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Sure start

How are Sure Start workers coping with the change to children’s centres? Victoria Neumark visits the Roundabout centre in Brighton


Government plans: DROPIN
By 2010 a universal local service bringing together childcare and services for families:
3,500 Sure Start children’s centres for children under 5 years;
free nursery education 15 hours a week, 38 weeks a year for all three and four-year olds.
full-year wraparound care for schoolchildren aged up to 14.
(55 words)

Our new nursery and children’s centre (TEXT)
“I love it here,” says headteacher Sue Suleyman (mugshot taken), looking around her sparkling new nursery, all brightly coloured toys, beech furniture and soft cushions. Toddlers dig in the sand pit while a small girl looks at a book with Jenny, a nursery practitioner. In the babies’ room, tiny ones are being fed ready for their nap. Foundation stage children clear away a game of lotto before their organically-sourced lunch.

It’s not just the brand new premises that Sue likes. “It’s enabled us to do what we’ve always wanted,” she says. When Roundabout children’s centre opened in 2006, the one-time Whitehawk school nursery class was reborn at its heart as a wraparound nursery, open 8 am to 6pm for ages 3 months to five years.

Despite only having opened in October, she has already seen toddlers from the Toddler Unit coming up to nursery class with better language. “Forty percent of our children have special needs, ranging from blindness to autistic spectrum. The long day means that our SENCO (special educational needs coordinator) can help them one-to-one.”

What has the change meant for workers? Instead of 10 teachers and nursery practitioners taking two sessions a day, 83 children every week flow through days personally tailored for them by 20 staff. Some of the children are paying customers, others benefit from universal free nursery provision, others are paid for by social services.

“It’s such an exciting time for us,” says Minna Reid, childcare manager. “We’ve had all the fun of choosing new toys and planning rooms. And we’ve all had to get used to new colleagues, cope with building work and new ways of working. But it’s so much more satisfying now that home visits and health concerns and education are all here together.”

Roundabout is a “hub” centre in Whitehawk, an area among Brighton’s most deprived 30 per cent. The same 40-strong workforce of health visitors, speech therapists, early years visitors, nursery practitioners and teachers also work in two outlying “gateway” centres in schools, serving the 70 per cent less deprived. Mostly, though, they target 300-400 families in greatest need.

Says Celia Lamden, the Centre manager, “It’s a health-led service, with health visitors picking up on problems from birth and early years’ visitors keeping contact. It will connect seamlessly into Extended Schools when children reach five: their web of contacts moves with them.”

Teresa, the SENCO, liaises with reception teachers over each child’s transition; reception teachers visit the nursery each term. Extended Schools and Children’s Centres are partners in more than education, though. They share wider concerns with parents and other services.

“We see the parents a lot. We do a lot of counselling, putting people in touch with other help. It might be drugs, alcohol, domestic violence: we know all the agencies. As part of a bigger setting, we provide a bigger service.”

Minna Reid chimes in. “But the interaction with parents is positive, too. We’ve got a group planning our gardening. And our parents’ room hosts session helping people get into work.”

Celia Lamden, Centre manager, nods. “It’s not just that. The parents had a big say in how this whole building was designed and how it should be used. They decide what we do.” She smiles. “They can’t be passive clients, like before. Sure Start is about helping families move on, parents and children.”
(564 words)


Roundabout Centre workers

Debby Bond (mugshot taken)
“From tower block to seafront, they ring the “poo lady”, laughs Debby Bond. Community nursery nurse and early years visitor, she works in tandem with the health visitor and midwife to scoop up problems before they fester.

Families often find toilet training tricky. “It’s either too early or too late,” says Debby. “What I really do is take the heat out of the situation. I get them to establish a routine. To always use the potty in the bathroom, to make that association. Sometimes just reassuring the parents that it’s all quite normal works well.”

But it’s not always that easy. For children on the autistic spectrum, for instance, visual cues and rewards are essential. For those who may have had pain or who fear the “big hole” of the toilet, playing with brown playdough and reading information books like “Everybody poos” help to normalise a new routine. And Debby is always on the other end of a phone to encourage.

