Inspection of 4 March 2026 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. In the nappy changing area cleaning agents were stored at the side of the nappy changing pad, which was accessible to the children despite being risk assessed through the daily risk checklist. Access to cleaning agents pose a safety risk to children. 2. Some of the books available in both the Toddler Room and the Blue Room were observed to be torn and in poor condition despite being reviewed on a daily risk checklist for the care room. Torn and worn materials may not be effectively cleaned. In addition loose and detached pieces could present a choking hazard. These resources were not suitable for the children’s use and required replacement. Infection Control: 3. Infection control measures were not always followed. The possible risk of the spread of infection was increased due to the following: • Some of the children were not assisted to wash their hands after nappy changing in the Wobbler room. • Aprons were not changed after each child during the nappy changing procedure in the Toddler room. • A pedal bin was not available for disposal of waste and contaminated items in the ECCE room sanitary accommodation. Administration of Medication: 4. The written health care plan for 1 child in the ECCE Room who required medication for a nut allergy did not contain clear information and therefore posed a safety risk to the child. There were 2 health care plans for 1 child which contradicted each other. One health care plan stated that the child required an auto injector pen and that this was stored in the room. The second health care plan did not state that the child required an auto injector pen. When the staff member was asked about this child’s health care plan, they were unsure about what was required in relation to the child’s health care plan. During the closing meeting it was confirmed that the child did not require an auto injector pen. A more detailed up to date care plan is required for this child to minimise the safety risk to the child in relation to administration of medication. Action submitted by the Registered Provider Corrective Action General Safety: 1. Cleaning agents were removed immediately from the side of the nappy changing pad and relocated to a high shelf out of reach of children. The area was checked to ensure no hazardous materials remained accessible. 2. All torn and damaged books in the Toddler Room and the Blue Room were removed immediately and discarded. The remaining books were checked to ensure they are clean, safe, and in good condition. New age-appropriate books have been provided to replace those removed. Infection Control: 3. All staff were immediately reminded of correct hygiene procedures. Children in the Wobbler Room are now consistently assisted to wash their hands after every nappy change. Staff in the Toddler Room are changing aprons after each child as required. A pedal bin has been provided in the ECCE Room sanitary area for the safe disposal of waste and contaminated items. All nappy changing procedures were reviewed to ensure full compliance with infection control standards. Administration of Medication: 4. The child’s healthcare plan was reviewed immediately. The duplicate and conflicting plans were removed and discarded. All staff in the ECCE Room were informed of the updated plan and the correct procedures to follow in relation to the child’s allergy and medication. Preventive Action General Safety: 1. Staff have been reminded that all cleaning products must be stored securely and kept out of reach of children at all times. The daily sanitary area risk checklist has been explained, and staff have been shown how to complete it correctly each day. Staff were reminded to carry out proper checks of the room and not complete the checklist without inspection. Staff are now using the designated changing area outside the room, with the internal changing area reserved for emergency use only, to ensure compliance. The manager will carry out regular audits to monitor and ensure adherence to these practices. 2. The daily room risk assessment procedure has been reviewed with staff to ensure damaged resources are identified and removed promptly. Staff have been reminded of the potential choking and hygiene risks associated with worn materials. A more thorough visual check of books and resources has been added to the daily checklist, and the manager will complete regular audits to ensure compliance. Infection Control: 3. Infection control procedures have been reviewed with all staff, with particular focus on hand hygiene, use of PPE, and safe disposal of waste. Clear step-by-step guidance for nappy changing has been reinforced in each room. All staff had previously completed training in infection control and nappy changing procedures; however, this training has been refreshed with all staff following the inspection. Regular supervision and spot checks will be carried out by management to ensure procedures are followed consistently. Infection control will be included in ongoing staff training and routine audits. Administration of Medication: 4. A review of the medication and healthcare plan procedures has been carried out. A system has been introduced to ensure only one current, signed healthcare plan is in place for each child at all times. All plans will be reviewed regularly and updated in partnership with parents/guardians. Staff have been reminded of the importance of clear, accurate documentation and communication. The manager will carry out regular audits of all healthcare plans to ensure consistency and compliance. Supporting documentation submitted • Photograph showing cleaning agents removed from the side of the nappy changing pad and stored on a high shelf. • Daily Risk Checklist-Sanitary Area. Photograph of alternative nappy changing area use. • Photographs of new books and updated book areas in Toddler Room and Blue Room. • Updated Daily Risk Checklist-Care Room. • Updated Manager’s Morning Checks – added Damaged or torn resources in classroom. • Photograph of pedal bin in ECCE Room-Sanitary area. • Staff training record (signed). • Copy of current updated healthcare plan. Staff sign-in sheet confirming awareness of updated plan. • Healthcare Plan Audit Checklist-Completed by Manager. Summary Comment The inspector has reviewed the actions and evidence submitted. The non-compliances under Regulation 23 have been addressed
Regulation 25 — First aid
- (2)(a) A first aid box was available in the Blue Room and the Toddler Room however it was difficult to access due to both boxes being tied with a tight string, this could delay staff in providing timely first aid to children. (b) In the Blue Room however, it did not contain sufficient first aid materials, for example adhesive plasters, wound dressings and sterile eye pads. If adequate first aid materials are not available, staff may not be able to respond promptly to an accident or injuries
Provider's corrective action:
- Corrective Action (2)(a) The string securing the first aid boxes in the Blue room and Toddler Room was removed immediately. Both first aid boxes are now easily accessible to staff while remaining safely stored out of children’s reach. (b) Both first aid boxes in the Blue Room were immediately checked following the inspection. All required items (plasters, wound dressings, sterile eye pads, etc.) were confirmed to be present and in date. No shortages were identified. Preventive Action (2)(a) Staff have been reminded that first aid equipment must be easily accessible at all times in case of emergency. The manager will carry out regular audits to ensure compliance and that first aid boxes remain accessible and fully stocked. (b) Both first aid boxes have been clearly labelled and are stored in designated, easily accessible and visible locations within the Blue Room. A monthly stock checklist is in place to ensure all items are checked, fully stocked, and signed off by staff. Staff have been reminded and briefed that all first aid storage locations must be presented during inspections to ensure full transparency and compliance
Found compliant: Regulation 9, 11, 19, 22, 26.