Summary of Policy Updates

Transcription

1 Summary of Policy Updates Policy Name: Allergies and Allergens v.1 Date: Jan-17 Section Reference Changes Made Allergies policy and Allergens policy combined Formatting changed to match new structure 2. New section on our legal requirements added & 5. New section on how and where we maintain and communicate information about allergies to our staff and parents/carers Reference out to the Medication policy where medication is required as part of the allergy 6.1 Further signs and symptoms of an allergic reaction mentioned 6.2 Section added on dealing with minor allergic reactions Policy Name: Allergies and Allergens Version: 1 Publication Date: Jan-17 Date for Review: Jan-18

2 Allergies and Allergens Policy 1. Purpose At Acorn we provide care for healthy children and promote health by identifying allergies and preventing contact with allergenic substances. This policy outlines Acorn s approach to reducing exposure to allergenic substances where required and the procedures in place for dealing with allergic reactions in both children and staff. 2. Legal Requirements Acorn has a legal responsibility, under the Food Information Regulations 2014, to provide correct allergen information related to the ingredients of the food that we serve to children under our care. There are 14 allergens included in this law; these are outlined in Appendix 1. This policy relates to section 3.45 & 3.47 of the Statutory Framework for the Early Years Foundation Stage. 3. Maintaining and Communicating Allergen Information Acorn has a responsibility to know which allergens are present in the food that we serve and to communicate this information to those consuming the food (and/or their families). It is therefore Acorn policy to: Record information about all ingredients used in meals and snacks on recipes Provide written allergen information on menus Compile and update an Allergen folder Display information about allergens on the parent notice-board Keep relevant staff trained and informed Discuss allergy information with parents as part of the registration process or at the time an allergy is diagnosed. 4. Children with Allergies Parents/carers must be asked about whether their child suffers from any known allergies or food intolerances as part of the registration process and this information should be included on the registration form. If a child has an allergy, a Care Plan for Children with Allergies (Appendix 2) should be completed prior to the child starting to attend the nursery. The Care Plan should include the following: The allergen The nature of the allergic reactions What to do in case of an allergic reaction Control measures Policy Name: Allergies and Allergens Version: 1 Publication Date: Jan-17 Date for Review: Jan-18

3 A copy of the Care Plan should be kept in the child s personal file, and a copy kept in an accessible folder that all relevant staff are aware of. Where a child has medication related to their allergy, the procedures outlined in the Medication Policy should be followed at all times. If a parent has a severe allergy to a food substance and requests that the child doesn t have that food it will be treated as if the child has an allergy/intolerance to that particular allergen Serving Food to Children with Allergies A register with the children present and their dietary requirements will be printed on a weekly basis; it is the manager s responsibility to ensure that any extra bookings are added to the printout so that the cook/chef s information is always accurate. All employees in the room during snack and meal times must be made aware of all the food allergies, intolerances and preferences by the Senior. All meals for children with food allergies or intolerances must be plated on red plates or in red bowls separately from other meals to avoid cross contamination. The plated food must be clearly labelled with the child s full name and the allergen(s) they have an intolerance to. This also applies to babies whose food is prepared in the milk kitchen. The Senior Practitioner should always check and sign to confirm a meal is suitable before it is served to a baby. The cook must confirm that the meal they are handing to childcare staff meets the child s dietary requirements and sign the form. The practitioner checks the information to ensure it is correct and does not include anything the child should not have to eat. The practitioner should sign the form to confirm that the correct meal is being given to the child and then return the form to the kitchen. A practitioner, preferably the child s key person, should sit near to the child during the meal to ensure that the child eats only their allergen free meal. If the meal or any of its components do not include allergens, then the child can be allowed to self-serve with the other children. If the meal contains allergens, then a separate labelled red bowl can be used to allow the child to self-serve their own meal. 5. Staff with Allergies When a new staff member or apprentice is employed at the nursery and before the person attends they are asked if they suffer from any known allergies. This is also recorded on their Occupational Health and Suitability Declaration form. Policy Name: Allergies and Allergens Version: 1 Publication Date: Jan-17 Date for Review: Jan-18

