Balliol Day Nursery Policy: Intimate and Personal Care and the Procedures for Nappy Changing

Providing intimate care

  • When dealing with children’s intimate care needs, staff should do so in ways appropriate to their professional role.
  • Staff should work and be seen to work in an open and transparent way.
  • Staff should avoid any conduct/actions which would lead any reasonable person to question their motivation and intentions.
  • Staff should always act and be seen to act in the child’s best interest.
  • Staff should always be prepared to explain their actions and accept that all physical contact be open to scrutiny.
  • Staff should encourage children, where possible to undertake self-care tasks independently.
  • Staff should report any concerns they may have about the behaviour of another adult to the manager.
  • Parents/guardians are not allowed into the bathroom when children other than their own are present.
  • Maintenance staff/volunteers must not be present in the bathroom when children are using it. If a child needs to use the bathroom when a maintenance person is working, the maintenance person will be required to leave the area until the child has finished using it. A member of staff must stay with the child to ensure that this procedure is carried out.

Procedure for changing nappies

  • Wherever possible key persons undertake changing children in their key groups.
  • Nappies are changed both at regular intervals throughout the day and when the individual needs of the child warrant it.
  • A checklist is made after each change which includes:
    • Name of child
    • Whether the nappy was wet, soiled or dry.
    • The name of the person who changed them and time of the nappy change.
    • (and if any cream was applied or additional information i.e sore)
  • Each child has their own basket to hand with their nappies or pull-ups and wipes.
  • The changing area is kept warm and has a safe area to lay the children.
  • Staff wash their hands before a nappy change and use disposable aprons if nappy is soiled.
  • Staff wear disposable gloves, which they put on before changing starts.
  • The changing mat is wiped over with antibacterial wipes in between children.
  • Staff and children wash their hands before leaving the bathroom.
  • All staff receive training in how to change nappies and are familiar with the hygiene procedures, which they carry out when changing nappies.
  • In addition, key persons ensure that nappy changing is relaxed and a time to sing, chat and talk to babies on a one to one basis. It is also an opportunity to promote independence in young children.
  • Children are encouraged to take an interest in using the toilet or potty; they may just want to sit on it and talk to a friend who is also using the toilet or potty.
  • Children are encouraged to wash their hands and have soap and towels to hand. They should be allowed time for some play as they explore the water and the soap. Adults teach them about germs and explain the importance of hand washing.
  • Key persons are gentle when changing; they avoid pulling faces and making negative comments about ‘nappy contents’.
  • Key persons do not make inappropriate comments about children’s genitals when changing their nappies.
  • Older children access the toilet when they have the need to and are encouraged to be independent.
  • Nappies and pull-ups are disposed of hygienically. Any soil (faeces) in nappies or pull-ups is put directly into a plastic nappy bag and sealed before being placed into the nappy bin. Cloth nappies, trainer pants and ordinary pants that have been wet or soiled are directly put into a plastic nappy bag and sealed before being placed into the nappy bin. 
  • We have a duty of care towards children’s personal needs. If children are left in wet or soiled nappies/pull-ups in the setting this may constitute neglect and will be a disciplinary matter.

19 October 2020

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