A life changing tool

An example of how one-page profiles can be used to improve relationships and communication. Steve felt like he was being looked after and controlled until his support team learnt from him what was most important and how to support him well.

Steve's one-page profile

Steve’s one-page profile

Written by Sarah Carrier, Lenard Cheshire Disability

Steve Nadison, 35, has lived at Springfield for a year. He is really popular with everyone here. He had a road traffic accident 5 years ago and had his left leg amputated so now uses a wheelchair. He also has an acquired brain injury and hearing loss. Steve moved here from a Learning Disability service, where he had been placed 3 years earlier as an emergency placement. The service was finding it difficult to support Steve.

When we first started to introduce one-page profiles at Springfield, Steve’s quickly stood out as a tool that would be life changing for him. Historically had been “looked after” and he really struggled with this which had led to poor communication between staff and him. He felt he was controlled by everyone. He had got quite angry and aggressive on a few occasions. After talking to him and using learning logs with the staff it was quite obvious communication and control were the things we needed to work on. It was really important that Steve’s personality shone through and staff were given a real sense of how they could support Steve and assist him in managing his money and cigarettes – which were the things that he identified as very important to him.

Steve and Kris (our Person Centred Practice champion) spent some time in his flat discussing what was important to and for him and created his one-page profile. I worked with him to talk about how he wanted people to talk to him and support him to make decisions and this information was captured using other tools.

On completion his profile was then shared with the staff team. His original one-page profile had lots of direct quotes from Steve and we thought this was important as it again gave staff a real idea of how he felt. It is used as part of Steve’s Personal Plan and the feedback from staff has been really positive. They feel they have a good level of information about Steve and are aware how to support him. It has recently been updated after his review.

Steve told me he believes his one-page profile really improved communication with the staff team at Springfield. He thinks it helped him express his feelings and thoughts in an understandable way and in a very short space of time.

Steve feels that he has support over the decisions he is able to make and feels more in control. This is a work in progress and we are constantly looking at how Steve can have more control. He feels that the one-page profile helps make others aware that he will need support to manage his money.  He summed up beautifully by saying ‘it cuts out the rubbish and gets to the point’ for staff.

From a staff team point of view I think Steve being so personable and open has really helped us learn new skills. Steve is very open to talking things through when there has been an issue over money or his cigarettes and I think this has helped his support team grow in confidence. It shows that the information that has been captured really works. Using the one-page profile to get to know Steve and what is important to him reinforces that everyone is an individual. Trying to fit people into a ‘one size fits all’ support plan doesn’t work, but celebrating people’s specific personalities and listening to what is most important to them means you can support people in a way that makes sense and that they are happy with.

Advertisements

A wake up call

An example of how a one-page profile has led to successful communication between Paul and his support worker Robin by drawing out the key information ‘what is important to you and how do you want to be supported?’

Paul's one-page profile

Paul’s one-page profile

Written by Support Worker, Robin

Paul is a young adult in his early 20’s who dreams of going to college and experiencing life on his own, all while getting an education. He currently lives with his parents but is looking for his own flat. We decided to create a one-page profile with Paul so that I, as his support worker, would not only know how to best support him, but in what areas he does want my support and what he wants that support to look like.

We sat down one afternoon with some friends and just talked about the various ways support could be provided. Paul then wrote his own profile.  It was shared with me and my direct supervisor. We used it to problem solve how we would ensure Paul received his support in the way he wanted.

It made a huge difference for me as his support worker in the sense that I now know very clearly what he wants from me. It had never previously dawned on me to ask ‘how’ he wanted communication between us to look until he mentioned it. The one-page profile sets out what is important to him, and he now knows how I can help him achieve that.

Our communication has become much more successful since I have been using the medium he has chosen – text message. It sounds simple (what 20 something year old man doesn’t prefer to keep in touch via text?) but before he noted it on his one-page profile it hadn’t occurred to me. Paul used to worry about appointments and whether or not he had the time and date correct. He used to leave me phone messages which wouldn’t always get passed on and this would lead to anxiety and missed appointments. Now he simply sends me a text message whenever he wants to confirm anything or needs reassurance and I can reply straight back to him.

Paul respects my boundaries of only texting during business hours, and I respect his desire to use that as our primary communication method. Instant answers work best for him, while still enabling him to see the answers to his questions in writing if he forgets what was said earlier. Over all our working relationship is better as a result. It was a big wake up call for me too. I communicate with most of my friends via text and it is the preferred medium for many so it makes sense that this would work for Paul too.

