Inspection of 27 February 2025 — Inspection Report
Regulation 16 — Record in relation to pre-school service
- Documentation reviewed during the inspection evidenced that a record of attendance was not maintained for each child in the service as follows: Attendance records in the Baby Room were reviewed by the inspector at 10:40am. One child in attendance who staff reported arrived at the service at 9:45am had not been signed into the attendance book or the online application used by the service, which staff reported is taken with them in the event of an evacuation. This was at variance with the checking in and out policy in place in the service. Inaccurate records of attendance may hinder the safe evacuation of children in the event of an emergency. The corrective and preventive actions submitted following the last inspection of the service on the 29th and 30th January 2024 did not prevent the re-occurrence of the non-compliance
Provider's corrective action:
- The following response was provided by the service: Corrective and Preventive Action Management set up and completed one to one retraining to staff members in all rooms on Regulation 16, record in relation to preschool service and the importance of signing children in and out of register at all times. The service updated the induction policy for new children starting to include recording of children on register and tablet from the first day of visit
Regulation 19 — Health, welfare and development of child
- 1. Drinking water was not accessible to the children at all times in the care rooms on the day of inspection. Drinks of water were only observed to be offered to the children at mealtimes
Provider's corrective action:
- The service submitted the following response: Corrective and Preventive Action Management had one to one meetings with all staff, and they are now continually and regularly offering water to all children outside mealtimes. The service have put child friendly signage on all water stations. Staff members are encouraging children to point at water signs if words are not available. A unit leader meeting was held, and management emphasized the importance of giving water to the children outside of mealtime and regularly throughout the day. Minutes of meeting were given to all staff. Regular room checks by management to make sure signs are visible to children and fluids given throughout the day will occur
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The paint on areas of the walls and skirting boards in the Baby Room, The Tweenies Room and the Twinklers Room were heavily chipped and peeling away in parts. Debris from the chipped paint was on the floor in reach of the children in these care rooms, posing a risk of harm to a child should they ingest it. Infection Control: 2. The handwashing practices observed were inconsistent and at variance with the infection control policy in place in the service. Children’s hands were not consistently washed before meals and after nappy changing, posing a risk of cross contamination. The corrective and preventive actions submitted following the last inspection of the service on the 29th and 30th January 2025 did not prevent the re-occurrence of the non-compliance. 3. Although cleaning schedules were documented as being completed in the service, some areas of the care rooms required a deep clean as follows: - A build up of dirt and debris was visible on the nappy changing table and the crevices of the nappy changing mat in the Baby and the Tweenies changing rooms. - A build up of dirt and debris was present in the base of the ball pool in the Baby Room. - A build up of dust was present on a shelving unit at the sink in the Baby Room. 4. Some wooden children’s toys were observed to be stored on a shelving unit in the Baby Room nappy area posing a risk of cross contamination. 5. During discussions with staff members, it was noted that on the busiest days in the Baby room some cots are shared. Staff members stated that a sheet is placed on both sides of the cot mattress, and the mattress is turned over when one baby is finished and the other requires sleep. A waterproof covering is only available on one side of the mattress. This is at variance with the infection control procedures the manager stated are in place for shared cots, and posed a risk of cross contamination. Safe Sleep: 6. On the day of inspection, practices in place in relation to safe sleep for two children sleeping in the cot room used by the Twinklers and Tweenies were inadequate at variance with the service’s policy on safe sleep. This posed a potential risk to the health and safety of children as follows: - There were no records of individual sleep checks having been completed on two of the sixteen children at 13:08pm, who had been asleep since 12:00pm. Action submitted by the Registered The service submitted the following response:
Provider's corrective action:
- General Safety: 1. All effected walls and skirting boards were treated and painted. Monthly health and safety checklists were updated to include no chipping or peeling of paint work on walls and skirting boards. Infection Control: 2. Management discussed the non-compliance with staff and reiterated that the handwashing policy and procedure we have in place is to be always followed. Management also spoke with all staff individually about the importance of regular washing of children's hands through the day especially around the following times: Before and after meals, after garden times, after toilet and nappy changes, when a child's hands are visibly dirty. Additional signage was put up in all care rooms detailing minimum times when children's hands must be washed at a minimum. 3. A deep clean was carried out on the nappy change table and the nappy changing mat in the Baby room and Tweenie room. The service updated the weekly cleaning checklist to include nappy changing table and changing mat. Once a week the changing area, to include the changing table, shelfs and changing mat, will be deep cleaned. All balls were removed from ball pools and thoroughly cleaned and disinfected. Base of ball pool was cleared of any dirt or debris. A weekly cleaning sheet for ball pool and balls only was introduced to ensure ball pools and balls are cleaned at least once a week. The shelving in the baby room was cleaned of all dust. The weekly cleaning sheet was updated to include shelving unit at sinks in all rooms 4. All wooden toys from the change room were disposed of immediately. All staff were reminded about the risks of contamination if they store toys in nappy changing room. Staff were told to never store equipment or any toys in the nappy changing rooms and to dispose of broken equipment immediately. 5. A new policy was introduced immediately for sharing of cots which will include: If a child is sharing a cot only one set of bed linen should be on a mattress at one time. Each child is to have their own personal bag to store their own bed linen. A new policy was introduced, all staff were trained on this policy. Safe Sleep: 6. Staff were informed immediately how critical it is to record the ten-minute sleep checks once physical sleep check is completed. A new sleep sheet with all children's names from the room prepopulated is now used. This will be kept updated by management
Found compliant: Regulation 9, 11, 25, 26.