Inspection of 18 June 2025 — Inspection Report
Immediate action notice. An Immediate Action Notices (IAN) was issued to the registered provider on the day of inspection under Regulation 23. A written response was received on the 20 June 2025, further information was sought by the Inspector on the 23 June 2025, written information was received from the registered provider on this date mitigating the significant risk. Further details are available under Regulation 25.
Regulation 9 — Management and recruitment
- (2) (a)(b) 1. The registered provider did not ensure that two written and validated references were obtained prior to one adult commencing work within the service. 2. The registered provider did not ensure that one written and validated reference was obtained prior to one adult commencing work within the service. 3. The registered provider did not ensure that three written references which were obtained and on file were validated for two members of staff prior to commencing work within the service. (d) The registered provider did not ensure that Police Vetting was obtained for one adult prior to commencing work within the service. (3) The registered provider did not ensure that reference checks were completed in full for three adults prior to being allowed access or contact with a child attending the pre-school service
Provider's corrective action:
- 1. The registered provider stated that the reference was obtained and validated at the time of hiring but was misfiled and in the wrong folder. All documents are to be stored in the adequate folder prior to start date. 2. The registered provider stated that one reference was misfiled, a second reference was requested from a referee again, with references and validation obtained on the 24 June 2025. Staff files will be reviewed on a regular basis. 3. The registered provider reviewed documents and refiled them with missing documents printed. A new checklist has been implemented for file organisation
- The registered provider has stated that documentation in relation to the staff member was submitted via email prior to employment. Recruitment documents are to be stored in relevant folders
- The registered provider has stated that all staff files were reviewed, and all documents put into the correct location with a checklist system implemented for file organisation
Regulation 23 — Safeguarding health, safety and welfare of child
- General Safety: 1. The wooden radiator cover in the Montessori Room was broken. Posing a risk to injury to children. 2. A toilet seat was missing in the children’s sanitary area. This may pose as a potential risk of a child falling due to an unstable base for sitting. Infection Control: 3. There were no waterproof covers observed on any cots used by children. This may prevent effective cleaning. 4. The walls in the children’s sanitary areas were marked and dirty with paint observed to be flaking off in the nappy area. This may prevent effective cleaning. Action submitted by the Registered Provider
Provider's corrective action:
- General Safety: 1. The registered provider has stated that that radiator is not in use and a plan is in place for removal of this by an electrician. 2. The registered provider has contacted a contractor to complete maintenance work in August. The toilet is out of order until it is fixed. Infection Control: 3. Waterproof covers were purchased to protect the mattresses, and they will be disinfected after each use. The infection control policy was reviewed. 4. A contractor has ben contacted to provide a quote for works to be completed in August
Regulation 25 — First aid
- (1) The registered provider did not ensure that any staff members trained in First Aid Response (FAR) was immediately available to the children at all times during the service opening hours. Records indicated that three staff members were previously trained in first aid response however the certificates expired in December 2024. A sufficient number of adults must be trained with First Aid Responder training and available to children at all times should a medical emergency arise. This was also noted as a non-compliance on the inspection dated November 2022, actions put in place by the registered provider did not prevent a recurrence
Provider's corrective action:
- (1) The registered provider provided evidence that a first aid course has been undertaken while they await First Aid Response training which is scheduled for July. Further evidence was submitted via the CAPA 1 process stating that six members of staff were now certified in FAR training. A new checklist has been implemented to list all staff trainings
Regulation 26 — Fire safety measures
- (a) A review of records and conversation with staff showed that fire drills are not conducted on a monthly basis as required. The record showed that the last fire drill was conducted in 2022, monthly records were available for the previous years. This poses a potential risk to the safety of the children in the event of a fire. An Immediate Action Notice was issued to the Registered Provider on the 19 June 2025 due to this significant risk
Provider's corrective action:
- (a) A fire drill was conducted following the inspection on 18 June 2025. Responsibility for monthly fire drills have been allocated to a staff member
Found compliant: Regulation 11, 19, 28.