Inspection of 1 February 2024 — Inspection Report
Regulation 9 — Management and recruitment
- (2) (a)(b) There was no second reference available for one of the adults. (d) Full international police vetting was not available for 2 of the adults working in the service who required it. (3) A review of documentation evidenced that the procedures specified above under Regulation 9(2) had not been completed prior to some adults commencing employment in the service as follows: - References obtained for 4 of the adults had not been validated prior to them commencing employment in the service. - A second validated reference had not been obtained for one adult. - The International police vetting available for one adult had not been obtained prior to them commencing employment. Full international police vetting was not available for 2 other adults who required it
Provider's corrective action:
- The service provided the following response: Corrective and Preventive Action
- (a) (b) This reference was located on the staff members online file and is now on the staff inspection file. Updated Staff ‘on-boarding’ doc in place to ensure specifically that all references have been received. (d) One International Police vetting was located on the staff members online file and is now on the staff inspection file. The service was unable to locate second International Police Vetting so the staff member was asked to forward updated police vetting to be filed online and is now in inspection file. Updated Staff ‘on-boarding’ doc in place to ensure that all police vetting’s have been received and are saved to both the inspection file and the supplementary file. (3) All references were validated as soon as possible post-employment start date - See Corrective / Preventative Actions above in Reg 9 (2) (a) (b). The police check from 2016 (prior to commencement of employment) was located on the staff file and has now been added to the inspection file – this had been replaced in the inspection file by an updated police vetting (post-employment start date) following the previous inspection. The service created a document for completion prior to commencement of employment by any new team member to ensure all documents are available in the inspection file
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The side entrance to the service was unlocked and accessible on the day of the inspection from the road outside posing a risk of unauthorised access. The side entrance led directly into one of the outdoor play areas where a door into the downstairs hallway of the service at the Baby room and the designated sleep room was unlocked. 2. A trailing cord from an air filtration unit was in reach of the children on the floor of the Kits room on the day of inspection. Infection Control: 3. Some of the nappy changing practices observed were at variance with the associated policy in place and posed a risk of cross contamination and gastrointestinal illness as follows: - Some staff members did not wash their hands following nappy changing and changed multiple children with no handwashing in between. - Some children’s hands were not washed following nappy changing. 4. Children’s hands were not washed prior to meals and snacks in the Baby room and the Kits room on the day of inspection. 5. An unlidded bin was in use in the Kits outdoor play area for disposal of nasal tissues posing a risk of cross contamination. 6. The vinyl covering on two padded cushions in Kits and on a padded chair in Tigers rest areas were heavily torn with internal foam exposed in parts meaning they could not be effectively cleaned. 7. The radiator in the Lions room underneath the children’s hand dryer was heavily soiled and discoloured with accumulations of dirt and required a deep clean. 8. The fabric on a cushioned step in the changing area of the Kits room was heavily stained and soiled and required a deep clean. 9. Paper towels were not readily available and accessible to the children in the Lions and the Tigers rooms for hand drying. Children who did not like using the electrical hand dyer were observed using facial tissues to dry their hands during the inspection. The tissues were sticking to their hands and were ineffective for hand drying and infection control purposes. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. Staff were reminded to ensure the gate latch is secured at all times. Latch secured to inside of sleep room door where children are sleeping unattended and which opens to the garden. Options and quotes for suitable changes to gate area are being sourced, once agreed on suitable option work to be scheduled for completion during a service closure. 2. Equipment removed from room. Staff reminded to ensure all necessary cables in rooms are to be secured at all times or removed. Updated the ‘Daily Risk Assessments’ to include securing any necessary cables in room. Infection Control: 3. All staff were sternly reminded of importance of this procedure. Two staff (one from Babies/Pups) completed online nappy changing procedure training and were instructed to share this knowledge with their team. Nappy changing signs including hand washing steps were ordered and posted in each changing area. Staff were reminded of importance of handwashing and to ensure correct nappy changing procedure is adhered to at all times. 4. All staff were sternly reminded of importance of this procedure. Child and staff hand washing posters were ordered and were posted in each care room. Staff were reminded of importance of handwashing at meal times and to ensure correct procedure is adhered to at all times. 5. Bin was removed and replaced with foot operated lidded bin. Outdoor area ‘Daily Risk Assessment’ updated to include check of bins. Staff were reminded of ensuring bin in garden is in good working order while outside. 6. Items were removed from rooms New soft furnishings ordered to replace removed items, currently awaiting delivery. Updated the rooms ‘Weekly Cleaning’ sheets to include ensuring soft furnishings are in good order. Staff reminded to ensure all soft furnishings in room are in good order or to remove and bring to managers attention. 7. Radiator scrubbed clean. Radiator re-sprayed. Radiator check added to the monthly ‘Walk Around the Centre’ document. 8. Item removed and replaced with easily cleaned alternative step. Staff reminded to be aware of their surroundings and if something needs replacing / deep cleaning etc. to bring it managers attention. Step check in Sanitary areas added to the monthly ‘Walk Around the Centre’ document. 9. All staff reminded which tissues are to be available to the children for hand drying. Hand drying tissue box fitted in the toilet area in the Lions Room. Hand drying tissue box re-situated directly beside the toilet door in the Tigers Room. Sign put up in Tigers class toilet area to remind them of the alternative hand drying method and to guide them to the appropriate tissue box
Found compliant: Regulation 11, 15, 16, 19, 28.