Key factors

Details in this scenario suggest that James is experiencing neglect and emotional abuse.

This is indicated by the following factors:

1. James gorges on food at snack time and takes food from others when he's finished his snack. He also seems to be more hungry after the weekend. This suggests that he is likely to be eating less while at home.
2. James presents at nursery with poor hygiene, which can indicate a lack of care from the adults at home. This is also impacting upon his physical health, as he has nappy rash due to unchanged nappies.
3. James has not attended regular, routine medical appointments or assessments, despite his mother being reminded.
4. James has developmental delay in his speech and language, which may indicate that adults at home don't spend much time talking to him.

These are the kind of details you need to record, if you observe them in relation to a child in your setting.