Rationale and Policy Considerations

 The Policy on Safe Sleep must specify the way safe and suitable sleeping arrangements are provided for children attending our service. Sleep is important for young children and it directly impacts on their wellbeing and development. Safe sleep is important for all children. In addition, adults caring for babies need to be aware of the risks of sudden unexpected death in infancy, commonly known as cot death, and what they need to do to reduce those risks. Having a safe rest/sleep policy: Helps to protect children and reduce risks. Helps to inform as well as reassure parents/guardians that the service will only implement procedures that are recommended in best practice guidelines. Gives clear guidance to all staff team members including new or trainee staff members, those who are providing emergency cover or those on work experience. Provides a clear plan of action in the event of a baby being found to be unresponsive or to have stopped breathing within the service. 

Legislation and regulatory requirements

  • Having a clear, written policy and procedure on Safe Sleep is a requirement under Regulation 10 of the Child Care Act 1991 (Early Years Services) Regulations 2016
  • Providing for safe sleep is also included under Regulation 19 Health, Welfare and Development of the Child; Regulation 20 Facilities for Rest and Play; Regulation 23 Health, Safety and Welfare of the Child; Regulation 27 Supervision and Regulation 29 Premises.

Children’s needs

 Children need: 

  • Access to appropriate, safe and comfortable rest and/or sleep facilities.
  • To be able to rest or sleep safely and comfortably whenever they need to.

Parents’/Families’ needs

 Parents/guardians need to: 

  • Know that their child will be able to sleep and/or rest in a safe and comfortable environment according to their individual needs.
  • To be assured that their child will have access, at any time, to a cot or child bed/mat (appropriate for their age), in a clean, safe and appropriately supervised sleep area that is free of risks and hazards.
  • Be assured that if any incident arises in relation to the wellbeing of their child while they are sleeping, all appropriate measures will be taken by the service to protect their child and to notify them at the earliest possible time.

Staff needs

 All staff members need: 

  • To know and understand clearly their roles and responsibilities in relation to providing appropriately for children’s individual needs for safe sleep and/or rest in an area that is clean and free of risks and hazards.
  • Absolute clarity on their roles and responsibilities in relation to supervising and ensuring children’s safety while they rest or sleep and also on what they must do should any baby/child be found to be unresponsive or not breathing.

Management needs

 Management needs to: 

  • Ensure that the legal requirement to have an appropriate safe sleep policy is met.
  •  To know that all staff team members know their roles and responsibilities and have the clarity that they need to ensure that all children’s needs for safe and comfortable rest and/or sleep are met according to best practice guidelines.
  • To ensure that all necessary and appropriate safety measures and procedures are clearly outlined in the policy and procedures.

National Quality Frameworks

Definitions/Glossary

   

SIDSSudden Infant Death Syndrome or SUDI Sudden Unexpected Death in Infancy (commonly referred to as Cot Death) is the sudden death of an infant or young child which is unexpected by history and in which a thorough post mortem examination fails to demonstrate an adequate cause for death.
First LightFormerly Irish Sudden Infant Death Association (ISIDA) provides support and information and promotes research into the sudden unexpected and often unexplained death of a child.


 3.      Policy Statement  All children are provided with clean, safe, and comfortable rest and/or sleep facilities as individually needed. We work in partnership with parents/guardians in relation to their child’s sleep needs and patterns as much as possible. All children under 2 years have access to a cot. Children aged 2– 3 years are provided with stackable camp beds and each child’s individual need for sleep or rest is facilitated appropriately. All cots and beds for children conform to recognized safety standards. Procedures and rotas are in place for supervising and regularly checking sleeping children. Sleeping children are always individually and frequently checked in person (not on screen). The sleep room is kept clean, calm, and comfortable so that babies can relax, rest and sleep. The recommended best practice guidance from First Light (formerly Irish Sudden Infant Death Association (ISIDA) and Safe Sleep for your Baby – Reduce the Risk of Cot Death (HSE 2017) is followed at all times.  Staff members follow first aid procedures they have been taught, in the event a child/baby is found unresponsive and/or not breathing. Where a parent/guardian requests a sleep routine for their child that does not meet with good practice guidelines (for example, requesting that their child be denied sleep for the day; that they be put to sleep with a feeding bottle; requesting that the baby/child be put to sleep in a buggy or travel seat), the service remains responsible for our own practice and we will be happy to discuss with parents/guardians why any such practice cannot be implemented. In all decision-making the child’s best interests come first. As well as safe sleep provision, all children will be provided with opportunities to have quiet or rest periods, within the daily curriculum/programme, that meet their individual needs throughout the session/day.          4.      Procedures & Practices  When a parent/guardian requests a specific sleep routine for their child, two key questions must be considered: 

  • Is it safe?
  • Would it cause distress to the child?

