Inspection of 23 June 2026 — Inspection Report
Regulation 9 — Management and recruitment
- 9(7)(a)(b)(c) Whilst it is acknowledged that there was an induction process and training in place, and evidence of team meetings having taken place in April 2026, inspectors found that the registered provider did not demonstrate that they had taken all reasonable measures to ensure that all employees were provided with sufficient information and training to safeguard the health safety and welfare of children attending the service and to comply with the regulations as follows: • A sample of three induction records were sought for the three most recently employed staff who commenced working in the service in 2024 and 2025. There were no induction records available for these staff. This was at variance with the service staff training policy which stated that each staff file contains: • Signed induction checklists. • Records of completed Support and Supervision sessions. • Through a review of records and discussions with staff, it was evident that staff had not received regular support and supervision. There were no records of regular formal supervision available. This was at variance with the service’s staff supervision policy which stated: ▪ One to one supervision will be scheduled every 12 weeks. ▪ New employees will have a one month check in, supervision meetings at 12 week intervals and a probationary review at six months
Provider's corrective action:
- The provider accepts that improvements are required to ensure all staff receive and have documented induction, support, and supervision in line with the service's policies and regulatory requirements. A standardised induction checklist has been introduced. This checklist will be completed, signed by both the employee and manager, and filed in the employee's personnel file before the completion of the induction period. A formal supervision schedule has been implemented to ensure all staff receive one-to-one supervision at least every 12 weeks, in accordance with the service's Staff Supervision Policy. New employees will receive a one-month check-in, supervision meetings at 12-week intervals, and a probationary review at six months, with all meetings documented and retained on the employee's file. Management will maintain a supervision tracker to monitor compliance, ensuring supervision sessions are completed within the required timeframe and that any training or support needs identified are actioned promptly. Management will hold monthly management meetings to review staffing matters, monitor compliance with induction and supervision requirements, discuss any outstanding actions, and ensure continuity and consistency in the implementation of the service's policies. Management will undertake quarterly audits of staff files to verify that induction, supervision, probation reviews, and all mandatory documentation are complete and up to date. Any gaps identified will be addressed immediately
Regulation 10 — Policies, procedures etc. of pre-school service
- • There was no Accident and Incident Policy made available for inspection. • The supervision of staff policy did not outline how long the records of supervision will be kept. • The risk management policy did not specify the length of time risk management records will be kept
Provider's corrective action:
- The following actions have been taken: • An Accident and Incident Policy has been reviewed, updated, and made available within the service policy folder. All staff have been informed of the location of the policy and their responsibilities in relation to recording, reporting, and managing accidents and incidents involving children, staff, or visitors. • The Staff Supervision Policy has been updated to clearly specify the length of time supervision records will be retained. All supervision documentation will be securely maintained in accordance with regulatory requirements and the service’s record-keeping procedures. • The Risk Management Policy has been reviewed and updated to include the retention period for all risk assessment and risk management records. This ensures that records relating to identified risks, control measures, and reviews are maintained appropriately and remain available for inspection. A full review of all service policies and procedures has commenced to ensure they are current, accessible, and contain all required information, including record retention periods where applicable. The Person in Charge will complete regular policy audits to ensure all policies remain compliant, are reviewed within the required timeframe, and are communicated effectively to all staff
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. See Statutory Notice section in relation to Immediate Action Notice IN3701 served. 2. See Statutory Notice section in relation to Improvement Notice IN3703 served. 3. Cleaning materials were stored in a low-level cupboard in Little Robins, Little Caterpillars and Bumblebees room, which did not have child safety locks in situ. Cleaning materials within children’s reach puts them at risk of ingestion of poisonous substances. It is acknowledged that once the staff in each room became aware, they replaced the missing safety locks with new ones during the inspection. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 3. Staff have been reminded of the service's Health and Safety and Risk Management Policies, with particular emphasis on the safe storage of hazardous substances. Daily room safety checks now include verification that all child safety locks are present, functioning correctly, and securely fastened. Broken or missing child safety locks were replaced on the day of inspection. Any damaged or missing safety locks will be reported immediately and replaced before children have access to the room
Found compliant: Regulation 11, 16, 27.