Regulation 23 — Safeguarding health, safety and welfare of child
Safe Sleep: 1. In the Baby sleep room two cots for use by children aged 1-2 years were unsuitable. The two cots had a gap between the mattress and the cot frame at the end of the cot. One gap measured 4cms and the second gap measured 6 cm. There should be no more than 2.5cm between the mattress and the side of the cot to reduce the risk of suffocation if a child gets stuck between the mattress and the side of the cot. 2. Children aged between 15 and 23 months slept on thin mattresses which were 4cm in thickness. A floor bed is required for children of this age group and the mattress must be at least 6m in depth. Action submitted by the Registered Provider Safe Sleep: 1.The two mattresses on the cots have been replaced and now fit correctly. Going forward the mattress will be checked prior to each child being placed to sleep to ensure fitting correctly. 2.Ten floor beds have been purchased for use by children 15 to 23 months. Going forward floor beds will be used for children aged 15-23 months. Supporting documentation submitted Receipt for the purchase of 10 Floor beds. Summary Comment The registered provider has addressed the non-compliance as identified on inspection in relation to Regulation 23
Regulation 23 — Safeguarding health, safety and welfare of child
Infection Control: 1.There was no cover on the large sand-play area was available in the outdoor covered area. This posed an infection control risk as this area could be accessed by small animals when not in use. 2.There was over handling of two bins in the service which posed a risk of cross-infection as follows: • In the large room on the first floor a bin with a “flap” opening was in use. • In the Toddler room the pedal bin was not working. Action submitted by the Registered Provider
Provider's corrective action:
Infection Control: 1. A tarpaulin cover has been put on the sand pit when not in use. Staff have been advised to cover the sandpit when not in use. 2. The two bins have been replaced with new pedal-bins. All bins will be replaced as necessary
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. In the Montessori room upstairs fourteen children aged 2-3 years were cared for by three staff members and one student. The layout, size and shape of the room unintentionally facilitated the children using the open internal space as a “running track” on several occasions during the day. This was observed between 10:30am to 11:30am and again between 13:45 and 13:55. Despite staff trying to distract and re-engage these young children to other activities on several occasions and removing a small group of five children to another room this behaviour continued. This posed a risk of injury to a child within the room as on several occasions children bumped into each other and into furniture and equipment within the room. It was confirmed by staff members that this is an ongoing challenge and despite changing the layout of the room it has proven not possible to resolve. Infection Control: 2. The practices observed during nappy changing were not consistent with best practice in relation to infection control as evidenced by the following: • The staff members apron was not changed between nappy changes. • The staff member did not wash her own hands following each nappy change. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: Screens purchased and installed to divide the room (pictures attached). These screens are now used daily to prevent the situation from recurring. Infection Control: Additional staff training had been provided by management in relation to nappy changing. The staff will be monitored to ensure that the correct procedure is followed. Training was given to the staff member in question and ongoing training will be carried out with all staff members to ensure compliance going forward