A Greenwich nursery has been given the worst possible rating by Ofsted after children’s medication was found to be unlabelled and their allergies were not fully checked.

Little Elms Daycare in Greenwich Creekside has been rated ‘inadequate’ in all areas by the education watchdog in its most recent inspection.

The nursery was criticised for ‘significant weaknesses’ in its management, which reportedly put children at risk of harm.

The inspector claimed that leaders at the nursery did not have systems in place to make sure medication was administered effectively.

The report said: “The processes used to record information about children’s medical needs and medication storage vary across the setting. Cabinets contain expired medication, medication belonging to children who have left, and unlabelled medication. This lack of oversight puts children’s health and welfare at risk.”

The health of infants at the nursery was also reportedly compromised by staff not fully checking admissions forms before children started there. The information in the forms was said to have included dietary requirements and allergies among other details.

Children were also cited as often being disengaged from play and wandering ‘aimlessly’ when they got bored. The outdoor area of the nursery was described as being ‘poorly organised’, causing children to become confused.

The inspector said: “Children have access to an outdoor area but staff do not organise it in a way that supports children’s learning and safety. Children trip over resources and get frustrated as they try to use broken ride-on toys. Staff fail to provide clear messages to children about the rules in the garden.”

However, staff were commended for helping children to feel comfortable by welcoming them when they arrived at the nursery. The inspector also praised the organisation of the daily outings that the children were taken on.

The report said: “Staff make use of museums, parks, playgrounds and the riverside when they take children on daily outings. These trips give children a wide range of experiences and opportunities that broaden their understanding of the world. Children also get opportunities to extend their mobility and gain confidence in their physical abilities.”

The nursery reportedly has 52 children on its roll and opened in 2014. The Chief of Operations for the nursery told the Local Democracy Reporting Service that the provider was deeply disappointed by the report.

They said: “We take these findings very seriously and are implementing an immediate action plan to address the issues raised. Ensuring the highest quality of care and education for our children remains our top priority.”