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First Steps NHS Nursery

First Steps NHS Nursery is a day nursery in Exeter for children aged 0 to 4, with 105 registered places. Ofsted, 7 August 2025: Outstanding overall; safeguarding is effective.

Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW

Key facts

Type
Day nursery (Full day care) (Ofsted childcare register, as at 30 June 2026)
Ages
0 to 4 (Ofsted childcare register, as at 30 June 2026)
Registered places
105 (Ofsted childcare register, as at 30 June 2026)
Children on roll
195 (Ofsted report, inspection on 7 August 2025, published 11 September 2025)
Registered
16 August 2010 (Ofsted childcare register, as at 30 June 2026)

Opening hours

The nursery opens from 7am to 6pm, Monday to Friday, all year round.

Source: Ofsted report, inspection on 7 August 2025, published 11 September 2025

Who runs it

First Steps NHS Nursery is run by Royal Devon University Healthcare NHS Foundation Trust (Ofsted register).

Latest inspection

  • Overall: Outstanding
  • Personal development: Outstanding
  • Quality of education: Outstanding
  • Behaviour and attitudes: Outstanding
  • Leadership and management: Outstanding
  • Safeguarding is effective

Source: Ofsted, inspection on 7 August 2025, report published 11 September 2025. Contains public sector information licensed under the Open Government Licence v3.0.

What is it like to attend this early years setting?

Children thoroughly enjoy their time at this exceptional nursery. They arrive eagerly and keen to take part in the stimulating experiences that the staff provide for them. Children develop close friendships and have great fun playing together in the exciting outdoor areas. They delight as they make up games and demonstrate excellent collaborative work. For instance, they use equipment to create see-saws, taking turns to push each other and making up songs as they play. Children spontaneously exclaim, 'This is the best day of my life.'

Staff have established an enabling environment that helps to ensure children are actively engaged in learning. Babies practise balancing and climbing with the support of staff. They demonstrate warm, trusting bonds with staff, who skilfully extend their understanding, such as by helping them to count their steps as they hold their hands. Children sustain high levels of concentration. For instance, they delight in exploring different textures as part of messy play activities. They focus deeply for extended periods as they make 'dinner' by carefully mixing shaving foam and oats. Children listen attentively to staff as they play together and quickly incorporate new words into their talk, such as 'watermelon', 'smoothie' and 'scoop'.

Leaders ensure staff work incredibly well together and have very high expectations of what children can do for themselves, even from a very young age. They support children to demonstrate excellent problem-solving skills. For example, children confidently estimate the length of card needed to make a pirate hat. Children select the materials they need and show accurate skills using scissors to independently construct it. Staff regularly praise children to build their self-esteem and are mindful of their feelings. Children demonstrate exemplary behaviour and attitudes to learning.

What does the early years setting do well and what does it need to do better?

