Inspection of 15 September 2025 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. Full length hanging curtains were observed in the Wobbler and ECCE 1 rooms. These posed a potential risk of injury to a child if they became entangled in them and required to be secured or removed. 2. The door lock mechanism on the door between ECCE 1 and the sanitary area was not working and did not secure the ECCE 1 room. As a result, there was a potential for children to leave ECCE 1 room un-noticed. 3. In the sleep room there were two electrical sockets which had five plugs connected and created a potential electrical overload risk. 4. A can of air freshener was placed in a hanging container on a cot in the cot room and accessible to a preschool child if they were using the cot. It is acknowledged that corrective action was taken when the issue was brought to the attention of the manager. 5. The mattress on cot 4 was not the correct size for the cot as gaps were observed between the mattress and cot frame on two of the four sides. This created a potential risk of injury to a preschool child if they became trapped. 6. The hot water at the hot tap in the senior Toddler room and at the hot tap in the sanitary area on the first floor was recorded at 45.2 °C and 45.7 °C respectively at 11:19am. It is acknowledged that corrective action was immediately taken by the person in charge when it was brought to their attention and the thermostat was adjusted. The water temperature had reduced to 43.7°C when recorded at 12:20pm. 7. There was no toilet seat on the toilet in the ‘Boys’ cubicle in the upstairs sanitary area, as a result there was no stability provided for a child to safely sit on this toilet. The toilet seat was observed placed on the floor inside the cubicle which was also a potential infection control risk. 8. Despite daily indoor and outdoor environmental risk assessments completed on the day of the inspection, a review of the risk assessment practice is required to examine how the general safety risks identified during the inspection were not captured. Infection Control: 9. The paper towel was not placed in a dispenser in the nappy change area and two toilets in the sanitary area on the ground floor for hygienic dispensing for infection control purposes. 10. The toilet paper was not placed in a dispenser in the two toilets in the sanitary area on the ground floor or in the toilet cubicle in the sanitary area on the first floor for hygienic dispensing for infection control purposes. 11. The toilet seat belonging to the toilet in the ‘Boys’ cubicle in the sanitary area on the first floor was observed placed on the floor inside the cubicle; this was an infection control risk. 12. 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. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. A frosting film has been placed on the door , and the curtains have been removed. T he curtains have been removed from the conservatory area. This has been added to the room risk assessment. 2. The door lock has been replaced. Checking door handles and locks is added to the room risk assessment. 3. Some of the electrical devices have been moved to another area. Ensuring sockets are not overloaded with electrical appliances has been added to the risk assessment sheet. 4. The air freshener has been removed from the area. The risk assessment has been updated to ensure there are no items left within a child’s reach in the sleep room. 5. A new mattress has been bought for the cot to ensure it fits snuggly in the cot. The risk assessment has been updated to ensure cots and mattresses are checked to ensure that mattresses are the correct size for the cots. 6. The thermostat was adjusted to bring down the water temperature to an appropriate level. As part of the daily cleaning, staff will check and document the water temperature and highlight to management if it needs to be adjusted. 7. A new toilet seat has been put on the toilet. The toilet risk assessment has been updated to check that toilet seats are secured. 8. The risk assessments have been updated to ensure the general safety risks identified during inspection does not reoccur in the future. The risk assessments will be updated annually or when any changes have been made to an area if this is sooner. Infection Control: 9. All paper towels have been placed in dispensers. A staff member has been assigned the responsibility to ensure all toilet rolls and paper towels are placed directly into the dispensers and check daily to see if they need replacing. This is now part of the daily risk assessment check. 10. All toilet rolls have been put into the toilet roll dispensers. A staff member has been assigned the responsibility to ensure all toilet rolls and paper towels are placed directly into the dispensers and check daily to see if they need replacing. This has been added to the daily risk assessment/cleaning sheet. 11. The toilet seat has been removed. The toilet cleaning chart has been updated to ensure any equipment not fit for purpose has been discarded. 12. Staff have received inhouse training on nappy changing and were reviewed carrying out nappy changing to ensure they followed all steps on our nappy policy procedure . Inhouse nappy changing training will form part of our team meetings to ensure all staff are kept very familiar with all steps. Our nappy changing policy is displayed in the nappy changing area to remind staff of the step-by-step procedure that they must follow
Regulation 25 — First aid
- (2)(a) The first aid equipment was not stored in a conspicuous position in the service
Provider's corrective action:
- (2)(a) The staff member in charge of checking the first aid equipment will ensure the signage is in place and visible
Found compliant: Regulation 9, 11, 24, 26, 27, 28.