Inspection of 30 May 2025 — Inspection Report
Immediate action notice. 1. A written immediate action notice under
Regulation 16 — Record in relation to pre-school service
- (1) (k) Of the nine files reviewed, the registered provider did not ensure that the signature of the manager was present on five of the forms
Provider's corrective action:
- The Service has implemented new Accident/Incident forms which have a space for management signature as the forms that were in use at the time of the inspection did not allow space for this. Part of an ‘End of Day’ checklist to ensure all Accident/Incident forms filled out on a given day signed by Designated Person in Charge or Deputised Person and another Staff Member as a safeguard against this reoccurring
Regulation 19 — Health, welfare and development of child
- 1. On the day of inspection, it was observed that one of the care rooms did not have enough tables and chairs to accommodate all children during mealtimes. This led to a rushed atmosphere and limited opportunities for social interaction during meals. Mealtimes were staggered, requiring one group of children to finish their meals before the next group could be seated. During this process, children were constantly requested to finish their food promptly to allow their peers to eat. This practice was observed to be in contradiction to the service’s own Healthy Eating Policy, which states: “Children that eat slowly will be given time to eat and not rushed.” 2. It was observed that not all children had the opportunity to access outdoor play during the day. Some children did not go outside at all, while others were only outdoors for approximately five minutes before being collected by their parents. This limited outdoor access may impact children's opportunities for physical activity, fresh air, and engagement with the outdoor environment. 3. In one of the care rooms there was a noticeable lack of materials available for children to engage with. When queried by the inspector, the adult presented a large box containing play materials; however, these resources were not accessible to the children, thereby limiting their opportunities for independent and spontaneous play
Provider's corrective action:
- 1. In address to both point 1&2, the room in question has implemented a better ‘rolling mealtime’ situation. This is part of a larger routine and purpose of routine overhaul for this room to allow for better care to be given to the children. Mealtimes no longer disrupt playtime meaning children have more freedom to come to the meal table and return to play, this is coupled with children preparing for outside play at the same time. The group of children is split into two sittings. The first sitting eats while the second sitting play, once the first sitting finish their educator prepares them for outside play while the second sitting eats, then their educator prepares them for outside play. Upon review of this implementation, it has been working. Review thus far of the strategy to address points 1&2 it has been working, however if it proves unsuccessful in the future the service will invest in more tables for mealtime and change to an everyone sitting practice. 2. ‘Treasure Basket’ approach has been reaffirmed for this room where children are able to develop agency in selecting their preferred play resources
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. On 29 May 2025, a written Immediate Action Notice was issued to the registered provider under Regulation 23 – Safeguarding Health, Safety and Welfare of the Child. A large open grate on the premises posed a significant risk to a child. When brought to the attention of the person in charge he responded promptly by securing the area and ensuring the grate was covered, made safe and inaccessible to children. 2. The windows in one of the care rooms were not fitted with fire safe window restrictors to prevent a child from potentially exiting or falling. 3. Children were observed seated in highchairs without being secured using the provided harnesses, posing a risk of falling. When questioned, adults appeared unfamiliar with the correct use of the harness system and advised the inspector that the straps were not fully working. 4. In the outdoor play area, a wooden pole with a protruding nail was observed, posing a potential injury risk to children. This issue was brought to the attention of the person in charge for prompt action to ensure the area was made safe. 5. It was observed that one of the outdoor bikes was missing a seat. This limited their usability and affected the range of equipment available for children's outdoor play. 6. On the day of inspection, no indoor or outdoor risk assessments were available for review. The absence of these documents meant that the inspector was unable to verify whether potential hazards within the environment had been identified, assessed, and appropriately managed prior to their arrival. Infection Control: 7. It was observed that there was insufficient space between cots in the sleep room, which poses a risk of cross- contamination and does not support best practices for infection control. Adequate spacing between sleep equipment is essential to ensure a safe and hygienic rest environment for children. 8. No daily cleaning schedules were available for review on the day of inspection. When questioned, adults informed the inspector that these schedules were not being completed. The absence of documented cleaning routines limited the ability to verify that regular and consistent hygiene practices were being carried out across the service. 9. Gloves and aprons were observed not to be removed after disposing of an unclean nappy, and prior to moving onto the next care practice of placing on a clean nappy and redressing the child. This could lead to a risk of cross infection. Administration of Medication: 10. Each child in the Rainbow Room had an individual bottle of antipyretic (fever-reducing) medication stored on- site. Upon inspection, four of these bottles were found to be expired. While it was acknowledged that the service had an in-date bottle available for emergency use, the presence of expired medication indicates a lapse in the regular monitoring and management of stored medications. Action submitted by the Registered Provider
Provider's corrective action:
- Click or tap here to enter text. General Safety: 1. Immediate Action Notice has been addressed and replied to following the Inspection. Maintenance Staff were reminded of the importance of fixing concerns raised by staff in a prompt and timely manner. Indoor and Outdoor Risk Assessments were made available showing the date and time that the grate was noticed as posing a risk. Maintenance staff have been asked in future to please complete work in a timely manner as there was a passage of 5 weeks between the concern being raised in the risk assessment and the date of the inspection. 2. Upon review, several of the windows have need of repair. Works have been contracted and are estimated to be completed by 25/07/2025. 3. Highchairs without working straps have been removed. Staff have been reminded of the importance of highchair safety in a meeting following the inspection. 4. Nail was removed following the inspection. Perimeter fencing will be more closely monitored in the Indoor/Outdoor Risk Assessment not just for security but for hazards like this. This has been communicated to maintenance staff and staff completing Indoor/Outdoor Risk Assessments. 5. Outdoor toy in question was removed from use. Remaining outdoor play equipment was observed to be in good working order. 6. A copy of the Indoor/Outdoor Risk Assessments Dating from 06/01/2025 until the day of the inspection was forwarded to the inspector on 11/07/2025. Infection Control: 7. Staff have been made aware of their roles and responsibilities relating to the daily cleaning requirements of the service. Daily Cleaning Checklists are now included in the ‘End of Day’ Checklist to ensure checks and balances are maintained in filling out the Daily Cleaning Checklists. End of Day checklist will continue to be carried out to maintain compliance. 8. Staff have received a refresher meeting on following the appropriate nappy changing procedure. One of the Supervisors/Deputised Persons have been made aware they are responsible for identifying and checking nappy changing procedures are being followed. 9. Cots have been moved farther apart to support safe sleep practices. Refresher meeting was held in relation to safe sleep practices. Administration of Medication: 10. All out of date anti-febrile medication has been removed. End of Day checklist includes checks relating to all medicines stored on the premises
Found compliant: Regulation 9, 11, 15, 26.