Inspection of 26 July 2024 — Inspection Report
Immediate action notice. An immediate action notice was issued on the day of inspection regarding Regulation 23, the absence of First Aid Responder trained staff in the service and the significant risk that this posed to the children in the service. An adequate response was submitted by the registered provider on the 29 June 2024.
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. A potential safety risk was observed on the floor of the raised stage in the outdoor play area. The inspector observed that the nail heads on the floor of the stage were now raised due to wear and tear of the floor of the stage. This was observed to present a potential risk of injury to a child. 2. On inspection of the first aid pack in the playgroup room, the inspector observed that there was an ampoule of eye wash in the contents which had expired. Infection Control: 1. The inspector observed that the mattress in each of the two cots on the right-hand side of the entrance door to the sleep room, from the main corridor, were both stained with grey- brown discolouration. This posed a potential risk of cross infection to the children using them. First Aid: An Immediate Action Notice was issued to the registered provider in relation to a non-compliance that is reported on under Regulation 25. Safe Sleep: 1.At 10:30 hours the inspector observed that the room thermometer recorded the sleep room temperature as being 20.8℃. The inspector recorded the air temperature at 23.3℃ on the calibrated air probe. Staff were observed to initiate the use of a mechanical room fan and opened a door onto the main corridor to increase circulation of cool air in response to observing the high temperature. At 12:00 hours the inspector recorded the air temperature in the sleep room at 22℃. It is acknowledged that three children aged 1 to 2 years were sleeping in the room at the time. Staff were observed to physically check the children every ten minutes and had the children dressed in their vests with no blankets while sleeping. At 14:00 hours the temperature in the sleep room was recorded as being 23℃ As no children were sleeping at the time staff were observed to open the doors leading into the sleep room and the doors leading from the sleep room to the outdoor area to promote air circulation and to cool the sleep room. It is acknowledged that the room temperature was maintained at 22℃ for the remainder of the evening, the outdoor temperature was recorded as being 20-21℃. To maintain the required sleep room temperature between 18-22℃, as required by safe sleep guidance for children over one year of age, the inspector observed that the service required additional measures to be put in place to reduce the potential risk of the sleep room becoming too warm and children becoming too warm on days where outside temperatures exceeded 21℃. Action submitted by the Registered Provider
Provider's corrective action:
- The registered provider submitted the following corrective and preventive actions. General Safety 1. Outdoor playhouse has been repaired and new floor has been fitted. Playhouse has now been refurbished. Management will ensure repairs are always kept up to date. 2. All eye wash in the first aid pack in playgroup room was removed. New eye wash has been added to the first aid pack. Infection Control: 1. Old mattresses were removed from cots and 3 new mattresses were replaced. Mattresses will be checked on an ongoing basis by staff and management. First Aid: Four staff members completed FAR training on the week of 9/9/24. Training was completed on the 13/09/2024. We will continue staff training in Far throughout the course of 2024 and 2025. Safe Sleep: New electric fan was purchased for the sleep room. Temperatures in sleep room will be monitored every 10 minutes while children are sleeping
Regulation 25 — First aid
- (1) On review of staff files and in discussion with the designated person in charge, it was evident that no staff member employed in the service was qualified in Pre-Hospital Emergency Care Council (PHECC) approved First Aid Responder (FAR) training, as is the regulatory requirement of the inspectorate. An Immediate Action Notice (IAN) was issued under Regulation 23 for this safety risk
Provider's corrective action:
- An adequate response to the IAN was submitted by the registered provider on the 29 June 2024 confirming that four staff members were booked in for PHECC FAR training on the 19, 21, and 23 August 2024. The following corrective and preventive action was submitted by the registered provider. Four staff members completed FAR training on the week of 9/9/24. Training was completed on the 13/09/2024. We will continue staff training in Far throughout the course of 2024 and 2025
Regulation 29 — Premises
- (d) 1. The ventilation grill on the wall of the upper right corner of the sleep room was observed to be covered in grey dust along the rows of the vent. 2. The inspector observed that there were tiles missing from the backsplash of the hand wash basins in the main sanitary facilities provided for the children
Provider's corrective action:
- (d) 1. Ventilation grill was cleaned. Ventilation grill will be cleaned weekly by staff. 2.Hand wash dispenser was refitted. Management will ensure that maintenance is always kept up to date
Found compliant: Regulation 9, 10, 11, 19, 26, 28.