Health & Hygiene – Policy and Practice

Our setting promotes a healthy lifestyle and a high standard of hygiene in its day to day work with children and adults.

Illness

  • PLEASE NOTE THAT WE WILL ONLY ADMINISTER PRESCRIBED MEDICATION WITH DIRECTION FROM THE CHILDS DOCTOR
  • Parents are asked to keep their children at home if they have any infection and to inform the setting as to the nature of the infection. This will allow the pre-school to alert other parents as necessary and to make careful observations of any child who seems unwell or shows signs or symptoms.
  • The Pre-School can refuse admittance to children with a temperature, contagious infection, disease or rash.
  • The settings definitions of a “well Child” is one who is not reliant on Calpol (or similar medicine properties), does not have a high temperature, is well enough to participate in all pre-school activities, has a normal appetite, is happy and sociable, does not require a greater staff ratio and has normal bowel function.
  • Children are not permitted to attend the setting if they have been given calpol on that day.
  • Following sickness and or diarrhoea children are not to attend the setting until 48 hours has elapsed since the last attack or during any contagious disease such as chicken pox or slap cheek.

Unwell Children.

  • If a child becomes unwell during the session, the child will be made comfortable and a staff member will contact the first point of contact number which has been provided and continue with other supplied contact numbers until contact is made with a parent or family member. The parents should indicate if taken ill, who is the first point of contact.
  • If the children of the settings staff are unwell, the children will not accompany their parents/carers to work in the setting.
  • Cuts or open sores, whether an adult or child, will be covered with an appropriate dressing. Parents to sign a permissive agreement for dressings such as adhesive plasters to be applied to their child.
  • If a child is on prescribed medication the following procedures will be followed:
    • A medication book will be available to log in the name of the child receiving dedication, times the medication is to be administered, date and time when the medication has been administered, together with the signature of the person who has administered each dose and countersigned by the parent.
  • With regard to the administration of life saving medication such as insulin/adrenalin injections or the use of nebulisers, the position will be clarified by reference to the pre-schools insurance company. (In the case of pre-schools insured with Royal & Sun Alliance, this will be through the Insurance Section at Pre-school Learning Alliance National Centre.) If specialist knowledge is required, staff involved in administering medication will receive training from a qualified health professional.       Procedures will be put in place for each individual child for dealing with an emergency, where life saving medication is required. This should be discussed and agreed with the parent or guardian of the child and confirmed in writing. This could include, a list of symptoms, a procedure to call 999 and call an ambulance stating that the child has collapsed with a particular condition, an emergency contact telephone number for the parent, an emergency medication supply to be provided by the parent for the ambulance crew to administer.
  • The setting will ensure that the first aid equipment is kept clean, replenished and replaced as necessary.       The first aid box will be checked by a member of staff every term. Sterile items will be kept sealed in their packages as needed.       A dated inventory of all items listed.
  • There will always be on the premises as least one qualified first aided trained to administer first aid to children.       Currently all salaried staff members are in trained in the implementation of first aid.
  • Entry into the setting will only be permissible if everyone involved is convinced that the continued safety of the child/children is not compromised.
  • Any other conditions that do not fit into the remit of this policy will be dealt with on an individual basis.

Hygiene

To prevent the spread of all infection, staff within the setting will ensure that the following good practices are observed:-

 Food and Drink Procedures

Within our setting we regard snack time as an important part of the daily routine within the setting. Snack time is a social time for both children and adults, and is a key opportunity to learn about healthy eating. We provide nutritious food which meets the individual dietary and cultural needs of the children within our setting we commit to the following procedures to promote healthy eating:

  • Prior to a child starting at the setting we communicate with parents to establish dietary needs and preferences including any allergies, religious groups, vegetarians or vegans.
  • Each child’s dietary needs are recorded on a parental input / all about me file. Parents sign this document to confirm the information given is correct.
  • Records are updated regularly by consulting with the parents.
  • All staff are informed of children’s dietary needs and an accessible record is displayed in our main indoor play area for staff to refer to prior to the preparation of snack / food / cooking activities.
  • Our snack menu is rotated over a four week cycle period.
  • We display our menu in the main indoor play area. We advise parents after each session of the snack that has been provided for the children.
  • We provide a wide variety of fresh foods from the four main food groups, including fresh fruit and vegetables, which avoids large quantities of saturated fat, sugar, salt and artificial additives.
  • We include foods from diets of children with cultural backgrounds. This provides familiar foods and new foods for children to be introduced to.
  • We take care not to provide food containing nuts or nut products and ask parents to observe this procedure when providing food from home. We are especially vigilant where we have a child with a known allergy to nuts and or other food allergies.
  • Staff show sensitivity to those children with dietary requirements but not labelling them or being singled out.
  • Snack time is a social occasion where both children and staff participate.
  • We encourage children to develop independence by making their own choices serving themselves.
  • We provide children with utensils that are appropriate for their ages and stages of development and that also take into account the eating practices within their religion.
  • We have fresh drinking water constantly available and accessible to all of the children at any time during the day.
  • An appropriate meal or snack is provided for our extended services.
  • We inform parents who provide food for their children about storage facilities available within the setting.
  • We advise children not to share or swap food.
  • We provide fresh milk which is whole and pasteurised.

