Inspection of 19 May 2025 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection control: Warm running water was not available at the wash hand basin in the staff sanitary facility. This may impede effective handwashing. It was acknowledged that the water heater appeared to be switched on, however, the water was not sufficiently heated. The issue of cold water at the staff wash hand basin was also noted at the previous inspection on 17 May 2023 and in that instance, the CAPA response stated that the hot water had not been switched on. Action submitted by the Registered Provider
Provider's corrective action:
- The written response from the registered provider outlined that the hot running water had been functioning correctly since the last inspection. However, on the day of the recent inspection, the water would not heat up. The registered provider was advised that this was due to an air lock and the warm water is now functioning correctly. As a preventive measure, the registered provider will make contact with the hall committee, to ensure that this heating system is serviced on a regular basis
Regulation 25 — First aid
- While it was acknowledged that the first aid materials were safely stored in a wall mounted cabinet, insufficient supplies were maintained. There were no extra-large wound dressings available, none of the available eye pads were in date and only three of the large wound dressings were in date
Provider's corrective action:
- The written reply from the registered provider stated that six extra-large wound dressings, three large wound dressings and six eye pads have been purchased and placed in the first aid box. As a preventive measure, the dates on the first aid supplies will be checked every three months, instead of every six months. A checklist has been placed on the outside of the first aid box, which will ensure that any item about to expire will be flagged at each check
Regulation 29 — Premises
- (c) 1. There was a thick accumulation of dust visible on the mechanical vent, in the staff sanitary facility. While sound from the vent was audible, a musty malodour was apparent and there was evidence of mould on the ceiling. This posed a risk of inadequate ventilation. (d) 2. In the children’s sanitary facility, there were plaster chippings on the floor of one of the toilet cubicles. The corners of both toilet cubicles and the skirting boards were dirty and cobwebs were also visible in the area. The risk of cross infection due to lack of cleanliness in the children’s sanitary facility, was also found at the previous inspection on 17 May 2023. The CAPA response at the time outlined that all areas of the sanitary facility would be cleaned daily. However, this remained an issue
Provider's corrective action:
- (c) 1. The CAPA response stated that the staff sanitary facility has been cleaned thoroughly and that the vent was opened and cleaned. In July 2025, the staff sanitary facility will be painted and the ventilation system will be thoroughly cleaned again. The hall committee will ensure that this is working correctly. In addition, the registered provider has arranged to meet with the committee to make plans for toilet facility renovations. (d) 2. The children’s sanitary facilities have been deep cleaned. Staff have advised that due to the window being open for ventilation, dust comes in from the outdoor play area, as the mud kitchen is located outside. The sanitary facilities will be deep cleaned every day, specifically where the dust enters. A notice has been placed on the wall in the sanitary accommodation to remind staff of this. The reply also stated that new skirting boards will be fitted in the children’s sanitary facilities, during the summer months, in order to prevent the wall from becoming damaged in the future
Found compliant: Regulation 9, 11, 16, 19, 28.