Health and Hygiene

EYFS 1.2, 1.4, 2.1, 2.2, 2.3, 2.4, 3.2, 3.3, 3.4, 4.1, 4.4

Animals

Children learn about the natural world, its animals and other living creatures, as part of the Early years Foundation Stage Curriculum. This may include contact with animals, or other living creatures, either in the setting or in visits. We aim to ensure that this is in accordance with sensible hygiene and safety controls.

  • Animals visiting the preschool are free from disease, safe to be with children and do not pose a health risk, and are the responsibility of the owner who will carry out a risk assessment.
  • Animals can be kept on the premises as long as there are appropriate facilities to look after them and keep them safe.
  • All animals kept on the premises will be regularly cleaned and fed and a record of feeding kept.
  • Animal food/bedding will be stored in a safe place out of children’s reach.
  • Before allowing children to handle animals, the staff will check that they do not have an allergy to animals, their food or their bedding.
  • After handling the animals all children and staff must wash their hands. All surfaces that the animals have been on must be cleaned with anti-bacterial spray/wipes.
  • Any scratch or bite from an animal must be reported to the Preschool managers and recorded in the accident book. Appropriate first aid must be given.
  • Before visits to farms a risk assessment is carried out, the outings procedure followed and children will wash their hands after all contact with animals, outdoor footwear is cleaned of mud and debris and not worn in doors.

Legal Framework

The Management of Health & Safety at Work Regulations 1999.

Medication

While it is not our policy to care for sick children, who should be at home until they are well enough to return to our setting, we will agree to administer medication as part of maintaining their health and well-being or when they are recovering from an illness.

  • The key person is responsible for the correct administration of medication to children for whom they are the key person. This includes ensuring parent consent forms have been completed, medicines are stored correctly and that records are kept according to procedures. In the absence of the key person the manager will be responsible.
  • Children taking prescribed medication must be well enough to attend the setting.
  • If the administration of prescribed medication requires medical knowledge, individual training is provided for the relevant member of staff by a parent or health professional.
  • Before the key person agrees to administer medication to a child, there are conditions to be met:

    -The medication must be prescribed by a doctor and in its original packaging.

    -The dosage and timing requested should match the instructions on the bottle/package.  

    -The child’s parent should have seen and consented with signed agreement to the proposed  

      medication and timings.

    There should be a safe place to store medicines, out of sight and reach of children.

    -Two adults must be present for the administration of medication. 

 -A medication record book will be available to log in: the name of child receiving the medication, name of child’s doctor, date, time and dose when the medication is administered, the signature of the person who administered each dose, the signature of the observer. This is verified with the parents signature at the end of the day.

  • All medication is stored safely or refrigerated and clearly marked. 
  • Any unused or out of date medications are returned to parents at the end of the day.
  • For children with long term medical conditions a risk assessment is carried out, a health care plan is drawn up with the parent and reviewed every six months or more if needed. It will include arrangements for taking medicines outside the setting.

Legal Framework

Medicines Act (1968)

Managing Children with Allergies and medical conditions  

We provide care for healthy children and promote health through identifying allergies and preventing contact with the allergenic substance and through preventing cross infection of viruses and bacterial infections. 

  • Any know allergies are recorded on children’s registration forms, including the nature of the reaction, what to do, any medication used and control measures.
  • Any special medical intervention required e.g. tubes for taking in nourishment, are recorded on registration forms, a health care plan is drawn up and consents agreed.
  • Cards containing a child’s name, photo and brief details of their allergy/condition are displayed where all staff can see it.
  • We will inform our insurance provider of any children suffering from life threatening conditions or requiring invasive treatments.

Sickness

 Parents are asked to keep their children at home if they have any infection, and to inform the preschool as to the nature of the infection so that the preschool can alert other parents, and make careful observations of any child who seems unwell.

Parents are asked not to bring into the preschool any child who has been vomiting or had diarrhoea until at least 48 hours has elapsed since the last attack.

If a child becomes unwell at Preschool we will 

  • Care for the child separately from the other children
  • Inform parents/carers as soon as possible to come and collect their child 
  • Cuts or open sores, whether on adults or children, will be covered with a hypoallergenic plaster or other dressing.
  • If the children of preschool staff are unwell, the children will not accompany their parents/carers to work in the preschool.
  • Ofsted is notified of any infectious diseases which a qualified medical person considers notifiable.

HIV/AIDS/Hepatitis procedure

  • Wearing single use vinyl gloves when changing children’s nappies, pants or clothing that are solid with blood, urine, faeces or vomit, and for cleaning after changing.
  • Soiled clothes are bagged for parents/carers at the end of the session.
  • Spills of blood, urine faeces or vomit are cleaned using mild disinfectant solution and mops.
  • Tables and other furniture, furnishings or toys affected by blood, urine, faeces or vomit are  cleaned using mild disinfectant solution.
  • Children do not share tooth brushes.

Nits and head lice

  • Although not an excludable condition, in exceptional cases a parent may be asked to keep the child away until the infestation has cleared.
  • On identifying cases of head lice, all parents are informed and asked to treat accordingly.

Toileting and nappy changing

No child is excluded from participating in our setting who may, for any reason not yet be toilet trained and who may still be wearing nappies or equivalent. We work with parents toward toilet training, unless there are medical or other developmental reasons why this may not be appropriate at this time.

