Inspection of 25 March 2025 — Inspection Report
Regulation 9 — Management and recruitment
- The person in charge was not on the premises when the inspector arrived; however, they arrived on the premises within one hour. Staff verbally confirmed that there was no named deputy person in charge if the person in charge was not available. There was no management structure in place in the absence of the person in charge, which would have identified the lines of authority
Provider's corrective action:
- The registered provider stated that a recruitment campaign has commenced to employ additional management personnel. The role has been advertised and the position will be filled by the 21st of May 2025
Regulation 16 — Record in relation to pre-school service
- (j) A sample of 12 administrations of medication forms was reviewed, and of these, 5 had not been completed as they did not include the parents' signatures as required by the services' medication policy, which stated that completed forms must have two staff signatures and a parental signature. (k) A sample of accidents and incident digital and paper reports were reviewed, and they were found not to include necessary information. For example, the children’s details were not completed fully, and parental or staff signatures were absent. The services' accident and incident policy indicated that records of incidents or accidents must have the child’s full name, be signed by the staff member, the person in charge and the parent of the child when they have been informed of the incident or accident
Provider's corrective action:
- The registered provider stated that a decision has been made that records will not be stored on the digital application. Medication forms and records of accidents and incidents will be completed on paper going forward and will include the relevant information and required signatures. This decision has been added to the agenda for the next staff meeting, and the correct completion of these forms will be discussed
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. There was a trampoline in the Caterpillar room; this is not suitable in a pre-school setting due to the risk of injury. Infection Control: 2. The material on the large soft floor mats was torn, and the foam was evident meaning it could not be cleaned effectively. 3. The sanitary areas in the Caterpillar room and the Butterfly room were used for storage for space furniture and staff items. This created a risk of cross-infection. 4. The children’s low beds in the Butterfly room were not 50 cm apart, which created a risk of cross infection. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. The registered provider stated that the trampoline had been removed on the day of inspection. Management will ensure that the equipment available to the children is suitable for their age and stage of the children. Infection Control: 2. The registered provider stated that they are in the process of purchasing soft floor mats for both Butterfly and Caterpillar rooms and are awaiting a stock alert. 3. The registered provider stated that staff have been provided with a space to store personal items. This will be highlighted at the next staff meeting. 4. The registered provider stated that the team are reviewing the number of toddlers who may need naps and will organise the sleep room accordingly, with children’s beds placed 50cm apart
Regulation 26 — Fire safety measures
- (1)(a) Fire drills were not carried out frequently. Staff verbally stated that fire drills are not carried out monthly. A written record of the last fire drill was reviewed by the inspector – this was dated the 13th of February 2024. Staff described a recent evacuation of the premises due to an alarm going off
Provider's corrective action:
- The registered provider stated that an internal fire safety officer has been named and management has committed to complete a fire drill at 4 weekly intervals. This has been added to the meeting agenda for discussion
Found compliant: Regulation 11, 15, 20, 24.