Immediate action notice. On the 27th of June 2025, the following conditions were attached under regulations 9, 19 and 23 of the Child Care Act 1991 (Early Years Services) Regulations 2016. • Ensure that all staff members are appropriately supervised and provided with information and training in relation to policies, procedures and statements of the service. • Ensure that no practices that are emotionally or physically harmful are carried out in respect of a preschool child whilst attending the service. • Ensure that sleep checks are conducted at 10- minute intervals on all sleeping children as per the service policy. On Inspection there was evidence that the conditions attached to the registration of this service were complied with. Following same, the National Registration Enforcement Panel (NREP) determined that the attached conditions were met and are removed. This service has now been de-escalated from NREP This inspection was unannounced and focused on the area of governance, health, welfare and development of child and safety. The inspection may also focus on other areas as required.
Regulation 23 — Safeguarding health, safety and welfare of child
Infection Control: The following may pose a risk of cross infection to a preschool child: 1. It was observed that an unclean floor brush was used on a lunch tabletop to remove rice in the Daffodil playroom. 2. A plastic child’s toilet training seat was visible on the floor of the Sunflower sanitary area which was observed to be unclean. Contrary to the cleaning schedule displayed on the wall in the sanitary area no cleaning schedule was available or documented evidence that the child’s toilet training seat had been cleaned recently. Action submitted by the Registered Provider
Provider's corrective action:
Infection Control: 1 & 2 Training has been provided for all staff in relation to infection control and cleaning records have been updated. Management will review cleaning records on a weekly basis
Found compliant: Regulation 9, 11, 16, 19, 26, 27.
Inspection of 19 November 2025 — Inspection Report
Immediate action notice. 25/02/2025 An immediate action notice was issued under
Regulation 9 — Management and recruitment
There were no induction records available for 1 adult and 1 student working in the service. Evidence that induction had been completed was not available for 5 staff as induction records including signing for having reviewed the service polices were incomplete. This posed a potential risk that these adults may be unaware of the regulatory requirements and the need to provide good quality practice to ensure the wellbeing, learning and development of the children attending the service
Supervision of staff was not taking place as per the supervision policy of the organisation. While the organisations policy stated that supervision took place every two months, the service policy did not state the period in which supervision should be carried out. Records documented that the last date recorded for supervision of staff taking place in the service was 30th of September 2024. This posed a potential risk that staff were not given the opportunity to engage in regular supervision to support their work practices and ensured that best practice in childcare was maintained
Provider's corrective action:
The registered provider stated in their response: Corrective and Preventive Action 1. Inductions have been completed with both student and staff member s following the inspection. These will take place in future on the first day of commencing employment in line with the training policy. 2. At the Regulatory Compliance Meeting 06/03/2025 the registered provider stated that a review of supervision practice had commenced and that management will be responsible for staff supervision checks and will carry out routine supervision of staff in care rooms. The service conducts supervision every two months with all staff in line with the service’s supervision policy
Regulation 16 — Record in relation to pre-school service
(i) The staff roster was not maintained accurately. The roster for the week of inspection did not have the name of each staff member working in the service for each day recorded. Three staff working in the service on day 1 were not recorded and 5 staff were not recorded on the roster on day 2 for the hours present in the service. This posed a potential risk to the safety of both staff and children in the event of an emergency in the service. (k) On day 1 a sample of 17 accident, injury or incident records involving pre -school children attending the service were reviewed. Nine of the 17 records reviewed were not completed as per the service accident and incident policy. These records were missing a combination of signed, parental, area manager, manager and/or staff signature s. Accidents, injuries or incidents records are issued to parents on the service’s electronic application system. It is acknowledged that on day 2 of the inspection all signatures were present, this included 1 of the 9 records reviewed which was in reference to a notification of incident submitted in relation to an accident, injury or incident which occurred on the 13th of February 2025. Not maintaining accident, injury or incident records accurately could potentially impact on the continuity of care given at home if the parents or guardians have not signed to state they have read and are aware of, the actions taken and medications administered in the service if applicable
Provider's corrective action:
The registered provider stated in their response: Corrective and Preventive Action (i) The roster has been revised and will be updated daily to reflect staff absence and cover. This is to prevent any potential risk to children or staff. (k) All accident, injury or incident records were updated and signed by management, parent/guardians and staff. Managers and staff have been briefed on the importance of completing the reports accurately
Regulation 19 — Health, welfare and development of child
