Inspection of 27 January 2026 — Inspection Report
Regulation 9 — Management and recruitment
- (1) (a) Whilst the inspector was informed that there was a named person to deputise this was not reflected in the roster provided to the inspector. (b) Following discussion with the person in charge, and a review of the staff roster the inspector could not confirm that when the preschool service was in operation, the designated person in charge or a deputy person in charge was on the premises. (c) The inspector could not confirm there was a clearly defined deputy person in charge to ensure lines of accountability. During the inspection staff named differing colleagues as the deputy person in charge. This did not always reflect the staff member named by the person in charge to the inspector. Some staff members also stated that they may contact the person in charge or the area manager should the person in charge not be on site
Provider's corrective action:
- (1) (a) The registered provider stated that the named designated deputy person in charge has been added to the roster to ensure all staff are aware of who it is when person in charge is not on the premise. This is available in the service. (b) The registered provider stated that there is a display of person in charge and deputy person in charge posted on the staff notice board. All staff will be told who is in charge when named person is not on the premises. (c) The registered provider stated that it has been made clear during a staff meeting who will be the deputy in charge going forward. This information will be displayed in the service
Regulation 11 — Staffing levels
- (1) On the day of inspection there was an inadequate number of adults available in the Toddler Room to facilitate the needs of the children in the same room. Whilst the ratio of adults to children was correct, the staff member was unable to provide appropriate care to children who were trying to sleep, who wanted to play or who was waiting to go home. The following was observed which demonstrated this. One staff member was providing care to four children - two children were being settled to sleep, one child was asleep and one child was due to go home. The two children could not settle to sleep and two of the three children chose to play with noisy toys. Although the staff member tried to distract them and play with them, they were also trying to complete the sleep checks on the sleeping child. One of the children returned to the staff member who tried again tried to settle them for sleep. The child who was due to go home was taken by another staff member to have their nappy changed and on return to the room this child became upset. The child who was sleeping awoke at 1.20pm. A review of a sample of sleep records for this child demonstrated the child would normally sleep till 2.00 to 2.10pm
Provider's corrective action:
- (1) The registered provider has stated that whilst the minimum ratio was adhered to the safe sleep guidelines have been updated and children who don’t require sleep will be moved into a different room to prevent disruption. The guidelines are on display in the room
Regulation 15 — Record of pre-school child
- (1) (i) One of the records for a child did not contain the parental consent for medical treatment in the event of an emergency. This practice was found to be non-compliant on the previous inspections on 15 April 2024. The corrective actions submitted following that inspection failed to prevent a recurrence of this non- compliance
Provider's corrective action:
- (1)(i) The parental consent was gained and as a preventive action the registered provider stated that a second person will help go through registration forms to ensure all pages are attached and signed so nothings is missed
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection Control: 1. Children’s hands were not washed before they ate on all occasions. It is acknowledged that staff in the Toddler Room were responding to children’s needs and allowing them to eat their snack when they were hungry rather than at a designated time. However, the children were observed playing with toys and equipment and they did not wash their hands before they ate which increases the risk of cross contamination. 2. Whilst the nappy changing procedure was correct in most cases, there were occasions when it was insufficient in preventing the spread of infection. On two occasions the gloves needed to be replaced prior to redressing a child where heavy soiling had occurred
Provider's corrective action:
- Corrective Actions Infection Control: 1. Hand washing procedure has been placed beside each sink and hand-washing policy has been updated and placed in each room. 2. A new updated procedure has been placed in changing area for all current staff and future staff to see before nappy changing. Preventive Actions The registered provider did not submit preventive actions that would give assurances that these non-compliances would not re-occur
Found compliant: Regulation 21, 25, 27, 28.