Inspection of 20 March 2026 — Inspection Report
Regulation 9 — Management and recruitment
- The inspector was not assured that that the staff member with key responsibilities on the day was familiar with their roles and responsibilities. In discussion, one staff member identified that in the absence of the registered provider, the role of fire officer was their responsibility. However, they were not familiar with the location of the firefighting equipment in the service or the fire assembly point. While it is noted that another staff member provided the inspector with the information regarding the assembly point. However, the staff member with key responsibilities did not have adequate information to effectively carry out their duties. This was at variance with the service fire safety policy which stated that all employees were trained on the service fire safety policy. This posed an increased risk of a potential delay or effective response the event of an emergency
Provider's corrective action:
- All staff have attended a staff meeting and the registered provider spoke to about their roles and responsibilities and also about what is expected of them when the owner is not available. The service have agreed on a monthly review on a one-to-one basis to ensure everyone is aware and doing as required. To prevent this non- compliance, the registered provider has introduced a pro-active approach that ensures monthly reviews and opportunities for training/continuous professional development. Summary Comment The requirement for Regulation 9 Management and recruitment (7) has been met, and it will be reviewed on the next inspection
Regulation 26 — Fire safety measures
- The registered provider confirmed that annual maintenance was not carried out on the firefighting equipment or smoke alarms in the service. The maintenance checks on the smoke alarms was dated as 2024 and the firefighting equipment checks were carried out in 2021. This practice was at variance of the service’s own fire safety policy which stated that annual maintenance would be carried out. This posed an increased risk to the safety of the children and staff as the absence of regular maintenance may affect the effectiveness of the fire safety equipment and cause a delay in the event of an emergency evacuation
Provider's corrective action:
- The maintenance checks were carried out on 26 May 2026. To prevent this recurring, the registered provider has placed a reminder on calendar to ensure the service is completed on time
Found compliant: Regulation 11, 15, 19, 23, 25.