1. An immediate action notice was issued on day 1 of the inspection on the 25 February 2025 regarding an interaction observed between a staff member and a child in the Sunflower playroom. The child appeared to be upset following this interaction. This was at variance to the service behaviour management policy and reported immediately to management in the service by the inspector. A response was received to the immediate action notice on the afternoon of the 25/05/2025 in which actions taken by the registered provider were detailed. These included planned additional mandatory training for all staff to include strategies for behaviour management, child protection, safeguarding and reporting procedures. These actions addressed the immediate risk identified. 2. Behaviour management strategies on day 1, in the Sunflower and Daffodil playrooms, were observed not to be carried out in line with the behaviour management policy and training which had taken place for all staff in the service on 18 February 2025. - On day 1 at 15:40 in the Daffodil playroom, where there were 17 children aged 2 to 2 years and 6 months old. One child was observed climbing and jumping off two child sized tables and the back of soft seating in the quiet area. This was brought this to the attention of two of three adults who were present in the playroom. Although one staff member temporarily assisted the child from the area there were no actions observed by the staff member, or paperwork available, which indicated that staff enacted the behaviour management policy. In conversation, the staff member did not make any reference to the behaviour policy being in use
Basic Needs Children were not afforded adequate rest on day 1 in the Daisy playroom. Six children aged 2 to 3 years were put down to sleep on beds from 13.20hrs. These children’s sleep was disrupted at 13.55hrs when it was observed that 6 children and an adult who were returning from the outdoor play area walked in and woke the sleeping children. This posed a potential impact that the children need for sleep was not being met
Provider's corrective action:
The registered provider stated in their response: Corrective and Preventive Action
1. At the Regulatory Compliance Meeting 06/03/2025 the registered provider stated that all staff have received training in behaviour management and child protection. Management had commenced staff supervision and mentoring in playrooms. Management was mirroring good practice and supporting staff as required. Management had completed designated liaison training which outlines roles and responsibilities regarding child protection. 2. Staff have received training in behaviour management and management are now mentoring all staff in this regard
(a) The sleep practices in the Daisy playroom have changed to ensure that children are not disturbed during sleep
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: On day 1 in the Buttercups playroom there were six highchairs with lose harnesses, three of which were in use and couldn’t be tightened. This may pose as a safety risk for a preschool child. It was acknowledged that one harness was repaired on day 2. Infection Control: The following non compliances may pose as a risk of cross infection for a preschool child. 1. On day 1, at variance with the service nappy changing policy, an adult was observed not washing their own hands or the child’s hands before and after nappy changing. This was observed in the nappy changing room opposite the Buttercups playroom. 2. On day 1, a child’s foam training seat, used to facilitate toilet training, was observed on the floor of the Daffodil sanitary area. It was observed that the child’s training seat was appropriately stored on day 2. 3. On day 1, in the Buttercups playroom, it was observed at 12:55, that children were sitting on the floor where food remained from lunch which had been served between 12:00 to 12:15. It is acknowledged that on day 2 a staff member was observed removing food that fallen directly after lunch. 4. On day 1 in the Daffodil sanitary area there was a broken lid of a pedal bin with used paper towels overflowing in the sanitary area. It was acknowledged that a new pedal operated bin was in use on day 2. Safe Sleep 5. Children sleeping in cots in the designated sleep room on day 1 of the inspection were not adequately supervised every 10 minutes as per the service’s safe sleep policy. Two children’s sleep records documented gaps of up to 18 minutes between each check, posing a safety risk to the children. This was noted as a non- compliance on two previous inspections, 23rd of April 2024 and the 16th of October 2024. Action submitted by the Registered Provider The registered provider stated in their response:
Provider's corrective action:
General Safety: (1) All harnesses have now been checked and replaced as needed. Managers are required to check highchair straps as part of the daily risk assessment and report or repair as required. Infection Control: (2) One to one nappy changing checks and demonstrations have taken place between staff and management to prevent any risk of cross infection. (3) Staff have been ensuring that the foam toilet training seat remains stored appropriately at all times. (4) On day 2 of inspection the inspector observed a staff member sweeping the floor directly after lunch. Staff have been informed on the importance of infection control and cleaning procedures in the creche. (5) The broken pedal bin was replaced in the Daffodil sanitary area. Safe Sleep (6) Management have implemented a new procedure; one staff member is physically in the sleep room when there are more than five children sleeping to ensure that physical sleep checks are carried out every 10 minutes in line with the service’s safe sleep policy. Staff have been informed on the importance of safe sleep and maintaining 10 minute physical sleep checks. The following documentation and photographic evidence was received in the office of the inspectorate:
Regulation 29 — Premises
(d) 1. The outdoor play areas were observed to be poorly maintained- the artificial grass was covered with debris from overhanging trees and the toys and equipment were dirty and in need of cleaning. This was at variance with the risk assessments for the outdoor play area which stated “the playground should be assessed before use” there was no record of any risk assessments being carried out for the week beginning the 24th of February 2025
Provider's corrective action:
The registered provider stated in their response: Corrective and Preventive Action 1. The outdoor area was tidied and records have been maintained appropriately. Management have addressed the issue of incomplete risk assessments with staff in line with the service’s risk assessment policy