 If these questions cannot be answered satisfactorily, then a parent/guardian must be informed that the service cannot comply with their request and an explanation given or guidance must be sought from a qualified professional such as a public health nurse. 

Sleeping position

 Babies under 12 months must be put to sleep on their back with their head uncovered and their feet to the foot of the cot. This includes babies with gastro-oesophageal reflux. If a registered medical practitioner has recommended a different sleep position then this must be clearly evidenced in a written note from that practitioner. If a baby is less than six months old and they have turned onto their tummy, they must be gently returned onto their back. When a baby is older and able to roll from back to front and back again, let them find their own position to sleep. However you should still place them on their back at the start of sleep time. Place babies near the foot of the cot with the covers below the shoulders.            When a baby is placed in their cot to sleep, the following applies: 

  • Place the baby on their back with their feet at the foot of the cot.
  • Tuck bedclothes in securely below the baby’s shoulders.
  • Babies’ clothes should be loose and light.
  • NO bibs, bottles, toys, quilts, pillows or cot bumpers should be in the cot.
  • To avoid a flat head (plagiocephaly) ensure the baby is positioned with their head facing a different direction each time they are put down to sleep.
  • Babies’ heads must not be covered.
  • No strings or cords must be attached to soothers.
  • 1 baby per cot.

 Sleep positioners are prohibited. Bottles must never be propped at any time, including during sleep positioning. 

Sleep environment

Ventilation

 We ensure that the sleep room is adequately ventilated (either naturally or mechanically) but do not position a cot below an open window or adjacent to a hot radiator. 

Lighting and visibility

 Control lighting in the sleep room with curtains/blinds and the dimmer switch so that the atmosphere is conducive to sleep but there is adequate visibility for supervision. A viewing panel to the sleep room must never be covered. 

Sleep area temperature

 The sleep area must be maintained at between 16ºC and 20ºC. A wall-mounted thermometer is provided to monitor the temperature. Children will not be allowed to get too hot Indoors, babies over a month old do not need more clothes than adults. Bedding will depend on the room temperature. If a child seems hot, we will take some of the blankets off, if they seem cold, add an extra layer. Use lightweight blankets that you can add to and take away. Babies should not have their heads covered while sleeping. We will ensure that cots are not elevated and that no pillows are used for babies up to the age of 2 years. 

Soothers

 Soothers will not have any string, cord or clips attached. They will be stored in separate clean containers labelled with each child’s name when not in use. We always ensure that soothers used are the right size for the age of the child and in good condition. Soothers decorated with beads, gems or other such decorations are prohibited. 

Supervision

 The sleep room light should be dimmed to create a calm atmosphere while allowing enough light for adequate supervision. Children in the sleep room must be within sight or hearing of at least one staff member at all times, especially when staff members are actively engaged with children who are awake. The Manager is responsible for the sleep monitoring Rota. The Rota must clearly identify: 

  • which staff member is responsible for the sleep room/area
  • who will check the sleep room to ensure all risk controls are implemented
  • who will check the children
  • how often they will be checked
  • who is responsible for completing the sleep log for each child
  • who is responsible for bed linen changes and recording changes.

 Checks will be made of each sleeping child in the room, in person, at least every 10 minutes. A sleep log for each child is maintained. This records when physical checks are made of each of the sleeping children. It must record: 

  • the time of the check
  • the child’s position
  • any change in the child’s normal breathing pattern
  • any change in the child’s normal skin colour
  • ensuring the child’s head is uncovered
  • the room temperature
  • the name of the person who checked the child.

 A separate sleep log is maintained for each child and is retained by the service in each child’s own file.  Each child’s Key Person or another staff member who has taken over cate of the child throughout the day, is responsible for sharing information with the child’s parents or guardians. At all times, the relevant adult /child ratio outlined in the Early Years Regulations 2016 will be adhered to. Cots and Beds An adequate number of safe cots and child beds are provided to ensure that all children have access to a suitable cot or bed as appropriate for their needs. Documentary evidence that our beds meet the required safety standards is maintained on file.We provide enough cots for at least ½ of the children aged 18 months – 2 years. Children aged 2–3 years are each provided with individual sleep stackable bed.Equipment prohibited for sleeping children  The following are not suitable for sleeping children under 2 years: 

  • Travel cots/portable cribs
  • Bunk cots
  • cushions or beanbags
  • Sofa or chair
  • Car seats
  • Buggies
  • Infant carriers.

