Inspection of 10 December 2025 — Inspection Report
Regulation 16 — Record in relation to pre-school service
- (k) Seven of the ten accident and incident records reviewed did not contain confirmation that a parent/guardian had been informed
Provider's corrective action:
- Management has reviewed all current records to ensure they are now issued to parents for signature. Management now check daily that forms have been issued to parents for signature before close of business. Staff have been briefed on the updated procedure. The updated policy has been circulated to all staff and is now embedded in practice
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection Control: The following infection control risks were identified in the children’s sanitary accommodation area: 1. The waste bin was not foot pedal operated. Children had to open the bin lid by hand. The use of non-foot pedal operated bins in the service was also identified on inspection on 02 December 2022. Preventative actions stated by the registered provider did not prevent a reoccurrence. 2. One of the children’s toilets available had no toilet seat. Action submitted by the Registered Provider
Provider's corrective action:
- Infection Control: 1 & 2 The toilet seat has now been refitted, and the toilet is fully operational. A foot-pedal operated, lidded bin has been installed in the children’s bathroom. A weekly environmental and infection control checklist has been introduced and is completed by the room leader and reviewed by the Registered Provider. A monthly management walk-through is now conducted to review infection control and hygiene equipment, including waste bins and toilet fittings, to ensure any issues are identified and addressed promptly. The Infection Control Policy has been updated
Regulation 25 — First aid
- A person certified in a recognised PHECC First Aid Response (FAR) was not available on the premises on the day of inspection. It is acknowledged that several staff members were trained in basic first aid and available to children
Provider's corrective action:
- The service manager and one staff member have applied for PHECC FAR refresher training. In the interim, staff deployment has been reviewed to ensure that suitably trained staff are available to respond to any first aid needs. A designated list of staff holding valid or in-progress PHECC FAR certification is maintained by management. Once refresher training is completed, rosters will ensure that a PHECC FAR-certified staff member is present on site at all times during opening hours. A training matrix is used to track certification and expiry dates, with refresher courses booked in advance to ensure continuous compliance
Regulation 29 — Premises
- (d) 1. The premises showed signs of excessive wear and tear due to lack of maintenance. As an example, the Ladybug Room walls had chipped paint and small holes with exposed plaster, window boards had exposed timber and high traffic areas such as beside the light switch were visibly soiled. 2. The entrance lobby was cluttered and used for storage of items such as boxes of tiles which were not essential for use in the service
Provider's corrective action:
- 1. Following the inspection, all areas of wear and tear identified in the Ladybug Room were reviewed. A professional decorator has been booked to carry out the required repairs and redecoration. This work is scheduled to be completed over a long bank holiday weekend when the service is closed to children. High- traffic areas, including those beside light switches, have been cleaned and sanitised as part of the service’s daily cleaning schedule. A planned premises maintenance programme has been introduced to ensure that wear and tear is identified and addressed in a timely manner. This includes regular visual checks of walls, windows, floors and high-traffic areas by the Registered Provider. 2. The entrance lobby has been cleared of all non-essential stored items, including boxes of tiles, and restored to its intended use as a clear and safe entrance and exit area. Storage arrangements have been reviewed to ensure that corridors, entrances and circulation areas are not used for storage of non- essential items. A designated storage area is now used for all maintenance and building materials
Found compliant: Regulation 9, 11, 19, 26.