Publication - Advice and guidance

Coronavirus (COVID-19): early learning and childcare services

Non-statutory guidance to support the continued safe operation of ELC settings.

Coronavirus (COVID-19): early learning and childcare services
Infection prevention and control

Infection prevention and control

Cleaning practices

All cleaning should be carried out in accordance with COVID-19 – guidance for non-healthcare settings (which includes advice on, amongst other things, detergents/ cleaning products) and Infection Prevention and Control in Childcare Settings guidance.

This should be an extension of the cleaning regime normally used in ELC settings, with touchpoints such as table tops, chairs, doors, light switches, banisters, equipment, sinks, and toilets cleaned more regularly. There should be routine cleaning and disinfection of frequently touched objects and hard surfaces as detailed in the table below. This should include equipment staff use, (e.g. telephones, desks, handles, keyboards, door handles, and tables).

Careful consideration should be given to the cleaning regime for sensory rooms and soft play areas, to ensure safe use.

Settings must ensure their cleaning practices for toys and soft furnishings reflect the requirement at each protection level:

Table one: enhanced cleaning requirements by protection level

Level 0 and below

Level 1

Level 2

Level 3

Level 4/Stay local

Soft furnishings (such as throws and bedding) should be laundered in accordance with usual cleaning schedule.

Soft furnishings (such as throws and bedding) should be laundered frequently - as a minimum weekly.

Soft furnishings such as throws and bedding should be used for individual children. If shared they should be laundered between use. If individual, they should be laundered frequently and as a minimum weekly.

Toys and equipment that children access should be cleaned daily or, if groups of children change during the day, on a sessional basis

At least twice daily cleaning and disinfection of frequently touched objects and hard surfaces.

Water and playdough should be replaced daily or, if groups of children change during the day, on a sessional basis.

If soft furnishings (such as throws and bedding) have been used by a child who shows symptoms of COVID, they should be removed and laundered as quickly as possible.

Settings should continue to emphasise the importance of good hand hygiene.

Lead-in time for adapting to change in protection level: as soon as the protection level increases

Children should be discouraged from bringing toys from home to the setting. We recognise however that some children may require a transitional object or toy as a comforter, and consideration should be given as to how to safely manage this to ensure children are supported in their transition from home to the setting to feel reassured and comforted. These should not be shared with other children.

If resources from the setting (for example, story bags) are taken home by a child, there is no longer a requirement to quarantine these for 72 hours upon return to the setting. Evidence on fomite transmission has continued to evolve and Public Health Scotland have now advised that we can remove this requirement from the guidance. Enhanced hand hygiene, as set out later in this section, should be adhered to by all staff, children and families and is a more proportionate way of reducing the risk of fomite transmission. (Fomites are objects or materials which may carry infection.)

Table two: sharing of resources (such as story bags) between setting and home

Level 0 and below

Level 1

Level 2

Level 3

Level 4/Stay local

Settings can share resources between setting and home.

Settings should restrict the sharing of resources between setting and home.

There must be no sharing of resources if there is a positive case in the home or an outbreak in the setting. A cluster or outbreak of COVID-19 occurs when a school has two or more confirmed cases of COVID-19 within 14 days. The local health protection team should be notified. If a plausible transmission link between two or more cases is identified within the school setting, this is indicative of an ‘outbreak’; if not, it is referred to as a ‘cluster’. The outbreak will be ‘closed’ by the local health protection team.

The setting should emphasise to families the importance of good hand hygiene when handling resources that are shared with/by the setting.

Lead-in time for adapting to change in protection level: as soon as the protection level increases

The risks of transmission are reduced when children are outdoors and so we would not wish access to individual or laundered outdoor clothing to be a barrier to this. Where possible, parents should provide the necessary clothing for outdoor play. Where this is not possible and children need to share outdoor clothes or footwear, risks can be reduced by ensuring good hand hygiene before and after dressing. This applies at all protection levels.

Surfaces in dining or snack areas should be wiped down and disinfected in between use by each group of children.

All crockery and equipment used in the provision of meals and snacks for children should be cleaned with general-purpose detergent and dried thoroughly before being stored for re-use.

Cleaning of staff areas should be an integral part of the overall cleaning strategy. Staff should use their own cup/cutlery and ensure these are cleaned straight after use.

There is not a requirement to use fog, mist, vapour or UV (ultraviolet) treatments in ELC settings to help control the spread of coronavirus. Should a provider choose to use one of these it is important these are used appropriately. Any use of these treatments for these purposes should form part of your COVID-19 risk assessment and clear rationale would be required through risk assessment as to whether such devices would be appropriate. Users must be competent and properly trained. These treatments can be used in a larger space or room in addition to enhanced cleaning and disinfecting, but not as a substitute.

