Inspection of 8 September 2025 — Inspection Report
Regulation 23 — Safeguarding health, safety and welfare of child
- Administration of Medication: 1. One child was prescribed an auto injector medication in the event of a severe allergic reaction. Only one dosage of this medication was available. A second dosage of this medication is required in the event the auto injector malfunctions. 2. Medication for another child was not stored in their original packaging. The original packaging is required as it details the medication and dosage and specifies how it will be stored and administered by authorised staff. Infection Control: Handwashing did not occur at required times posing a risk of infection spreading within the service. This was observed by the Inspector as evidenced below: 1. A staff member checked two children to see if their nappy/pull up needed to be changed, then wiped a child’s nose with a wipe and then used this wipe to clean the top of a bin without washing their hands. 2. The service has a nappy changing / pull up policy, however it is unclear in the policy where staff need to wash their hands for effective infection control purposes. One staff member was observed wearing the same gloves to change a nappy and then to redress the child with a clean nappy. Neither the child’s hands nor the staff members hands were cleaned during this procedure. Action submitted by the Registered Provider
Provider's corrective action:
- Administration of Medication: 1. Two auto injector pens were replaced, and both are now stored in the service, in their original boxes. The service updated the medication policy and procedure to include two auto injector pens must be provided for each child who needs them. This policy has been read and understood by all staff and it is the managers responsibility to ensure that this is followed in the future. 2. The packaging for the auto injector pens has been ordered and will be in the preschool by 14th November 2025. The medication policy has been updated to include auto injector pens must be stored in their original packaging. This policy has been read and understood by all staff and it is the managers responsibility to ensure that this is followed in the future. Infection Control: 1. The person in charge spoke with all staff about their vital role staff in ensuring a high standard of care is provided regarding infection control. All staff are booked in to complete an Infection control (including Covid 19) e-learning course. They have agreed this will be completed by November 3rd, 2025. Certificates of proof of completion of this course will be kept in each person’s staff file. 2. The existing nappy changing policy has been updated. This has been read, understood and signed off on by all staff members to ensure they understand their responsibility in this matter. All staff are booked in to complete an Infection control (including Covid 19) e-learning course. They have agreed this will be completed by November 3rd, 2025. Certificates of proof of completion of this course will be kept in each person’s staff file
Regulation 29 — Premises
- On the day of inspection, the service had four children wearing either nappies or pull ups. The staff were using a nappy changing mat on the floor of the sanitary area. Children need a dedicated nappy changing unit for hygiene, safety, and efficiency. These units provide an easy-to-clean surface for changing nappies and help prevent the spread of infection
Provider's corrective action:
- A nappy changing unit has been ordered. This will be put in the toilet block as the designated nappy changing area to maintain the children’s privacy and dignity as well as promoting a higher standard of hygiene, safety and efficiency as advised. The existing policy has been updated to incorporate most of the issued raised in the inspection to use until the unit is delivered. This updated policy has been read, understood and signed off by all members of staff. The person in charge developed a new policy and procedure to be used when the new unit is delivered. This new policy will then be read, understood and signed off on by all staff members to ensure they understand their responsibility in this matter
Found compliant: Regulation 9, 11, 15, 25, 26, 28.