Inspection of 28 July 2025 — Inspection Report
Regulation 19 — Health, welfare and development of child
- Physical and material environment: 1. The physical and material environment in the Baby room requires review to meet the developmental requirements of the age group attending which was 18 months to 2 years. It is acknowledged that there was an adequate quantity of toys and equipment in the room however they were placed on the window sills, on high shelves or in containers and not freely available to the children to make their own choices about what they would like to play with. A standing multi activity unit and a baby gym were unsuitable for the age group attending on the day. There were minimal areas of interest and what was available was poorly presented. The kitchen play unit required more props for examp le, tea sets, pots and pans, dolls, cot/buggies, child sized hoover to prompt make believe and symbolic play and learning for the age group in the Baby room. There w ere no sensory play opportunities , push pull toys and minimal real-life equipment to encourage children’s imaginative play. Additional equipment such as soft climbing cushions, a crawling tunnel, simple peg board puzzles, stacking toys and shape sorter puzzles, sensory mats, push/pull equipment, treasure baskets with natural and open -ended materials, rattles and musical instruments, will support the chi ldren’s developing language, social and emotional skills as well as stimulating their imagination and curiosity. 2. There were no sensory play materials such as sand , water, play dough available to the children attending the Senior Toddler room. 3. The children in the Baby and Senor Toddler room were observed not to go outdoors for play during the inspection. It is acknowledged that there was maintenance works in the main outdoor area however there were alternative outdoor areas available in the service
Provider's corrective action:
- 1. The baby room has been reviewed. Toys and materials are now stored so the children have free choice of play and more defined areas of play has been created to make it more inviting for the children. Those areas are fully stocked with props and materials for symbolic pay. A new sensory bu sy board has been attached to the wall and 2 hand held ones. We also have a sensory table where the children can enjoy sand and water play. There is new push / pull equipment soft climbing cushions and additional equipment to stimulate the children’s imagination and curiosity. The rooms will be reviewed at the end of each term to ensure that they are meeting the children’s stages of development as they grow within their environment. 2. A new sensory table was purchased so the children can enjoy sand and water play. Play dough is made weekly and stored in a sealed container so children can enjoy play dough with a variety of tools/cutters and shapes. A new cleaning/risk assessment was created for each room with questions to prompt staff to ensure there is clean fresh water/sand/playdough available for the children. 3. The children were brought out in the afternoon and staff were advised of the importance of daily outdoor time for all children. There is new fencing in place to secure all outdoor areas
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The main entrance door to the service was observed unsecured at 10:46am, immediate corrective action was taken by the person in charge once it was brought to their attention by the inspector and remained secured for the remainder of the inspection. 2. The entrance door to the Baby room and Portacabin building were observed during the inspection not to be consistently secured to prevent unauthorised entry to the two areas. It is acknowledged that corrective actions were completed when it was brought to the attention of the staff members and both entrance doors were secured. 3. There was no documentary evidence that daily indoor room and outdoor risk assessments were completed and maintained to ensure a safe play and work environment for the children and staff. 4. A cord blind was observed to be unsecured in the Pre-school room. A corrective action was completed by the inspector where the loose cords were secured and placed out of reach ; the completed action was brought to the attention of both staff in the room. 5. There were no visibility strips on the full-length glass doors in the Baby room. This created a potential risk of injury to a child if they failed to recognise the glass panels. Infection Control: 6. The nappy change practices required to be reviewed as it was observed that the single use disposable apron and disposable gloves were not removed following the bagging up of the soiled nappy . Soiled nappies, used aprons and used disposable gloves need to be disposed of at the same time following removal of the old nappy for best infection control practices. 7. The low-level sleep beds were stored with the sheets in situ; this was inadequate for infection control practices as the sheets had the potential to be in contact with each other. 