Safeguarding met Childcare on Non-Domestic Premises, Full day care source PDF ↗ provider page on ofsted.gov.uk ↗

Grades by area

Achievement

Strong standard
Children make rapid progress across the curriculum. Babies learn to communicate their needs early as they use basic Makaton signs, such as for 'please' and 'more'. Older children become confident communicators as they readily share their thoughts. For instance, they compare their toy cars as they race them. Babies develop their sense of autonomy as they routinely make decisions for themselves, such as whether to have milk or water. Children become impressively independent in meeting their own needs. Their independence develops consistently as they move through the setting. For example, toddlers start to pour their own water and learn to serve lunch. Older children work together to lay the table and work out how many plates are needed. The children are very well prepared for their next stage of learning, including for school. Children who experience barriers to learning make excellent progress. Every child is fully supported to benefit from all possible opportunities.

Behaviour, attitudes and establishing routines

Strong standard
Leaders have established an extremely positive culture in the setting. All children and staff have complete clarity about the expectations for behaviour. Staff skilfully adapt their approach to meet each child's individual needs. Staff ensure that consistently effective routines support all children throughout the day. This means that they always know exactly what is expected of them. For instance, children work together to lay the table for lunch. Older babies know to stand by the door before they head in for snack. Children develop very positive relationships with staff, who know them well. For example, children hold up lemons to show staff, when they have managed to cut them. Staff praise children warmly for their perseverance, which helps them to develop consistently positive attitudes to learning. Children learn to collaborate very effectively. They take turns and happily share equipment, without direct adult support. Children are consistently kind and considerate towards each other. For instance, children say, 'I am just waiting for my turn,' as they wait patiently. They offer resources readily to others if they notice their friends need something, such as passing a pen to a peer. Leaders promote the importance of regular attendance and punctuality. They act decisively where potential barriers to attendance emerge. For example, they alter attendance patterns to match the changing shifts of parents and carers.

Children's welfare and wellbeing

Strong standard
Leaders have ensured that all staff place children's care needs at the heart of everything that they do. Staff are entirely attentive in ensuring that children are always safe and happy. Where required, care practices for children with special educational needs and/or disabilities are carefully adapted. This means that all children are fully included at all times. Staff have a comprehensive understanding of the children in their care. For example, they regularly check with parents and carers about children's sleep routines and weaning stages. Staff lead embedded practices, such as tooth brushing, effectively. This helps children to build and maintain healthy habits for life. Children learn to keep themselves safe and well. For instance, staff remind them to wash their hands after blowing their nose. Children understand that they need to do this to stop germs from making them unwell. Children are supported to recognise and manage their emotions. They learn to name what they are feeling. They relate their feelings to colour images so that all children can share their emotions. Children learn about the importance of taking time to calm themselves. They take part in yoga sessions and choose from a board of calming strategies. Mealtimes are social occasions, and children are attentively supervised throughout. Children learn to eat a healthy and balanced diet. They understand why this is important. For example, they say, 'Carrots help me grow big and strong.' Children sleep safely in comfortable rooms with continual staff supervision.

Curriculum and teaching

Strong standard
Leaders have a very clear oversight of their curriculum and teaching. They continually strive to improve every child's experiences. Staff provide a broad and balanced curriculum that focuses on developing children's curiosity and love of learning. Leaders ensure that all children receive the exact adaptations they need in order to be fully included. Staff consistently make effective use of questioning to encourage children's thinking skills. For instance, they ask children to explain what might happen when they try things in a different way. This builds children's depth of thinking and encourages them to share their ideas with confidence. Babies develop their physical skills rapidly. For example, staff support them to tentatively start walking and to pull themselves up on furniture. Older children learn to control their bodies with skill during yoga sessions and build their coordination as they draw on large sheets of paper, for instance. Mathematical learning is skilfully embedded. Babies develop an understanding of size and shape as they compare cups. Older children work with staff to discuss the concept of time and relate it to a clock. They enthusiastically point out the numerals that they know. Staff carefully assess what children know and can do. They tailor their interactions to ensure that they continually move children's learning forward.

