Bedding, also known as bedclothes, is the materials laid above the mattress of a bed for hygiene, warmth, protection of the mattress, and decorative effect. Bedding is the removable and washable portion of a human sleeping environment. Multiple sets of bedding for each bed will often be washed in rotation and/or changed seasonally to improve sleep comfort at varying room temperatures. In American English, the word bedding generally does not include the mattress, bed frame, or bed base (such as box-spring), while in British English it does. In Australian English, bedding is often called manchester. A set of bedding usually consists of a flat or fitted bed sheet that covers the mattress; a flat top sheet; either a blanket, quilt, or duvet, sometimes with a duvet cover which can replace or be used in addition to the top sheet; and a number of pillows with pillowcases, also referred to as pillow shams. (See for more info on all these terms.) Additional blankets, etc. may be added to ensure the necessary insulation in cold sleeping areas. A common practice for children and some adults is to decorate a bed with plush stuffed animals, dolls, and other soft toys. These are not included under the designation of bedding, although they may provide additional warmth to the sleeper.