The one-page profile has absolutely achieved what we wanted it to! I am able to support Paul to the best of my ability with this information and we have been able to progress along much quicker than before.

A view of the world from a different perspective

Philip's one-page profile

Philip’s one-page profile

An excellent example of how one-page profiles can empower people to achieve their goals. Philip is Autistic and has his own unique perspective on life. With the help of his one-page profile he has been able to do things that had previously worried him and is one step closer to fulfilling his life ambition; being famous!

Written by Suzanne

Philip is 26 years old. He is very witty, chatty and his biggest goal in life is to be famous! Philip is very likeable and he has an army of supporters and admirers. He makes a lasting impression on everyone he meets.

Part of his fantastic character is the fact Philip has Autistic Spectrum Disorder. His view of the world is very different to a lot of people. Philip has helped us appreciate the diversity of looking at and interpreting the world. There is no correct way to perceive our environment however, there are many ways to see the same thing and each of them may be correct if seen from the right perspective. This is what Philip does; he gives us his perspective of how he sees life.

In 2012 one of Philips greatest personal achievements was going to the Supermarket. This took a lot of planning with Philip who initiated the trip by saying that he wanted to go shopping and that if we got him a wheelchair he would go. The wheelchair makes him feel safe even though he has no physical disabilities; Philip is terrified of strangers, people and community life.

We researched several Supermarkets and approached them with Philip’s consent explaining the situation, discussing different types of wheelchairs they provide and the best times to access them. Sainsbury’s at Bishop Aukland were very helpful. We took Philip and checked out different wheelchair options. We also gave Sainsbury’s Philips one-page profile with his consent. His profile has all the important information about Philip, what is important to him, what people like and admire about him and how best to support him. This helped people at Sainsbury’s get a picture of Philip before meeting him so they had a good understanding of who he is. They all read and appreciated the information and I believe it helped them gain a deeper understanding before meeting Philip in person which undoubtedly improved his experience.

Philip goes shopping now every Tuesday. He has had his picture in the Northern Echo and a story about this achievement. He is more comfortable around people and has built a circle of friends from staff who work there. We also used the one-page profile when Philip wanted to go Horse riding. It is a good “ice Breaker” and Philip loves the fact that people know him before he has met them and it makes him less anxious. He is trying new things now and feels more confident that “the world is ready for Him”

Before producing his one-page profile, Philip only went to the moors or places where there are very few people. I can safely say that it has changed his life and he is more involved and having more new experiences than ever before.

Championing change

Written by mum, Kate

Kate

Kate

I have three children. My youngest boy is 6, a middle girl who is 10 and my eldest Alfie who is 13. All my children have one-page profiles and all for different reasons but it was because of Alfie, who has Down’s Syndrome and is on the Autistic Spectrum that I first heard about them and their powerful ability to communicate, advocate, and direct support.

I live with my family in rural east Suffolk by the coast. It is beautifully scenic and there are some wonderful things about our community that I wouldn’t change a bit.  However, and I don’t feel too bad in saying this, we are not exactly cutting edge in the learning disability and autism support world.  I go elsewhere in the country and person-centred practices have been high on the agenda for some time. Where I am, people still frown and squint slightly the first time they hear the term. Not to say that they are not open to it or indeed all-embracing of the opportunities that come from person-centred tools, they just don’t know about it. I’m hoping that I can help change this and therefore change the community that Alfie will live in so that he has a happy and fulfilled life and a future that we can all look forward to.

Up until Alfie was 9 years old he attended a mainstream School. It had felt important that Alfie was given the same opportunities as everyone else and at the time we thought that sending him to the same place as everyone else would ensure this. It didn’t. The school were not equipped to support Alfie well. Out of the 5 teachers he had during his time there only 2 tailored their lessons for Alfie’s Support Assistant to teach him one-to-one. Because of their lack of understanding of who Alfie was and what he needed, rather than being included, we found that he was being excluded and gradually becoming more and more isolated from his peers. It reached a point where he wasn’t allowed to touch or play with anyone –  Hardly the best thing for a young boy’s confidence and social skills.