“I love finding new ways to connect,” says Debby. “Engaging with families and children is the biggest thrill: it’s our biggest skill, too.”

Jackie Catt (mugshot taken) describes her exciting new project
We wanted to help
families where feelings are a problem. So we set up a weekly nurture group, as they do in some extended schools, to provide an emotionally warm environment.

Debby had gone on a course
which looked at the links between child and animal abuse. And we both love animals, too! So we decided to use animals.

Four three-year olds were invited to join us for six weeks.
They were all children who were playing up at home. Our idea was to help them control their feelings by learning to express them.

We did a pre-visit to their home
and the course ended with a presentation session where the parents saw all the art work and heard the children’s stories. They were delighted.

The children each were given a small soft toy to “adopt”.
Every week they had some structured play with the toy using the language of feelings: “What would make your dog happy? What does your dog do when he’s happy? Is that the same as what you do?” and so on. And every week they would end with some free play with their animals.

We talked about keeping safe
, about how to tell people what you feel and what words you can use, about how to keep safe from animals when you are out and about how to keep animals safe, about hygiene: washing your hands.

Our activities were
painting, stories, magnetic pictures, model-making, singing, drawing. And, of course, imaginative play with the soft toys.

Of course they had to keep the toys!
They got a certificate and a badge with the animal’s name, presented by a colleague who has a deaf cocker spaniel, a rescue dog.

It was a good thing he was deaf
as the children get quite noisy when they are excited, but he didn’t mind a bit.

One mum said her boy was a different child.
When she took him to the city farm he was so kind and thoughtful about the animals. And another one said what good advice we had given about standing still when a dog runs at you: her little girl was so sensible in the park.

Of course, when you work with the children, you are really working with the whole family.
(576 words)

BOX
A week at Roundabout Children’s centre
Everyday:
9-10 am Pregnancy and Chlamydia testing. Health visitor and midwife offer antenatal care and counselling.
Out of centre: Early Years visitors in touch with families

Monday:
9.15-11.15: Drop-in Parent and toddler group: art activities
1-3pm: Drop-in Toddler group, physical play
3-5pm: Contact visits, supervised by social services

Tuesday:
10-12 am: postnatal depression support group
12-1pm: drop-in group for antenatal care and support
1-2.30: nurture group (see box)
3-5 pm: dermatology clinic for parents and children (eczema and psoriasis)

Wednesday:
9-11: drop-in Toddler group, music
10-12: dads and male carers’ drop-in group
1-3: Toddler group, healthy eating, exercise
3-5: sessions with visiting play therapist

Thursday:
10-12: healthy matters, drop-in group for baby massage, breast feeding support, baby health
2-4: advice session from Jobcentre Plus or Working Links for benefits and employment
3-5: Safe as Houses, domestic violence worker available

Friday:
10.30-12.30: Child Health clinic with health visitor
12.30-2.30: Out and About, activities like swimming or going to the park, going on public transport to develop confidence
(173 words)

Roundabout Centre users (all names have been changed) COLUMN
Jan
is a bit slow, her family say. Her Mum helped her with her first but she has moved to Worthing and it’s hard to come over on the buses more than once a week. Now the second baby, Alan, is crying a lot and Jan’s husband Derek can’t sleep.

When the health visitor Emma came, she noticed that Jan was not mixing the bottles correctly. She sat down with her and spent an hour practising. After this, Debby the early years’ visitor rang in to check that all was well. Weaning hit problems when Jan let Alan have chocolate like his older brother Sam. He got a stomach bug and lost weight. Emma visited again and encouraged Jan to come to the drop-in healthy eating group. Meantime, Roundabout found a slot for Sam in its free respite provision at the nursery. Since Jan has to bring him twice a week, she calls in on Emma, who is arranging speech therapy for Sam. On Friday, they are all going swimming for the first time, on the Centre’s Out and About programme. It will be the first time that the children have been on a bus.

Rita’s
husband hit her again last night. When she dropped off the twins for their daily nursery classes, she was crying. The teacher, Jenny, asked if she wanted to talk and when she said that she did, took her into the parents’ room. Rita felt so worthless that she couldn’t believe that anyone wanted to help her. She even felt that her children’s eczema was her fault.

