Inspection of 25 February 2025 — Inspection Report
Regulation 10 — Policies, procedures etc. of pre-school service
- (c) On review of the service’s administration of medication policy, it did not provide the following details about the administration of medicine as follows; • In what circumstances anti-febrile medication is administered • The procedures to be followed when a child develops a fever This posed an increased safety risk to the child in the event when the body temperature rises beyond a safe limit as the procedure as the procedure is not detailed within the service policy
Provider's corrective action:
- Little Sunshine’s Day Nursery have updated our administration of medication policy and management have reiterated to staff the updated policy and an up-to-date hard copy of the new policy. The service will keep the policy up to date and keeping staff aware of any changes
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The registered provider did not adhere to their own healthy eating policy which stated that whole grapes were not permitted within the service. At snack time in the Shooting Stars room, there were two children aged 3-5 years with uncut grapes and large blueberries. This practice posed an increased risk of a child choking. The registered provider was made aware of this by the inspector and carried out remedial action. Administration of Medication: 2. A sample of the service’s administration of medication records were reviewed by the inspector from January – February 2025 from the two care rooms. Records contained appropriate information such as details including the time, date, name of child, signature of a witness and a signature of a parent. However, through discussion with the registered provider, it was not clear in all cases why anti febrile medicine was administered. The administration of medicine records did not specify the reasons for deciding to administer this medicine. This posed a risk that there may be incomplete information provided to parents which would impact on the continuity of care for the child. Safe Sleep: 3. At 11.30am, in the sleep room two children aged 2 to 3 years were placed to sleep with bottles of milk. This practice is at variance with the service’s healthy eating policy which stated that children will be upright when drinking a bottle. This posed an increased risk of infection or choking. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. Little Sunshine’s have reiterated to staff to check all children's lunch boxes to make sure fruit is cut appropriately by parents, if the staff have not been made aware to cut appropriately. The manager and deputy manager spoke to parents individually. A reminder letter was also given to all parents regarding the cutting of children's fruit. Staff will continue to check all of the lunch boxes. Administration of Medication: 2. Little Sunshines have updated the administration policy and have added new information to the consent form which includes the reason why the service give any medicine. The service have a new a medication record book where parents will always sign and receive a copy when a child receives medication. Parents have been provided with an up -to-date cop y of the service’s administration of medication policy. The service have also renewed their training on the service’s policy. Safe Sleep: 3. All children who are going to the sleep room will drink their bottles before going into the sleep room. All staff are aware there are no bottles allowed in the sleep room
Regulation 29 — Premises
- (c) The sanitary area and nappy changing area in the Little Stars room was not adequately heated. It measured as 13.9°Celcius at 12.40pm. (d) There was black staining on the walls in the Shooting Stars sanitary area as follows: i. Black staining was evident on the walls of the sanitary area. It is noted that the registered provider outlined that planned works were commencing in due course. ii. Black staining was evident on one of the sinks on the surface area between the splashback and sink unit
Provider's corrective action:
- (c) On the day of inspection, both the heater was on and the window was opened for ventilation for a short period of time. The registered provider was made aware of the temperature and has added a thermometer in the nappy area to make sure it is at the right temperature at all times throughout the day. (d) The service has completed the works on both sanitary areas. The wall was treated with a mould prevention treatment before PVC tiles were applied
Found compliant: Regulation 9, 11, 16, 19, 25.