We felt that our only other option was a special school for children with moderate learning disabilities. We knew at least here that Alfie would be with people who understood about his specific needs and would encourage and teach the social aspect of school as well as support him in his learning. In many ways this new environment has been better for Alfie.  Now that he is older, his lessons are just 45 minutes long and then he gets to walk to the next class – this type of structure, scheduling and activity is very good for him. Sadly though, despite this being a school designed for children with different support needs I still feel they are lacking in their approach and certainly not at the point where they could be described as personalising the support or the education they offer their pupils.

Alfie is fluent in Makaton but chooses not to use it. He communicates mainly through behaviour and for the school ‘behaviour’ seems to equal ‘bad behaviour’. I regularly get notes about ‘incidents’ that Alfie is involved in – usually relating to him being over familiar with another pupil, hugging them too tightly, or holding on to their earlobes (he gets a great deal of comfort from earlobes). I never hear about the why? What led up to the behaviour? How he was in himself immediately before or after? What can be understood about what he might need from how he has acted?  I just hear about the what. To me this shows a real lack of understanding about Alfie, who he is, what is important to him and what good support looks like (all the things that are recorded on a one-page profile).

I’ve recently started to co-facilitate the ‘Better Life Programme’ – an 8 session  training course for families to introduce them to person-centred thinking tools, what personalisation actually means and how to access things like personal budgets and support from Local Authorities. It is a course that I myself attended and it changed my world. Alfie’s school has given us permission to use their building to deliver this to parents. It is my hope that the learning will spill out into the corridors and become absorbed by the foundations of the school (or maybe that the head teacher will sit in on a session and take something away from it) and this will lead to change.

When Alfie was younger I thought we had to fit him into the world that already exists. I now know that it is the world, our communities, schools, places or work, people’s perceptions that need to change to fit in with him and all the rest of our children. I give Alfie’s one-page profile to people because I know that if they read it they will understand him better, be able to make  a few small adjustments and this will automatically improve their experience and time with him. Alfie’s school were very positive about his profile when I first introduced it and I strongly believe that if they learnt more about this approach and adopted it for more of their pupils it would change the way they support and teach because they would see and understand each child for the unique individual that they are.

Christmas for Carol

Image

How using a one-page profile to help someone communicate what is important to them at Christmas and what support they need, can lead to a happy festive period – and some good learning for support providers too.

Carol's one-page profile

Carol’s one-page profile

Written by: Tracie Gudgeon

Fifty-seven year old Carol shared her bungalow with best friend Katie for many years. Both lively ladies, together they would love to chat and share stories or local gossip. But when Katie sadly passed away, Carol’s life changed. Not only was she grieving for her friend but she was also finding it hard living alone. Despite having a close family who regularly visited, carol was lonely.

Carol’s first Christmas without Katie was particularly difficult. Carol loved Christmas, her birthday is in the festive season and she was named Carol for that reason.  But she wasn’t her usual bubbly self and her family worried that she seemed very flat.

When I was asked to carry out a review with Carol, her family and support workers we talked about how important it was for Carol to have a happy Christmas to look forward to and that we needed to understand how best we could support her in that. Someone suggested that we helped her to write a Christmas one-page profile that could be shared with her family and friends so that everyone knew how to help make it a happy occasion.

Together, Carol and her senior support worker sat down and thought about what was important to her and how we could ensure good support at Christmas. The plan was very detailed and even considered who in her team was the best cook. There is nothing worse than a badly cooked turkey at Christmas! During this time Carol was also introduced to Molly, a lady who was interested in living in the same village. In the lead up to Christmas, Carol and Molly got to know and like each other and on the 21st December Molly moved in. This turned out to be the best present Carol could have wished for.

The one-page-profile was really important to Carol as it supported her to have exactly the Christmas she wanted. A great deal of learning took place for us as a provider too. We realised that far too often we organised Christmas rotas based around what we wanted; when we wanted to go Christmas shopping or when we wanted to work, without thinking enough about who the person we support wants in their home on such a special day.

Carol shared her Christmas one-page profile with her family; this gave lots of reassurance and helped them to celebrate it in the way that made her happiest.

Carol and her new friend Molly had a good Christmas together and are already looking forward to this years..

One-page profiles in end of life support

How person-centred thinking tools like one-page profiles can help people get the right support at the end of their life whilst helping family, friends and professionals through the journey.

Stephen's one-page profile

Stephen’s one-page profile

Written by Tracy Meyerhoff

Sixty-two year old Stephen lived in Karelia Court, a home run by Hull City Council which specialises in supporting people with autism. Stephen’s autism affected his communication and interaction with people but despite this he was able to express his wishes clearly and choose his own support using person-centred thinking tools, something that Hull City Council has been introducing across their adult social services.