Food Hygiene

  •  Staff ensure that hands are thoroughly washed using antibacterial hand wash prior to the preparation of food, and after using toilet facilities.
  • No staff will prepare food if suffering from, infectious / contagious diseases or skin disorders.
  • Smoking is not permitted within the parameters of the whole setting.
  • Never cough or sneeze over food.
  • Raw and cooked foods are both stored and prepared separately. In preparation of fee, specific colour coded food safety preparation boards are used.
  • Specific colour coded cloths and labelled mops are used for specific areas throughout the premises to clean and sanitise.
  • Food is stored correctly in line with our food management system.
  • All staff are trained on food preparation and storage.
  • The setting provides an adequately equipped area to prepare healthy snacks/meals. We supply, store, prepare and cook food in line with the criteria set out by the Food Standards Agency.
  • We monitor measure and record our food hygiene through our Food Safety Management Programme.
  • Where possible the adult preparing the food will hold a Food Hygiene Certificate. The Food and Hygiene Co-Ordinator trains all current staff at the setting regularly.
  • At cooking activities we adhere to our food, drink and personal hygiene procedures.
  • In the case of any food poisoning affecting two or more children looked after on the premises, the setting will notify OFSTED as soon as is reasonably possible/practical, but in any event within fourteen days of the incident.

 Personal Hygiene

  • All staff arrive clean to the setting.
  • Hands are thoroughly washed using antibacterial hand soap after using the toilet facilities and before the preparation of any food or drink.
  • Children with pierced ears are not allowed to share each others earrings.
  • Children are encouraged to blow and wipe their own noses and dispose of soiled tissues hygienically.
  • Individual paper towels are available for both children and adults, used and disposed of appropriately.
  • All staff follow hygiene rules in the safe disposal of bodily fluids.
  • Staff are aware of infectious diseases and how they can be transmitted, including HIV infection.
  • Nappies are placed in nappy sacks and disposed of in a yellow hygiene bin whish is regularly emptied by Dove Hygiene Services.
  • We have a continence policy in place.
  • All staff are provided with and wear protective gloves when dealing with any form of bodily fluid.

Cleaning and Clearing

  • Any spills of blood, vomit, excrement or bodily fluids are wiped up and flushed away down the toilet or disposed of, wrapped hygienically in the yellow hygiene bin. Disposable gloves and additional protective clothing will be worn when cleaning and clearing. Floors and all other affected surfaces are disinfected using appropriate antibacterial spray.
  • Spare laundered clothing, inclusive of under garments are available in case of accidents. Polythene bags are used to safely warp and seal soiled garments. These are named.
  • All surfaces are cleaned daily with an appropriate cleaner / disinfectant.
  • All members of staff will carry at all time a pair of disposable gloves.
  • Staff will undertake general cleaning duties throughout each session and at the end of each session. We have an employed cleaner who ensures the premises are cleaned thoroughly on a daily basis.

 Animals

  •  If animals are brought onto the premises we will inform all parents and request any information regarding allergies, anxiety or religious beliefs.
  • We will prevent visiting animals from fouling any areas used by children and will regularly check outdoor areas for fouling as part of a daily risk assessment.
  • If the children handle any visiting animal, hands will be thoroughly washed with antibacterial hand wash and running water.

Sun Protection

  • Parents are asked to provide a bottle of sunscreen labelled with the child’s name so that this can be reapplied throughout the session as necessary. Parents sign a consent form agreeing to the application of sunscreen to their child by a staff member.
  • Shade will be provided by gazebos and canopy covering during the summer months.
  • Fresh drinking water is available throughout each session in the outdoor play area.
  • We actively encourage all children to wear a hat when playing outside during warm/hot weather and to wear a suitable t-shirt to cover exposed shoulders and arms.
  • Spare hats are available to those children who have forgotten them.
  • The setting will provide a high factor 50+ sunscreen for those children who have not have lotion applied.
  • Parents will be asked to ensure the child has had sunscreen applied before attending the session.
  • Sunscreen is stored in an environment not accessible to children.

Packed Lunches

  •  We ask parents to provide cool packs within their child’s lunch boxes for perishable foods.
  • We advise parents to provide packed lunches which do not contain sweets and discourage packed lunches which consist largely of crisps and processed foods.
  • We recommend and encourage healthy fillings in sandwiches, fruit and milk based desserts, for example, yoghurts.
  • Due to capacity we are unable to provide refrigerated storage and parents are advised to provide cool packs.

 Smoking

  •  Smoking is not permitted within the parameters of the building / setting.
  • A separate No – Smoking policy is in place for the setting

Outdoor Play

  • Children will have the opportunity to play outside throughout the year (either in the settings own outside play area or in the main school grounds or on regular outings to parks or other community play spaces).
  • If a parent expresses that their child is not well enough to go outside during a session, we implement within this policy that the child is net well enough to attend pre-school.
  • It is the parent’s responsibility to ensure their children are properly prepared and protected for the weather conditions. In cold weather children should be dressed appropriately in a warm coat, hat, gloves and scarves. In hot weather children should arrive wearing a sunscreen and a sunhat.       Refer to appendix below – Sun Protection.

 Information Sources

Parents will have the opportunity to discuss health issues with the pre-school staff and will have access to information available to the setting.

The setting will maintain links with health visitors and gather health information and advice from the local health authority information services and/or other health agencies.