Disinfectants applied as a fog, mist or vapour may reach harmful levels during delivery and UV systems may cause eye/skin damage if people enter an area undergoing treatment. People should not enter rooms being treated by UV or disinfectants applied as fog, mist or vapour. Discuss with suppliers what safety features they can provide to prevent inadvertent access to a room during treatment, for example hazard-monitoring sensors.

Locking rooms during the treatment will help to contain the emissions but other measures such as taping of doorway gaps or plastic screening off of some areas of the room may also be required. Good ventilation will also help clear the disinfectant after the treatment if this can be controlled from outside of the room.

Up-to-date guidance on the use of fog, mist, vapour or UV (ultraviolet) treatments is available from the Health and Safety Executive.

Temperature and ventilation

In its advice published on 3 March 2021, the Advisory Sub-group recommended, that greater emphasis should be placed on ventilation, by keeping windows open as much as possible, and doors open when feasible and safe to do so. A card with ventilation advice for everyone at work can be found here: ventilation advice card. Settings may find it helpful to display this to remind staff of what they can do to ensure effective ventilation.

ELC settings must ensure that risk assessments are updated appropriately for the season, to consider issues around ventilation and heating/warmth that are relevant to their specific environments. They should consider areas of the setting where air flow (including pockets of stagnant air in occupied spaces) and/or temperature may be problematic, and the strategies that may be used to address these issues and mitigate risks appropriately.

The primary effective method of increasing natural ventilation remains the opening of external doors, vents and windows. All settings must ensure the opening of doors and windows to increase natural ventilation where it is practical, safe and secure to do so, while maintaining appropriate internal temperatures.

Potential approaches to help achieve an appropriate balance of ventilation and internal temperature in the colder months may include:

  • partially opening doors and windows to provide ventilation while reducing draughts
  • opening high level windows in preference to low level windows to reduce draughts
  • refreshing the air in spaces by opening windows, vents and external doors at times which avoid user discomfort (e.g. between sessions or when children are outdoors)

The suitability of solutions will depend on a range of local factors including building type, occupancy patterns and weather conditions.

All settings must ensure as a minimum, that adequate levels of ventilation are provided in line with existing guidance (Care Inspectorate “Space to Grow”, and the Workplace (Health, Safety and Welfare) Regulations 1992).

For all settings, an adequate level of ventilation is likely to be indicated by a CO2 concentration of no greater than 1,500 ppm as measured by a CO2 monitor. Where settings have a CO2 monitor we advise you use this to assess your setting periodically.

For the private and voluntary sector, a minimum temperature of 16 C is required under the Workplace (Health, Safety and Welfare) Regulations 1992.

In local authority settings where School Premises Regulations apply, the minimum ventilation rate in a nursery classroom is 2 air changes per hour and minimum temperature is 17 C.

Keeping doors open (with appropriate regard to safety and security) may also help to reduce contact with door and window handles. However, internal fire doors should never be held open (unless assessed and provided with appropriate hold open and self-closing mechanisms which respond to the actuation of the fire alarm system). The Fire Safety Risk Assessment should always be reviewed before any internal doors are held open.

In her statement to parliament on 3 August 2021, the First Minister stated that there would be a renewed focus on the importance of ventilation in childcare settings to reduce the risk that the virus could be present in concentrated amounts.

We are therefore working with local authorities to ensure that all day care of children services have access to CO2 monitoring, whether via mobile or fixed devices. This is to support the goal of all spaces within settings being assessed for ventilation issues, with a view to remedial action being taken.

The primary role for local authorities will be to purchase devices for all settings in their area. Local authority teams will work with providers known to the authority wherever possible. However daycare of children services that are not funded to provide statutory ELC should contact their local authority to arrange provision of devices. Relevant local authority contacts for co2 monitors have been shared in a provider notice and are included in this guidance document (Annex A of the PDF). Services will retain responsibility for the operation of the monitors (including staff training) and for recording relevant information about the assessment of spaces in the setting.

Services should ensure the information gathered as a result of these assessments are used to inform actions to improve ventilation where required. This may include, for example, remedial works where appropriate (e.g. accelerated maintenance to remedy unopenable windows or faulty ventilation) or providing further guidance to users (e.g. on regular opening of windows, etc.).

Local authorities have been asked to complete their assessments of local authority-controlled schools and ELC settings by the October half term – wherever possible, and subject to sufficient supplies of CO2 monitors being available for purchase. Additional funding is being made available to support this work.

Ventilation systems

Where it is not possible to keep doors and windows open, and centralised or local mechanical ventilation is present, systems should wherever possible be adjusted to full fresh air. If this is not possible while maintaining appropriate internal conditions, systems should be operated to achieve statutory requirements as a minimum. Where ventilation units have filters present, enhanced precautions should be taken when changing filters. Ventilation systems should be checked or adjusted to ensure they do not automatically adjust ventilation levels due to differing occupancy levels. HSE guidance on ventilation systems can be found on the HSE website.