Staff at Karelia Court were committed to supporting Stephen in the way he wished, and so used a one-page profile to help record what was important to him and how best to support him. To assist the team in this staff received a training programme and introduced a series of support structures that helped change the culture of Karelia Court, putting person-centred thinking at the forefront of their support. This was reflected in the way staff and residents interacted with each other as well as in paperwork and care planning.

For Stephen, it meant that he was able to live life the way he chose whilst receiving the support he needed. This approach became all the more important when in 2011 Stephen was diagnosed with advanced oesophageal cancer. As a man with autism, routine and familiarity were very important to him, and his diagnosis meant that he was going to experience a number of changes and come into contact with lots more professionals involved in his care.

Following discussions between family, carers, clinicians, and Stephen, palliative care was felt to be the most appropriate treatment. For staff at Karelia Court, this meant ensuring that their values of providing person-centred care continued and that the new people that would become involved in Stephen’s support used his one-page profile to understand him and how best to support him.

Stephen remained at Karelia Court and received some in-patient care at Dove House Hospice.  This reduced the chances of Stephen having to make unnecessary hospital admissions, which would have caused him additional distress. It also meant that staff were able to work together, Karelia Court sharing their knowledge of autism and Dove House Hospice, end of life care. Most importantly though, it meant that Stephen’s person-centred support continued and one of his dreams was realised when he met Hull City Football Club players after staff at the Hospice read that he was an avid supporter in his ‘If I could, I would’ statement; one of the person-centred thinking tools used at Karelia Court.

Sadly Stephen’s condition worsened and he passed away in January 2012 but the person-centred support he received from teams at Karelia Court and Dove House Hospice never faltered. The visits from friends and family that he had expressed as being so important to him meant that he passed peacefully with his loved ones by his side.

Since Stephen’s death, all the organisations involved have come together to reflect on what happened and to ensure that care for other supported people at the end of their life is always of a high quality. By keeping Stephen at the heart of all planning, sharing information and constantly talking to Stephen about what he wanted and needed, he was able to make decisions about his care right the way through, even planning where he wanted to be at the end of his life. It meant that his brother and sister were able to spend time with him without worrying about the practical elements of his care, that medical staff and support workers were confident that they were acting in his best interests, and that Stephen himself was comfortable throughout. Reflecting on the support Stephen received and how he was at the end of his life, his brother said; “If my death is half as good as Stephen’s was, then I would be happy.”

Talking about the benefits that person-centred care had on Stephen and how tools like one-page profiles could help others, Tracy Meyerhoff, Assistant Head of Adult Services (Hull City Council) said; “We realised through working with Stephen that it was the simple things that mattered to him, and for him good care meant providing seamless support and knowing him well.

“We have new ways of working, and we recognise person-centred thinking tools for the positive impact they can have. They help to ensure that the person is not lost in a chaotic and confusing time, and that they continue to influence decisions throughout their medical journey.”

There is an end of life personalisation checklist and guidance book available for free download as part of the Progress for Provider series.

Supporting patients with learning disabilities in hospital

How using a one-page profile in hospital can help medical staff support patients with learning disabilities, reducing anxiety for the person needing treatment and ensuring they get the medical attention they need.

Len's one-page profile

Len’s one-page profile

Written by Tracie Gudgeon

Ninety year old Len lives with his three best friends who he has known for 60 years. Len has a mild learning disability and after spending much of his life in an institution he moved into a supported house.

With a fun sense of humour and a warm, affectionate disposition, Len is a well-loved member of his household.  The limited contact Len has with family members makes his relationships with housemates and support workers all the more important.

Despite being in good health generally, Len recently became ill and was admitted to hospital for tests. After a couple of days on a ward Len’s wellbeing began to deteriorate. He’s stopped eating and drinking as he usually would and it was believed that his change in behaviour was because of the unfamiliar environment and people. The decision was made to send him home in the hope that he would feel more settled, but within a few hours of returning he was recalled to hospital after falling ill again.

It was then that a conversation took place with the Patient Liaison Co-Ordinator around the care Len was receiving whilst in hospital. It was obvious that although the Hospital Passport was being used, it didn’t contain the right information for the ward staff, doctors and specialists to know and understand who Len was and what individual support he needed. In response, Len’s team met and within a matter of hours produced a hospital one-page profile to ensure that Len would have the very best support during his stay.

