PPF

Sensory Consortium Service

Aim: To raise standards and achievements for all children, particularly those with
sensory impairment.

Progress Report for Pre-School Children

Name: Harry Armstrong DOB: 31/12/06

Home Address: 84, Fernbank Rd, North Ascot, SL5 8HF

Chronological Age: 22 months

Local Authority: Bracknell Forest SCS Staff Member: J. Perry

SCS Annual Visit Allocation: C4 Visual / Hearing Impairment / MSI /
Additional Needs
Date of Report: November 2008 Date of Review: 11th November 2008
SCS Matrix Score: 16

The visit allocation has been used for:

Joint working with Health or other Service providers to inform and develop relevant
provision for child and family
Parental consultation
Ongoing assessment of functional hearing / vision and progress
Provision of targeted teaching
Equipment management and usage check/support
Provision of Pre-school Group (family has not been able to attend)
Parent and family member workshops

Background:
March 2007 Harry was referred to the SCS following newborn hearing screening by the
Audiology Dept., King Edward VII Hospital, Windsor. It was believed
that Harry might have a permanent hearing loss in his right ear.
Subsequent investigations have been carried out and he has been found to
have glue ear on some occasions. Termly home visits have been made by
J. Perry.

Sept 2008 Most recent ENT/Audiology appointment. Results of testing were

significantly improved. Visual reinforcement testing showed normal
responses and tympanometry confirmed that he had normally ventilated
middle ears. Next appointment is 13th March 2009 when ear specific
testing will be carried out to check that his hearing is normal in both ears.

A new baby is due at the end of December. The family hope to emigrate to Australia in
early summer 2009.
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Outcomes of Visits/Additional Comments:
Joint home visits have been carried out in July and November 2008 with Mrs. Helen
Begbie, Specialist Speech and Language Therapist for the Hearing Impaired.

Assessment using the Early Support Monitoring Protocol for Deaf Babies and Children
(MPDBC) at a chronological age of 22 months suggested development to be in the
following stages :

MPDBC section Stage Approx age anticipated for

normally hearing children
Communication Within B7 for spoken B7 – 15 to 18 months
communication B8 – 18 to 21 months
Understanding within B8 – with B9 – 21 to 24 months
evidence of understanding
emerging in B9
Play Within B9 B9 – 21 to 24 months

Mrs. Armstrong commented that Harry generally seems to hear well, (for example,
responding quickly when called) but she would like clarification that both ears have
normal hearing. She feels that his understanding of language is developing very well and
this is borne out by assessment and observation. There may be some delay in his spoken
language development, but this is compatible with the implications of fluctuating hearing
loss and he is making very encouraging progress. He co-operates with requests to put a
tissue in the bin and fetch his shoes. Intonational babble used in conversational style is
emerging. Mrs. Armstrong reported at least 25 single words or word approximations that
are used with meaning, for example:
More/dada/bye/wow/all gone.

Harry is a delightful interactive little boy. He is beginning to use familiar words in more
than one situation, for example; all gone when he has had enough of something or wants
help.

His physical skills are developing well. He holds a pen confidently and can produce
circular and line scribble. He can complete inset puzzles with pictures under the shapes,
and enjoys this activity. His play is also developing well, for example, using other objects
as a phone and “chatting” into them.

Suggestions have been given with Mrs. Begbie to further promote his language
development, particularly the use of verbs (action words), descriptive words and
encouraging the use of 2 words together.
______________________________________________________________________
Recommendations for Action:
Another joint visit is planned with Mrs. Begbie for Tuesday 17th March 2009.

Further intervention will be decided once the results of the next audiological assessment
is known, and also if the family have a date to move to Australia.

Lead Professional: Jane Perry

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Other Services Involved:
 Mr. Wood, Consultant ENT Surgeon, King Edward VII Hospital, Windsor
 Audiology Dept., King Edward VII Hospital, Windsor
 Mrs. H. Begbie, Specialist Speech and Language Therapist for the Hearing
Impaired

This report is to be updated twice a year and used for Pre-school Reviews.

Content discussed with parent Date 4/11/08

Signed SCS Teacher:

Name: J. Perry

Tel No: 01628-673253

GC/JK/B2848 06/08

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