4 If an employee has an allergy, a Care Plan for adults with Allergies (Appendix 3) should be completed prior to the adult starting to attend the nursery. The Care Plan should include the following: The allergen The nature of the allergic reactions What to do in case of an allergic reaction Control measures A copy of the Care Plan should be kept in the employee s personal file, and a copy kept in an accessible folder that all relevant staff are aware of. Where a member of staff has medication related to their allergy, the procedures outlined in the Medication Policy should be followed at all times. 6. Procedures for Dealing with an Allergic Reaction 6.1. Signs/Symptoms of an Allergic Reaction All staff should be made aware of the signs and symptoms of a possible allergic reaction in case of an unknown or first reaction in a child. These may include a rash or hives, nausea, stomach pain, diarrhoea, itchy skin, runny eyes, shortness of breath, chest pain, swelling of the mouth or tongue, swelling to the airways to the lungs, wheezing and anaphylaxis Minor Allergic Reactions If a child has an allergic reaction to food, a bee or wasp sting, plant etc. a first-aid trained member of staff will act quickly and administer the appropriate treatment, where necessary. We will inform parents and record the information in the incident book and on their medicine form Severe Allergic Reactions Do not move them, because this could make them worse. Call 999 immediately and describe what is happening; explain that you think that the person may be having a serious allergic reaction or anaphylaxis (pronounced anna-fillaxis). It is important to mention the word anaphylaxis to ensure that the urgency of the situation is communicated and that appropriate medication will be available. If you have an Epi-pen for the child or staff member, then a trained staff member or first aider should administer this. Send someone outside to wait for the ambulance while a first aider stays with the child or adult until help arrives. Administer First Aid as necessary. Policy Name: Allergies and Allergens Version: 1 Publication Date: Jan-17 Date for Review: Jan-18

5 6.4. Transfer to Hospital Once First Aid has been administered, including emergency medication as necessary, and the ambulance is on its way, staff should: Take advice from the Ambulance Control Centre on the telephone and follow their instructions Contact the parents/carers of the child, or the emergency contact of the staff member, using the nursery mobile phone if the ambulance control is on the landline o Giving them details about what has happened, what has been done and which hospital the ambulance will take the patient to if known. Try not to alarm them more than can be helped. o Find out whether the parents/emergency contact will come to nursery or go straight to the hospital. While a First Aider remains with the child someone should collect the child s file with address, contact details, care plan together with any medicine forms detailing what medication has been given to take with the child to hospital. The child or adult should be accompanied to hospital by either the parent/ carer or emergency contact or a staff member or both if this is necessary. One of the Directors must be notified that there has been a transfer to hospital Ofsted Notification Ofsted must be notified about any child who stays in hospital for more than 24 hours or any significant event including where a child loses consciousness or dies. Policy History Version: Date of adoption/ review: Policy approved by: Date of next review: 1 Jan-17 Manager Meeting Jan-18 Policy Name: Allergies and Allergens Version: 1 Publication Date: Jan-17 Date for Review: Jan-18

6 Appendix 1 The 14 Allergens There are 14 major allergens which need to be declared when used as ingredients. The following list tells you what these allergens are and provides some examples of foods where they may be found: Celery Cereals containing gluten Crustaceans Eggs Fish Lupin Milk Molluscs Mustard Nuts Peanuts Sesame seeds Soya Sulphur dioxide This includes celery stalks, leaves and seeds and celeriac. It is often found in celery salt, salads, some meat products, soups and stock cubes. This includes wheat (such as Spelt and Khorasan Wheat/Kamut), Rye, Barley and Oats. It is often found in foods containing flour, such as some baking powders, batter, breadcrumbs, bread, cakes, couscous, meat products, pasta, pastry, sauces, soups and foods dusted with flour. The cereal will need to be declared. However, it is up to you if you want to declare the presence of gluten with this. This includes crabs, lobster, prawns and scampi. It is often found in shrimp paste used in Thai curries or salads. This is often found in cakes, some meat products, mayonnaise, mousses, pasta, quiche, sauces and foods brushed or glazed with egg. This is often found in some fish sauces, pizzas, relishes, salad dressings, stock cubes and in Worcestershire sauce. This includes Lupin seeds and flour, and can be found in some types of bread, pastries and pasta. This is found in butter, cheese, cream, milk powders and yoghurt. It is often used in foods glazed with milk, powdered soups and sauces. This includes mussels, land snails, squid and whelks. It is often found in oyster sauce or as an ingredient in fish stews. This includes liquid mustard, mustard powder and mustard seeds. It is often found in breads, curries, marinades, meat products, salad dressing, sauces and soups. This includes almonds, hazelnuts, walnuts, cashews, pecan nuts, Brazil nuts, pistachio nuts, macadamia or Queensland nuts. These can be found in breads, biscuits, crackers, desserts, ice cream, marzipan (almond paste), nut oils and sauces. Ground, crushed or flaked almonds are often used in Asian dishes such as curries or stir fries. This can be found in biscuits, cakes, curries, desserts and sauces such as for satay. It is also found in groundnut oil and peanut flour. This can be found in bread, breadsticks, houmous, sesame oil and tahini (sesame paste). This can be found in beancurd, edamame beans, miso paste, textured soya protein, soya flour or tofu. It is often used in some desserts, ice cream, meat products, sauces and vegetarian products. This is often used as a preservative in dried fruit, meat products, soft drinks and vegetables as well as in wine and beer. Policy Name: Allergies and Allergens Version: 1 Publication Date: Date for Review:

