 We had the healthy child program of which there were five mandated visits, contacts with families that commissioned, of which the 2 and a half year review is the last official contact that we have with the family. The two year review that we did before integrated working, it was very much the health visitor team did the review. Roeddwn i'n gwneud y mynd i gael y gallwn yn fwy o gwaith yn ysgol. A roeddwn i'n gweithio'n gweithio'r ei chael gweithio'r informaidd o'r hydru'r teulu, yn ymwyaf, o'i gwneud am arddangos o'i gennym. Mae'r rhai lŵr yw'r chymae yng Nghymru yw'r 2 ym 1 a'r rhan iawn yng Nghymru, yn y cwbl yng nghymru. Mae'r rhan iawn y gweithio'n ymwyaf, ond mae'n yn ôl at y centre yng nghymru, Mae'r ystyth yn hwnnw, haith amser, ac mae'r hyn ymhlwynt yn gyflawni ac yn ei wneud. Rwy'n dod o'r cyfrifio'r llyfiad. Rydyn ni'n ceisio'r cyfrifio'r llyfiad. Mae'r cyfrifio'r llyfiad yn cyfrifio'r llyfiad. Mae'r ymlaen i'n meddwl i'r hyn yn gallu'r swyddiad. A oedda rydyn ni'n meddwl am y cilydd. Mae'r cyfrifio'r cyfrifio'r cilydd. Mae'r cyfrifio'r cyfrifio'r cilydd. I gael chi fod yn dda y berson iawn, a mae cydwyr ar gyfer'i fod yn darwyddi, ac rwyf yn wedi cymwybeth eich bod yn gweld methu mewn gwiriaeth. Mae'n gweld eich bod yn ddisgrifennu dylunio o amser, a oedd yna'n dechrau i weld eich cylliddau ond eich bod yn y ddisgrifennu yma yn ei ddweud. Mae'r informatio fe'n cael ei ffedd yma o'n ddweud. Mae'r informatio pa ar ffodol, roedd yn hyn oes i'r gyfer hyn, Felly, fe wnaeth ein holl biker written with the two-year old, when Gail rung me, because obviously with the two-year-old integrated checks between us, it was a bit like, Oh, who's going to be doing the first move? Am I just sitting here? What's going to be going on? Cos I still fell very bit in the dark. And we had quite an informal chat, the one to know each other and my role and her role. I think, from my perspective, yn ôl, ond ei ddiddordeb o'i gael gael gyda'r gael. A bod yna bod rhywbeth ymwneud yn gyfanolol, oedraes, sydd o'r amlwg, sydd o'r wasio, oedraes, oedraes, oedraes, oedraes, oedraes. Mae'n gweithio ym mwyn, ond mae'n cael ei ddw i wedi gweld i'r gael. Mae'n gweithio'n gweithio, mae'n gweithio'n gweithio. Mae'n ei ddiddordeb yn gallu gweld fe wnaeth ..y'r cyfan arnyddio, mae'n credu cyfnodd. Felly mae'n cyfan, mae'n cerddwy'r cyfan, mae'n cerddwy'r cyfan, mae'n cyfan. Mae'n cael ei fawr fawr yn ychydig i'ch gyd amser a dyma. Mae'n cael eu fawr yn ychydig i'ch gyd, ac mae'n gwneud, ac mae'n cyfnodd y ffaith. A oedd o wrth gael, mae'n gwneud. Mae'n cael ei lle i'ch gyd o gyfathu, oedd ymgyrch yn ysgrifennu o'r llyfr, oherwydd, Lluwys, Cyng contains we can is sort of having that link into those referrals as well which I think is really good for us because we diwygarter because we can get to a brick wall and go where we are going to go now. But we were saying about early intervention has been our main key in my settingham because I have a lot of vulnerable parents I think it's going to be different with each nursery. Not that you're necessarily going to have the same setup with each nursery because they are Rydyn ni'n byw yn gwirio, rydyn ni wedi gweld â'r ffaith gweithio'r dysgu ar ôl y Occasbwrdd, oedd yn ddislasio. Rydyn ni wedi gweld o wahanol y finding iddyn nhw y tade, ac yn y brosedd o beth eich hynny oherwydd yr wrthoedd o'r arddangos ar y diwethaf. Ac os gallwn ni'n gyddo i'r gweithio y tade'r certyn wedi cael ei angen am arniad, rydyn ni wedi gweld yr hyn o'r rhain ddanol y ddull, ac mae hyn o'n wych yn rhoi, mae'n drefnio ar hyn. a we've got that scope for change. We have had parents that have said they've received letters for their two-year checks and that they hadn't replied yet and have agreed to come to the joint one. I think some of our parents are quite vulnerable parents and having me there as someone they see on a regular basis does help them with their confidence. They send appointments out and then you don't get a response. Do you think we've got one coming up next week? That's had no response from the letters. Some mum come in because I've got that relationship with them. I'm like, I'll come on you. Have you not read in their letters? It's been quite relaxed with them. We're doing it in the setting and she was like, oh no, no, no. That's great. I prefer it like that. Because they're always coming into the setting five times a week it's just an environment that they're comfortable in so they don't feel so looked upon. The ages and stages questionnaire was introduced as a national introduction because we need to have all children being assessed with the same criteria. What's really useful is that you can provide the questionnaires for the parents and actually because you're seeing the parents usually on a daily basis because we were talking about filling out the forms as well and I know that you've helped some of the parents with filling out the forms if they've not quite understood what's required. Filling out the review was quite difficult at first. My and my husband attempted to do it just on our knowledge of Caleb at first without him being there and we found that actually we weren't really sure of a lot of the answers and we needed him there really so we took it one question at a time and got him to act out the question as it were to see if he could actually do it. The amount of questions in the questionnaire was really good and really broad as well. It covered all aspects of his learning and his development. The questionnaire was very detailed but really good. They covered everything which was good and they gave you like for instance did she do this, this, this, this and they gave you options to pick from and stuff and areas where you can write your own comments so you know really good. With our setting because it's fun they're very fearful of professionals with the badges and everything and they can be quite fearful so a lot of my parents because I'm one for getting feedback anyway so they've preferred that we're in because our key workers with the ASQs we use that. We've sort of took bits from that as our starting points for our assessment when they first come in so we've got a lot of that information so when the parents aren't being so filling in the forms we sort of fill a lot of it in with the parent without sort of prior to Louise and then we go through it again it's just I think getting that proper information because they feel that they've got to say their child can walk up steps and their child can count to 10 and because the key workers are aware of those questions in the ASQ we know if they can or if they can't so it's sort of just making sure that that child is doing that. We started off doing it in the office but it didn't work I mean A it's tiny, quite noisy, a