Inspection of 29 September 2025 — Inspection Report
Regulation 9 — Management and recruitment
- 1. One written reference on file for one adult was from a source other than any of the past employments that were detailed in their employment history. References from sources other than a past employer are to be considered only where there has been no past employments. 2. One written reference had no evidence of validation. (2)(d) It could not be determined Police Vetting for one adult was required due to gaps in the employment record. (4) There was no qualification on file for one adult. Action submitted by the Registered Provider
Provider's corrective action:
- 1. Reference submitted. 2. Validated reference submitted. 3. Police vetting submitted. 4. Qualification submitted
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: • In the outdoor area, the fencing had become damaged, leaving parts of the wire exposed, posing a risk of injury to the children. • Three of the ride on tractors were missing pedals. On one occasion, a child attempted to dismount one of the tractor’s, slipped on the exposed metal pedal and fell off the tractor. • The blue tricycle was missing two pedals, exposing the metal holder posing a risk of injury to children. Infection Control: • In the sanitary accommodation, paper towels were provided for handwashing however they were stored on top of a radiator posing, a risk of airborne cross contamination, reducing the effectiveness of and washing. • In the sanitary accommodation, the pedal operated bins were broken and the lids were left beside the bins, resulting in used hand towels in open top bins, posing a risk of cross contamination to the children. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. Fencing has been repaired. 2. Broken tractor disposed of. 3. Broken tricycle disposed. Replacement pedals ordered for two of the vehicles. Infection Control: 4. Paper towed holder provided in sanitary accommodation. 5. Pedal bin provided
Regulation 26 — Fire safety measures
- (1)(a) A record of fire drills was kept by the service with the most recent drill carried out on 02 September 2025. However, records demonstrated that in the period from January 2025 to June 2025, there was one fire drill carried out on the premises in January 2025. Fire drills should be carried out monthly to ensure children are familiar with evacuation procedures in the event of an emergency
Provider's corrective action:
- Fire drills carried out and recorded in the logbook
Regulation not named in the report text
- (1) The service failed to notify the Agency of the change to the person in charge. It was noted on inspection that the person in charge as notified to the Agency no longer works in the service on a daily basis. The inspection focused on an examination of compliance under regulations 9,11,19,23,25,26 and 28; however, on inspection additional non-compliance which posed a risk was identified under Regulation 8. These findings are outlined within the relevant regulations within this report. Inspection findings are documented in the inspection report which is first issued in draft format to the service with an opportunity to respond to any findings. Where statutory requirements are identified as not being met, the registered provider must demonstrate how they have rectified the non-compliance and will prevent any non - compliance from re occurring. The Corrective Action and Preventive Action plan (CAPA) will be used to inform decisions about compliance with regulatory requirements. Where the registered provider fails to meet the statutory requirements an escalation process may be commenced. The inspectorate reserves the right to edit responses received for reasons including clarity, completeness and compliance with administrative and legal processes. The contents of the report are compiled by the inspectorate body. Acknowledgments The inspector wishes to acknowledge the cooperation of the person in charge, staff and children who were present on the day of the inspection
Found compliant: Regulation 11, 19, 25, 28.