Inspection of 15 January 2026 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. A part of the surface area of the hand-washing basin unit in the sanitary area was observed to be broken. This posed a risk of injury. Infection Control: 2. The soap dispenser holder and hand-washing basin unit were observed to be worn with the paint faded and wood exposed. This posed a risk of cross infection. 3. The handwashing water in two of the three hand washing basins in the children’s sanitary accommodation was not warm to support effective hand washing. It is acknowledged the deputy person in charge, and the building manager took immediate action by calling out a plumber. In addition, children were guided to use the one working hand basin in the sanitary area and to another hand basin in the care room which had warm water. 4. The nappy changing mat used for nappy changing was observed to be torn with foam exposed. This posed a risk of cross infection. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. All damaged and broken casing surrounding the wash hand basins has been fully removed and replaced with new casing. The new casing has been properly sealed and painted to ensure durability, hygiene, and ease of cleaning. This item will be formally incorporated into our future premises risk assessments and routine maintenance inspections. Regular visual checks will be scheduled to ensure any wear or damage is identified and addressed promptly before deterioration occurs. Infection Control: 2. The defective soap dispenser shelf that exposed wooden backing has been removed and replaced with a new shelf for the dispenser and is now suitable for washroom use. All bathroom fixtures and fittings will now be included in the bathroom risk assessment and maintenance checklist to ensure materials remain sealed, hygienic, and fit for purpose. Routine inspections will be conducted to prevent recurrence. 3. A calibrated temperature probe has been purchased to allow accurate monitoring of water temperature at both handwashing sinks. Regular temperature checks will now be carried out and recorded. If water temperature falls below the required standard, alternative compliant sinks will be used immediately for handwashing until the issue can be resolved. In addition, Management are currently reviewing the hot water supply system serving this area. Qualified plumbers will be consulted to assess the existing system and provide recommendations and quotations for improvements to ensure a consistent and compliant hot water supply. Ongoing monitoring and documentation of water temperatures will form part of routine of the service hygiene compliance. 4. The damaged nappy changing mat was removed from use immediately upon identification of the tear. It has now been replaced with a new, fully intact mat that is suitable for hygienic use and can be effectively cleaned and sanitised. Management will ensure that a spare nappy changing mat is always kept on the premises to allow for immediate replacement should any damage occur in the future. Nappy mats will be included in routine room and equipment checks to identify wear and tear at an early stage. Any mat showing signs of damage will be removed and replaced straight away to maintain hygiene standards and compliance
Found compliant: Regulation 9, 11, 15, 19, 26.