Enhanced hygiene

Arrangements should be implemented for enhanced hand and respiratory hygiene by adults and children in the setting. 

Where possible, disposable paper towels or kitchen roll should be used. Where it is age appropriate, services can also use hand dryers. Where this is not practical, individual towels must be available for each child, and these must be laundered each day. There are a range of resources available from the NHS to encourage children with handwashing. NHS Education for Scotland (NES) has produced a video to demonstrate the correct way to wash your hands, called Washing hands with liquid soap and warm water.

Antibacterial hand gel is not recommended for children when soap and water is available. A Health Protection Scotland 2018 SBAR (Situation, Background, Assessment, Recommendation) on hygiene requirements in outdoor nurseries in Scotland states that the use of alcohol-based hand rubs (ABHRs) and non-ABHRs should be discouraged in children under the age of five.

Health Protection Scotland guidance on infection prevention and control in childcare settings advises that if there is no running water, hand wipes can be used. If wipes are being used in situations where running water is not available, it is recommended that hands are washed with soap and water at the earliest opportunity.

ELC services must ensure that handwashing facilities are accessible for children. They may wish to have a supply of antibacterial hand gel available to parents/carer who require to approach the entrance to pass over children, and to staff and essential visitors at the entrance to the setting. Staff should ensure enhanced hand hygiene measures are in place including washing their own hands and the hands of all children. In particular:

  • ensure all staff and children frequently wash their hands with soap and water for 20 seconds
  • handwashing should take place
    • on arrival at the setting
    • before and after eating
    • after toileting
    • at regular intervals throughout the day
    • when moving between different areas (e.g. between different rooms or between inside and outside)
  • encourage children not to touch their face, where it is age appropriate to do so.Use distraction methods and keep children busy, rather than making this an issue
  • use a tissue or elbow to cough or sneeze into, dispose of tissues appropriately and ensure that bins are emptied regularly of waste
  • supervise children washing their hands and provide assistance if necessary
  • never share water in a communal bowl when washing hands
  • always dry hands thoroughly

Tooth brushing

Tooth brushing can continue where there are adequate facilities to do so. Settings operating tooth brushing should follow the Childsmile updated guidance

Personal Protective Equipment (PPE)

The use of PPE by staff within childcare facilities should continue to be based on a clear assessment of risk and need for an individual child or young person, such as personal care where staff come into contact with blood and body fluids. Following any risk assessment (individual or organisational), where the need for PPE has been identified using the HSE Personal Protective Equipment (PPE) at Work guide, appropriate PPE should be readily available and staff should be trained on its use as appropriate. Where the use of PPE is risk assessed as being required, staff should be trained in how to put on and take off PPE (as required by Health and Safety Regulations), and suitable waste facilities provided.

No additional PPE measures are required for general use in ELC settings. Staff should continue to follow existing local guidance on the use of PPE. Examples of this include:

  • staff carrying out intimate care should wear a disposable, single-use plastic apron and gloves
  • staff should have access to disposable single use gloves for spillage of blood or other body fluids and disposing of dressings or equipment. Local infection control procedures that outline safety and protocols should be stringently followed and adequate training provided. This includes procedures for putting on and taking off PPE, the disposal of soiled items; laundering of any clothes, including uniform and staff clothing, towels or linen; and cleaning equipment for children and young people, such as hoists and wheelchairs.
  • hand hygiene is essential before and after all contact with a child receiving intimate or personal care, before putting on PPE, after removal of PPE and after cleaning equipment and the environment. Hands should be washed with soap and water

In cases of suspected COVID-19, use of PPE should be based on risk assessment. Risk assessments must be consider all factors affecting the protection of staff and children including any additional distress and impact on wellbeing of child. The following use of PPE may be considered:

  • a fluid-resistant surgical mask should be worn by staff if they are looking after a child who has become unwell with symptoms of COVID-19 and appropriate physical distancing cannot be maintained while doing so
  • if the child or young person who has become unwell with symptoms of COVID-19 needs direct personal care, gloves and aprons, fluid-resistant surgical mask and eye protection (goggles or a visor) should be worn by staff
  • gloves and aprons should be used when cleaning the areas where a person suspected of having COVID-19 has been

Where the use of PPE is being considered within a setting the specific conditions of each individual setting must be taken into consideration and comply with all applicable legislation, including the Health and Safety at Work etc. Act 1974, Personal Protective Equipment Regulations 1992 and the Management of Health and Safety Regulations 1999 which outlines the process of, and legal requirements for, risk assessment. 

Specific guidance COVID-19: guidance for first responders has been developed and published for first responders who, as part of their normal roles, provide immediate assistance requiring close contact until further medical assistance arrives. This guidance sets out clearly what a first responder is required to do if they come into close contact with someone as part of their first responder duties. It covers the use of PPE and CPR. 

First published: 11 Aug 2021 Last updated: 11 Oct 2021 -