Inclusion

Strong standard
Children's needs are extremely well identified and supported. Leaders work very closely with parents and carers from their first visit, to work out exactly what support children need in order to thrive. Leaders meticulously identify and reduce possible barriers to learning. For instance, they provide matched experiences for children who need to leave the room for medical attention, so that they never miss out. Leaders develop skilful adaptations to ensure that all children can achieve well. These are consistently understood and used by staff. For example, they use individually tailored visual images to help children to communicate their needs. Children benefit from one-to-one specialist support sessions. These sessions are specifically tailored to support children in reaching their developmental targets and support children very effectively in making rapid progress. Leaders and staff regularly review children's progress together. They carefully adapt their approach to meet children's changing needs. Leaders use their high level of skill and experience to support staff in developing their practice. They also provide additional carefully matched training. This ensures that all staff have the knowledge they need to consistently meet all children's needs. Leaders have a very comprehensive knowledge of children who are known to children's social care. They consistently monitor their progress and their wider life experiences to ensure that all potential barriers are addressed swiftly.

Leadership and governance

Strong standard
Leaders have a comprehensive understanding of the setting's context. They consistently strive for excellence and have developed a real culture of continual improvement. Leaders ensure that all staff have consistently high expectations, for what children can achieve and also for how they can support the children in their care. Leaders are passionate about working with their local community. For instance, they have developed long-standing arrangements with local colleges. They regularly visit the college to run stay-and-play sessions to support the students in their training. Staff consistently feel that leaders care about their wellbeing and workload. They value the open culture, where they can speak with a wide number of leaders to share their ideas and experiences. Staff benefit from regular tailored training to improve their practice. For instance, many staff have recently completed Makaton training. This is being used across the setting to support children's developing communication skills. Leaders ensure that all staff, including those who work at the setting on a less frequent basis, complete the same high-quality training. This enables all staff to deliver consistently high-quality teaching to promote children's learning. Parents are overwhelmingly positive about their children's experiences at the setting. They really value their close working relationships with staff and can go to them for support and guidance. Parents appreciate how flexible leaders are in adjusting provision to meet the exact needs of every individual child.

What it's like to be a child at this setting

Children arrive at the nursery enthusiastically. They engage in a wide range of experiences that are offered to spark their curiosity and exploration. Children build close, effective relationships with staff who know them well. Children look to staff for praise and reassurance. For instance, babies crawl towards their key staff for comfort, and older children call out for staff to show them what they have achieved. Children share their thoughts and feelings readily and talk about their ideas. For example, they explain their intention to make lemonade. Children are encouraged to share their expert knowledge and to 'teach' staff. For instance, they tell them 'everything that they know' about robots. Babies develop their emerging communication skills using well-embedded Makaton signs. This helps them to communicate their needs at an early stage. Children, including those experiencing potential barriers to learning, become confident explorers in this setting. For instance, they are supported to use suitable knives to cut peppers and cucumbers to find the seeds inside. They persevere and enthusiastically share their discoveries with each other. Children develop a love of learning. They benefit from an immersive approach to their learning. For example, they explore sunflower seeds, pulling them from flower heads and using them in play dough, while listening to a story about growing sunflowers. This helps children to build a depth of understanding. Children visit local care homes regularly and participate in activities alongside residents. This further develops children's understanding of their local community and the world around them. Children's families are warmly welcomed here. Parents and carers value the support they receive from leaders and staff. For example, they work closely together to help children with potty training. Children are keen to attend regularly, as their experiences are so positive and exciting. This means that they are extremely well prepared for their transition on to school.

Next steps

Leaders should ensure continued improvement in the setting's successful work to remove barriers for children who need extra help to realise a transformational impact on all children's achievement and wellbeing.