  • Individual needs of children will be met after discussion with parents.
  • Children remain supervised at toilet times by an adult who has undergone checks.
  • Changing areas are warm and safe to lay on if they need their bottoms cleaned.
  • Gloves are put on before changing starts and the area prepared, mats are cleaned between children.
  • All staff are familiar with and carry out hygiene procedures.
  • Staff ensure nappy changing is relaxed and a time to promote independence.
  • The children are encouraged to take an interest in using the toilet, they may just want to sit on it or talk to a friend also using the toilet.
  • They will be encouraged to wash their hands with soap.
  • All children’s nappies will automatically be checked each session and recorded.
  • Nappies and pull ups are disposed of hygienically . Any soil (faeces) in nappies and pull ups is flushed down the toilet and the nappy or pull up is double bagged and put in the outside bin.

 No smoking

We comply with health and safety regulations and the Welfare requirements of the EYFS in making our setting a no smoking environment both indoor and outdoor.

  • All staff, parents and volunteers are made aware of the policy.
  • We display no smoking signs.
  • Staff who smoke do not do so during working hours, unless on a break and away from the premises.

Legal framework

The Smoke Free (Premises & Enforcement) Regulations 2006

The Smoke Free (Signs) Regulations 2007

Medication/other substances

Staff must not be under the influence of alcohol or any other substance which may affect their ability to care for the children. If staff  take any medication which may affect their ability to care for the children, they should seek medical advice. We ensure that those staff, only work directly with children if medical advice confirms that the medication is unlikely to impair that staff members ability to look after children properly. Staff medication on the premises must be securely stored and out of reach of children, at all times.

Food and drink

This preschool regards snack and meal times as an important part of the preschools session. Eating represents a social time for children and adults and helps children to learn about healthy eating. At snack and lunch times, we aim to provide nutritious food, which meets the children’s individual dietary needs. 

  • Before a child starts to attend the preschool, we find out from parents their children’s dietary needs, including any allergies.  
  • We record information about each child’s dietary needs in her/his registration record and parents sign the record to signify that it is correct.
  • We regularly consult with parents to ensure that our records of their children’s dietary needs – including any allergies are up-to-date.  Parents sign the up-dated record form to signify that it is correct.
  • We display current information about individual children’s dietary needs including parent’s wishes, so that all staff and volunteers are fully informed about them.
  • We aim to provide nutritious food at all meals and snacks, avoiding large quantities of fat, sugar and salt and artificial additives, preservatives and colourings. We include foods familiar and new to children.
  • We keep parents informed of available snack choices.
  • Through discussion with parents and research reading by staff, we obtain information about the dietary rules of the religious groups to which children and their parents belong, and of vegetarians and vegans, and about food allergies. We take account of this information in the provision of food and drinks.
  • We require staff to show sensitivity in providing for children’s diets and allergies. Staff do not use a child’s diet or allergy as a label for the child or make a child feel singled out because of her/his diet or allergy.
  • We organise meal and snack times so that they are social occasions in which children and staff participate.
  • We use meal and snack times to help children to develop independence through making choices, serving food and drink and feeding themselves.
  • We provide children with utensils which are appropriate for their ages and stages of development and which take account of the eating practices in their cultures.
  • We have fresh drinking water constantly available for the children.  Children bring their own named water bottles to drink throughout the session and staff teach children to revisit their bottles several times during the session, and to use only their own bottle. Staff will refill bottles that have been emptied and provide cups and jugs for children who have forgotten to bring a bottle that day. 
  • We have rules about children sharing and swapping their food with one another in order to protect children with food allergies.
  • For children who drink milk, we provide semi skimmed pasteurised, or soya milk as required.
  • We store children’s lunch boxes and any chilled snacks in a fridge.  
  • We discourage packed lunch contents that consist largely of crisps, processed foods, sweet drinks and sweet products.
  • We ensure staff sit with children to eat their lunch so that meal time is a social occasion.      
  • Parents MUST cut all foods in children’s lunch boxes that are likely to form a round plug and are therefore a high risk for choking e.g. grapes, cherry tomatoes etc and also cut other foods lengthways so as not to make a plug e.g. carrots, cucumber etc.    

Nuts in Preschool

  • We are a nut free preschool.
  • Staff are vigilant to provide snacks not containing nuts, including foods that may contain traces of nuts. 
  • Please do not provide your child with any food containing nuts or nut products e.g. peanut butter spread, some chewy bars either in their lunch box or for shared food such as parties or birthdays. If in doubt please ask staff.
  • If your child has eaten nut products before coming to preschool please ensure you have washed their hands and face afterwards. 
  • Thank you in advance for your co-operation with this as it is for the welfare of all our children and staff with allergies.  

Legal framework

Regulation (EC) 852/2004 of the European parliament and of the Council on the Hygiene of Foodstuffs.

First aid

At least one member of staff with a current first aid certificate (relevant to infants and young children) is on the premises or on an outing at any one time. The first aid qualification includes first aid training for infants and young children.

Our first aid kit:

Complies with the Health and Safety (First Aid) Regulation 1981, is regularly checked by a designated member of staff and restocked as necessary,

Is easily accessible to adults; and is kept out of reach of children.

The preschool will ensure that the first aid equipment is kept clean, replenished and replaced as necessary. Sterile items will be kept in sealed packages until needed.

At the time of admission to pre-school, parents’ written permission for emergency medical advice or treatment is sought. Parents sign and date their written approval.  

Legal framework

Health & Safety (first Aid) Regulations (1981)

This policy was reviewed August 2019

Signed on behalf of the Preschool Anne Ridgway and Heather Gardner