Regulation 23 — Safeguarding health, safety and welfare of child
Safe Sleep: 1. Contrary to the service’s sleep and rest policy 10-minute physical sleep checks were not documented in a timely manner to ensure the safety of the sleeping children. The following examples were observed in the Baby sleep room and in the Playschool room during the sleep period after lunch: • At 11:50 in the Baby sleep room four were placed down to sleep in cots. At 12:28 sleep records were requested and no documented records were available either on paper or on the application on the tablet. In discussion, the staff member verbally gave the sleep and awake times of the five children up to 12:35, however these were not documented at this time. • At 12:37 to 12.44 the Inspector was present in the Baby sleep room. No staff member entered the sleep room during this time. When requested, 10-minute physical sleep checks on a paper template for the five sleeping children from 12:05 onwards, including the 12:40 sleep check had since been documented on a paper template and were made available. It was noted that a sleep check was documented as having taken place at 12:40 while the Inspector was in the sleep room, but no staff member was present in the sleep room. The staff member stated that this check had been carried out using the camera in the care room and not in person contrary to the service’s sleep and rest policy which states “sleeping babies/children checked every 10 minutes by assigned staff. The sleep information will be recorded on a sleep chart including position, colour/pallor and breathing pattern.” • Documented evidence that sleep checks were carried out consistently on each child was not evident in the Playschool room. At 13:20 there were 12 children aged from 1 year 11 months to 2 years 9 months, on blue stackable beds, being monitored by 2 staff members. When records were sampled for 3 children, there were no documented sleep records available in either paper format or on the application on the tablet for 2 of the 3 children in the care room at this time. Not monitoring young children as per guidance while sleeping may pose a risk to their safety 2. Appropriate sleep equipment was not used for children in both the Wobbler and the Playschool rooms. Thirteen children aged between 16 and 23 months were observed sleeping on blue stackable beds during the sleep period. This was at variance with the “Safe Sleep Guidance for Children under 24 months” General Safety: 3. Children were observed to have access to a toilet cubicle which was being used as a storage area in the Wobbler nappy changing area. This cubicle could not be made inaccessible as it did not have a door. Several mops and a hoover were stored in this area. Access to this area could pose a risk to the safety of the children. This non-compliance was observed on the previous two inspections carried out on 7 June 2024 and 20 September 2024 and was not addressed by the registered provider. Action submitted by the Registered Provider
Provider's corrective action:
The following statements were received from the registered provider. Safe Sleep: 1. A meeting was held with staff on Monday 24 November at 09:00 followed by a staff meeting at 18.00 with all staff. Discussion took place to reaffirm the service’s safe sleep policy in conjunction with Quality Regulatory Framework document. Staff were reminded of the requirement to record the physical sleep checks every 10 minutes observing and documenting each child’s breathing, colour and position. 2. Suitable sleep equipment is now in place for all children aged 12 months to 24 months who wish to rest/sleep in the service
Regulation 29 — Premises
(e) There was one nappy changing mat in use in the Baby/Playschool sanitary area where two were required. The requirement is 1 nappy mat to 11 children. There was a total of 18 children, 6 from the Baby care room and 12 from the Playschool care room using the same nappy mat on the day of inspection. It is acknowledged that the registered provider sent in a photograph of two changing mats in the sanitary area the following day
Provider's corrective action:
The following statement was received from the registered provider. (e) Two changing mats are now in use for both the Baby and Playschool children requiring nappy changing
Found compliant: Regulation 9, 11, 19, 25, 26, 28.
Inspection of 20 September 2024 — Inspection Report
Immediate action notice. The inspection focused on an examination of compliance under regulations 9, 11 and 19; however, on inspection additional non-compliance which posed a risk was identified under
Regulation 19 — Health, welfare and development of child
BASIC NEEDS 1. The children in the Wobbler room and the Playschool room were offered food for their main meal that was not suitable for their age and stage of development. The children were given chicken curry and rice that was pureed in the Wobbler rooms and mashed in the Playschool school and resembled food that was suitable for children under the age of 12 months. This pureed and mashed food did not offer texture, lumps and does not encourage chewing which is essential for the development of speech and muscle formation. On speaking to 3 members of staff they had expressed a concern that lumps in the dinner may resulting in children choking on their meals. PHYSICAL AND MATERIAL ENVIRONMENT: 2. The kitchen unit in the playschool room was observed to be broken, the toys and accessories for this unit were not readily available to the children
Provider's corrective action:
The registered provider stated the following in their reply: Corrective and Preventive Action The response received did not contain any corrective or preventive actions to address the findings. Summary Comment A 2nd inspection took place on the 20/09/2024 to review the actions taken by the registered provider in response to the non-compliances identified: 1. The food observed on the day was mash potatoes and mashed carrots with fish fingers cut into bit sized pieces. The texture of the food was more age appropriate. 2. The toy kitchen was still damaged and was not suitably equipped with toy accessories. The manager informed the inspection team, that it will be replaced. No date was given for it to be replaced. These issues will be reviewed on next inspection
Regulation 23 — Safeguarding health, safety and welfare of child
