I have been looking through recent Ofsted inspection reports from a variety of providers to note the latest inspector concerns around health and safety in early years settings.
I note that concerns raised by inspectors are more about consistent failings than isolated incidents and report comments link through various inspection areas including leadership and governance, safeguarding and children’s welfare and wellbeing.
Some of the areas Ofsted are currently picking up on include -
Concerns around safer sleep - this is a hot topic at the moment, with the introduction of the new sleep requirements, DfE has been clear that there aren’t any exceptions to the new requirements and Ofsted has stated that prams and buggies are no longer acceptable for sleeping babies or children. In inspection reports, Ofsted are commenting about unsafe sleep and lack of practitioner training.
Online safety - this links to the new screen time guidance (below) but is also a stand-alone concern. Ofsted note in reports that information about keeping children safe online is not being routinely shared with parents and children (including babies) are not being given online safety messages as part of the wider curriculum. A nursery report also commented on lack of safety and ongoing monitoring when children’s data was shared online.
Screen time - DfE has stated that a link to the new screen time guidance will be included in the EYFS from Sept 2026. This means that providers will need good reason not to use it. A provider advised me that her inspector had asked parents whether she had communicated the new guidance to them and talked about how long children spend on screens in the setting - so this is something to consider.
Safer recruitment - Ofsted inspection reports note that there are concerns with safer recruitment including lack of staff DBS checks and poor recruitment procedures. This includes, for example, staff being used in ratio before their DBS has come back - and in childminding settings staff starting to work when there are concerns about their suitability.
Intimate care routines - linking to the changes in the EYFS from September 2025, some reports note that there is no privacy provided for children who are having their nappies changed or using the toilet. This is now a statutory requirement in England, so you must consider whether you can use your body as a screen or provide other privacy during intimate care routines.
Visitors - in some group settings, Ofsted note that visitors are not monitored carefully enough and in some childminding settings there have been concerns raised about when a regular childminder visitor becomes a co-childminder and the 2 practitioners need to link their registration together. Generally, childminders can visit and meet up with each other during the week, but when 2 or more childminders are regularly working together, they need to become co-childminders for Ofsted purposes.
Security is also highlighted - inspectors in childminding and group settings note that garden gates or front doors are routinely left unlocked, allowing unauthorised persons to enter or children to potentially exit the premises unattended.
Broken equipment - Ofsted are noting when resources and equipment are broken and might pose, for example, choking hazards or cause injury to children. In a pre-school setting, a false wall / screen nearly fell on children and in a nursery, there were broken toys on the floor while children were playing. In a childminding setting, an inspector noted that the children were playing in unsafe conditions.
Environmental blind spots - in the childminding environment, inspectors highlight that toiletries, cleaning products or medication are left in reach of children - for example, in a bathroom used by both the family and the minded children. inspectors also note loose toilet seats, unsecured glass cabinets and the lack of safety glass in low-level furniture and on internal doors.
Fire safety - in a childminding setting an inspector noted that buggies and highchairs were piled up / routinely stored in front of the fire escape door. The inspector stated that this was a fire hazard and asked to see the childminder’s fire risk assessment which was not in place. The inspector was also concerned about crawling babies hurting themselves on the highchair legs or pulling over the stacked buggies.
Hygiene - one comment that I have noticed coming through repeatedly is when practitioners do not wash babies’ hands after nappy changing. This, according to Ofsted, gets them in good habits for later life. Another inspection report comment is that nursery practitioners were routinely wiping children’s noses for them when they should be doing it independently. Cross contamination risks during meal preparation are also noted as a hazard.
Cleaning materials - must not be accessible to children. A childminder report notes that the childminder is now using the kitchen space as extra floor space but cupboards containing chemicals were accessible to the children. In another report a bucket of bleach water was on the floor while children were playing.
Allergy management - inspectors are noting lack of staff training to protect children from allergies and cross contamination during mealtimes. In another report, while core staff in a nursery had been trained, bank staff had not, which was a risk to the children’s safety.
Health and safety knowledge - inspectors are moving away from checking training certificates - they are now testing practitioner’s knowledge through a professional dialogue during the planning call and then looking to see how it is delivered during the inspection. There are repeated concerns about childminders and assistants having outdated knowledge of the Local Authority Designated Officer (LADO) and how to report an allegation against themselves or a family member.
Supervision when eating - nursery reports note staff leaving children to eat while the adult is distracted - for example, preparing the next course, changing a nappy or filling in paperwork. Reports also cite a lack of a PFA-qualified staff member in the room during mealtimes. In a childminder report there was a report of dropped food being returned to the child's plate or children eating on the floor (inspection reports talk about unhygienic surfaces). Ofsted has stated that while childminders can take children on picnics, floor eating is not recommended as a routine at mealtimes in the setting.
In other health and safety news
The question raised many years ago about XL bullies in childminding settings has now been resolved - alternative arrangements must be made for their care.
There is a new campaign as part of drowning prevention week from the Royal Life Saving Society to keep children safe around water. This is not something I have seen coming through inspection reports, but it is important to talk to children about staying safe when feeding the ducks and keeping away from waterways.
Illness and overnight stays - I think it is widely known that providers need to report when childminded children stay overnight in hospital to Ofsted using the serious notification form as soon as possible and within 14 days.
However, did you know that you also need to report when children stay overnight in hospital due to illness to your local health protection team (HPT)? You can find your HPT using this link.
I also note from practitioner feedback that Ofsted have become quicker to suspend childminders and less tolerant of small mistakes. This is likely because the revised inspection toolkit is based on ‘secure fit’ evaluations rather than ‘best fit’ judgements. This means that inspectors can no longer use their professional judgement and have been told they cannot ignore any breaches of the statutory requirements and health and safety is a priority during inspection, along with safeguarding.
It would also appear from feedback on social media that Ofsted are carrying out more interventions - for example, calls and unannounced visits and being generally more reactive to whistleblowing concerns. Members comment that, during inspection Ofsted are less receptive to tick lists - they want you to explain how you keep children safe and healthy and they want to see health and safety in action.
This is just a quick overview of some of the more recent concerns reported during inspections. Childcare.co.uk has a health and safety webinar update planned for September 2026.
I hope you found this helpful.
Chat soon, Sarah x
Photo (c) Childcare.co.uk health and safety blogs
RSS Feed