out between obstacles, learning about traffic, using imagination, social play and interacting with other child drivers. Children’s Voice The setting has mechanisms in place to ensure the views of infants and children are reflected in decision-making, policy and practice. Children’s voice mechanisms include: Children lead with activity they want to play with during session Children’s views are reflected in: How they engage and express what they are doing or what they want to do. More water play Mud kitchen loved by the children Choice of outdoor or indoor activity Emotional Wellbeing and Personal Development Setting provides opportunities for children to The setting promotes emotional wellbeing and provides opportunities for children to build confidence, self-esteem, and positive relationships, develop responsibility, independence and resilience and learn how to assess risk and stay safe. Build positive relationships by: Different play areas are set up to group the children together 2/3 children, they each do different activities to learn to play together and try new things together. Central activities- soft clay, foam, leaves, sand, magnifying glass- sharing and working together Page 20 of 29 Healthy Early Years Review Tool with peers, building things Build confidence and self-esteem by: Peer activity, breaking down barriers to children feeling isolated/over whelmed, giving them time to get involved. Observe the children growing in confidence, ensuring the children are comfortable. Doing what they want to do, encouraging them to make comments and chat together, leading to playing together Develop responsibility, independence and resilience by: Tidy up time together with parents and staff, with the outcome of not doing it clearly explained Sitting together and choosing their seats Taking their name on the register and putting their coats away Waiting for song time on the carpet Learn how to assess manageable risk and stay safe by: Learning when to run and walk Wear the high vis jacket when off the premises Repeating instructions as they get older Staff observations Allowing children to take risk within a safe and supportive environment Notes/additional evidence: Weekly plans by early years staff including quarterly themed activity- the seaside theme this quarter, next quarter is the jungle theme- learning about animals and the environment. Page 21 of 29 Healthy Early Years Review Tool 5. Signposting to other Services Criteria and Minimum Evidence The setting has systems to identify and meet the needs of children and families and has arrangements to signpost families to appropriate and relevant support. Setting Evidence Setting identifies needs of children and families by: Family support worker who holds case work Receipt and follow up of referrals from Localities children services, health visitors, midwives, school, outreach, self-referrals and other children centres. Home visits undertaken where children are present, are seen, where parents are encouraged to access centre facilities and services as a part of an agreed action plan in meeting needs. Staff identify families that come into the centre who are ‘in need’ especially if there are disclosures during stay and play sessions. Families are also discussed during team meetings, should a cause of concern or issue be observed by staff. Settings signpost families to services including: CAHMS Back on track Children’s Locality Team Housing CAB Smoking cessation information Health visitors Midwives Page 22 of 29 Healthy Early Years Review Tool My time active weight control/ healthy support Solicitors Immigrations Dentists Notes/additional evidence: The excellent links Flora Gardens Children Centre has with Flora Gardens Primary School and the strong partnerships with other schools and centre. Health professionals and other key agencies have been instrumental in promoting the centre. Page 23 of 29 Healthy Early Years Review Tool 6. Staff continuing professional development (CPD), health and wellbeing Criteria and Minimum Evidence Staff CPD Setting Evidence Setting identifies: The setting identifies staff CPD needs for health Staff CPD needs for health and wellbeing by: and wellbeing and provides appropriate training 1:1 supervision and development opportunities Staff meetings Induction process Health and wellbeing training and development opportunities including: Food and hygiene Sexual health Safeguarding Domestic Violence First aid Health and safety Incredible years parenting programme EYFS development stages Epi-pen training (Early Years staff) Serious Case Reviews Page 24 of 29 Healthy Early Years Review Tool Behaviour Management Physical Development Training has influence practice in setting by: Staff Health and Wellbeing The setting supports staff in maintaining their health and wellbeing and a healthy lifestyle and encourages them to be positive role models. All staff can, confidentially, access advice, support and services (within and beyond the setting) Raising awareness Raising staff expectations Positive contribution to good teaching and pastoral practice and good practice all round First aid training has enabled injuries to be treated by working with the parents to teach them how to do it, then the correct reporting procedures are followed. Service Delivery of a high standard Staff health and wellbeing: Setting staff are supported in maintaining their health and wellbeing by: Management is available at all times for both informal and formal consultation Supervisions- health item on agenda Team meetings Early years staff have a separate meetings and issues are reported to management Staff have been encouraged to be positive role models including: Go to the park for walks Page 25 of 29 Healthy Early Years Review Tool Eating healthy Staff can, confidentially, access advice support and services from: From management Notes/additional evidence: Page 26 of 29 Healthy Early Years Review Tool 7. Partnerships with parent and carers, the local community and external agencies Criteria and Minimum Evidence Setting Evidence Engaging with parents/carers Engaging with parents/carers: The setting provides opportunities for parents/carers to access information, support and advice on health and wellbeing Setting provides opportunities for parents/carers to access information, support and advice on health and wellbeing by: Engaging with the local community and external agencies The setting engages with the local community and a range of external agencies to support children, Leaflets Anti and postnatal care There are specific programmes focused on this (bump to baby, postnatal and breastfeeding support) and MEND sessions, sleep group and weaning group They are signed posted to websites (Job Centre Plus, other children centres and FGCC website) Newsletter Signpost to external services Opportunity to be part of parent forum Feedback and suggestion box Approach staff at any time Family support worker has a case load Young Parents Support Group – providing lunch, crèche and support group Engaging with local community and external agencies: Settings engage with the local community and a range of external agencies to support children, parents/carers and staff including: Page 27 of 29 Healthy Early Years Review Tool parents/carers and staff on: Children services Healthy Eating including oral health CAHMS Emotional Wellbeing Back on track Physical Development Children’s locality team Safety including immunisations Housing CAB Smoking cessation Health visitors Midwifes My time active (MEND) & (Boost) Weight control/ healthy support Solicitors Immigrations Dentists Health Start Vitamins (Distributed for expectant mothers and children) Vaccinations information – (Provided via Health Visitor – every 1st Tuesday of the month) Partnerships: Adult education Macbeth centre Park medical centre Back on track My time active Page 28 of 29 Healthy Early Years Review Tool Job Centre Plus Masbro and Melcombe Children’s Centre TAC meetings jointly with Masbro CC Midwives at Queens Charlottes hospital Healthy Start Vitamins – now My Time Active Notes/additional evidence: Page 29 of 29