Regulation 23 — Safeguarding health, safety and welfare of child
The following measures were not in place to adequately safeguard the health, safety and welfare of children and provide a safe environment: General Safety: 1. Running water available to children for hand washing, in the sanitary room located nearest the front door, measured at 44.3°C at 10:45 and 43.8°C at 12:03. This temperature exceeds recommended safe limits and may pose a scalding risk to children and is at variance with the service’s infection control policy which states that warm running water will not exceed 43°C. This non-compliance was found on the previous inspection dated 3 October 2025 and the registered provider did not submit a corrective or preventive action in response. Fire Safety: 2. The fire drill route described by the registered provider did not follow the specified fire exit signs. The registered provider described the fire drill route as exiting a door to the garden, with no further exit available off the premises. This poses a risk that in the event of a fire there would be no means of escape beyond the garden. Action submitted by the Registered Provider
Provider's corrective action:
1. The registered provider stated that the temperature was reduced on the boiler and that the temperature of water will be taken every month and recorded. 2. The registered provider stated that the route of the fire drill was changed with an extra fire drill completed in June, and that fire drills will continue to be completed using the new assembly point in the front garden
(2) Of the three files reviewed, a complete employment history was not available for one adult's file. (a)(b) While four written references were provided for two adults, there was no documented evidence that these references had been validated. (d) Police vetting from the relevant authorities in another state was not available for one adult
Provider's corrective action:
2(a)(b) The employment history is now on file. Before an employee starts all required documents will be printed off and on the file. The written references were vetted before both staff members were employed. All employees references will be verified and dated at time etc recorded. (d)No preventive response submitted
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. While the main entrance was found to be secured, the door key was left inserted at child height, presenting a risk of unauthorised exit by a child from the premises. 2. An internal door between the service premises and private accommodation was observed to be unlocked, posing a risk of unauthorised entry or exit by a child. 3. Cleaning products and equipment were observed stored within an unlocked staff WC, posing a potential risk to children due to unrestricted access to hazardous substances. 4. Warm running water was available for handwashing at a temperature of 44°C, which exceeds recommended safe limits and may pose a scalding risk to children. Infection Control: 5. Spare clothing belonging to the children, materials and equipment were observed to be stored in plastic boxes within both the staff and children’s sanitary facilities. Sanitary facilities are considered high-risk zones for cross-contamination due to aerosolization during toilet flushing. Sealed containers are susceptible to external contamination in such environments. Action submitted by the Registered Provider
Provider's corrective action:
1.The registered provider stated: We now have a sign on the main entrance door to remind staff to hang up the key. To prevent recurrence all staff members will be informed of the importance of hanging up the key. 2.Internal door to be kept locked at all times. 3.All cleaning products now being kept on a high shelf in the school and staff toilet locked. All staff informed that cleaning products are kept on a high shelf in the school. 4.No Response submitted. Infection Control: 5. Spare clothes have been removed from the bathroom and are now stored in sandwich bags in the entrance hall cupboard. Inform staff on new location for spare clothes
Regulation 26 — Fire safety measures
(b) A record of the number, type, and maintenance of firefighting equipment in the service was on file. It is acknowledged that evidence of annual maintenance for the fire detection system was available and was last inspected on 22nd July 2025. However, records indicated that the annual maintenance for the firefighting equipment had been due in May 2025. Evidence of this maintenance was not available on the day of inspection
Provider's corrective action:
A service of the firefighting equipment was arranged for Thursday 20/11/25. The registered provider stated that they will keep up to date on fire extinguisher maintenance in line with the fire alarm check