About this inspection

The inspector spoke with leaders, staff, children, parents and carers during the inspection. We carried out this inspection under sections 49 and 50 of the Childcare Act 2006 on the quality and standards of provision that is registered on the Early Years Register. The registered person must ensure that this provision complies with the statutory framework for children's learning, development and care, known as the early years foundation stage.

About this setting

URN
EY271409
Address
Taunton and Somerset Hospital Musgrove Park Taunton Somerset TA1 5BZ
Type
Childcare on Non-Domestic Premises, Full day care
Registration date
03/12/2003
Registered person
Tops Day Nursery Limited
Register(s)
EYR, CCR, VCR
Operating hours
Monday,Tuesday,Wednesday,Thursday,Friday : 06:00 - 20:00
Local authority
Somerset

Facts and figures

Age range at inspection
0 to 11
Total places
121

Data from 23 July 2026

Raw extracted PDF text
Tops Day Nurseries - Musgrove
Unique reference number (URN): EY271409
Address: Taunton and Somerset Hospital, Musgrove Park, Taunton, Somerset, TA1 5BZ
Type: Childcare on non-domestic premises
Registered with Ofsted: 03/12/2003
Registers: EYR, CCR, VCR
Registered person: Tops Day Nursery Limited
Inspection report: 23 July 2026
Exceptional
Strong standard
Expected standard
Needs attention
Urgent improvement
Safeguarding standards met
The safeguarding standards are met. This means that leaders and/or those responsible for
governance and oversight fulfil their specific responsibilities and have established an open
culture in which safeguarding is everyone's responsibility and concerns are actively
identified, acted upon and managed. As a result, children are made safer and feel safe.
How we evaluate safeguarding
When we inspect settings for safeguarding, they can have the following outcomes:
Met: The setting has an open and positive culture of safeguarding.
Not met: The setting has not created an open and positive culture of safeguarding. Not all
legal requirements are met.

Strong standard
Achievement Strong standard
Children make rapid progress across the curriculum. Babies learn to communicate their
needs early as they use basic Makaton signs, such as for 'please' and 'more'. Older children
become confident communicators as they readily share their thoughts. For instance, they
compare their toy cars as they race them. Babies develop their sense of autonomy as they
routinely make decisions for themselves, such as whether to have milk or water. Children
become impressively independent in meeting their own needs. Their independence
develops consistently as they move through the setting. For example, toddlers start to pour
their own water and learn to serve lunch. Older children work together to lay the table and
work out how many plates are needed. The children are very well prepared for their next
stage of learning, including for school. Children who experience barriers to learning make
excellent progress. Every child is fully supported to benefit from all possible opportunities.
Behaviour, attitudes and establishing routines Strong standard
Leaders have established an extremely positive culture in the setting. All children and staff
have complete clarity about the expectations for behaviour. Staff skilfully adapt their
approach to meet each child's individual needs. Staff ensure that consistently effective
routines support all children throughout the day. This means that they always know exactly
what is expected of them. For instance, children work together to lay the table for lunch.
Older babies know to stand by the door before they head in for snack. Children develop very
positive relationships with staff, who know them well. For example, children hold up lemons
to show staff, when they have managed to cut them. Staff praise children warmly for their
perseverance, which helps them to develop consistently positive attitudes to learning.
Children learn to collaborate very effectively. They take turns and happily share equipment,
without direct adult support. Children are consistently kind and considerate towards each
other. For instance, children say, 'I am just waiting for my turn,' as they wait patiently. They
offer resources readily to others if they notice their friends need something, such as passing
a pen to a peer. Leaders promote the importance of regular attendance and punctuality.
They act decisively where potential barriers to attendance emerge. For example, they alter
attendance patterns to match the changing shifts of parents and carers.
Children's welfare and wellbeing Strong standard
Leaders have ensured that all staff place children's care needs at the heart of everything
that they do. Staff are entirely attentive in ensuring that children are always safe and happy.
Where required, care practices for children with special educational needs and/or disabilities
are carefully adapted. This means that all children are fully included at all times. Staff have a
comprehensive understanding of the children in their care. For example, they regularly
check with parents and carers about children's sleep routines and weaning stages. Staff
lead embedded practices, such as tooth brushing, effectively. This helps children to build
and maintain healthy habits for life.

