(c) 1. On the day of inspection, in the upstairs sanitary area and in the corridor outside the sanitary area beside Wobbler 1 there were visible signs of water damage on the ceiling tiles. The person in charge had advised the inspectors that there had been a water leak in the previous weeks and while the leak had been repaired, there was still a strong smell of damp coming from the sanitation area that was not being managed by the ventilation system. 2. At 13:00, it was noted that there was malodourous smell in Junior Monti 1. The room was empty at the time and the door was open. The ventilation system appeared to be working but this did not improve the quality of the air in the room. The odour did not spread outside the room. A similar non-compliance was noted on the last inspection report 4 December 2024. The corrective and preventive actions submitted failed to prevent the non-compliance from re-occurring
Provider's corrective action:
(c) 1. The company maintenance team replaced the damaged ceiling tiles and checked for further damp issues and were happy that there were none. Going forward works will be completed in full in a timely manner. 2. A drain clearing company surveyed the site and found a copper pipe under the sink which had not been sealed allowing bad odours to travel back up the pipes. Our maintenance team carried out a full check of the plumbing for all sinks and sealed additional pipes as required
Found compliant: Regulation 9, 11, 16, 19, 23.
Inspection of 9 January 2025 — Change in Circumstance
Regulation 16 — Record in relation to pre-school service
While the administration of medication was not observed on the day of inspection, medication records for the service were reviewed. Following the review of medication records, it was noted that on seven occasions between 10th of November 2022 and the 23 rd of February 2023 the recording of medication documentation was not completed properly. Second signatures before administering medication and parent’s signatures following administering of medication are required for safe administration of medication in a service
Provider's corrective action:
Administering medication and documenting same is a part of our induction training since that period. All staff took part in refresher training for administering medication and documentation. All staff completed refresher training. Management will complete more frequent checks on medication records to ensure the steps are being followed
Regulation 19 — Health, welfare and development of child
Basic Needs 1. The children in Wobbler 1 were not afforded the opportunity for outdoor play on the day of inspection. 2. The cosy areas in the Junior and Senior Montessori rooms were not fit for the intended purpose of rest and relaxation for the children in the two rooms. The areas consisted of cushions and pillows stacked on top of two mattresses with a sheet covering them and they were placed directly on the floor. 3. Milk was not served as a drink at snack and mealtimes. This was not aligned with the Healthy Eating policy for the service. It was noted that milk was available if requested
Provider's corrective action:
Staff have been reminded about the importance of outdoor play. Management will closely monitor the activities within the room and ensure daily outdoor time. Outdoor time will be included it in the morning routine in case the weather changes as the day goes on
New three-seater children’s couches have been ordered and should be arriving by the end of the month replacing the cosy areas in our junior and senior Montessori rooms. New couches have been ordered to complete the cosy areas
Milk is now brought into each room at teatime and offered to all children. We have increased our milk order to ensure that we have sufficient milk for children to have milk with their tea each day
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. At 11.20am on the day of inspection, the hot water in Wobbler 1 was recorded at 44.4°C. For safety reasons, hot water should not exceed 43°C. Infection Control: 2. On the day of inspection, the end of day cleaning schedule in Wobbler 1 was completed before the day was over. Cleaning schedules should only be signed up after the cleaning tasks are carried out to ensure that all tasks are completed. 3. The sink in Wobbler 1 was blocked on the day of inspection, which posed an infection control risk due to stagnant water collecting in the sink. 4. In Wobbler 1 and Wobbler 2, children’s hands were cleaned with damp cotton wool before mealtimes. Warm water and soap are required for effective hand washing and infection control purposes. 5. Nappy changes were observed on the day of inspection. On two occasions, the adult failed to remove their apron following the bagging up of the soiled nappy and removal of used gloves. Aprons were removed following the redressing of the child. Soiled nappies used aprons and used disposable gloves need to be disposed of at the same time following removal of the old nappy. 6. Following two nappy changes, the changing mat was not cleaned down after the nappy change of one child and the start of the nappy change of a second child. The cleaning of the changing mat between nappy changes of children is essential for infection control purposes. 7. After nappy changing, children’s hands were cleaned with baby wipes. Warm water and soap are required for effective hand washing. It was noted that the sink in the nappy changing area was too high for small children to have their hands washed at the sink, and there was no step to use to reach the sink. 8. Low level beds were stacked on top of each other, with sheets still in place. The sheet on the bottom of the stack of beds was touching the floor, which is not effective for infection control purposes. 9. Nineteen stacked beds were observed to be stored uncovered in the corridor on the first floor outside the communal sanitary facilities which was not acceptable for infection control purposes
Provider's corrective action:
Corrective & Preventive Action General Safety:
The plumber attended and re-set the temperature for the water. Management will carry out temperature checks on all sinks and hot water on a monthly basis. Infection Control:
All staff have been reminded to only mark the cleaning tasks as complete when it has actually been carried out. Management will carry out spot checks on cleaning paperwork to ensure that it has been completed accurately and correctly. Many tasks can only be completed towards the end of the day, and then signed as such
The plumber attended and cleared the blocked sink removing the infection control risk of stagnant water. Staff will no longer rinse the food bowls in the room to ensure that it is only soap and water within the sink and therefore preventing any future blockages
We have provided steps for the wobbler 1 and wobbler 2 rooms in order to allow the children to reach the sink to wash their hands with soap and water. Management will do spot checks during nappy changing and meal prep times to ensure that children’s hands are being washed correctly with soap and warm water. 5 & 6. All staff completed refresher training on our nappy changing procedures and signed agreement to follow our procedures. Management will do spot checks during nappy changing times to ensure that staff are following the correct nappy changing procedures
Steps have been provided to allow children to reach the sink in order to wash their hands with soap and water. Management will do spot checks during nappy changing and meal prep times to ensure that children’s hands are being washed correctly with soap and warm water
Staff have been instructed not to put the sheets on the beds earlier in the morning, in advance of sleep time, rather to put the sheets on as they are laying the beds on the floor for nap time. This removes the infection control risk of sheets touching the floor. Management will ensure that beds are prepared just in time for nap time and not done in advance and stacked
The stacked beds are entirely covered using 2 large throws and the hallway door is kept closed to ensure that there is no infection control risk from the sanitary facilities. Management will ensure that the throws are placed over the beds each day for infection control purposes
Regulation 29 — Premises
(c) 1. On the day of inspection, following the children’s lunchtime, the downstairs nappy changing facility had a malodours smell coming from it that spread out into the corridor of the care rooms. This was brought to the attention of the manager who attended to it directly. (e) 2. The bin in the downstairs nappy changing facility was not a sealed unit, and the contents in the bin were not double bagged allowing malodours to leak from the bin
Provider's corrective action:
(c) 1. The service have added an additional vent to this changing area which allows more air to circulate within the changing area and reduces any possible odours. Management will carry out spot checks to for odours. (e) 2. In line with our refresher training for nappy changing procedures, staff are aware that they must double bag soiled nappies to ensure that malodours do not leak from the bin. Management will carry out spot checks to ensure staff are double bagging soiled nappies and to ensure that there are no malodours in the nappy changing areas
Found compliant: Regulation 9, 11, 24, 25, 26, 27.