Inspection of 27 November 2025 — Inspection Report
Immediate action notice. An Immediate Action Notice was issued to the registered provider on the 28 November 2025 under Regulation 23, in relation to a non-compliance identified under Regulation 25. A response was received from the registered provider which mitigated the risk identified. See body of report for details.
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. A bottle of medication which was out of date was observed to be stored in the care room and posed a risk of being ineffective if administered to a child. This is not in line with service policy. 2. The flooring at the back of the care room was damaged with a large dip causing the floor to be uneven and posed a potential trip risk. 3. Staff belongings including handbags were accessible to children and posed a potential safety risk to children. 4. The hot water tap located in cubicle one of the sanitary area fluctuated rapidly between hot and cold water. At 10.18am the water temperature was recorded at 46℃ exceeding the allowable 43℃. This posed a potential risk of injury to children. 5. The garden area contained a number of damaged items which posed potential risks to children’s safety. The following was observed: • A large play structure with a swing was damaged and unstable and posed a potential risk of injury. • A second play structure with a slide was observed with sections of rusted poles and posed a potential risk of injury. • A low-level fence was damaged and posed a splinter risk. • There was a large section of chipped and damaged paint and posed a risk if ingested. It is acknowledged on the day of inspection children played under the sheltered area and were not allowed play on the large structures. Infection Control: 6. The laminate covering on a low-level shelving unit used to store toys was damaged exposing the chipboard underneath. This prevented effective cleaning. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. A new bottle of medication was purchased. First aid box and essentials will be checked on a monthly basis by management. 2. Measures have been taken to balance the floor and fill the gap. A full repair will be carried out during midterm. A risk assessment will be carried out each morning. 3. Hooks have been installed out of children’s reach for staff belongings. Management have spoken with staff and advised belongings must be hung up on arrival at the premises and again checked during the risk assessment. 4. Hot water temperature has been reduced, and contractor has demonstrated how to check the future. Water temperature will be checked each morning during risk assessment. 5. Garden area has been cordoned off from the children during play time and all items posing any risk will be replaced or fixed during February midterm break. A risk assessment will be completed daily. Infection Control: 6. Laminate covering on low level shelving also to be repaired during February midterm break. A risk assessment will be completed daily
Regulation 25 — First aid
- (1) The registered provider did not ensure that a person trained in first aid was available to children at all times during the operating hours of the service. A discussion with management and review of available documents confirmed there is no suitably trained person on the premises between 12.00-1.00pm daily. An immediate action notice was issued. (2) A suitably equipped first aid box was not available. A review of the first aid box available demonstrated that the three burn dressings on the premises had expired between 2018-2024. A suitably equipped and easily accessible to adults first aid box should be available at all times to support the care and safety of children attending the service
Provider's corrective action:
- (1) First aid responder certificate has been acquired for a least one person during the hours 12pm-1pm. A refresher training has been booked in advance of FAR certificate expiration. (2) A new first aid box was ordered and arrived. This is on the risk management assessment and will be checked weekly
Found compliant: Regulation 9, 11, 15, 19, 26.