  • Leaders are passionate about providing children with the best possible outcomes as part of a highly ambitious curriculum. They ensure children's experiences over time build to provide them with firm foundations for future learning. For example, children take part in a very successful communication and language programme devised by leaders in the nursery. Targeted daily group activities for all children develop their knowledge of early phonics skills and extend their vocabulary.
  • Staff's interactions with children are consistently of a high quality. Leaders provide a highly successful programme of monitoring staff's practice to ensure they are extending children's knowledge and understanding across the curriculum. They strive for excellence through a rigorous cycle of reflection that enables staff to adjust the curriculum to meet the needs of each child. Leaders cascade training to staff through highly effective measures to improve their practice. For example, staff benefit from weekly newsletters containing the key messages, such as 'top tips' for creating and maintaining secure attachments with children.
  • Staff provide children with an exceptional level of personalised support and care. They spend an extensive amount of time getting to know children's needs well and supporting them to access early education. Children with complex medical and learning needs are incredibly well supported by staff. For example, they provide individualised learning packs for children who are absent from the nursery for extended periods due to medical needs. Staff work in partnership with a vast number of other professionals to ensure children get the right care for them at the right time. As a result, children make the best possible progress from their starting points.
  • Staff provide a highly inclusive environment. Children have consistently high levels of respect for others. Staff celebrate the diversity of those within the nursery and take part in an extensive range of cultural learning experiences. They support children to take part in age-appropriate activities to help them learn about people and communities beyond their own, including through learning about 'countries of the month'.
  • Staff support children highly effectively in managing their emotions. They take swift action and provide bespoke support for children when they struggle to regulate their behaviour. For example, staff have created colourful murals on the walls of the nursery to help children use breathing exercises to regulate their emotions. Children respond very well to strategies that support them to let others know when they need space, such as 'available' and 'not available' signs.
  • Children demonstrate an excellent level of independent skills for their age. For example, children wash their plates after eating their lunch, carefully removing the dirt in soapy water using a sponge. Staff supervise the children closely, offering useful tips and praise them for their efforts. Children demonstrate great pride in their achievements.
  • Parents speak very highly of nursery staff. They report how staff 'embrace' their child's needs and allow them to come on in 'leaps and bounds'. Staff work very closely and effectively in partnership with parents to support transitions incredibly well. For instance, they have developed detailed booklets as part of an enhanced transition process for when children move to a different room in the nursery, providing key information on staff, routines and learning.

Ofsted's words, from the report on the inspection on 7 August 2025 (report published 11 September 2025). Read the full report on the Ofsted website. Contains public sector information licensed under the Open Government Licence v3.0.

Inspection history

  • 7 August 2025: Full inspection, Outstanding (report)
  • 1 November 2022: Full inspection, Outstanding (report)
  • 9 January 2017: Full inspection, Outstanding (report)
  • 12 March 2014: Inspection (report)
  • 18 November 2013: Inspection (report)
  • 7 February 2011: Inspection (report)

Ofsted grades before November 2025 (England)

Inspections before November 2025 gave one overall grade on a four-point scale: Outstanding, Good, Requires improvement, Inadequate. Ofsted also graded the quality of education, behaviour and attitudes, personal development, and leadership and management, and said whether safeguarding was effective.

Settings keep their last grade until Ofsted visits again, so many nurseries still show a grade from this older scale.

Source: Ofsted reports

Funded childcare hours in England

All 3 and 4 year olds in England can get 15 hours of free childcare a week, for 38 weeks of the year.

Working parents of children aged 9 months to 4 years old can get 30 hours of free childcare a week for 38 weeks of the year (Free Childcare for Working Parents), if they meet the earnings rules. You confirm your details every 3 months.

Some 2 year olds can get 15 hours a week when the family gets certain kinds of extra support.

The hours are used at a registered provider that offers them, so ask each nursery how it offers the funded hours.

Source: GOV.UK: Free Childcare for Working Parents, check if you're eligible · GOV.UK: Free childcare and education for 2 to 4 year olds (checked 31 October 2026)

Other nurseries nearby

  • Nanny Bears Childcare - Day nursery, Exeter EX2 5JN, ages 2 to 4, 28 places, 0.3 miles
    Ofsted, 23 January 2025: Good overall; safeguarding is effective
  • Nanny Bears - Day nursery, Exeter EX2 5ED, ages 1 to 3, 40 places, 0.3 miles
    Ofsted report card, 8 May 2026: Strong standard in 2 areas, Expected standard in 4 areas; safeguarding standards met
  • Kip McGrath Exeter East - Pre-school, Exeter EX1 2QN, 0.3 miles
  • Puffins at Manston Terrace - Day nursery, Exeter EX2 4NP, ages 0 to 7, 58 places, 0.3 miles
    Ofsted, 24 September 2024: Good overall; safeguarding is effective
  • Nanny Bears The Cottage - Day nursery, Exeter EX1 2QJ, ages 1 to 4, 32 places, 0.4 miles
    Ofsted report card, 7 July 2026: Strong standard in 2 areas, Expected standard in 4 areas; safeguarding standards met

Schools nearby

First Steps NHS Nursery on the Ofsted website