Wednesday, 27 May 2020

Risk Assessment COVID 19 - June 2020




These guidelines are based on Public Health England and Department for Education guidance for educational settings and their key workers.



The fundamental principle of this guidance is to ensure physical distancing between identified groups and to implement good hygiene practices. The design of settings as relatively small communities with subdivided rooms, this greatly assists our ability to create physical distance between groups and cluster children into specific cohorts or ‘bubbles’.



Focus
Areas for Consideration
Actions
Children
Attendance
        Only children who are symptom free or have completed the required isolation period will attend the setting.
        Questionnaire for parents of children returning after sickness
        Weekly Health Questionnaire for children
        Parents of children who attend 2 settings (including a child minder) will be asked to choose 1 setting only during this period of time.
        Temperatures of children will be taken if they become ill at nursery
        Children or family members who have been identified and ‘Clinically Vulnerable’ should not return to nursery at this moment in time.
        A phased approach to opening the setting will be adopted, priority will be given to
o   Vulnerable children
o   Children who access the private childcare provision
o   Children going to school in September 2020
·         The intake of more children and new children to the setting will be reviewed in July 20


Physical Distancing/grouping
        Children are organised into separate rooms relating to sessions attended rather than age groups. Wherever possible these small groups or ‘bubbles’ will not mix during the day
        Children will stay in groups of no more than 16 at any one time.
         Care routines including provision of meals, nappy changing and toileting is be within the space allocated to each ‘bubble’
         The use of communal internal spaces is restricted,( dining room, hallway, quiet room)
         Outdoor spaces are used by different ‘bubbles’ at different times of the day.
         Distancing of beds/cots should be facilitated wherever possible


Well being and education
        Children will be supported in age appropriate ways to understand the steps they can take to keep themselves safe including regular hand washing and sneezing into a tissue etc
        Children will be supported to understand the changes and challenges they may be encountering as a result of Covid-19 and staff will ensure they are aware of children’s attachments and their need for emotional support at this time.
Staff
Attendance
        Staff should only attend the nursery if they are symptom free, have completed the requires isolation period or achieved a negative test result.
        The temperature of staff will be taken if they become ill
        A questionnaire for staff returning to work after sickness risk assessing with regular health questionnaires for returning
        Weekly Health Questionnaire
        Consideration will be given to limiting the number of staff in the nursery at any one time to only those required to care for the expected occupancy levels on any given day (reduced sessions days will apply)


Physical Distancing/grouping
        Wherever possible staff will remain with the small group of children, the ‘bubble’ of children who they are allocated to and not come into contact with other groups.
        The nursery will operate a 4 day week, until the risk of spreading COVID19 is dramatically reduced, This will
o   Reduce the number of staff required to care for the children
o   Give consistency for the children by having the same staff member caring for each ‘bubble’
        Emergency revisions to the EYFS have been implemented which provides some flexibility on ratios and qualifications to make this feasible.
        Social distancing must be maintained during breaks. This may be achieved through a range of strategies including the staggering of breaks and subdivision of spaces allocated to team breaks where possible
        Staff members should avoid physical contact with each other including handshakes, hugs etc.
        Where possible, meetings and training sessions will be conducted through virtual conferencing


Training
        All staff members will receive appropriate instructions and training
o   in infection control
o   the standard operating procedure 
o   risk assessments
within which they will be operating

Parents
Physical Distancing
        Only parents who are symptom free and or have completed the required isolation periods will be able to drop off or collect their child
        Parents should aim to limit drop off and pick up to 1 parent per family.
        Only one parent allowed into the building at a time. (distancing whilst waiting outside will be required)
        Parents are asked to arrange drop off and pick up at the nursery corridor to avoid parents entering the nursery unnecessarily
        When parents are waiting to drop off or collect their child, physical distancing should be maintained outside of the entrance to the building.




Communication
        All parents will receive communication regarding the role they play in the safe operating procedures and measures being taken to ensure the safety of their children, themselves and others.
        Parental Agreement to follow the COVID 19 measurements placed within the setting and at home

Visitors
Visits
        Attendance to the setting will be restricted to children and staff as far as practically possible and visitors will not be permitted to the nursery unless essential (e.g. essential building maintenance).
        Where essential visits are required these will be made outside of the usual nursery operational hours where possible.

Travel
Travel Associated with setting operations
        Wherever possible staff and parents should travel to the nursery alone, using their own transport
        If public transport is necessary, current guidance on the use of public transport must be followed
        Parents should be encouraged to ensure they do not leave travel accessories including buggies, car seats, scooters at the setting premises
        Outings from the setting into the local community will not be carried out.