 Children over 2 years may be offered a pillow for use at sleep time. Sleep bags are not allowed for children who can stand up/walk. 

Health and Safety

 Hygiene                                                             Individual bed linen is provided for each child – it is hygienic, easily accessed, labelled for each child and must be reserved for that child’s sole use. Each child’s bed linen is laundered weekly and when soiled. Separate storage is provided for clean linen and linen that is due for washing. Clean and dirty linen must be kept separate. 

Position of cots

 Ensure that no cot is adjacent to a hot heater, an open window or a door, to curtains or anything that may help a child to climb out, or to any blind cords or other cords. Items that are hanging from the cot or the ceiling above the cot are prohibited for all babies under 12 months. 

Safety of cots and child beds

 The maintenance of cots and all equipment in the service is the responsibility of the registered provider. Cots will be maintained in a proper state of repair; be in good condition; be of good design; be solid and stable; and have a recognised safety standard. Cot barriers will be of sufficient height to prevent a child from falling out. In addition, the cot mattress will have a well-fitting safety mattress; be clean, firm and correct size for cot; be covered with waterproof material; easy to clean and disinfect; well aired and dry; and the gap between the mattress and the sides of the cot should be less than 2.5cmBars on cots will be no more than 6cm apart for round bars/7.5cm apart for flat bars.] We ensure that no cords or strings of any kind (including those attached to things such as toys or nappy bags) are in or near cots. We ensure there is enough space between each cot/bed/ to allow easy access to and around each one. All beds will be used in the intended manner. Cots must be checked to ensure that the sides are up and secured in place. Baby monitors will not be placed in cots. Where there are children who climb out of cots, an individual risk assessment for each of those children will need to be carried out. A floor bed or mat may be safer. Bed guards are prohibited. 

Dealing with emergencies

In the event of finding a baby or child who appears to be unresponsive and breathing or not breathing the staff member trained in emergency First Aid Response will respond immediately and appropriately.


  • The Manager or the person who is in charge at that time notifies the child’s parents/guardians as soon as possible of the current situation.
  • The person who found the child and has been resuscitating the child gives a detailed account of events to the paramedics on their arrival.
  • Staff follow the direction of the paramedical staff.
  • The Manager or person in charge ensures that parents have been informed.
  • The scene is to be left as it is. An Garda Síochána may need to investigate.
  • Families of the other children may need to be notified of the incident by the Manager.
  • Staff support is essential following any such incident.

 Record and record keeping All records relating to safe sleep and any incidents are stored safely.   

Communication Plan [For staff & families]

 All staff members will receive induction training on this Safe Rest/Sleep policy. This includes precautions to be taken to prevent Sudden Infant Death, guidelines on what to do in the event of a baby being found to be unresponsive and not breathing and a step-by-step guide to resuscitation of a child who is not breathing Parents/guardians are also made aware of the Safe Rest/Sleep policy and are involved in decisions relating to meeting their child’s individual needs. A copy of all policies will be available during all hours of operation to staff members and parents/guardians in the Policy Folder located in ……………………………………... Parents/guardians may receive a copy of the policy at any time upon request. Parents/guardians and all members of the staff team will receive notification of any updates to this policy.   

Related Policies, Procedures and Forms [List of all related documents. The policies in bold are those required under the Early Years Regulations 2016.]

  • Safety Statement 
  • Accidents and Incidents Policy 
  • Key Person Policy
  • Partnership with Parents Policy
  • Individual Child Sleep Monitoring Record form.

             7.         References/Supporting Documents/Related Legislation [List of any relevant Legislation and Practice Guides referred to in drafting the Policy] 

Who Must Observe This Policy

 This policy must be observed by all managers and all staff members. 


      Contact Information If you need more information about this policy, contact: 

NameLorraine Casey
Phone number or email094 93 90833 glornanog@gmail.com

    

Policy Created       

Date this policy was created27/08/2024

    

Signatures


Name and positionSignature
Approved byRegina Doyle (Administrator)
Approved byLorraine Casey (Manager)

Review Date            

Date this policy will be reviewedMay 2026