Over the next few days Len remained in hospital but with the one-page profile at the end of his bed and sent electronically so that it could follow him around each department, medical staff understood Len and how to support him. Even the Consultant said ‘it was lovely to have a photo of Len when he was looking happy and well to see the difference in his appearance and understand how he should look.’

As someone that works to support Len, myself and the team firmly believe that the one-page profile helped in his recovery, meaning he was well enough to return back home to the people he loved much sooner. Len’s experience led to his housemates deciding that they too wanted a one-page profile, ensuring that if they went to hospital, staff there would know how to support them. We have been helping them to put these together. Using person-centred thinking tools, we have also completed a “Working/Not Working’ review with the people we support and shared this with the Patient Liaison Co-Ordinator at the hospital, who wanted to understand how she could further improve the hospital experience for people like Len.

Len is currently in good health, full of beans, and back making us all laugh. He is happy, in his own house, with his friends around him.

Seeing clearly at last

An example of how introducing one-page profiles onto a busy hospital ward helped Norman express what was important to him and get the help he needed.

Norman's one-page profile

Norman’s one-page profile

Written by Michelle Livesley

I’ve been working with Spiral Health at their forty-bed rehabilitation Unit, Bispham Hospital helping them to introduce one-page profiles on the ward and it was here that I met Norman.

Norman was not particularly happy when he first came to the ward. He seemed agitated and irritable and desperately wanted to be back in his own home. Hospital is a big upheaval and it is common that people miss their home comforts but it seemed to run deeper than that with Norman. Using the one-page profile template we started to explore what was important to him and how best we could support him during his stay.

Through this exercise we uncovered that the bulk of his unhappiness was related to not being able to see properly to read as his prescription glasses were no longer strong enough. In particular he was finding it hard to read the menu which meant he was frustrated at meal times but had been too proud to say.

Nurse Fran, who I’d been coaching through this process with Norman, made a note on his one-page profile about his eyesight but at first felt unsure about how to help. The unit does not have access to optical services so keen to find another solution – Fran took the information to her Nurse Lead who knew exactly what to try. She had been given a large bag of unwanted spectacles and she and Norman went through them until they found a pair that was just right. Not only did this 20 minute session find Norman a pair of temporary glasses to improve his experience in the short term but it helped him feel understood and valued; a great result.

All patients’ one-page profiles at Bispham are written on a board above their bed, visible to everyone and can be added to as relationships and conversations develop throughout their stay. They provide essential, easy to read information about the person rather than the condition. For Norman, having a one-page profile meant that he got the support he needed to feel happier and more independent during his stay in hospital.

You can read more about Spiral Health’s personalisation journey by following the personalising health blog.

Carrying Sandra’s voice above the noise

A powerful example of how a person living with a mental health condition can be empowered by using a one-page profile to ensure her voice is heard.

Sandra's one-page profile

Sandra’s one-page profile

Written by: Marianne Selby-Boothroyd

Forty-seven year old Sandra likes going to church, listening to instrumental Jazz music, going to college, meeting new people and spending time with her cat, Molly. She doesn’t like it when she has flashbacks, feels paranoid or when the voices in her head take over and she can’t hear her own.

Born in Lancashire, Sandra moved with her mother, brothers and sister to the Caribbean when she was three. At 13 she returned to the UK and it was whilst living in London and attending secondary school that Sandra began to feel really isolated. As a child she was described as quiet, caring and overly sensitive. She was bullied at school where she felt she was not as clever as the other children. Leaving education at just 16 to escape the bullying, Sandra went to see her GP about her problems for the first time. But instead of getting the support and understanding that she craved, Sandra was prescribed sleeping tablets for anxiety and depression.

Sandra first tried to kill herself at just 20 years old by taking an overdose of sleeping tablets, thinking “If I just go to sleep and never wake, it will all be over”. This began a cycle which lasted throughout her twenties and thirties. Sandra’s life was mapped by frequent suicide attempts and admissions to hospital mainly under section. She experienced periods of mania followed by extreme lows and would also hear voices.

