Inspection of 20 May 2026 — Inspection Report
Regulation 9 — Management and recruitment
- (9)(3) Five references were validated after the adults had started work in the service
Provider's corrective action:
- (9)(3) All references are now checked and verified and signed off before a staff member commences employment with us. This practice has now been firmed up to ensure all paperwork is completed correctly. Staff training has been undertaken to ensure all verifications are completed correctly. We have reviewed all HR policies and updated to reflect changes. Once completed, all staff were trained on these changes and updates to ensure all of us follow the correct procedures
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection Control: 1. On the day of inspection, two nappy changes were observed and, on both occasions, protective gloves removal and hand washing were not carried out at the correct times during the procedure. In addition, one child was not cleaned during the nappy changing procedure. It was noted that there was no written guidance or visual nappy changing procedure cues present in the sanitary area for staff to follow. 2. There was no foot pedal operated bin within the sanitary area of the Moon room on the day of inspection. 3. No table cleaning was observed before lunch time in the Moon room. The purple paint the children were using during the morning, was still present on the tables when the children’s food was being served. 4. In the Moon room and Sun room, both adults and children were observed to lift the foot pedal operated bin by hand when disposing of used paper towels. 5. At 11.55am an adult in the Sun room was observed letting children who had just washed their hands before mealtime, open the lid of the foot pedal bin with their hands, to dispose of used paper towels. 6. At 12 Midday an adult in the Sun room was observed pushing down the contents of the foot pedal operated bin in the room with their hand, then put on gloves to collect the hot food that was being delivered to the room, without washing their hands between one procedure and the next. 7. The windowsills in both the Sun and Moon rooms were chipped and in need of repair. The wall beside the large window in the Moon room was chipped and needed repainting. These surfaces could not be effectively cleaned for infection control purposes. Action submitted by the Registered Provider
Provider's corrective action:
- What actions have you taken to correct the non-compliance? Infection Control Points 1-7 All staff have been retrained in our nappy changing procedure, which is updated and on the wall in each room, nappy changing area, staff room and toilets. We have reviewed our nappy changing policy and procedure to ensure we follow the correct steps and this is on the wall. We have also created a number of wall reminders for every action required. We have purchased a new suite of pedal bins for all bathrooms and care rooms. We have also commissioned stickers from SITE MATE, which are now place on all bins and walls beside bins to remind staff to use the foot only. All staff have been retrained on use of pedal bins, handwashing, table cleaning and strong infection control practices. All windowsills and surrounds have been painted and repaired. We are going also purchasing plastic windowsill covers, to maintain the new paintwork as they are low and children like to sit on them, causing the paint to damage. Regular spot checks will take place on a weekly basis by managers and owners to ensure the training is being implemented and quality of nappy changing, handwashing, pedal bin usage and table cleaning is being upheld and slippage of good practices does not occur. New pedal bins to ensure easy opening for our team. Repeat training every month. Purchase of windowsill covers
Found compliant: Regulation 11, 15, 16, 24, 25, 26.