8. Wipes were used to firstly clean the children’s faces and then reused to clean the children’s hands in the Baby room. This posed an infection control risk as the children’s hands were not adequately cleaned. This was a non-compliance following inspection conducted on 17 October 2024. The corrective action submitted by the registered provider following the inspection failed to prevent recurrence of this non-compliance. Safe Sleep: 9. Two cot mattresses were observed not to fit the cots they were placed in snugly thus leaving a gap at one end; this had the potential to cause an entrapment injury to a child. 10. The cot mattress in the foldable cot did not have a recognised safety label attached. 11. Two cots were placed adjacent to the full-length blind covering the fire escape door and as a result was accessible to children. 12. A plug in air freshener with liquid contained in its receptacle, was observed plugged in beside a cot and was accessible to a child; it is acknowledged there was no child using the cot at the time of the inspection. 13. Two plastic storage units were observed placed between two sets of cots; this created a potential risk of a child gaining a foot hold and climbing out of the cot and a further potential risk of injury in the process. 14. The available cot room risk assessment, which was displayed on the wall in the cot room, did not prompt the identification the above risks observed by the inspector. 15. An area of mould was observed on the ceiling of the cot room. Fire Safety: 16. The fire exit door in the sleep room was obstructed by a cot, a plastic storage unit, a cot mattress and a metal clothes horse. This could potentially compromise the evacuation of children and adults from this area in the building in the event of a fire or other emergency occurring. 17. There was no signage for the fire assembly point in outdoor area. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. All doors were locked immediately, and we are ensuring they are locked every day . A MS teams meeting with held with all staff to remind them of the importance of keeping the entrance doors locked. 2. All doors were locked immediately, and we are ensuring they are locked every day. A MS teams meeting with held with all staff to remind them of the importance of keeping the entrance doors locked. 3. The cleaning sheet has been updated to include a risk assessment . The indoor and outdoor maintenance risk assessment is completed by the caretaker weekly. The updated sheet has a space for staff to document a ny risks/hazards that they identify. 4. The cord blind was replaced on the blind with a new cord and secured. 5. Visibility strips have been added to the window in the form of a window art decoration. Infection Control: 6. The nappy changing policy has been updated and shared this with all staff. All staff have been re -trained in nappy changing practice. 7. The bed sheets are stored in individual storage boxes with each child’s names on them and beds are dressed as they need before children go to sleep. 8. Disposable wipes have been replaced with individual face cloths for each child. Retraining has been competed with the staff on the importance of proper effective handwashing. The practice will be monitored by room leaders and the centre manager. Safe Sleep: 9. All cots were checked and are fitted with snugly fitting mattresses. A new cleaning/risk assessment was created for the sleep room to prompt staff to check mattresses. 10. The foldable cot has been replaced with a regular cot and a snug fitting mattress with a recognised safety label attached. 11. The sleep room was reviewed, and the cots have been re-arranged in the room. 12. Plug in air fresheners are not used in the centre. A new cleaning/risk assessment was created for the sleep room to prompt staff to check all plugs have safety covers on them and to ensure that there is nothing plugged in within children’s reach. 13. The storage units were removed following the sleep room review. 14. The risk assessment has been updated. 15. The mould has been cleaned, and the ceiling was repainted. Fire Safety: 16. All items were removed to ensure the fire exit is clear. A new cleaning/risk assessment was created for the sleep room to prompt staff to check that the fire exit is kept clear at all times. 17. The fire assembly sign was changed to the opposite side of the garden and is now securely fixed. The sign is larger and more visible
Regulation 25 — First aid
- (1) While it is acknowledged there are staff trained in first aid response (FAR), there was no person with FAR training on the premises between 8:00am – 9:00am daily and immediately available to the children on the day of inspection as observed by the staff roster
Provider's corrective action:
- (1) Two staff members are booked to do first aid response (FAR) training. This will ensure that are staff trained in first aid response (FAR) available to the children at all times
Found compliant: Regulation 9, 11, 24, 26, 27, 28.