In recent years Sandra was introduced to person-centred thinking tools and was supported to produce a one-page profile. The aim was to regain control over her life, find new ways to manage her mental health (other than medication) and start looking to the future again. Sandra wants to get back into paid employment. She wants to travel. Move to a bigger house. Look into fostering. Spend more time doing the things she enjoys such as writing poetry. Much like anyone else, Sandra’s hopes for the future are all about leading a happy and fulfilled life – something that she now knows is possible by clearly communicating to people how best to support her in the here and now.

Of the profile Sandra said: “It has had a big impact on my life. It is so important to me to help others through my own experience but I find it really hard to speak in public or be in large groups. Doing my profile helped me understand the kind of support I need to prepare to be with others, being able to share this information with others has meant I have gone from strength to strength – last week I spoke at a conference full of medical professionals – I got a standing ovation!”

In 2000, there was a turning point in Sandra’s life. She was allocated a black social worker. For the first time she felt listened to – particularly in relation to her cultural needs. It was her social worker who found Fanon Resource Centre and who stuck with her for the eight months that it took Sandra to build up the courage to go there.

Sandra credits her social worker and Fanon Resource Centre for not judging her on her past, instead focusing on the present and the future. Through Fanon, Sandra started to get involved in groups and even completed college courses. For the last year she has acted as an Ambassador for Southside Partnership – which has involved speaking at public events and supporting others to identify the support they need in their recovery.

Struggling with a mental health condition is incredibly hard. The one-page profile has helped Sandra to communicate who she is, what she likes, what she doesn’t like, and how best to support her. She shares it with the important people in her life, her friends, family, doctors, mental health professionals and new people that need to understand her. With this support in place, Sandra has lots of good days and fewer bad days where she feels down and is hearing voices. She is doing a lot with her life including a three year college course learning British Sign Language with the plan of becoming an interpreter.

Sandra is now at a stage where she feels she is in recovery. She is moving ever closer to fulfilling her dreams. She still hears voices. But having her own voice carried through a one-page profile means that it can never be lost in the noise.

Using profiles in early years

Written by Guest Blogger, Nathan Archer, Development Manager at Montessori Nursery, Read Nathan’s one-page profile.

 

Nathan Archer

Nathan Archer

Lincolnshire Montessori offers nursery and Primary education from two sites in Lincolnshire. We have children from six months through to 11 years old on roll and a team of sixty professionals on site.

We first discovered one-page profiles via a weekly early years sector Tweet Up #EYtalking on Tuesdays 8.00pm GMT.

The weekly theme was on Learning Journeys, which for those who are unfamiliar, are an approach to formative assessment in the early years, which is largely qualitative and respectful. Essentially, observations of individual or groups of children are written and often comprise photographic evidence, children’s artwork or a record of their ‘voice’ in a range of ways. Parents/carers, family members and other professionals are also encouraged to contribute. Many early years settings collect these stories in booklet, file or scrap book format to form the child’s learning journey through the Early Years Foundation Stage.

During this discussion, a colleague pointed us to Helen Sanderson Associates website and the youtube video on one-page profiles.

Cue Light bulb moment!

What struck us was the way in which such personal information would enable us to really know a child and their family, developing a much deeper understanding of a child’s personality, disposition, routines and welfare needs in an holistic way.

One of the four main themes of the Early Years Foundation Stage  is ‘A Unique Child’ and we felt that one-page profiles were a very tangible way of reflecting our understanding of the needs of individual children.

We purchased a postcard from the Helen Sanderson website which gave an example of a profile for a little girl called Flo. This proved a helpful basis for developing our own profiles. We took the headings from the card as the basis;

What do we love about….

What is important to…..

How to look after….

Our Head of Early Years Jo Robinson completed a sample one-page profile based on her youngest son which served as a prompt for both parents and professionals about the kind of information which might be shared to inform the child’s care.

We have coupled this one-page profile with a starting point sheet (an OfSTED requirement) which enables the team to capture a child’s starting points in terms of their development in the Early Years Foundation Stage (EYFS). On the reverse of the profile, Practitioners make brief notes under the seven areas of learning and the Characteristics of Effective Learning; Active Learning, Playing and exploring and Creativity and Critical thinking.

By combining these two elements we have created a real snapshot of a child who joins us, both in terms of their uniqueness and how best to meet their needs, with a summary of their learning and development as a base for future progress.

Feedback from parents/carers has been very positive and we feel that children are even better cared for with their individual needs more closely met.

There has also been real enthusiasm from the team for the new one-page profiles, who rather than seeing it as yet another form, feel they are capturing helpful information to really personalise the care and education we offer.