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Allergies and intolerances

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How does your DC's nursery deal with allergies??

7 replies

thereinmadnesslies · 27/10/2011 20:10

DS2 is 2 and attends nursery 3 days a week all day. He's cows milk protein intolerant.

We've always supplied a milk substitute for breakfast. At first he was on neocate so we obviously had to supply it, but he moved onto soya milk and we've continued to send it in.

Now we've had a letter saying that we need to supply all 'outside food' in a cool bag, labelled with his name and a full ingredients list. We also need to sign that we agree with their outside food policy, but that policy has not ever been given to us.

I feel annoyed because tbh I think they should supply soya milk - fees are £50 a day ffs!! So I was wondering what other nurseries do?

TBH i'm getting fed up with their food policy in general - the old chef was great but the new one seems to struggle so DS gets the same food often and some pretty dodgy food for tea - crackers and ham 2/3 afternoons etc.

OP posts:
thereinmadnesslies · 27/10/2011 20:11

I guess what I'm wondering is would I be unreasonable to refuse to sign the form or follow the new procedure, and if they don't like it they can supply the soya milk

OP posts:
ChocaMum · 28/10/2011 12:29

Your nursery don't sound very supportive. I'm not sure if we are lucky with our nursery but they have been great about dd's many allergies. Our fees are the same though.

DD's nursery supply all her foods like oatly and pure spread, with no extra charge. And anything they can't get and I take in, they refund me the cost. We don't have to take them in a cool bag because it's unnecessary. And we haven't had to sign any food policy. The chef is always asking me for suggestions to try for DD amd runs any new foods they're planning by me too. I hope this helps.

thereinmadnesslies · 28/10/2011 12:41

Thanks Choca, it's really interesting to know how other nurseries approach it.

I think some of the issue lies with the chef - the old chef used to busy pure spread and soya free bread when DS couldn't have soya, but the new chef seems to struggle with anything more than the set meal. They've previously said that they do not want us to send in food, we offered in the past to send in dairy free food for pudding because that was something they struggled with.

I feel like nursery do well in keeping him safe, possibly too safe, e.g. they remove him from the room for cookery, make him sit on his own at the other side of the room and take him away when the other children have birthday cakes (prepared by the chef). But then I feel sad that he misses some of the social aspect - I'm lucky that his reaction is delayed gastric issues which are not life threatening, but I wish sometimes he could eat with the other children and have birthday cake.

OP posts:
garliclover · 28/10/2011 15:53

This is interesting, therein. My DS started nursery 2 months ago (2 whole days a week). Initially they were unbelievably helpful, ordering in soya milk and special snack foods. The chef also prepared a special menu for him, based roughly on what the others were having.

However, except for 2 days, he's had an allergic reaction to something every time he's been there (mostly hives, but two reactions involved wheezing). So now they're asking me to bring in all his food myself (including his own fruit for the mid-morning snack) to see if that stops these random reactions. As he's been ill all the time recently, we haven't had the chance to try this yet (!) but am hoping it will sort it out.

I was actually surprised (and thankful) at how they've made an exception to their 'outside food' policy for my DS, even to the extent that they will heat up his lunch for him (which they were reluctant to do at first).

eragon · 28/10/2011 18:24

personally with multiple allergies , it would take a great deal for me to let the nursery provide the food. only a fantastic allergy policy, and visable signs of policy in action would only give me confidence.

its not just the chef cooking in a seperate area, not mixing , cross contamination issues, etc, esp chefs are not normally allergy trained , unless they have completed a seperate couse. ( label reading is often a problem, it takes time for us to understand what a label means and assess risk, so its worth asking a few questions about this and asking to pop into the kitchen to pick up a packet and explain labels. )

then the childrens food goes on the trolley and gets delivered to the nursery room. then a group of 2 or 3 staff hand out the food, if its a good nursery, they a have assigned two members of staff to sort out yr childs food (two needed if one is absent /ill etc) and make sure that the food doesnt cross contminate.
for eg, staff cutting up the portions of food in bowls. Place mats with photos , names for all children, can lesson risk of the wrong food being given to the wrong child. names are not enough, as many children have the same name....

then of course the staff must watch in case another child dips a hand in allergic childs food. and assigned staff must not help with other kids , e.g if someone starts to throw up or has a accident, and assigned staff jumps up to help, that leaves allergic child unobserved and cross contamination may happen.

a good handwashing system, with indvidual face clothes/wipes, and not shared in same bowl, and a good solid policy for cleaning up food spills etc.
for instance, if baked beans were served to other children, who spread them on the backs of chairs etc, that would need to be removed before all the children , including the allergic child got down to play.

I do feel that infants with a high staff ratio are normally cared for with less risk. if milk allergic, again good bodily fluid hygeine does lower the risk of cross contamination,( and of course milk partially digested and 'possited' by infants is less of a risk toa milk allergic as proteins are changed.) its also easier for assigned staff to sit away from other infants and give safe 'milk' feeds. If aprons are used by staff, they are often disposable ones, so again are less of a cross contamination risk.
as is good active hand washing policies.
milk kitchens in day nurserys do often have one member of staff mixing formulas, and without children to distract , can make up safe formulas for allergic infants.
however a parent may feel happier doing this at home. and that should be a option for the allergic child.
if you supply your childs food daily , it may be worth having a long life food alternative in case you forget to bring the food, or that you are delayed getting to pick up your child from the nursery. esp as staff will not be used to providing safe food for your child, and may have no idea what to give them.
indivdual actions policy for a allergic reaction must be in place, and the staff must be confidant that they can deliver and recognise the warning signs, and give epi pens and call for help. This can be difficult for parents, and staff are normally sent on a afternoon course for this, and that helps esp if parents are asked to attend. This team work will support the child and family if settings work this way.
its worth considering that just because you have discovered one allergy or two, new ones may be discovered. so daily avoidance plans and emergency action plans need to be reviewed and updated regularly.

just a few thoughts from my work history of management in various childcare settings and being a parent of a multiple allergic child.....

tiredfeet · 29/10/2011 20:11

ds's nursery have been brilliant so far, he has multiple allergies, including cows milk, wheat, egg and soya ,and has been going since he as 7 months.

the chef makes most things from scratch, and sources food he can have like sausages that dno't contain anything he's allergic too, so that ds can have a similar meal to the other children whenever possible. DS has a separate, different coloured highchair, bibs, bedding (because of milk worries), cups cutlery etc and there is a separate, red, table for allergic children at meals and a particular member of staff assigned to allergic children

the nursery have gone to a real effort so he doesn't miss out on anything the other children are doing, if they do 'baking' on the days ds is in nursery, then they always do something he can join in with. when they made special biscuits and decorated them, he had a rice cake to decorate.

I think it helped that they had had a few other children in previous years with multiple / severe allergies, so knew what to expect and had a lot of knowledge between them.

tiredfeet · 29/10/2011 20:14

sorry, I hope that didn't sounds smug, I just am so impressed with how they manage it, and wanted to say it can be done!

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