Inspection of 14 January 2025 — Inspection Report
Immediate action notice. 1. A written immediate action notice under
Regulation 9 — Management and recruitment
- (2)(a),(b) It is acknowledged that eight written past employer references or references from a reputable source, in the absence of a past employer, were available in respect of the four adults whose files were reviewed, however, there was no documentary or written evidence that these eight references had been verified
Provider's corrective action:
- All eight referees were contacted at the time of hiring; however the paperwork went astray, a second call was put in to verify. Going forward the registered providers’ state that they will ensure calls are made and a copy is kept on file to ensure back up
Regulation 15 — Record of pre-school child
- Eight of the ten records reviewed had not recorded the date the children commenced in the service. (h) Three of the ten records reviewed had no record of the children’s immunisation status
Provider's corrective action:
- Corrective Action (1)(b) All books have been updated with start and finish date. (h) From the 3 records of children only 1 was required to be completed. Preventive Action To ensure this does not happen again one staff member will look after the registration forms to ensure all information is filled in and if not filled, they can make a note as to why
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The main entrance door and internal pre-school room door to the service were found unsecured on two occasions by the inspectors as follows: • At 09:40am and 11:48am It is acknowledged both doors were immediately secured when it was brought to the attention of the registered provider by the inspector at 09:40am, however, as outlined, both doors were found unsecured at 11:48am. This was a risk for unauthorised persons to gain entry to the service; an immediate action notice was issued 14 January 2025. 2. A large metal nail was observed protruding from the ground at the edge of the stone wall in the play area; this posed a risk of injury to a child when playing in this area. 3. Several gaps were observed between the rubber tiles on part of the play area and posed a potential trip hazard to staff and children. 4. Daily indoor and outdoor risk assessments were not being completed to identify and manage the risks of any observed hazards in the service. Infection Control: 5. The nappy change mat and unlidded box with nappy change supplies were observed stored on the floor of the sanitary area; this posed a risk of cross infection. 6. There were no single use disposable plastic aprons available for hygienic nappy changing procedures. Fire Safety: 7. There was no signage indicating the fire exits in the pre-school. Action submitted by the Registered Provider Corrective Action General Safety: 1. Following the inspection, we spoke to the staff explaining the importance of keeping the door locked at all times and going forward as part of the roster there will be a member of staff that will be given the job to ensure the door is locked. Signs are put up around the school at the front door, on the door coming into the classroom and at the staff sink. 2. The nail was immediately removed on the day of inspection and the rest of the yard was inspected to ensure there was no other nails to be found. 3. The rubber tiles were power washed and placed back in place to make it easier to maintain, it was added to the risk assessment/check list to ensure it is looked at daily and all tiles are in place at all times. 4. We have drawn up a daily risk assessment/check list for staff to ensure all areas of indoor and outdoor risks or hazards are identified and dealt with in the morning at 8am before playschool. Preventive Action 1. This has been added to the risk assessment. 2. Going forward any work that is being carried out will be inspected to ensure no hazards are left behind. 3. Each day the tiles will be maintained, and we have a regular booking for maintenance of tiles. 4. Going forward we will review risk assessment regularly. Infection Control: Corrective Action 5. The nappy changing mat now has a stand and is always covered. The nappy changing supplies now has a box with a lid. 6. Disposable plastic aprons were purchased and put in the nappy changing supply box. Preventive Action 5. The cover will be replaced regularly, and the mat is sterilised daily. 6. We will reorder aprons as soon as we start to run low. Fire safety: Corrective Action 7. Signage was placed at the fire exit doors; the fire specialist placed all signage when out to visit. Preventive Action 7. On our annual visit any damaged signage will be replaced. Supporting documentation submitted General Safety: Document x 1 Photographs X 2 Infection Control: Photographs X 4 Fire safety: Photograph X 1 Summary Comment Following review by the inspector of the stated actions and the prompt response received to the immediate action notice issued and evidence submitted the non-compliances identified under Regulation 23 have been adequately addressed
Regulation 26 — Fire safety measures
- (b) There was no documentary evidence available for the maintenance of the smoke/fire detection system in the pre-school. (4) There was an absence of a notice detailing the procedures to be followed in the event of fire
Provider's corrective action:
- Corrective Action (b) The smoke detectors are tested and certified. (4) Written procedures are now in place Preventive Action (b) An annual visit is scheduled. (4) We will review these procedures yearly and ensure they are in a visible place
Found compliant: Regulation 11, 24, 25.