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Nappy Changing/ Toileting

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. 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.

‘Providers must ensure there is an adequate number of toilets & hand basins available (usually 1 per 10 children)’ (EYFS, 2012)

‘Providers must ensure there are suitable hygienic changing facilities for changing any children who are in nappies’ (EYFS, 2012)

Procedures

Our key persons have a list of personalised changing times for the children in their care who are in nappies or ‘pull-ups’; and change nappies according to this schedule, or more frequently where necessary.
We encourage young children from two years to normally wear pull-ups, or other types of trainer pants, as soon as they are comfortable with this and if their parents agree.
Our key persons undertake changing children in their key groups; backup key persons change them if the key person is absent.
Our changing area is warm, with a safe area to lay children and no bright lights shining down in their eyes. There are mobiles and other objects of interest to take the child’s attention.
We provide the nappies or pull ups and changing wipes unless agreed otherwise.
Our staff put on gloves and aprons before changing starts and the areas are prepared.
All our staff are familiar with our hygiene procedures and carry these out when changing nappies.
Our staff never turn their back on a child or leave them 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 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.
Children who are in pull ups will be changed in the toilets to be able to make the connection between toileting and nappies. The children will then be encouraged to flush the toilet and wash hands after, following our normal toileting routine.
We dispose of nappies and pull ups hygienically. The nappy or pull up is bagged and put in the bin. Cloth nappies, trainer pants, and ordinary pants that have been wet or soiled are rinsed and bagged for parents to take home.
We have clean, well-stocked bathrooms/changing area located in each room.
All the toilets are at the right height for the children to use and all have doors to allow the children to have some privacy when using the toilet.
We provide potties and will help potty train when the parents want them to start. The potties are sterilised after each use.
Parents/carers provide, when necessary, creams for their children, whereas we provide nappies and wipes.
Nappies are changed at least every three hours unless a child has a soiled nappy in between those times.
Each child will be taught how to and encouraged to wash their hands after using the toilet, before and after eating and after messy play.
The bathroom is cleaned twice every day, at lunchtime and after the children leave.
The children do not NEED to be potty/toilet trained by a certain age. We will advise parents and carers when they approach us or we feel the child may be showing signs of readiness.
The nappy bin is emptied twice a day, at lunch time and again at the end of the day.
Staff wear protective gloves and aprons for each nappy change and change these for each child.
There is a separate toilet for staff and visitors.
Nappies, gloves, aprons & used First Aid materials are disposed of in Yellow Bags in the bin provided.
We have an adequate supply of clean bedding & spare clothing
All practitioners follow a nappy changing risk assessment.
All nappy area and surfaces are to be cleaned with anti-bacterial spray and blue roll after each nappy change.
Please refer to the intimate care & physical contact policy


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