6.4

Nappy Changing, Toileting and Intimate Care

Safeguarding and Welfare Requirement: Health


Providers must ensure there are suitable hygienic changing facilities for changing any children who are in nappies.

Policy Statement


No child is excluded from participating in our setting who may, for any reason, not yet be toilet trained and who may still be wearing nappies or equivalent. Ideally we would like all children to be toilet trained before they start preschool. We work with parents towards toilet training, unless there are medical or other developmental reasons why this may not be appropriate at the time.


We provide nappy changing facilities and exercise good hygiene practices in order to accommodate children who are not yet toilet trained.


We see toilet training as a self-care skill that children have the opportunity to learn with the full support and non-judgemental concern of adults.


If you are having problems toilet training your child talk to your key person who will advise you to seek support from your child’s Health Visitor.


We are committed to ensuring that all staff responsible for the intimate care of children will undertake their duties in a professional manner at all times. Staff recognises that there is a need to treat all children with respect when intimate care is given.


We aim to ensure every child is happy and comfortable at all times, with staff treating all children with respect when intimate care is given.


Procedures


  • We encourage young children to wear pants/knickers at Sparklers if they normally wear them at home.

  • Children should not be put in a nappy/pull ups to come to Sparklers if they have started toilet training, this will not help the child. Put extra clothes in their bag in case of accidents.

  • Any member of staff with a DBS/CRB check can change a childs nappy.

  • Our changing area is towards the door end of the large toilet, on a changing mat, with the door kept open.

  • Each child brings their own nappies or pull ups and changing wipes.

  • Our staff put on gloves and aprons before changing starts and the areas are prepared. The changing mat is to be cleaned with an antibacterial spray after use.

  • All our staff are familiar with our hygiene procedures and carry these out when changing nappies.

  • Our staff does not leave the child unattended whilst they are on the changing mat.

  • We are gentle when changing; we avoid pulling faces and making negative comments about ‘nappy contents’.

  • We do not make inappropriate comments about children’s genitals when changing their nappies.

  • In addition, we ensure that nappy changing is relaxed and a time to promote independence in young children.

  • We encourage children to take an interest in using the toilet; they may just want to sit on it and talk to a friend who is also using the toilet.

  • We encourage children to wash their hands, and have soap and paper towels to hand. They should be allowed time for some play as they explore the water and the soap.

  • Older children access the toilet when they have the need to and are encouraged to be independent.

  • We dispose of nappies and pull ups hygienically in the nappy disposal bin provided in the toilet area, ordinary pants and clothes that have been wet or soiled are bagged for parents to take home.

  • We have a ‘duty of care’ towards children’s personal needs.

  • If the child does not make progress with their toilet training within their first half term there will be a meeting between parent, supervisor and the child’s key person to discuss how best this situation can be resolved moving forward.

  • An individual plan will be drawn up to help support the child, the parents and Sparklers staff.

  • If there is no medical reason why the child is not yet toilet trained we hope that it will not take too long by working together, after a plan has been drawn up.


Intimate care can be defined as care tasks of an intimate nature, associated with bodily functions and personal hygiene which demand direct or indirect contact with or exposure of the genitals. Examples include care associated with continence nappy changing as well as more ordinary tasks such as help with toileting, washing or changing clothes.


  • At the child’s induction the need for intimate care should be identified.

  • The parent/carer and supervisor or staff member should discuss intimate care requirements for a disabled child or child with SEN and draw up an individual plan/risk assessment to ensure the child receives the best care.

  • Wherever possible children are encouraged to perform their own intimate care and given the necessary support and encouragement to enable them to do this.

  • Children will be attended to in a professional way that will not cause them distress or pain.


All children who require intimate care are treated respectfully at all times; the child's welfare and dignity is of paramount importance.


  • Children’s dignity will be preserved and a level of privacy will be provided to them whilst complying with LSCB guidelines and guidance on ‘Disabled Children and young people intimate care good practice for staff and volunteers working with disabled children and young people.’

  • Staff who provide intimate care to children have an awareness of child protection issues and have attended training (including Child Protection and Health and Safety training in moving and handling).

  • Staff who work with young children or children who have special needs realise that the issue of intimate care is a difficult one and will require staff to be respectful of children's needs.

This Policy was adopted by Sparklers Pre-School

Signatory:

Lynn Mcmahon

Role of Signatory:

Pre-School Supervisor

Issue Date:

Under Review

Next Review Date:

Under Review

This Policy was approved by Sparklers Pre-School Committee

Signatory:

Role of Signatory: