WWYD? How to approach this with nursery?

[SmellBowShellBow]

My DC keeps getting nappy rash, never had it the whole of my 11 months maternity leave, nor when at home with us but it's an on and off thing. However, it took nearly 2 months to get rid of the last big flare up.

I was finding areas where the poo wasn't 100% wiped clean but get this may be an oversight. However, I have also suspected on a couple of occasions that whoever looking after DC had not changed a nappy when they should have resulting in wee and poo mixing. We've brought up the nappy rash, the main person who looks after DC (who I don't think is the culprit here - I've noticed it's when they are not looking after DC) has been adhering to a game plan to prevent and keep on top of it so to speak. It's been nearly a month with nothing so we were hopeful. Except tonight I'll admit I'm really annoyed about this, DC plays in sand, garden, etc, or sometimes would have eaten something that goes down the vest and into the top the nappy and works in, I thought it looked like crumbled cake. In fact, it was sprinkled poo all over the front of the inside of the nappy, and DC now has nappy rash again. I suspect they have wiped in a rush but it was so obviously there it could not have been missed at all and there was a significant amount.

How do I approach this (in an email to the manager, in person to the main person looking after DC?) and how do I bloody put this politely? DH says I can be quite blunt and I do think they are a great nursery, apart from this and one other issue so don't want to rock the boat too much.

I'd raise both issues in an email to the manager, state the facts and that you want it looked into to see why it keeps happening and how to prevent it happening again in future.

You're paying them to take care of your DC, if they're not doing what they're supposed to be doing what they're supposed to be doing then you've got every right to question why that is. While it's nice to have a polite sand process relationship, ultimately they are not your friends and you don't owe them the benefit of the doubt if you're unhappy with something.

If you've already spoken to someone in the nursery room and nothing's changed I'd email the manager, which starts the formal complaints procedure usually, you should be able to find this either on their website or ask someone for a copy of it.
I'm so sorry your DC is suffering, I look after a little boy who gets awful nappy rash and has a meltdown every nappy change if there's a flare up so I sympathise how traumatic it can be for both of you. I'd suggest using a barrier cream but because they aren't cleaning properly I don't think one would work

We have had a very similar issue recently. We spoke to the manager (after speaking to DS keyworker several times) and said it was unacceptable that his nappy was only changed a few times of the course of the day and that he wasn't being cleaned or dried properly. His nappy rash was awful and it took a week to clear up.
We were polite but very firm about it and reminded them that we had already been in several times.
Things have been much better since.

I'd look for a new nursery tbh, how great can they possibly be when they're continually sending a baby home caked in poo?! Nappy changing is one of the more basic aspects of looking after children.

Maybe the is issue just one member of staffnin which case I would send an email to the manager outlining all the issues you've had with this, like a timeline. I would be polite but clear that this isn't good enough.

I’d tell nursery that my GP had asked me to raise it with them, as part of a strategy that included more attention to to the nappy area at home too. Ask them what extra attention would be possible, given the staff’s other duties. Get them thinking, and making firm commitments. Confirm afterwards in writing, in a positive tone.

No one’s going to get offended/put out by you making it a ‘group project’ with medical backing. You’re engaging them, not confronting them.