7 Appendix 2 Care Plan for a Child with Allergies To be completed by the parent for any child with an allergy. Name of Nursery Child s Full Name Child s Date of Birth Date Care Plan Compiled Name of Key Person What is your Child Allergic to? (substance, food, animal etc) What sort of contact triggers an allergic reaction? (touch, eating, breathing in etc) Date Condition was Diagnosed When was the last time your child had an allergic reaction? Name of Consultant and Hospital or GP Treating the Allergy Signs and Symptoms of the Allergy

8 Appendix 2 Does your child require medication to manage the Allergy? Yes / No / Only in an emergency Name of medicine(s) (as recorded on container) Dose and Frequency Delete as appropriate Route to be given (e.g. orally, rectally etc) PLEASE ENSURETHAT YOU COMPLETE A LONG TERM AND / OR EMERGENCY MEDICATION FORM PLEASE INFORM NURSERY OF ANY CHANGES TO MEDICATION Does your child require any other procedures or special care? Yes / No Delete as appropriate Details of procedures or special care which your child needs.

9 Appendix 2 What are the signs and symptoms staff should be aware of which indicate your child is having an allergic reaction? What action should the nursery staff take if your child has an allergic reaction?

10 Appendix 2 Parent Declaration The above information is to the best of my knowledge accurate at the time of writing. I give consent to the nursery staff to administering medicine in accordance with the nursery policy and have completed a long term or emergency medicine form as appropriate. I will inform the nursery immediately, in writing, if there is any change to drug, dosage or frequency of the medications my child is on. I will keep the Nursery informed of any changes to my child s allergy or treatment. Name of Parent: Signature of Parent: Name of Manager Signature of Manager For Staff Use Only Please note that the child must not be admitted to nursery until the questions below have been answered satisfactorily. Have staff received appropriate training to care appropriately for this child and administer medication? Have emergency contact numbers been obtained and recorded on Registration Form and on the computer system? Has a risk assessment been completed for this child? Has a Long Term Medication Form and / or Emergency Medication Form been completed for this child? Are you happy that the Nursery can meet the needs of this child? Name of Manager or Senior Staff Member (Print Clearly) Position Signature Date

11 Appendix 3 Care Plan for an Adult with Allergies To be completed by any adult working at the nursery with an allergy. Name of Nursery Name of Staff Member Staff Member s Date of Birth Date Care Plan Compiled What are you Allergic to? (substance, food, animal etc) What sort of contact triggers an allergic reaction? (touch, eating, breathing in etc) Date Condition was Diagnosed When did you last have an allergic reaction Name of Consultant and Hospital or GP Treating Allergy Signs and Symptoms of the Allergy 11

12 Do you require medication to manage the allergy? Yes / No / Only in an emergency Name of medicine(s) (as recorded on container) Dose and Frequency Delete as appropriate Route to be given (e.g. orally, rectally etc) What are the signs and symptoms staff should be aware of which indicate you are having an allergic reaction? What action should the nursery staff take if you have an allergic reaction? Name of Staff Member Signature of Staff Member: Name of Manager Signature of Manager