(d) Of the sample of 10 children’s records reviewed, 3 records did not detail the address of the parent/guardian. (h) Of the sample of 10 children’s records reviewed, while it is acknowledged that each of the parents/guardians confirmed that children had been immunised, there was no evidence of a record of these immunisations received by the children
Provider's corrective action:
To correct the non-compliance here, the Manager has asked the teachers to check Childpaths profiles and flag any gaps in the information. This is currently being completed and updated. A group text was sent to each class by management requesting updated pre-school child details are on Childpaths to include a copy of each child immunisations for the child’s individual file. To prevent a re-occurrence of this non-compliance, an updated induction letter has been sent to all families starting in August to show what is required for compliance purposes. The software platform utilised has now added a feature where the address is submitted by management at the point of creating the parents profile. An updated check list for each class will be issued prior to new enrolments and new class members to ensure all these details are up to date and on the system before the child starts. Management to sign off on checklist in September that completed for coming year. This will be monitored by management on a continuous basis as new enrolment come in over the school year
(1)(g) &(h) In relation to (g) above the required information was not available in seven of the children’s files examined. In relation to (h) above the required information was not available in four of the children’s files examined
Provider's corrective action:
: I have created a checklist for all classes with the required information headings for each child. The manager has asked the teachers to check each child’s record and flag any gaps in the information. This is currently being undertaken. Contacted our software system provider to ask them to make all the registration fields mandatory for parents to complete. This will be completed prior to the child’s attendance in the service. In September all staff will be given a hard copy of each child’s file to check and ensure that all information required is completed
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. Child A: This child had a medical condition which requires emergency medication in the form of two injections to be available immediately if needed. Only one injection was available on site. The second injection had expired with an expiry date of February 2024. This may cause a weakening of the effectiveness of this medication if it was needed. 2. Child B: A care plan was available for this child, however the information available was insufficient and could lead to a delay in treatment in the event of an emergency. 3. Child C: It is acknowledged that medication was available in the service for this child. However, no care plan was available for this child who had a specific medical condition. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: 1. Two new injections for Child A have been provided both with an expiry date 06/25. The manager has inputted expiry dates of all medication to outlook calendar setting a reminder one month prior to expiry to ask parents for new medication. 2.A more detailed care plan is now in place for child B. 3.A detailed care plan for child C is now in place
Regulation 26 — Fire safety measures
Fire Safety: (a) A written record of fire drills was available, however it was not up to date. The last fire drill recorded was carried out on 27th of February 2024.This could potentially put the safety of children at risk
Provider's corrective action:
The May 24 fire drill was undertaken the day after the inspection. A calendar alert is in place to ensure one takes place every month
Found compliant: Regulation 9, 11, 25, 27.
Inspection of 18 September 2023 — Inspection Report
1. One reference was available but there was no written evidence that this reference had been validated. 2. One reference which was available was not accepted, as its source was considered unsuitable
Provider's corrective action:
Corrective Action The manager verified with a previous manager that this reference had been verified by phone. The present manager decided to also verify the reference herself by phone on 22nd Sept 2023 Preventive Action The manager will verify written references and record this action in writing so this should not happen again
Corrective Action Due to changes of staff roles, the exact role of the referee was unknown by the manager on then day of inspection. This situation has since been clarified and this information will be available on next inspection. Preventive Action: The manager now manages all HR files and verifies written references so this should not happen again. Summary Comment The corrective and preventive actions have been considered by the inspector. The Registered Provider has addressed the non-compliances as identified on inspection in relation to Regulation 9
Found compliant: Regulation 11, 16, 23, 25, 26, 27, 28.