But she decided to talk to someone from Safe as Houses the next day. With their help, she was able to go to the police and then arrange for re-housing. She made an appointment to see the dermatologist and got advice and cream for the boys’ skin. She made an appointment to see someone form the Community Mental Health team at Roundabout and is seeing a cognitive behavioural therapist.

Now she is developing social skills in the parents’ drop-in group. Last week, she made the coffee. Today, she suggested that they try simple sewing as a group. “I’d like to know how to sew on a button,” she laughs.

Millie spoke for the first time today! She has been in the nursery for six months. For the first month, she sat in the corner. For the next two months, she held on to Jenny’s skirt whenever she could. Millie is the subject of a child protection order and her visits with her father take place at the centre under supervision. No one knows if her mutism is connected to this.

Jenny is cutting up fruit for the morning snack. She says, “If we can just make her time at nursery calm and fruitful, we will have helped.” Millie is laughing. “Apple?” she asks.

Dan has four children, no job, and spent 10 years drinking Special Brew. For the last two months, he’s been going to the dads’ drop-in group. Carl, who runs it, is a bloke with two teenagers of his own. He used to be a plumber and builder. He is a man’s man but he enjoys children. He’s opened Dan’s eyes.

Next week, Dan puts in his application to train as a teaching assistant. Barry from Jobcentre Plus helped him with the form and the Criminal records check. He reckons he’s got the experience – four children! – and he actually liked school when he was little. They’ll let him volunteer at the nursery, to practise under supervision.
(599 words)

Timeline
1994 Gillian Pugh, doyenne of parenting education at the National Children’s Bureau, urges vision: by 2010 every child between birth and the age of six to access an early childhood centre. Well-trained staff would deliver a curriculum personalised for each child, alongside adult education classes and parenting groups for parents and carers within a network linking health and education.

“Britain would then finally have become a child-friendly society,” said Gillian Pugh, made Dame Commander of the British Empire in 2005.
1997: Newly elected Labour asks Gillian Pugh to lead review of provision for children.

1998: Gillian Pugh repeats what early years professionals had known for years: that the early years were key for brain development, that high-quality early education is vital, that parents and styles of parenting need to be part of education– and that services must be brought together to respond holistically to the needs of children and families.

1998 £540m Sure Start begins: 250 local programmes cover 150,000 children in the most disadvantaged areas; 250 more soon added.

2002 Victoria Climbie is tragically killed by her two guardians in Haringey: the latest in a long line of failures by agencies collaboratively to protect very vulnerable children.

2003 Green Paper
Every Child Matters, described by Tony Blair as the most important document relating to children for over 30 years published (see box). Instead of targets, it looks to personal outcomes.

2004 Children Act requires local authorities and other key agencies to work together to promote children’s well being, to set up local Safeguarding Children’s Board, to devise a single children and young person’s plan, and to appoint a children’s services director.

2005 Evaluation of the first Sure Start local programmes shows 20 per cent “least advantaged” do not share benefits. Planning for children’s centres focuses on a 70-30 split.

2006: First report from Ofsted on pilot extended schools and children’s centres said children, young people and adults had more self-confidence, better relationships, raised aspirations and more positive attitudes to learning.

2006 Children’s centres begin opening: currently around 1,500 but 3,500 by 2010. Merging with Sure Start local programmes, they include early education and childcare places, in group settings, with childminders and at home; parenting and family support; health advice and information; preventative services to support additional needs, including outreach work in communities; and support for parents moving into training or employment.

By 2010 all schools are to become
extended schools, offering a range of activities beyond the traditional school day.

Says Dame Gillian Pugh: This is a bold vision and one which is tackling many complex and intractable problems. It will take many years to come to fruition.

(441 words)

BOX (optional)
Every Child Matters outcomes:
being healthy – enjoying good physical and mental health, and living a health life style
staying safe – being protected from harm and neglect
enjoying and achieving – getting the most out of life and developing the skills for adulthood
make a positive contribution – being involved with the community and society and not engaging in anti-social or offending behaviour
economic well-being – not being prevented by economic disadvantage from achieving their full potential in life.
(81 words)


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