Immediate action notice. This inspection was triggered as a result of a statutory notification of an incident received to the inspectorate on the 26 April 2024. An Immediate Action Notice was issued to the registered provider in relation to
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: 1. The outdoor play area was not fully enclosed. There was a significant risk to the safe supervision of children, and the potential risk that the children could leave the premises unaccompanied. The following was observed: • The area was cordoned off using only a plastic chain with moveable plastic support posts which was easily crossable by the children and not sufficient to safely enclose the play area. • On several occasions the children were observed to run through the cordon. On one occasion a child was observed to run towards the larger school yard, and another ran towards the side of the main school building. The inspector observed that the area to the side of the main school building had an open gate leading to another school and the larger school yard had an open gate with direct access to a road. • Staff did not have full visual supervision of the play area at all times. When staff were positioned by the cordon, they did not have visual sight of children playing behind a prefabricated building which was located in the outdoor play area. This posed a risk to the safety of children. An Immediate Action Notice was issued to the provider with regards to this risk. 2. There was no plan displayed which clearly detailed the risks and the measures required to address these risks for children who had additional care needs. This posed a potential risk of an oversight in the supervision requirements of these children which could impact on their safety. It is acknowledged that this information was recorded in support plans; however, this information should be easily visible to facilitate new staff or students in the care rooms. Infection Control: 3. Warm water was not available in the sanitary accommodation. A temperature of 12.4oC was recorded by the inspector at 9.46am. Warm water is required to support effective hygienic hand washing practice. Action submitted by the Registered Provider
Provider's corrective action:
General Safety: 1. Corrective action Appropriate immediate action was taken to eliminate the risks to children’s safety as identified by the inspector. A wooden fence was erected on Friday 10th May to create a safe enclosed outdoor play area. Preventive action The company investigated the matter under their Risk Management policy and procedures and took appropriate action. Staff were briefed on the necessity to ensure that any new environment or significant change in daily routine is risk assessed prior to being used or implemented. The centre manager is scheduled to attend training on Risk Management on Monday 27th May. Following the inspection, colleagues carried out additional risk assessments on transitions and put in place revised procedures which were agreed by the team at a meeting on 3rd May. 2. Corrective action Individual support plans and individual risk assessment were available on the day of inspection for those who require them. Following the inspection, these support plans and a risk assessment are now clearly displayed in the care room. Preventive action These items were added to the staff induction on-the-job training card so that colleagues are aware of risks and measures for individual children. Infection Control: 3. Corrective action The school have arranged for a plumber to thermostatically control the water under 43°C. Preventive action Management will take the water temperature on a daily basis and take action if the water is found to be cold or over 43°C. A water temperature log is in place
Regulation 27 — Supervision
The registered provider did not ensure adequate supervision of the children attending the service. The following was observed: 1. The positioning of staff, and the layout of the outdoor play area did not always allow for the visual supervision of children. This was not in line with the service policy on the Supervision of Children. The impact of this resulted in a risk to the safety of children which is detailed under Regulation 23 Safeguarding health, safety and welfare of the child. 2. Children were observed to use the sanitary accommodation unsupervised, while staff waited in the corridor outside of the toilet area. Staff were unable to supervise by sight or sound. Staff were therefore not available to intervene or support the children if required. This was not in line with the service policy on the Supervision of Children which stated that that children are always within sight or hearing of at least one staff member at all times. 3. The registered provider did not ensure that children attending the service were adequately supervised by a qualified staff member at all times. An adult who did not have a relevant qualification was observed being directly responsible for the supervision of children during the period 11.16am to 11.41am while the children were in the outdoor play area
Provider's corrective action:
1. Corrective action: The installation of a wooden fence frees up staff to position themselves in full view of the rectangle area behind the prefab. Staff were briefed on ensuring that blind spots are covered while supervising in the play yard as per service standard safety practices. Preventive action: The installation of a wooden fence 2. Corrective action: The practice of staff standing in the corridor while children used toilets has ceased. Management and staff were briefed on the requirement to ensure that children are always within sight or hearing of staff at all times as per service standard safety practices. Preventive action: Training on Risk Management and Standard Safety Practices. 3. Corrective action: The student’s placement is finished. Staff were briefed that students are always accompanied by a suitable qualified colleague at all times and not to be given responsibility for the supervision of children. Preventive action: staff were briefed on the company’s policy and practice around student placement