Inspection of 26 February 2024 — Inspection Report
Regulation 16 — Record in relation to pre-school service
- (1)(j) The registered provider did not ensure a full record in writing with signed parental consent for the administration of medication was maintained. Following a review of a sample of ten records, four did not have a parent’s signature acknowledging that the child had received medication. This could potentially increase the risk of under or overdosing on medication
Provider's corrective action:
- Corrective Action The service will no longer solely use an online software application for medical pre-consent and medical administration. Following feedback from parents, the service have decided to use a hard copy administration of medication record book. The pre consent will be signed at drop off if parent brings in medication that needs to be administered. The parent will sign the acknowledgement of medicine administered when they collect their child. If a child needs anti febrile medicine during the day they will call the parent and they will need to sign pre-consent on the online software application system, and it will be noted in the medication record book. Then the parent will sign the acknowledgement of anti-febrile medicine at collection time. The service also maintains pre-consent for anti-febrile medicine on all children’s child records forms that attend the service. Preventive Action The service have briefed the staff on the use of the hard copy administration of medication book. They sent out a document to parents and staff regarding the change from online software to a physical book. Room heads and management will ensure pre-consent and administration are signed by staff and parents
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The following cables were observed to be unsecured and accessible to children, which posed a risk of injury: o The cable from the air cooler unit on the shelf in the cot room. o The cable from the air cooler unit in the Baby/Wobbler room. o The cable from a mobile phone charger in the Circus room. o The television cable in the Garden room. Infection Control: The following increased the potential risk of infection: 2. The nappy changing mat was torn leaving a surface that could not be cleaned effectively. 3. The bin in the sanitary accommodation in the Garden room was not pedal operated. This does not support effective infection control. Administration of Medication: 4. Two teething gels which were stored in the medication box were not individually labelled and had no date of when they were opened. This posed a risk to the children as there was no way to establish a use within date and should be for individual use only. It is acknowledged the teething gels were immediately disposed of once brought to the attention of the registered provider. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. Corrective action: • The Cable from air cooler unit on shelf was covered and secured to the wall. • The air purifier was removed from the room as the cable can’t be secured. For the machine to work sufficiently it must be out from the wall and the service were unable to satisfactorily secure the cable. • Cable from the iPad in the circus room will be stored in labelled container while not in use. There is a high- speed iPad docking station that can charge multiple iPads in the staff room and two iPads in each room. Staff are encouraged to put one on charge in the staff room at a time so there should not be any need for charging in the room. A sign was put up beside the sockets in the circus room as a reminder. • Television cable in the Garden room has been secured with a baby proof cable tidy. 1. Preventive action: the service Health and Safety officer has added more specific checks regarding cables for the whole creche. It was also added to the daily risk assessment check on the online software application for each room. Infection Control: Corrective action: 2. The changing mat has been recovered. 3. A new pedal bin has been purchased for the Garden room. Preventive action: 2 and 3. The service Health and Safety officer has added more specific checks regarding cables for the whole creche. It was also added to the daily risk assessment check on the online software application for each room. Administration of Medication: 4. Corrective action: the teething gels were immediately removed. Preventive action: Teething gels will no longer be used in the service, and parents will be advised not to bring them in
Found compliant: Regulation 9, 11, 21.