Immediate action notice. An Immediate Action Notice was issued to the registered provider on inspection on 21 January 2026 in relation to
Regulation 23 — Safeguarding health, safety and welfare of child
General safety: It was identified that the sink in the children’s sanitary facilities water temperature exceeded 50°C. The sink temperature was measured at different intervals between 10.50am and 10.55am. Temperatures ranged from 53.6°C to 54.0°C. The person in charge was made aware of this non-compliance and attempted to regulate the temperatures within the service; they also organised for the plumber to come the same day to address the issue. The person in charge addressed the temperatures and lowered the temperatures under 50°C . The temperatures were measured and ranged from 47.3°C to 48.9°C. As the temperature remained over 43°C the staff in the room put measures in place where children used the other sink in the sanitary facility for handwashing until the issue could be resolved. This posed a significant risk of scalding to children using the sink. In response to the Immediate Action Notice, the person in charge organised for a plumber to adjust the sink temperatures to remain under 43°C. This response mitigated the risk. Action submitted by the Registered Provider
Provider's corrective action:
General safety: The person in charge promptly addressed the water temperatures. A plumber arrived on the day of inspection to rectify the problem. Water regulators were inserted on the downstairs sinks. The person in charge developed a new daily checklist of checking the water temperatures each day and during the sessions. Staff will continue to monitor the water temperature levels going forward
Found compliant: Regulation 9, 11, 19, 21, 24, 29.
Immediate action notice. An Immediate Action Notice was issued to the registered provider in relation to
Regulation 23 — Safeguarding health, safety and welfare of child
General Safety: • On the inspector’s arrival at the service on the first day of the inspection, the main entrance door to the service was not adequately secured. This posed a risk to the safety of children allowing unauthorised access to the early years service. An Immediate Action notice was issued to the registered provider under Regulation 23 Safeguarding the health, safety, and welfare of children in relation to this non-compliance. Action submitted by the Registered Provider In the corrective and preventative response (CAPA) the following was stated:
Provider's corrective action:
General Safety: • The lock on the main entrance door was replaced within 48 hours of the safety issue being identified on inspection. A notice was put in place, to ensure/remind all adults leaving or entering the premises to close the door behind them. An email was sent to all staff reminding them to ensure the entrance door is adequately secured at all times while the service is in operation. Management is currently in discussions with a fitter to replace the whole entrance door and with an alarm company to put in a whole new security system at the entrance to the service. At staff training day, the issue will be further discussed to ensure staff are reminded of the procedures to keep children safe while on the premises. When management are sending the information letter to families about the new school term, the service will remind parents and guardians that they should not enter the premises unescorted and if they are inside the building, they need to ensure the entrance door is securely shut when they exit
Regulation 29 — Premises
(e) There was an inadequate number of adult toilets in the service. There was 1 toilet and 1 wash hand basin designated for the adults in the service when 2 were required. On both days of the inspection there was 15 adults present in the service in the morning time. The ratio is 1:8, one designated toilet and wash hand basin to every 8 adults in the service
Provider's corrective action:
In the corrective and preventative response (CAPA) the following was stated: Corrective and Preventive Action • A standard toilet and wash hand basin which had been used for children while playing in the outdoor play area has been reallocated as an adult toilet. Staff have been informed of the change of use and a notice has been posted inside and outside of the toilet. Management will look into the possibility of a longer-term plan to increase the on-site toilet facilities in the service. The site is small but there are options which management have looked at for a longer-term solution. The cost of this is prohibitive at the moment but if a capital grant becomes available, management will proceed
Found compliant: Regulation 9, 11, 19, 22, 25, 26, 28.