Information Classification: CONTROLLED Back to Business Child Care Settings Not Schools
Information Classification: CONTROLLED Introduction From the 1 st of June the Government will be asking nurseries and other early years providers, including childminders, to begin welcoming back children. (Some settings will have remained open to accommodate children of key workers) We are expecting the Government to publish more detailed guidance shortly YOU play an essential in helping the UK to return to some sort of normal. If anyone can do it you can!
Information Classification: CONTROLLED The Virus Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. Common Symptoms • High Temperature • New persistent cough • loss or change to your sense of smell or taste Onset 5-7 days 30% of infected persons will show no symptoms 1% of infected persons will die
Information Classification: CONTROLLED How does COVID-19 spread? Exposure to respiratory droplets • Coughing/sneezing droplets onto mouth, nose, eyes • Requires close contact (within 2m) Contact with respiratory secretions • Hands • Contaminated surfaces, tissues • Transferred by touching nose, mouth, eyes with contaminated hands
Information Classification: CONTROLLED Social Distancing? 2m? Really? In many sectors the 2M rule is key. HOWEVER early years children and staff cannot be expected to maintain the 2M social distancing. Therefore in early years settings the following hierarchy applies: 1 – Avoid contact with anyone with symptoms 2 – Frequent hand cleaning and good respiratory hygiene practices (Preventing Direct Transmission) 3 – Regular cleaning of settings and toys etc. (Preventing Indirect Transmission) 4 – Minimising contact and mixing
Information Classification: CONTROLLED Grouping or ‘Bubbling’ – The key concept Grouping? This is where children are grouped in small and consistent groups to help minimise the risk and impact of transmission . The concept does not rely on preventing individual children mixing but groups of children mixing We’re effectively creating a household away from a household The idea is that each small group stays away from other small groups within the setting You should: 1. Keep cohorts small and together whenever and wherever possible. 2. Ensure that different groups are not mixed during the day or on subsequent days. 3. Ensure that the same member of staff is assigned to the group on the day and on subsequent days 4. Ensure groups of children use the same area of a setting throughout the day and on subsequent days 5. Give the grouping of children some thought! How you group is up to you. (Early Years Foundation Stage groups?)
Information Classification: CONTROLLED Number 1 - Avoid contact with anyone with symptoms Safety relies on robust efforts to ensure anyone with coronavirus symptoms, or who have someone in their household with symptoms, does not attend childcare settings • Tell parents , carers, visitors, suppliers etc. not to enter the setting if they are displaying any symptoms of coronavirus. If in doubt….stay out! Don’t assume everyone knows and provide over the phone advice where you think it may be needed. • Use your knowledge of the child to satisfy yourself on arrival at the setting that they’re fit and well • Do not allow parents, suppliers etc to enter the premises. • Arrange for any essential maintenance/repairs etc to be completed ‘out of hours’ where possible. • Avoid anything coming into the setting from homes including toys, lunchboxes etc. Disinfect anything which has to come in i.e. medication etc. • Ensure that staff are being sensible/complying with social distancing out of work!
Information Classification: CONTROLLED Number 2 - Frequent hand cleaning and good respiratory hygiene practices As in all sectors high standards of hand hygiene and good respiratory hygiene practices is critical • Everyone should be cleaning hands more often than usual - wash hands thoroughly for 20 seconds with running water and anti-bacterial soap and dry them thoroughly. Alcohol hand rub or sanitiser should comply with BS EN 1500:2013. • Everyone should clean their hands on arrival at the setting, before moving to a different part of the premises , before and after eating, and after sneezing or coughing. Children should be discouraged from touching their mouth, eyes and nose • Ensure good respiratory hygiene by promoting the ‘catch it, bin it, kill it’ approach . Make this fun and consider how to encourage young children to learn and practise these habits through games, songs and repetition • Ensure help is available for children who have trouble cleaning their hands or practicing good respiratory hygiene • Ensure as much natural ventilation as possible i.e. through the safe opening of windows and doors.
Information Classification: CONTROLLED Number 3 – Regular cleaning of settings and toys furniture etc. Cleaning regimes will need to be increased and enhanced for the foreseeable future New emphasis on cleaning setting, toys, furniture, equipment etc. between use by different groups of children (Remember you need to make sure that different groups do not use the equipment simultaneously). A thorough clean should be completed at the start or end of day. Identify and remove: • Any un-necessary hand contact points • Any toys and furniture etc that cannot be easily cleaned/disinfected. Cleaning Products • Surfaces - Neutral detergent and Viricidal disinfectant or 0.05% Sodium Hypochlorite or 70% ethanol • Toilets - Viricidal disinfectant or 0.1% Sodium Hypochlorite Enhanced cleaning will be needed for the setting with a focus on toilets and frequently touched items - doors, taps, flush handles, light switches, bannisters etc.
Information Classification: CONTROLLED 4 – Minimising contact and mixing There is an emphasis on separation by grouping. However settings should minimise contact wherever possible. If the 2 metre rule can be implemented it should be. • Usual child numbers and staff ratios should be appropriate . But use professional judgement! Aim to gradually rebuild numbers as your confidence grows. • Have a child clear drop-off and collection protocol. (One parent only, staggered drop off and collection times, specify which entrance/exit is to be used) • Parents should be reminded of the need to avoid public transport and if this is not possible to avoid peak times • Discourage parents from congregating and ensure social distancing at drop off and collection times • Discourage staff from congregating in staff rooms/offices etc. • Replace face-to-face meetings etc with Skype, Teams, Zoom, Facetime etc. • Joint settings? Prohibit for the interim! • There is no need for the routine use of Personal Protective Equipment in childcare settings. (Emergency only )
Information Classification: CONTROLLED What if there is a problem? 1. if a child becomes unwell with Covid-19 symptoms they should be effectively isolated in a separate room with good ventilation. If the supervising adult needs to provide care and cannot maintain the 2M distance then the following PPE is required: • Gloves • Apron • A fluid-resistant surgical face mask • Eye protection (Only if risk of splashing to the eyes, for example from coughing, spitting, or vomiting) 2. Make arrangements to have the child collected as quickly as possible 3. If they need to go to the bathroom while waiting to be collected, they should use a separate bathroom if possible. The bathroom should be cleaned and disinfected using standard cleaning products and well ventilated before being used by anyone else. 4. Once the child has been removed from the setting the supervising adult should clean the affected area with disinfectant. Think about any hand contact surfaces etc on the way out of the building. 5. The child should isolate at home for 7 days and fellow household members should self-isolate for 14 days. 6. The supervising adult only needs to be excluded from the setting if they develop symptoms themselves or if the child subsequently tests positive
Information Classification: CONTROLLED Testing • All childcare settings will have access to a testing. If a child or staff member display symptoms of coronavirus they should arrange to get tested . • Where the child or staff member tests negative, they can return to their setting and the fellow household members can end their self-isolation. • Where the child or staff member tests positive, the rest of their group within their childcare setting should be sent home and advised to self-isolate for 14 days. The other household members of that group do not need to self-isolate unless the child or staff member they live with in that group subsequently develops symptoms. • As part of the national test and trace programme, if other cases are detected within the cohort or in the wider setting, Public Health England’s local health protection teams will conduct a rapid investigation and will advise settings on the most appropriate action to take.
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