Inspection of 6 March 2026 — Inspection Report
Regulation 9 — Management and recruitment
- (2)(a) Two members of staff required a second written and validated reference
Provider's corrective action:
- (2)(a)Both staff members supplied the service with another reference and they have been validated with their source. The person in charge will ensure that any further employee does not present a reference from the Registered Provider, the Recruitment policy has been updated to reflect this
Regulation 19 — Health, welfare and development of child
- The children did not have free access to their drinks in the care room throughout the day
Provider's corrective action:
- A drink bottle was purchased for each child in our session. They are labelled individually with the child’s picture so every child is using their own bottle for the course of the day. The catering assistant has been asked to wash the bottles each afternoon and refill them first thing each morning so water is available for the children all during their session. The person in charge has added a check of Water Station to the daily room checklist, completed three times daily. Risk assessment checked each week by manager to ensure correct completion
Regulation 21 — Equipment and materials
- One of the doors in the wooden toy kitchen was in a state of disrepair and hanging down and another door was not closed properly
Provider's corrective action:
- The two cabinets that were noted during the inspection were repaired . Both hinges needed tightened and adjusted to allow the doors to close flush with the cabinets. The room assistant will carry out a daily check of furniture, toys, equipment etc and report any breakages or damage. These notes will then be addressed and resolved as quickl y as possible. This check has been added to the daily Risk Assessment
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection Control: 1. At approximately 11.40am there was no hot water in any of the 5 hot taps accessed by the children. The emersion had not been switched on. This does not allow for effective hand washing and is an infection control risk. 2. At approximately 13.51pm there was no running water from any of the 5 hot water taps accessed by the children in either the care room or sanitary accommodations. This is an infection control risk. 3. The lidded pedal operated bin in the large sanitary / nappy changing accommodation was broken. This is an infection control risk due to multiple touches required when opening the bin. 4. One staff member was observed to come out of the nappy changing area, through the care room and outside to dispose of a soiled nappy while still wearing their disposable gloves used to change the nappy. This is a cross contamination and infection control risk
Provider's corrective action:
- Corrective & Preventive Action Infection Control: 1 & 2 Investigations were carried out on the water supply and it was discovered that the water is being fed from the adjoining school. A plumber has fitted a boost pump on the water system which has increased pressure and solved the problem with the hot water supply. When completing the daily room checklist, staff ensuring the water emersion is switched on, it is also checked that pressure is sufficient in the taps. Although the boost pump has solved the problem at the minute it is felt the long term solution is to pressurise the entire water system in both adjoining school and preschool setting. The registered provider has contracted a plumber to carry out this work over the summer period when the primary school will have no students as their water supply will need to be interrupted during works. When completing the daily room checklist, ensuring the water emersion is switched on, a check that pressure is sufficient in the taps is also carried out. If it is not, the manager/person in charge is alerted who is able to operate an instant boost on pump under the sink at our water entry level. 3. The pedal bin was fixed, the bag was placed in the bin over the lid lifting hinge not allowing the pedal to operate the lid. The registered provider has however bought a new nappy bin to be used solely for nappies and will retain any odours. The new nappy bin will now be used for nappies, cleaning and emptying of this bin has been added to the cleaning checklist for daily inspection. 4. A staff meeting was called to refresh all staff of certain procedures which must be adhered to in the room daily, one of which is the Nappy Changing Policy. The policy was reviewed and staff had a discussion on the correct nappy changing procedure to include never leaving the bathroom while wearing soiled gloves which is a huge cross contamination and infection control risk. The Nappy Changing Policy has been amended to include never leave bathroom while wearing soiled gloves
Regulation 25 — First aid
- (2)(a) and (b)The first aid box was inappropriately used for the storage of a cream used for bruising and also some tablets. This could potentially soil first aid dressings/ plasters and is a health and safety risk
Provider's corrective action:
- The two items have been removed from the first aid box. All items in box were checked for quantity and expiry dates. This non-compliance was discussed at the recent staff meeting. The staff were reminded that they must keep any medications or creams that are for their own use, stored safely in their bags, hung out in the entrance hall and cannot be brought into the room or left in the first aid box
Found compliant: Regulation 11, 16, 29.