STAC – DDPHUB.co.uk

Guidance: This form must be completed prior to the commencement of any educational provision. It ensures compliance with Keeping Children Safe in Education (KCSIE), Ofsted requirements, and Southwark Local Authority expectations.

1. Provider Details

Organisation Name

Lead Contact Person

Email Address

Contact Number

2. Safeguarding & Safer Recruitment (KCSIE)

Compliance Check	Confirmed	Evidence / Reference Number
Enhanced DBS Checks (with Barred List) All staff on site have been cleared.
Photo Identification Checked Identity verified against DBS.
Safeguarding Training (Level 2/3) Staff trained within the last 12 months.
Disqualification by Association Staff are not disqualified from working with children.
Whistleblowing & Code of Conduct Staff have read and agreed to the provider’s policy.

3. Health, Safety & Insurance

Public Liability Insurance (£5m min)

Valid

Professional Indemnity Insurance

Valid

Risk Assessments (RA)

Has a specific RA been completed for the activities being delivered to St Thomas the Apostle students?

Yes, Attached Pending

4. Quality of Education & Inclusion

To ensure alignment with the school’s high expectations and the DDP strengths-based framework:

Curriculum Intent & Adaptation

Lesson plans provided demonstrate clear intent, are ambitious, and are appropriately scaffolded for neurodiverse learners.

Strengths-Based Approach

Strategies actively utilise the student’s interests and strengths (e.g. ‘Autism as a Superpower’) to drive engagement rather than focusing on deficits.

Sensory & Low Arousal Practice

Staff demonstrate awareness of sensory needs and adopt a low-arousal approach to regulation and environment management.

Relational Safety & Co-Regulation

Behaviour management relies on building relational safety and co-regulation, avoiding punitive measures that escalate anxiety.

5. Declaration

I confirm that the information provided is accurate and that all staff involved in the delivery of this programme have undergone the necessary vetting checks. I understand that failure to provide this evidence may result in the termination of the agreement.

Signed (Provider)

Authorised By (School)