few interruptions and also the child was being brought out of the setting and the mum was in there and then of course they've got to go back to the setting and leave their mum and they didn't want to do that and it was almost like they've been naughty or something and they've been taken to the office and they're made to stand on scales and all these sorts of things so it didn't really work and I didn't feel I was getting any sense of the child at all we've moved it into the two year room now which is a lot better really I think because the key workers there everybody's just working it's a normal environment. In the home corner we put some scales because we found the children were a bit of a thing about going on the scales wasn't they? So we've put scales in there and we've got a picture of Louise on the wall and like measuring things height charts the children have made so they're sort of just aware of what's going on and then I can just sit at the table with mum and child and have a chat and it's much more relaxed I think I think probably the parents prefer that The integrated review was definitely more child friendly it was more child focused Caleb felt very comfortable toddled off and kicked a ball around and was much happier to do the activities really so I think it made me and Caleb feel much more comfortable about the experience I think it's very beneficial obviously I see Caleb a lot of the time at home but some of the time he's not with me and their views supported what I felt at home and they had some observations that they've made as well that obviously I wouldn't have known about in any other situation so yeah I think it was really good to have both points of view on that It was all made very clear to me about why they were changing it to an integrated one but it made sense too and I think it benefitted me and Molly to have someone else there that she knew and that knew her personally so it was good She thought it was just a big sort of game she didn't realise that what she was doing was being sort of watched and stuff so which is good I think it relaxed her a little bit I think it would cut down on sort of the communication between the health visitor and me and then me having to go back to the nursery to speak to them about it it would lead on to conversations between me and the nursery, his key worker as to how we can sort of go forward with any needs that he's got rather than taking in bits of paper from them or you know just cuts down on the middle man I suppose really Normally when there's two professionals that come together parents just feel that there is an issue and normally there is an issue so it has been just reassuring the parents that it's fine you know this is for your child just help if you need it and stuff like that so it's we're not testing your parent capability your child doesn't you know if you live on the ground floor flat we don't expect your child to be hopping on one foot up the steps you know it's not a it's not every child's not look it's just an overall few just to sort of you know so it's just reassuring them that it's not a checklist and it's not it's okay you're not failing if they're not doing this sort of thing so there's been a lot of that with them before as well Most parents already are involved in their child's development but there are a proportion that perhaps see the child as doing the thing on their own you know they'll just get on with it whereas actually giving the parent a tool to actually say well look why don't you try this and then if they feel better about themselves they feel more engaged with their child I mean obviously we know what we're doing in the setting with the children but again after having a two check it gives us ideas I go back into the setting and I can say oh I really can see that we need to do some of this at the moment to focus on so it's where our awareness of some more development stages as well as the parents and I think it opens them up to us a bit more as well they come back after the two-year checks and they've said oh you know that was really helpful and I've gone away and I've done this so yeah it definitely has helped with the parents we've kind of said that with certain children if we might discuss them again sort of in six months and the parents have been there when we've said it that we will leave it six months sometimes we feel maybe we need to do a section of the review again that we would go back to that review do that section again and see if there's been improvements and whether a referral would then have to be made or not I liked the fact that I learnt things about my daughter that I didn't know learnt about different activities that she enjoys that I don't do at home that I do do at home now I liked having a different opinion on her development and it just made the whole situation a little more relaxed having another member of staff from the nursery there not just sort of me and the health visitor and then the health visitor can make a proper judgement of the child having my opinion and the nursery's opinion I definitely recommend the integrated review to other parents it was much more beneficial to me to hear the points of view of the nursery and more beneficial for Caleb as well he felt happier about the environment that he was in and had his key worker there as well so he felt a little bit more comfortable about that as well it wasn't so many adults that he didn't know in a room asking him to do things asking him questions it was just like a day at nursery we also talk about the red book the development red book we also question the parents can we see it when we go along to the home to meet with the children or the child for the first time we ask if we can see their red health book we ask the parents do they use it do they know how to use it about the milestones especially for our babies that are coming in and to basically about what a good tool it is and that they should take it to any meetings they have with the health visitors so we already promote their little red development book Becky sees that what we would be documenting in the red book and so with the parents you can ask to see that red book as well so that's a really good communication useful tool communication between parents and us as well in the nursery we've definitely got a lot of parents that the red book is kind of a really special thing to them and for them to actually have stuff written in there as well to keep is nice for them as well Ashley probably does give them confidence because they can see what their child is doing and that it's actually a developmental stage and that they will reach this next developmental stage at another time and how they can actually facilitate that child reach it's best potential