Hygiene and Health and safety
Hand washing
        All children and staff must wash their hands upon arrival at the nursery
        Children and staff members will be encouraged to wash their hands frequently at east every 2 hours, after playing outdoors, after toileting, before eating, after wiping noses
        Paracetamol (Calpol) will not be administered to children who are attending nursery due to its ability to reduce temperatures which is a symptom of Coronavirus.


Cleaning
        An enhanced cleaning schedule will be implemented that includes furniture, surfaces and children’s toys and equipment
        Communal area, touch points and hand washing facilities will be cleaned and sanitised regularly throughout the day, at the end of each day and the start of each day.
        The nursery will operate a 4 day week, until the risk of spreading COVID19 is dramatically reduced, This will ensure the COVID19 virus will die over the 72+ hour period of closure from Thursday to Monday


Waste disposal
        All waste will be disposed of  in a hygienic and safe manner
        Tissues bins are located within each room
        Children are encouraged to ‘catch it, bin it, kill it’


Laundry
        All items within the setting requiring laundering will be washed in line with NHS laundry guidelines
        Items such as towels, flannels and bedding will not be shared by children




Risk assessment
        All activity will be risk assessed and due consideration given to any adaptations to usual practice. It is expected that would include, but not be limited, to the suspension of learning experiences involving materials which are not easily washable such as malleable materials and the suspension of the sharing of food and utensils.


Fire Evacuation procedure
        There will be a change to the assembly points for the evacuation of the building. ‘Bubble’ of children and staff will remain together and not mix with other groups from the nursery.


PPE
        Government guidance is that PPE is not required for general use in early years settings to protect against COVID- 19 transmission.
        PPE will be used by the member of staff dealing with a child who becomes ill during the nursery day
        PPE will continue to be worn as normal for nappy changing and the administration of first aid

Premises
Building
        During the closure of the nursery, Health and safety checks have been carried out in relation to regulations eg  legionnaires checks
        A thorough clean of the nursery prior to re-opening has been carried out
        Windows will be kept open during operational hours to ensure ventilation
        The lift will not be used by staff or children and discouraged by nursery parents unless absolutely essential (WF)
        The nursery will operate a 4 day week, until the risk of spreading COVID19 is dramatically reduced, This will ensure the COVID19 virus will die over the 72+ hour period of closure from Thursday to Monday


Resources
        Children will not be permitted to bring items from home into the setting.
        All resources required for play and learning experiences of children will be regularly washed and/or sterilised
        Equipment used by staff such as stationary, tablets etc. will be allocated to individual staff members where possible and cleaned regularly.
        Soft furnishings within the play environment will be reduced to a minimum.

Supplies
Procurement and monitoring
        The nursery will ensure an adequate supply of essential supplies and contingency plans are in place to minimise the impact of any shortages of supplies.
        The nursery will not be able to operate without essential supplies required for ensuring infection control
        A monitoring system for the usage of PPE is essential and will ensure that a supply of stock is available to all who require it as and when required to meet the operational needs of the setting. When stocks are low, other options may be considered, such as the use of washable tabards. These items will be washed at a high temperature and separate to any other nursery washing.
        In the case the supply of food is interrupted, changes to the regular menus will be required, procedures will be implemented to ensure the appropriate food alternatives are sourced and normal food safety and hygiene processes are followed.( As well as Allergies)
        Deliveries for the nursery will be accepted at the back door to the building.


Responding to a suspected case of COVID19

        In the event of a child developing suspected coronavirus symptoms whilst attending the setting, they should be collected as soon as possible and isolate at home, parents will be asked to contact 111 and request a test
        Whilst waiting for the child to be collected they will be isolated from others in a previously identified room or area. If possible, a window should be opened for ventilation
        The member of staff looking after the sick child will be required to wear PPE until the child has been collected
        The area will be thoroughly cleaned, immediately if the area cannot be left unvisited
        The person responsible for cleaning the area will be required to wear appropriate PPE
         In the event of a staff member developing suspected coronavirus symptoms whilst working at the nursery, they should return home immediately and isolate at home, contact 111 and request a test
        Any staff member or child who have attended the setting can access the government testing programme through the 111 NHS helpline to confirm COVID or not.
        If it is negative result from the COVID test, the individual may return to nursery once they are feeling well again.
        If it is a positive result from the COVID test, the rest of the immediate group within the setting will be sent home and advised to self-isolate for 14 days, it is not necessary for all other household members they live with to self isolate unless the child/staff starts to display signs of COVID.
        A positive result will be reported to Public Health England and RIDDOR (Health and Safety Executive) immediately.
        The Local Authority and OFSTED will be informed by the nominated individual of a positive result.
        As part of the national test and trace programme, if other cases are detected within the 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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