(h) One record did not contain contact details of the child’s registered medical practitioner. (i) Two of the sampled records did not contain written parental consent for appropriate medical treatment of the child in the event of an emergency
Provider's corrective action:
(h) The registered provider gathered the relevant information of the child’s medical practitioner and put the documentation on file. (i) Written parental consent for appropriate medical treatment was signed by parents/guardians in the event of an emergency, and these forms were put on file. A checklist was created to ensure all required children’s information is gathered on registration going forward
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. The sand pit box in the outdoor area was observed to have one broken sharp edge piece. This posed a safety risk to the children. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: 1. The sandpit was fixed promptly by the service. The staff will ensure to conduct regular risk assessments of outdoor equipment going forward
Found compliant: Regulation 9, 11, 16, 19, 24, 26.
(c) While staff descriptions were detailed in the parent handbook there was no clear management structure available in the service that identified the lines of authority and accountability and the specific roles and responsibilities of each staff member in the service
Provider's corrective action:
The following statement was received from the manager; (c) A clear management structure is now available on the noticeboard in reception detailing staff roles and responsibilities. This will be updated when new staff members join the team
Regulation 11 — Staffing levels
(a) The staff roster indicated that two adults were not present in the building at all times. One staff member was rostered on from 8.00 am until 4.00 pm and the second staff member was rostered on at 8.45 am until 5.15 pm. The registered provider of a full day care service is responsible for ensuring that there are two adults on the premises at all times
Provider's corrective action:
(8) (a) Two adults are now present in the service at all times
Regulation 15 — Record of pre-school child
(e) Authorisation for collection was missing in respect of three children. (f) Details of any illness, disability, allergy or special need was missing in respect of one child. (g) The details of the name and telephone numbers of the children’s registered medical providers were missing in respect of four children. (h) Records of immunisations were missing in respect of fourteen children. (i) Written consent for the appropriate medical treatment of a child in the event of an emergency was missing in respect of nine children
Provider's corrective action:
(e) Authorisations for the three children have been added to the children’s Pre-school record. (f) The detail of any illness, disability, allergy or special need was added to the child’s Pre-school record. (h) Records of immunisations have been added to twelve children’s files, one child has had a waiver added to their record and the fourteenth record has been omitted as the child has left the service. (i) Written consent for the appropriate medical treatment of a child has been added to each of the individual children’s Pre-school record
Regulation 16 — Record in relation to pre-school service
(j) There was no written record of accidents or incidents which had occurred in the service. Staff stated Parents/guardians were informed verbally at collection time. It is the responsibility of the registered provider to ensure that staff are aware of the importance of completing an accident/incident form including the first aid care and response provided and that this is shared with parents to ensure continuity of care
Provider's corrective action:
(j) A new accident/incident template is available. In partnership with parents the child’s pre-school record has been revised. In addition, our Admissions Policy has been updated to include that all paperwork must submitted prior to a child commencing in the service
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: (1) When the taps in the children’s sanitary area were turned on the inspector observed water spilling out onto the floor instead of travelling down the waste pipe, posing a safety risk in the event that children could slip on the wet floor. In conversation staff stated that a plumber was organised to come the following day. Infection Control: (2) While thermostatically controlled hot water was available in the tap in the Rainbow care room the three taps in the sinks of the children’s sanitary area and the tap in the adult sink in the sanitary did not have thermostatically controlled hot water. The water temperature was recorded as 10.3°C, impeding hygienic handwashing. Fire Safety: (3) There was no emergency lighting and signage was not visible in the service to clearly indicate escape routes in the event of a fire/emergency, posing a safety risk to the adults and children. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: (1) The drain has been unblocked by the plumber and staff will monitor the area on a daily basis. Infection Control: (2) Thermostatically controlled hot water is now available in the taps in the children’s sanitary area. Fire Safety: (3) Emergency lighting and signage has been fitted by an electrician
Regulation 26 — Fire safety measures
(b) There was no recent certificate available for the maintenance of the smoke alarm system. The last date recorded was 21 November 2021
Provider's corrective action:
(b) The smoke alarm service was carried out on 15 December 2023 and has been arranged on an annual basis