Inspection of 3 June 2025 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The cord from an air filtration unity in the hallway of the service was trailing and in reach of the children posing a risk of injury. Infection Control: 2. The pedal bin in use in the outdoor play area to dispose of waste including soiled nasal tissues was broken meaning the lid had to be handled by staff and children posing a risk of cross contamination. 3. Some of the nappy changing practices observed were inconsistent and at variance with the infection control policy in place in the service, posing a risk of cross contamination as follows: - One staff member did not wear protective gloves during a nappy change, and did not wash their hands prior to re-dressing the child. - A staff member was observed cleaning the soiled nappy changing mat after washing their hands following a nappy change. - A pedal operated bin was not in use for the disposal of nappies as required. Staff members were observed repeatedly handling a locked wall compartment containing a chute which led to an external bin to dispose of nappies. Administration of Medication: 4. Some of the procedures in place for the administration of both prescribed and non-prescription medications to children in the service were at variance with the policy in place and posed a risk of incorrect dosage to a child as follows: - Staff members reported that parents were not filling in required documentation to provide pre- consent for the administration of prescribed medications to children. Staff stated that they were filling in the pre-consent form information on the medication to be administered and parents were signing this at a later stage. - Some of the records reviewed did not contain evidence that a second adult was present at the time medication was administered to ensure the correct dosage and procedure was adhered to. Fire Safety: 5. Documentation reviewed during the inspection evidenced that all preschool children were not signed into the service as required. Attendance records in the Middle Room room were reviewed by the inspector at 10:44am. Two children in attendance, who the staff member reported had arrived at the service at 09:40am and 09:45am, had not been signed into the attendance book which staff reported is taken with them in the event of an evacuation. Inaccurate records of attendance may hinder the safe evacuation of children in the event of an emergency. Action submitted by the Registered Provider The registered provider submitted the following response:
Provider's corrective action:
- General Safety: 1. The service ensured all cords are to be safely stored away from children and staff are notified to risk assess this area where they are stored. A sign has been placed above the air filtration units , staff were spoken to about risk assessing the area and check cord placement on more regular basis. Infection Control: 2. The pedal bin outside was replaced with a new one, ensuring the pedal is in correct working order without the need to touch the bin. Staff have been reminded to check the bins on a daily basis to ensure they are in working order and to report to manager if anything needs to be replaced. 3. The nappy changing policy was reviewed and discussed with all staff members to remind them of the importance of consistently following each step of the procedure with every child. A new step added to nappy changing procedure regarding the nappy shoot door which must be cleaned after each use. The service will review nappy changing procedure on regular basis and more spot checks from management will be occurring during nappy changes to ensure staff are being consistent with the nappy changing procedure. Administration of Medication: 4. Staff have been trained on the correct way to fill out the medication forms and informed that parents must stay to fill the consent forms otherwise the service cannot administer medicine. Also, the need for a second adult to witness the admin of medication was discussed and that teachers that work in rooms by themselves are to call for assistance when administering medicine. Management will check medication records on a daily basis and offer support when needed. Fire Safety: 5. Management communicated with all staff and reminded them of the importance of signing children in as soon as they arrive on the premises for the importance of supervision, fire safety, and all other relevant policies and procedures. Spots checks will be carried out by the management team on a daily basis on the record and attendance books
Regulation 29 — Premises
- (d) Some areas of the service were found not to be cleaned, maintained and repaired as required as follows: - The paint in the children’s bathroom in Pod Two beneath the hand-dryer was heavily stained and soiled and required a deep clean. - The flooring in the Pod One bathroom was heavily stained and soiled with a build up of dirt in places and required a deep clean. - Heavy accumulations of dirt, dust, and debris were present on surfaces in the Pod One, Middle Room, and Pod Two room indicating the areas had not been effectively cleaned. - The lacquered surface of a low-level table in the Pod Two room used to store children’s drinks had worn away, exposing the porous wood beneath which could not be effectively cleaned. - The fridge in the Pod One room which was used to store children’s medication required a deep clean
Provider's corrective action:
- Hand dryer -Staff have been advised to use a certain cleaning product when required if stains are hard to remove. Flooring- Staff have been advised to use a certain cleaning product and a scouring pad to help remove the tougher staining on floor. Surfaces and storage in the classrooms have been more detailed on the cleaning sheet and staff are required to clean more regularly on a daily basis and a deeper clean on a Friday. Drink bottles that were in a tray will be placed in a different area of classroom and the wooden table has been removed. Classroom fridges are used daily, and the staff has been advised to keep a closer eye on the cleanliness of the fridges throughout the day. Management have reviewed the cleaning and risk assessment sheets for the rooms and have gone through these changes with the staff, to ensure all areas are covered in both classroom and bathroom
Found compliant: Regulation 9, 11, 19, 25.