Inspection of 19 August 2025 — Inspection Report
Regulation 9 — Management and recruitment
- (2)(a) A second written validated reference was not available for one staff member
Provider's corrective action:
- (2)(a) Management confirm that the second written reference for the identified staff member has since been received and validated. This completes the staff member’s recruitment file. To prevent this happening again, we have put a checklist in place to make sure both validated references are received and filed before a staff member starts work, this will be monitored by management and spot checked by the area manager
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. In the sanitary area used by the children from the pre-school room one of the toilet seat fittings was not secure and posed a potential injury risk. Infection Control: 2. Nappy changing practice observed was inconsistent and practices observed in the service were inadequate to prevent cross contamination and the spread of infection as evidenced by the following. Some staff did not follow the nappy changing policy and remove their soiled gloves which had been worn during nappy changing before re-dressing children. The pedal function of the bin was not used to dispose of the nappy instead the bin was lifted by hand. The nappy changing mat was not consistently cleaned in between nappy changes. There was no liquid soap available for some of the nappy changes observed. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. The toilet seat fitting in the pre-school sanitary area has been repaired and is now secure. The area was checked immediately to remove any risk of injury. To prevent this happening again, regular maintenance checks have been added to our cleaning/room safety checklist to ensure fittings remain safe and secure. Infection Control: 2. Immediate actions were taken: ● Staff have been reminded and retrained on the correct nappy changing procedure, including glove removal, proper use of the bin pedal, and consistent cleaning of the nappy mat between each change. • Liquid soap has been replaced and checks are now in place to ensure it is always available at changing areas. Management have updated our daily room checklists to include soap supply, bin function, and mat cleaning. Ongoing spot checks will be carried out by room leaders/management to ensure consistent practice and to prevent any risk of cross-contamination
Regulation 25 — First aid
- (1) A person trained in First Aid Responder (FAR) training was not available at all times. Between 16:30 and 18:30 there was no staff member with FAR training present rostered to be present. It’s acknowledged when this was pointed out the person in charge with FAR training remained in the service until close
Provider's corrective action:
- (1) There are three staff members trained in FAR. On the day in question, the manager (FAR trained) remained in the service until close. Management are arranging for additional staff to complete FAR training, to cover unexpected absences. Management will monitor this through rota checks to make sure compliance is maintained at all times
Found compliant: Regulation 11, 19, 26.