Children learn to keep themselves safe and well. For instance, staff remind them to wash
their hands after blowing their nose. Children understand that they need to do this to stop
germs from making them unwell. Children are supported to recognise and manage their
emotions. They learn to name what they are feeling. They relate their feelings to colour
images so that all children can share their emotions. Children learn about the importance of
taking time to calm themselves. They take part in yoga sessions and choose from a board of
calming strategies.
Mealtimes are social occasions, and children are attentively supervised throughout. Children
learn to eat a healthy and balanced diet. They understand why this is important. For
example, they say, 'Carrots help me grow big and strong.' Children sleep safely in
comfortable rooms with continual staff supervision.
Curriculum and teaching Strong standard
Leaders have a very clear oversight of their curriculum and teaching. They continually strive
to improve every child's experiences. Staff provide a broad and balanced curriculum that
focuses on developing children's curiosity and love of learning. Leaders ensure that all
children receive the exact adaptations they need in order to be fully included. Staff
consistently make effective use of questioning to encourage children's thinking skills. For
instance, they ask children to explain what might happen when they try things in a different
way. This builds children's depth of thinking and encourages them to share their ideas with
confidence.
Babies develop their physical skills rapidly. For example, staff support them to tentatively
start walking and to pull themselves up on furniture. Older children learn to control their
bodies with skill during yoga sessions and build their coordination as they draw on large
sheets of paper, for instance. Mathematical learning is skilfully embedded. Babies develop
an understanding of size and shape as they compare cups. Older children work with staff to
discuss the concept of time and relate it to a clock. They enthusiastically point out the
numerals that they know. Staff carefully assess what children know and can do. They tailor
their interactions to ensure that they continually move children's learning forward.
Inclusion Strong standard
Children's needs are extremely well identified and supported. Leaders work very closely with
parents and carers from their first visit, to work out exactly what support children need in
order to thrive. Leaders meticulously identify and reduce possible barriers to learning. For
instance, they provide matched experiences for children who need to leave the room for
medical attention, so that they never miss out. Leaders develop skilful adaptations to ensure
that all children can achieve well. These are consistently understood and used by staff. For
example, they use individually tailored visual images to help children to communicate their
needs.
Children benefit from one-to-one specialist support sessions. These sessions are
specifically tailored to support children in reaching their developmental targets and support
children very effectively in making rapid progress. Leaders and staff regularly review
children's progress together. They carefully adapt their approach to meet children's changing
needs. Leaders use their high level of skill and experience to support staff in developing

their practice. They also provide additional carefully matched training. This ensures that all
staff have the knowledge they need to consistently meet all children's needs. Leaders have
a very comprehensive knowledge of children who are known to children's social care. They
consistently monitor their progress and their wider life experiences to ensure that all
potential barriers are addressed swiftly.
Leadership and governance Strong standard
Leaders have a comprehensive understanding of the setting's context. They consistently
strive for excellence and have developed a real culture of continual improvement. Leaders
ensure that all staff have consistently high expectations, for what children can achieve and
also for how they can support the children in their care. Leaders are passionate about
working with their local community. For instance, they have developed long-standing
arrangements with local colleges. They regularly visit the college to run stay-and-play
sessions to support the students in their training.
Staff consistently feel that leaders care about their wellbeing and workload. They value the
open culture, where they can speak with a wide number of leaders to share their ideas and
experiences. Staff benefit from regular tailored training to improve their practice. For
instance, many staff have recently completed Makaton training. This is being used across
the setting to support children's developing communication skills. Leaders ensure that all
staff, including those who work at the setting on a less frequent basis, complete the same
high-quality training. This enables all staff to deliver consistently high-quality teaching to
promote children's learning.
Parents are overwhelmingly positive about their children's experiences at the setting. They
really value their close working relationships with staff and can go to them for support and
guidance. Parents appreciate how flexible leaders are in adjusting provision to meet the
exact needs of every individual child.
Compulsory Childcare Register requirements
This setting has met the requirements of the compulsory part of the Childcare Register.
How we check if a provider meets the requirements of the Compulsory Childcare
Register
When we check if settings meet the Compulsory Childcare Register requirements, they can
have the following outcomes:
Met
Not met

