Intimate Care


Last updated 30 September, 2019

Principle and statement of intent

This policy has been formed following the guidelines and principles in the:

  • U.N Convention on Rights of the Child – This emphasises the child’s right to protection from harm and the provision of adequate services and participation in all matters that concerns him/her.
  • The Children (NI) Order 1995 – This specifies that the welfare of the child is paramount. The role and the responsibility of parents to care for their children is emphasised.
  • Our Duty to Care (ODTC) – Principles of Good Practice for the protection of children and young people published by Volunteer Now, fifth edition 2009, updated April 2011 (supported by DHSSPS)
  • Protecting Children – Principles and Practice – Guidelines for Early Years Workers, published by NIPPA/EYO in May 1995.
  • At Bumbles Day Care we aim to ensure that the health and well being of the child is promoted and safeguarded. Out intimate care policy promotes a toileting and personal care programme and works in partnership with parents/carers to help the child develop a healthy interest and understanding of how to look after his/her own personal needs.

PROCEDURES

Bumbles Day Care, at Rosetta and by the Park

Management and staff will endeavour to ensure that:

  • There is adequate support for children/young people with intimate care needs
  • Individual intimate care plans will be drawn up for particular children as appropriate to suit the circumstances of the child.
  • Staff who provide intimate care are trained to meet the needs of individual children.
  • Only vetted staff are allowed to be involved in the intimate care of the children.
  • All staff adhere to Bumbles Child and Adult Protection Policy.
  • Suitable equipment and facilities are made available.
  • Staff carrying out intimate care, are appropriately supported.
  • Where possible one to one care will be provided unless there is an identified need for having more adults.
  • Intimate care is discussed and agreed with parents and carers.
  • The needs and wishes of the child/young person are taken into consideration.
  • The constraints of staffing and equal opportunities legislation are taken into account.
  • Changing areas are warm with safe areas to lay children

Bumbles Day Care

Nappy changing arrangements

  • Parents will be responsible for supplying nappies, baby wipes and nappy cream of their choice.
  • Nappies are changed in a child’s own play room, on a changing mat placed on the floor with a screen to allow privacy to be maintained.
  • A child will never be left unattended on a changing mat.
  • Staff will ensure to follow the method preferred by the parents i.e. wipes and cream; cotton wool and water etc.
  • Staff will ensure to wash their hands before and after nappy changing and will also wear disposable gloves during the process
  • Staff will dispose of soiled/wet nappies, wipes and gloves in nappy disposable bins
  • The changing unit will be cleaned on each occasion with anti-bacterial wipes.
  • Nappy changing times are approximately: 11.00am, 2.00pm and 4.00pm. However, dirty nappies are cleaned immediately and the time and nature of any bowel motion are recorded in the child’s personal file on My Nursery Pal. Any signs of abnormality in a child’s bowel motion are reported to a senior member of staff who will then inspect/decide if any further action is necessary
  • Nappies are changed in a child’s own play room, on a changing mat placed on the floor with a screen to allow privacy to be maintained.
  • A child will never be left unattended on a changing mat.
  • Staff will ensure to follow the method preferred by the parents i.e. wipes and cream; cotton wool and water etc.
  • Staff will ensure to wash their hands before and after nappy changing and will also wear disposable gloves during the process
  • Staff will dispose of soiled/wet nappies, wipes and gloves in nappy disposable bins
  • The changing unit will be cleaned on each occasion with anti-bacterial wipes.
  • Nappy changing times are approximately: 11.00am, 2.00pm and 4.00pm. However, dirty nappies are cleaned immediately and the time and nature of any bowel motion are recorded in the child’s personal file on My Nursery Pal. Any signs of abnormality in a child’s bowel motion are reported to a senior member of staff who will then inspect/decide if any further action is necessary

Toilet training

Toilet training is usually initiated by parents when the child is 2 – 21/2 years old and Bumbles staff should then proceed co-operatively with them, so that Bumbles and home routines are complimentary and do not confuse the toddler.

Staff should take into account individual children’s preferences regarding toilet training: whether they use the toilet or potty; whether they bring their own potty from home or use a nursery potty, whether they want to go privately / have someone to talk to etc.

Staff should ensure, however, that no pressure is put to bear on children to start using the potty before a child is ready. If a child’s interest in using the toilet or potty wanes, staff should not force the issue but should discuss the situation with the parents.

Any successful attempts at using the potty or toilet should of course be praised and the child encouraged.

Any ‘accidents’ should not be turned into issues, but be cleaned up quickly and calmly by staff, with the child just being reminded that they need to tell someone right away if they need to use the toilet.

Staff should encourage children to be as independent as possible when using the toilet and praise them for their efforts.

Staff should ensure that children clean themselves from front to back and that they wash and dry their hands properly after using the toilet. Girls in particular, can be very prone to infection when they stop wearing nappies.
Potties must also be washed and disinfected after use.

It is important to ensure that the child’s right to privacy is respected at all times.

Using the bathroom

  • Children are taken to the toilet after snacks, lunch time and nap time as a group and whenever else as necessary on an individual basis.
  • When going to the toilet, children under 5 must be supervised and staff should ensure that:
  • Use adequate (but not too much!) toilet paper;
  • Wash and dry their hands thoroughly after using the toilet;
  • Flush the toilet;
  • Put hand towels in the bin rather than on the floor.
  • Any bowel motions are reported to the Co-ordinator for recording in the child’s personal file. At this age, children do require an adult to make sure that their bottoms are cleaned properly.
  • Any abnormality in a bowel motion must be reported to the Manager or Deputy Manager.
  • It is important to ensure that the child’s right to privacy is respected at all times.

Bumbles at Rosetta / by the Park

Using the bathroom

We promote independent toileting for all children who attend Bumbles 2, but children are encouraged to ask a member of staff if they need to use the toilet. This arrangement enables toileting to be more closely monitored by staff who are then on hand to supervise hand washing afterwards if required.

For any child who needs assistance, the staff member must ensure that Child and Adult Protection is considered at all times.

If a member of staff needs to assist a child in the bathroom, they must make other staff members aware of the situation.

Another member of staff should then straddle the door, ensuring that they have sight of the staff member in the bathroom whilst still being able to monitor the children in the room. If necessary request assistance from one of the other rooms.

Staff should ensure that there are both adequate cleaning equipment as well as spare clothes in close vicinity of the bathroom.
Cleaning equipment e.g. wipes as well as spare clothes should be checked daily and replenished as required.
It is important to ensure that the child’s right to privacy is respected at all times