Infection Control: The following points posed a risk of cross infection. 1. The nappy disposal bin, that was used in the baby room sanitary area was not adequate as it was not foot pedalled or airtight. On the 2nd day of inspection, the nappy bin was overflowing with used nappies. 2. The nappy changing mat in the nappy area used by the Baby and Playschool room was ripped and could not be effectively cleaned. On the 2nd day of inspection, the nappy mat had been replaced. 3. Children’s spare clothing was stored in baskets and open bags on a shelving unit in the children’s sanitary unit. On the 2nd day of inspection, a open basket of children’s clothes was present in the children’s sanitary area. 4. The staff toilet and the children nappy changing area off the front lobby was used as a storage area for cleaning products and cleaning equipment. On the 2nd day of inspection, the sanitary area was still used as a storage area for cleaning products and equipment. 5. The mechanical air vents in the nappy changing areas and the sanitary areas were dusty and required cleaning. On the 2nd day of inspection, there was traces of dust and dirt in the air vent in the nappy changing area. 6. The soft seating in the baby room was ripped and could not be effectively cleaned. On the 2nd day of inspection, the seating had been replaced. 7. The distances between the cots in the baby sleep room was between 17cm and 41cm and not the recommended 50cm to help prevent the spread of infection. On the 2nd day of inspection, a distance of 50cm was between each cot. 8. The baby sleep room was used a storage area for a number of items ,2 high chairs, boxes of toys, baby bouncers and an unlabelled box of sheets and blankets. On the 2nd day of inspection, the sleep room was no longer used as a storage area. 9. Of the 4 cots present, 2 of the mattresses did not have wipeable cover and there was no evidence that waterproof mattress covers were used by the service. On the 2nd day of inspection, all 4 mattresses had wipeable covers. GENERAL SAFETY. 10. Staff ‘s personal belongings which included handbags and coats were stored on the floor of the staff toilet. Which may pose a safety risk to the children attending as the staff toilet door remains unlocked during the inspection. On the 2nd day of inspection, a staff members open hand bag was observed on the floor of the staff toilet. Action submitted by the Registered Provider
Provider's corrective action:
It is acknowledged that the registered provider submitted a response to the finding of the non-compliances under regulation 23, but on the 2nd day of inspection points 1,3, 4, 5 and 10 were found to be still non-compliant
Immediate action notice. The inspection focused on an examination of compliance under regulations 9, 11 and 19; however, on inspection additional non-compliance which posed a risk was identified under
Regulation 19 — Health, welfare and development of child
BASIC NEEDS 1. The children in the Wobbler room and the Playschool room were offered food for their main meal that was not suitable for their age and stage of development. The children were given chicken curry and rice that was pureed in the Wobbler rooms and mashed in the Playschool school and resembled food that was suitable for children under the age of 12 months. This pureed and mashed food did not offer texture, lumps and does not encourage chewing which is essential for the development of speech and muscle formation. On speaking to 3 members of staff they had expressed a concern that lumps in the dinner may resulting in children choking on their meals. PHYSICAL AND MATERIAL ENVIRONMENT: 2. The kitchen unit in the playschool room was observed to be broken, the toys and accessories for this unit were not readily available to the children
Provider's corrective action:
The registered provider stated the following in their reply: Corrective and Preventive Action The response received did not contain any corrective or preventive actions to address the findings. Summary Comment A 2nd inspection took place on the 20/09/2024 to review the actions taken by the registered provider in response to the non-compliances identified: 1. The food observed on the day was mash potatoes and mashed carrots with fish fingers cut into bit sized pieces. The texture of the food was more age appropriate. 2. The toy kitchen was still damaged and was not suitably equipped with toy accessories. The manager informed the inspection team, that it will be replaced. No date was given for it to be replaced. These issues will be reviewed on next inspection
Regulation 23 — Safeguarding health, safety and welfare of child
Infection Control: The following points posed a risk of cross infection. 1. The nappy disposal bin, that was used in the baby room sanitary area was not adequate as it was not foot pedalled or airtight. On the 2nd day of inspection, the nappy bin was overflowing with used nappies. 2. The nappy changing mat in the nappy area used by the Baby and Playschool room was ripped and could not be effectively cleaned. On the 2nd day of inspection, the nappy mat had been replaced. 3. Children’s spare clothing was stored in baskets and open bags on a shelving unit in the children’s sanitary unit. On the 2nd day of inspection, a open basket of children’s clothes was present in the children’s sanitary area. 4. The staff toilet and the children nappy changing area off the front lobby was used as a storage area for cleaning products and cleaning equipment. On the 2nd day of inspection, the sanitary area was still used as a storage area for cleaning products and equipment. 5. The mechanical air vents in the nappy changing areas and the sanitary areas were dusty and required cleaning. On the 2nd day of inspection, there was traces of dust and dirt in the air vent in the nappy changing area. 6. The soft seating in the baby room was ripped and could not be effectively cleaned. On the 2nd day of inspection, the seating had been replaced. 7. The distances between the cots in the baby sleep room was between 17cm and 41cm and not the recommended 50cm to help prevent the spread of infection. On the 2nd day of inspection, a distance of 50cm was between each cot. 8. The baby sleep room was used a storage area for a number of items ,2 high chairs, boxes of toys, baby bouncers and an unlabelled box of sheets and blankets. On the 2nd day of inspection, the sleep room was no longer used as a storage area. 9. Of the 4 cots present, 2 of the mattresses did not have wipeable cover and there was no evidence that waterproof mattress covers were used by the service. On the 2nd day of inspection, all 4 mattresses had wipeable covers. GENERAL SAFETY. 10. Staff ‘s personal belongings which included handbags and coats were stored on the floor of the staff toilet. Which may pose a safety risk to the children attending as the staff toilet door remains unlocked during the inspection. On the 2nd day of inspection, a staff members open hand bag was observed on the floor of the staff toilet. Action submitted by the Registered Provider
Provider's corrective action:
It is acknowledged that the registered provider submitted a response to the finding of the non-compliances under regulation 23, but on the 2nd day of inspection points 1,3, 4, 5 and 10 were found to be still non-compliant