Inspection of 3 February 2026 — Inspection Report
Regulation 16 — Record in relation to pre-school service
- (j) In Lillie’s room, staff reported that one child in attendance had been prescribed an antibiotic for a medical condition. Upon review of the medication records, the inspector observed that the parental consent form required for the administration of this medication had not been signed by the child’s parents. This was not in line with the services medication administration policy. It is acknowledged, when this was brought to the attention of management, the medication was withheld and the parents were contacted immediately to obtain the required signed consent. (k) A sample of eleven accident and incident forms were reviewed. Six forms were not signed by parents to confirm they had been informed. This was not in line with the accident and incident policy and posed a safety risk to children
Provider's corrective action:
- (j) The parent was contacted immediately, and after receiving written consent, the medication was administered. (K) The registered provider confirmed the service will continue to implement and maintain the existing communication procedures for incidents, including electronic notifications via email, verbal communication, text messages through the school management platform, and the incident logbook with parental ac knowledgment. These measures will be regularly monitored by the person in charge to ensure ongoing compliance with the Accident and Incident Policy and to guarantee that all parents are promptly informed of any incidents. Summary Comment Evidence was submitted and reviewed by the early years inspector and deemed to meet the regulatory requirement
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. In the outdoor area the artificial grass surface was lifting posing a potential tripping hazard. 2. The annual service of the fire fighting equipment had not been completed as required. The fire fighting equipment was last serviced in April 2024 posing a potential risk the equipment may fail in the event of an emergency. Infection Control: 3. The nappy changing policy and procedure were found to be inadequate for infection control purposes. The nappy changing policy did not detail all required infection prevention steps, including the removal of used gloves prior to redressing a child and the requirement to wash the child’s hands following nappy changing. In the Lotus Room, staff were observed not washing their hands following nappy changing. Additionally, a staff member was observed washing a child’s hands while still wearing gloves that had been used during the nappy change, subsequently disposing of the gloves and failing to wash their own hands. In the Lillie’s Room, staff were observed not to support children to wash their hands following nappy changing. 4. In the Lillies room some staff were observed not to wash their hands after cleaning children’s noses and disposed of the tissues lifting the lid of the bin rather than using the pedal function. This practice increased the risk of spreading infection. 5. In the changing area used by the Lotus room there was a build-up of dust and debris on the seams of the two changing mats provided. This was not in line with infection control policy and posed a potential infection control risk. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. The sections of artificial grass in the outdoor area that were lifted due to heavy rain in recent days have been fully repaired, and the school will continue to monitor and maintain the surfaces to ensure they remain in good condition and prevent any tripping hazards. 2. The annual service of all fire-fighting equipment was promptly completed on 6th February 2026. The certificate was emailed to the inspectors immediately to confirm that all equipment is fully operational and compliant with fire safety. The school will continue to follow a proactive annual servicing schedule, maintaining records to ensure ongoing compliance and safety at all times. The school will continue to maintain an annual servicing schedule with records to ensure all fire-fighting equipment remains fully operational and compliant at all times. Infection Control: 3. All staff have received refresher training on nappy changing procedures. Step-by-step visual guides have been displayed in all sanitary areas to reinforce correct practices. Staff have also been reminded individually of the correct procedures, including proper glove use and handwashing for both staff and children. The person in charge will continue to monitor staff compliance through regular supervision and audits to ensure all infection control steps are consistently followed. Ongoing reinforcement and guidance will continue to be provided as needed to maintain the highest standards of hygiene and safety. 4. All staff have been reminded of the correct procedures for hand hygiene after assisting children and for using pedal bins. Refresher training on infection control practices has been provided, and visual reminders for proper handwashing and bin use have been displayed in the room. The person in charge will continue to monitor staff compliance through regular supervision and audits to ensure all infection control practices are consistently followed, maintaining a safe and hygienic environment for children and staff. 5. The mats were immediately and thoroughly cleaned and sanitized. Staff have received reinforced training on nappy changing and cleaning procedures, with emphasis on maintaining all surfaces, including seams, to consistently meet infection control standards. The person in charge will continue to monitor a consistent cleaning schedule, maintain regular staff supervision, and carry out audits of all changing areas to ensure hygiene standards are consistently upheld, preventing any risk of infection
Found compliant: Regulation 9, 11, 19, 26, 28.