There are many factors which can influence the spread of infection/illness especially in a nursery where there are large numbers of adults and children in close proximity to each other. It is therefore important to ensure that the highest possible standard of hygiene is maintained at all times to reduce the risk as far as practicable.

At Little Foxes we have a proactive approach to infection control and all staff, are given training on this. Infection Control Risk Assessments are carried out and reviewed regularly.
All staff have a duty to ensure that basic hygiene practices are followed;

Hand washing

Strict hand washing procedures following National Guidelines are implemented by staff for themselves and children in their care. The posters showing the guidelines are displayed at all handwashing basins. Hands will be washed using liquid/foam soap for 10 to 15 seconds, rinsed and hands thoroughly dried with paper hand towels. When staff, visitors or children do not have access to washing facilities antibacterial gel will be used.

Cleaning

All areas will be cleaned at regular intervals throughout the day. Staff will ensure that they are appropriately protected with personal protective clothing. Equipment used for cleaning will be clean, fit for purpose and in a good state of repair.
Control of Substances Hazardous to Health (COSHH) sheets and product data sheets will be referred to in order to ensure solutions used to clean the environment are used safely. Manufacturers Instructions will be referred to.

Cleansing of Toys and Play Equipment

Each nursery will implement the procedures throughout the working week to ensure a high level of cleanliness with all toys and equipment within the nursery and all staff are responsible for carrying out and recording this on the Toy and Equipment Cleaning Chart.

Toilets

Every morning toilets are flushed to remove any cleaning products and prevent the risk from stagnant water. Staff will be aware to check toilets regularly throughout the day especially where children are gaining independence to ensure they are flushed. The toilets will be cleaned daily. Potties, when used will be emptied immediately and washed in hot soapy water before being sprayed with an anti bacterial spray.

Body fluid spillage

Spillages will be dealt with immediately. Use a physical barrier or sign to ensure all other adults and children avoid the spillage while it is being dealt with. All necessary equipment to deal with a spillage will first be gathered including personal protective equipment. Appropriate materials must be used for the safe and effective management of spillages. All items used during a spillage must be disposed of or cleaned appropriately. Waste that is generated during the management of spillages will be disposed of safely by double bagging before putting it into the appropriate bin.

Personal Protective Equipment

PPE used should be appropriate, fit for purpose and suitable for the person using/wearing it, with relevant supplies being located close to the point of use and putting on and removing of items carried out appropriately each time.

Disposable gloves generally used for procedures where exposure to body fluids may occur are single use, and should be removed and replaced as appropriate with hand hygiene performed in between times.
Stocks of PPE should always be stored away from floors, e.g. on appropriate shelving in a designated, clean and dry storage area to ensure that they are not contaminated prior to use.

Disposal of waste

Everyone has a responsibility to safely dispose of waste that they have generated.
Staff will dispose of waste immediately, as close to the point of use as possible into the appropriate bin. Bins and outer bin holders for bags will be kept clean. Body fluid waste will be double bagged and disposed of in the appropriate outside waste bin.

Cuts and Open Wounds.

Any employee with cuts or other open wounds must cover them with a blue waterproof dressing before commencing work.

Bites

On occasions children may be bitten by other children; if this occurs the area of the bite will have a cold compress applied. An Incident Form will be completed for both children and the parents informed. If the skin is broken the parent will be advised to have the bite assessed by a medical practitioner.

Communicable and Notifiable Diseases

Staff and children suffering from possible or actual communicable or notifiable diseases will be excluded from nursery for the National recommended exclusion period or as recommended by the Health Protection/Public Health departments as per our Sickness Policy. Staff or children suffering from diarrhoea and or sickness will be sent home immediately and excluded for 48 hours after the cessation of symptoms. If a child or staff member is confirmed by the Local Health Authority to be suffering from a suspected case of E coli (VTEC) O157 infection, and in the case of a Pandemic the nursery may be advised on possible closure (after a risk assessment has been made by Public Health) to ensure the safety of all children and staff.

Food Preparation

All perishable and high risk food stuffs will be delivered by a reputable company in temperature and hygiene controlled transport. Temperature controls will be monitored from delivery through to serving as per our Health and Safety Policy. Kitchen hygiene will be maintained as per our Health and Safety Policy. No person will enter the kitchen unless they are wearing a clean apron and hair is tied back as supplied by the nursery. When serving food staff will wear appropriate aprons.