Inspection of 20 May 2025 — Inspection Report
Immediate action notice. Non-Compliance Information (1). (3) The registered provider had not informed the Agency in writing that the service was operating outside of the current registration status. On inspection, it was found: • The person in charge on day of inspection was a different person to the named person in charge on the service registration details. Corrective & Preventive Action submitted by the Registered Provider Corrective and Preventive Action In the corrective and preventative response (CAPA) received from the registered provider/person in charge the following was stated: (1)(3) The registered provide/person in charge completed the required record and forward to the registration office stating that the registered provider is also the named person in charge of the service. Supporting documentation submitted A copy of the correspondence from the registration office approving of the change in registration status was forwarded to the Inspectorate and deemed satisfactory Summary Comment The response and evidence submitted by the service was assessed and deemed to meet the regulatory requirement of this regulation.
Regulation 9 — Management and recruitment
- (a)+(b) There were no record of validation on file on the two references available for one staff member. (d)There was insufficient evidence on file in the service on day of inspection, to confirm, that one of the adults had attained a major award in Early Childhood Care and Education on the National Framework for Qualifications
Provider's corrective action:
- In the corrective and preventative response (CAPA) received from the registered provider/person in charge the following was stated
- (a)(b) Evidence forwarded to the early years inspectorate confirmed that the two references for one staff member were validated. (d) Evidence forward to the early years inspectorate confirmed that the staff member had attained an award in Early Childhood Care and Education
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety The following increased the potential safety risks to the children while attending the service: 1. The children had access to beaded cords, 10cm in length, that attached one vertical window blind to another. The beaded cords were lying on the windowsills which were located at child height in the playroom . Due to potential safety risks associated with cords, children should have no access to cords in early years services. 2. While the door between the playroom and the service kitchen/storeroom had a lock at adult height, the door was fixed open throughout the inspection. The following were potential safety hazards in the kitchen/storeroom that the children had access to if they entered the room: a laptop with electrical cords attached, a cup of tea, an electric operated kettle that was turned on during inspection. 3. The outdoor play area was not adequately secured when the children were playing outdoors to prevent unauthorised access to the service as the spring locks on the two gates were located at adult height and were easily accessible and easily openable. On day of inspection, one of the spring locks was bound broken on one of the gates. Infection Control: The following practises increased the potential risk of cross infection in the service. 4. While there was a refrigerator in the staff kitchen it was observed that the perishable foods provided by the parents/guardians for the children’s mid-morning snack were not refrigerated. This issue was identified as non-compliant on the last inspection dated 4 October 2022 following which the registered provider/person in charge gave assurances that it would be addressed however, this did not prevent a reoccurrence of this non-compliance. 5. There was no thermostatically controlled hot water in the wash hand basins in the children’s toilets and nappy changing facility in the service. This would impede effective hand washing, increasing the risk of cross infection. 6. It was observed that the staff member did not wear a disposable apron while nappy changing. This issue was identified as non-compliant on the last inspection dated 4 October 2022 following which the registered provider/person in charge gave assurances that it would be addressed however, this did not prevent a reoccurrence of this non-compliance. 7. It was observed that staff did not ensure that the children’s hands were washed and dried after nappy changing. 8. On day of inspection, it was observed that the refuse bin for used nappies was not lined, and the lid was fixed open at all times during the inspection, increasing the potential risk of cross infection. 9. There was only one lidded pedal operated bin in the children’s toilets that was used for used nappies and for the disposal of the paper towels after the children handwashing. To reduce the risk of cross infection and that children have no access to the refuse bin for used nappies. A separate lidded pedal operated bin is required in the children’s toilet area for the disposal of paper towels after hand washing. Action submitted by the Registered Provider
Provider's corrective action:
- : In the corrective and preventative response (CAPA) received from the registered provider/person in charge the following was stated: General Safety: 1. All the beaded cords at the end of the vertical blinds located at each of the window sills in the playroom have now been removed. 2. The door between the playroom and the service kitchen/storeroom is now closed at all times while the service is in operation. 3. The outdoor play area is now adequately secured when the children are playing outdoors as a chain with a pad lock has been placed on the two gates securing the outdoor play area when the children are playing outdoors. A new spring lock was purchased to replace the spring lock that was found broken on the gate in the outdoor play area on day of inspection. The service is awaiting a man to do this maintenance work. Infection Control: 4. All perishable foods are now refrigerated and the registered provider/person in charge will ensure this takes place. 5. The registered provider/person in charge stated it is her duty to switch on the water daily to ensure there is thermostatically controlled hot water in the wash hand basins in the children’s toilets and nappy changing facility in the service during the hours of operation. 6. The registered provider/person in charge stated, going forward, staff will wear a single use disposable apron for each nappy change in the service. 7. The registered provider/person in charge stated that the staff member and herself will ensure that the children’s hands are washed and dried after nappy changing. 8. The registered provider/person in charge stated, the refuse bin for used nappies will be a pedal operated lined bin and the lid of the bin will be closed at all times. 9. A separate lidded pedal operated bin is now in place in the children’s toilet area for the disposal of paper towels after hand washing
Regulation 26 — Fire safety measures
- There was a fire drill record template in the service. The records showed that monthly fire drill records did not take place in the service. The last fire drill that took place in the service was dated the 7 December 2024. This posed a safety risk to the children attending that the staff and children may not be clear in emergency fire evacuation procedures in the service. Action submitted by the Registered Provider
Provider's corrective action:
- : In the corrective and preventative response (CAPA) received from the registered provider/person in charge the following was stated: Fire drills will be completed once a month and that since the inspection that the service had completed two fire drills in the service
Regulation not named in the report text
- (1). (3) The registered provider had not informed the Agency in writing that the service was operating outside of the current registration status. On inspection, it was found: • The person in charge on day of inspection was a different person to the named person in charge on the service registration details
Provider's corrective action:
- In the corrective and preventative response (CAPA) received from the registered provider/person in charge the following was stated: (1)(3) The registered provide/person in charge completed the required record and forward to the registration office stating that the registered provider is also the named person in charge of the service
Found compliant: Regulation 11, 15, 16, 19, 22, 25, 28.