(1) (i) Two children did not have the required consent for medical treatment in the event of an emergency
Provider's corrective action:
In a written response the registered provider stated: The required consent for medical treatment for each child has been signed by the parents of the children. An enrolment checklist has been completed to ensure that this is completed for all children going forward
Regulation 20 — Facilities for rest and play
(1) (b) The registered provider did not provide a comfortable rest area for the children to rest or take a break from an activity
Provider's corrective action:
In a written response the registered provider stated: A comfortable rest area has been put in place for the children to rest or take a break from an activity
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. The cleaning cupboard stocked with disinfectant fluid was not locked on the day of inspection and therefore accessible to preschool children. 2. The outdoor area had a large pool of stagnant water which could pose a risk of drowning to the preschool child. This non-compliance was identified on a previous inspection in XXXX and the corrective and preventive actions submitted by the registered provider failed to prevent a recurrence. Infection Control: 3. Water temperatures measured on the day in all sinks were recorded at 13.0°C which is not warm enough for effective hand hygiene. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: In a written response the registered provider stated: 1. The disinfectant fluid has been removed and put in the locked cleaning press separate from the pre-school room that children cannot access. 2. The pool of water has been removed, the area has been aerated, levelled, and sand and stone put on top, and a covering of garden bark added on top. This will be monitored daily. Infection Control: 3. The water heater in the pre-school room at the time of the inspection was not switched on which resulted in the water being cold, the switch was immediately switched on. These are thermostatically controlled. We have purchased a digital water thermometer, and the water temperature will be checked regularly to ensure that it is at the required temperature
Found compliant: Regulation 9, 11, 19, 25, 28.
Inspection of 22 September 2023 — Inspection Report
Regulation 16 — Record in relation to pre-school service
j) The registered provider did not ensure that records relating to any accident injury and incident involving a pre-school child attending the service were completed in full. A sample of the previous 6 reports were taken, 5 of which were incomplete
Provider's corrective action:
A staff meeting was held after the pre-school session on Monday 25th September, and we reviewed the Accident and Incident policy and Procedures. All staff were given a copy of the policy and a signature page for signing confirming that they had studied it, understood it, and would implement it. All six reports were reviewed. • One report was not signed on the day of the incident as the parent who collected the child did not have any English and the manager felt that the parent signing it should be able to understand it. The child was off for two weeks and on her return the form was signed. • Two forms were for after-school children and these forms were in the pre-school book in error. • One report was written in error about an incident when a child bit a member of staff-the staff member was the injured party and, • Another report was in relation to the same bite incident. The writing up of an incident/accident report form was reviewed so that each member of staff understands the information that needs to be on each part of the form, that all signatures need to be signed, that the parent must receive their copy of the form, a copy put in each child’s file and the front copy retained in the accident & Incident Book. There are separate Accident & Incident Report Books. One for Pre-school and one for School aged children. At the end of each session, these report books will be checked and signed off on, on a daily basis
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. The outdoor area of the preschool had several hazards which posed a risk to the health and safety of the children as outlined below.: a) The perimeter was not secure as there was loose panels in fencing that could be moved easily to gain entry. b) The side gate was rusty. c) The grass area was waterlogged and unplayable as a result. d) The swing set was not secured to the ground and posed a risk of falling. This was identified as a non-compliance on the previous inspection. e) The slide was not secure to the ground. f) There were two raised brackets bolted on the ground posing a trip hazard. g) A broken table was in use in the garden. The table had been exposed to the elements and as a result had sodden wood exposed, posing a risk of splinter injury to children. h) A second gate leading to the outdoor area was rusty making it difficult for staff to open and close. i) The lock on the patio door was faulty which made it difficult for staff to open and lock, therefore if not locked the children where able to exit unsupervised. j) There were no visibility stripes present on the patio doors. k) An area of the outdoor area was cordoned off by cones as a boiler had been removed and the groundwork has not been completed. 2. The shed in the outdoor area was not secured and children had access to cans of paint which may prevent as a safety hazard for children. Infection Control: 3. There was no warm running water in the sanitary area, therefore children could not complete their hand hygiene effectively after toileting. This was identified as a non-compliance on the previous inspection. 4. The nappy bin in the sanitary area is not a foot operated pedal bin, therefore is a hazard for infection control. 5. The foot operated pedal bin in the sanitary area was broken. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: a. The fencing panels have been secured firmly to the fence. b. The lock on the side gate has been cleaned and oiled. c. Doing drainage work on the grass area is a very costly project for which we do not have the funds at the moment. Parents have been asked and have provided wellies for their children and we have provided full waterproof outdoor gear for each child so that the children can have access to this area. d. The swing has been moved and firmly secured to the ground. e. The slide has been secured to the ground. f. The two raised brackets have been removed. g. The broken table has been removed completely from the garden. h. The second gate leading to the outdoor area has been modified to enable it to be opened and closed with ease by staff. i. The lock on the patio door is now functioning properly. j. Visibility strips have been put on the patio door. k. The groundwork on the area where the old boiler was removed from has been completed and safety matting laid. 2. The lock on the shed in the outdoor area has been re-positioned and has a padlock attached to prevent access without the key. Infection Control: 3. The meter in the sanitary area has been adjusted and water is now at the correct temperature. 4. The nappy bin in the sanitary area has been removed and replaced with a foot operated pedal bin. 5. The broken foot operated pedal bin in the sanitary area has been replaced with a new foot operated pedal bin
Regulation 25 — First aid
(1). On the inspectors unannounced arrival to the service at 09.00am till 09.25am there was no person trained in first aid responder immediately available to the children
Provider's corrective action:
First Aid Responder training has been organised for all staff. A first aid responder will be present at all times