Inspection of 11 June 2025 — Inspection Report
Immediate action notice. 11/06/2024 An Immediate Action Notice was issued to the registered provider in relation to the regulation 25. 12/06/2025 A response was received which was reviewed and accepted by the inspectorate.
Regulation 9 — Management and recruitment
- (2)(a)(b)One staff member did not have 2 validated written references either from a past employer or from a reputable source
Provider's corrective action:
- (2)(a)(b)Two validated written references have been obtained for the staff member and have been placed on file. Staff files will be checked on a regular basis to ensure compliance
Regulation 23 — Safeguarding health, safety and welfare of child
- Infection Control: 1. The water at the sink in the sanitary facility was cold to touch with a reading of 15.4°C which was not adequate for effective hand washing. This was found to be non -compliant at the last inspection on 14/6/2022. The Corrective and Preventive Action (CAPA) response submitted by the registered provider after the last inspection stated that “The heating had been scheduled to come on for an hour before the pre-school session started to ensure there was sufficient supply of warm water.” The action stated by the registered provider has not been adequate to address the non-compliance. 2. There were no pedal bins in the care room or in the sanitary facilities for the disposal of general contaminated waste
Provider's corrective action:
- Corrective & Preventive Action Infection Control: 1.An electric immersion has been installed to heat the water. The registered provider will ensure that the water is warm in the sanitary facilities to ensure effective handwashing. 2.Pedal bins are now available in the care room and in the sanitary facilities. The registered provider will ensure that pedal bins are available for the disposal of general contaminated waste
Regulation 25 — First aid
- (1)No staff member had First Aid Responder (FAR) training. This was found to be non-compliant at the last inspection on 14/6/2022. The Corrective and Preventive Action (CAPA) response submitted by the registered provider after the last inspection stated that “A FAR course had been booked for September/October 2022”. The FAR certificate was reviewed on the day of the inspection with indicated that the training had since expired on 05/11/2024. An Immediate Action Notice was issued to the registered provider on the day of inspection, and a response was received which was reviewed and accepted by the inspectorate
Provider's corrective action:
- One staff member has completed a FAR course. The registered provider will ensure that 1 staff member with FAR training is on duty at all times while the service is in operation
Regulation 26 — Fire safety measures
- (1)(b) There was no maintenance records available for the fire fighting equipment and smoke alarm on the premises. This was found to be non-compliant at the last inspection on 14/6/2022. The
Provider's corrective action:
- (CAPA) response submitted by the registered provider after the last inspection stated that the “Firefighting equipment and mains powered smoke alarms have been serviced”. The action stated by the registered provider has not been adequate to address the non-compliance. Corrective & Preventive Action submitted by the Registered Provider Corrective and Preventive Action (1)(b) The fire fighting equipment and smoke alarm has been serviced. The registered provider will ensure that the fire fighting equipment and smoke alarm are serviced on an annual basis
Regulation 29 — Premises
- (d) The window in the sanitary facility was cracked in several places and was re-enforced with brown tape. This was found to be non -compliant at the last inspection on 14/6/2022. The Corrective and Preventive Action (CAPA) response submitted by the registered provider afte r the last inspection stated that “The window in the sanitary facility has been replaced”. Photographic evidence was submitted after the inspection indicating that the window had been repaired however the recent inspection had found that the window was still cracked
Provider's corrective action:
- The window in the sanitary facility has been repaired. The registered provider will ensure that any areas accessible to the children is safe and maintained
Found compliant: Regulation 11, 19, 20, 21, 28.