Voluntary Childcare Register requirements
This setting has met the requirements of the voluntary part of Childcare Register.
How we check if a provider meets the requirements of the Voluntary Childcare
Register
When we check if settings meet the Voluntary Childcare Register requirements, they can
have the following outcomes:
Met
Not met
What it's like to be a child at this setting
Children arrive at the nursery enthusiastically. They engage in a wide range of experiences
that are offered to spark their curiosity and exploration. Children build close, effective
relationships with staff who know them well. Children look to staff for praise and
reassurance. For instance, babies crawl towards their key staff for comfort, and older
children call out for staff to show them what they have achieved. Children share their
thoughts and feelings readily and talk about their ideas. For example, they explain their
intention to make lemonade. Children are encouraged to share their expert knowledge and
to 'teach' staff. For instance, they tell them 'everything that they know' about robots. Babies
develop their emerging communication skills using well-embedded Makaton signs. This
helps them to communicate their needs at an early stage.
Children, including those experiencing potential barriers to learning, become confident
explorers in this setting. For instance, they are supported to use suitable knives to cut
peppers and cucumbers to find the seeds inside. They persevere and enthusiastically share
their discoveries with each other. Children develop a love of learning. They benefit from an
immersive approach to their learning. For example, they explore sunflower seeds, pulling
them from flower heads and using them in play dough, while listening to a story about
growing sunflowers. This helps children to build a depth of understanding. Children visit
local care homes regularly and participate in activities alongside residents. This further
develops children's understanding of their local community and the world around them.
Children's families are warmly welcomed here. Parents and carers value the support they
receive from leaders and staff. For example, they work closely together to help children with

Inspector:
Alanda Phillips
About this setting
Unique reference number (URN): EY271409
Address:
Taunton and Somerset Hospital
Musgrove Park
Taunton
Somerset
TA1 5BZ
Type: Childcare on non-domestic premises
Registration date: 03/12/2003
Registered person: Tops Day Nursery Limited
Register(s): EYR, CCR, VCR
Operating hours: Monday,Tuesday,Wednesday,Thursday,Friday : 06:00 - 20:00
potty training. Children are keen to attend regularly, as their experiences are so positive and
exciting. This means that they are extremely well prepared for their transition on to school.
Next steps
Leaders should ensure continued improvement in the setting's successful work to remove
barriers for children who need extra help to realise a transformational impact on all
children's achievement and wellbeing.
About this inspection
The inspector spoke with leaders, staff, children, parents and carers during the inspection.
We carried out this inspection under sections 49 and 50 of the Childcare Act 2006 on the
quality and standards of provision that is registered on the Early Years Register. The
registered person must ensure that this provision complies with the statutory framework for
children's learning, development and care, known as the early years foundation stage.

Local authority: Somerset
Facts and figures used on inspection
This data was available to the inspector at the time of the inspection.
This data is from 23 July 2026
Children numbers
Age range of children at the time of inspection
0 to 11
Total number of places
121
Our grades explained
Exceptional
Practice is exceptional: of the highest standard nationally. Other settings can learn from it.
Strong standard
The setting reaches a strong standard. Leaders are working above the standard expected of
them.
Expected standard
The setting is fulfilling the expected standard of education and/or care. This means they are
following the standard set out in statutory and non ‑ statutory legislation and the professional
standards expected of them.
Needs attention
The expected standards are not met but leaders are likely able to make the necessary
improvements.
Urgent improvement
The setting needs to make urgent improvements to provide the expected standard of
education and/or care.

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