Toileting and Intimate Care Policy

This policy is presented in HTML to support accessibility needs and to work across multiple platforms. A full PDF copy is also available below.
Date Approved - March 2021
Approved By - CLF Board
Review Frequency - Biennial
Date of Next Review - March 2027
Full PDF Policy

History of Recent Policy Changes

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Contents

Policy Statement

All children at Airfield Primary Academy have the right to be safe and be treated with dignity, respect and privacy at all times so as to enable them to access all aspects of learning and school life.

It is like that children will be toilet trained before attending Airfield Primary Academy. However, we are inclusive in our approach and will support children and families to make sure all children are able to participate in the Foundation Stage who may, for any reason, not yet be toilet trained and who may be wearing nappies or equivalent.

This policy sets out clear principles and guidelines on supporting intimate care with specific reference to toileting. If should be considered in line with our Safeguarding Policy, Health and Safety Policies, Supporting Children with Medical Conditions Policy, and must be read in conjunction with dealing with bodily fluids guidance in Health and Safety manual under infection control.

This policy supports the safeguarding and welfare requirements of the Early Years Foundation Stage (EYFS) 2017 and the Equalities Act 2010: Airfield Primary Academy will ensure that:

  • No child’s physical, mental or sensory impairment will have an adverse effect on their ability to take part in day to day activities;
  • No child with a named condition that affects personal development will be discriminated against;
  • No child who is delayed in achieving continence will be refused admission;
  • Adjustments will be made for any child who has delayed incontinence;

Intimate Care Tasks

This covers any tasks that involves the dressing and undressing, washing including intimate parts, helping someone use the toilet, changing nappies or carrying out a procedure that requires direct or indirect contact to an intimate personal area.

Partnership with Parents/Carers

The staff team at Airfield Primary Academy works in partnership with parents/carers to provide care appropriate to the needs of the individual. Toilet training is seen as a self-care skill that children have the opportunity to learn with the full support of all adults involved. Parents will be supported by the school to work in partnership towards their child’s toilet training unless there are medical or other developmental reasons why this may not be appropriate at the time. If children require regular changing then a care plan will be created. The care plan will set out:

  • What care is required;
  • Number of staff needed to carry out the task (if more than one person is required , reason will be documented);
  • Additional standard equipment may be required and some equipment would be expected to be provided by parents/carers. This may include nappies, nappy sacks, spare clothes and underwear.
  • In addition, it may be that provision and support required may include provision for longer term medical needs such as a changing bed or a rise and fall table if applicable; Specialist equipment will be sourced in partnership with colleagues in Health and SEND teams from the Local Authority.
    • Maintenance of equipment, eg rise and fall bed, hoists to be inspected and maintained 6 monthly as per legal requirement;
  • Child’s preferred means of communication (e.g. visual, verbal). Agree terminology for parts of the body and bodily functions;
  • Child’s level of ability i.e. what tasks they are able to do by themselves;
  • acknowledge and respect for any cultural or religious sensitivities related to aspects of intimate care;
  • Be regularly monitored and reviewed in accordance with the child’s development.

Best Practice

When intimate care is given, the member of staff tells a member of their team that they are providing intimate care and where they will be doing this. The door to the changing area will be left open whilst protecting the privacy of the child.

The member of staff explains fully, to the child, each task that is carried out, and the reason for it. Staff encourage children to do as much for themselves as they can, lots of praise and encouragement will be given to the child when they are successful in any aspect of self-care.  Staff will not apply creams but will support the child to do it themselves if medically necessary.

All staff working in early years setting have a full DBS check, in line with all staff across the CLF.

Particular staff members will typically be identified to change a child with known toileting and intimate care needs. Staff will record the date and time when a child has been given intimate care and this will be shared with parents/carers.

Safeguarding

Staff are trained on the signs and symptoms of child abuse through annual Safeguarding training within the Cabot Learning Federation. If a member of staff is concerned about any physical or emotional changes, such as marks, bruises, soreness, distress etc. they will inform the Designated Safeguarding Lead Officer (DSLO) immediately.

If a child makes an allegation against a member of staff, the Principal must be informed immediately and the procedure set out in the Safeguarding Policy will be followed.

Toileting and intimate care are recognised as contexts in which safeguarding concerns may arise, and staff must remain vigilant, record concerns promptly, and follow established safeguarding procedures (Working Together to Safeguard Children 2023)

Any concern arising from intimate care practice — including boundary, conduct or communication issues — must be logged and shared in line with the school’s low‑level concerns procedures (Keeping Children Safe in Education 2025.)

Intimate care arrangements ensure children’s dignity and privacy are protected without creating safeguarding blind spots, and staff supervision is maintained at all times (EYFS Strengthened Safeguarding Requirements).

Dealing with body fluids

Appropriate PPE will be used at all times, in line with guidance from Health and Safety teams. Urine, faeces, blood and vomit will be cleaned up immediately and disposed of safely in the appropriate bins. Nappy bins will be available when a child is still wearing nappies. When dealing with body fluids, staff wear protective clothing, disposable plastic aprons and gloves and wash themselves thoroughly afterward. Soiled children’s clothing will be bagged to go homestaff will not rinse it. Children will be kept away from the affected area until the incident has been completely dealt with.

All staff maintain high standards of personal hygiene, and will take all practicable steps to prevent and control the spread of infection.

This policy aims to manage risks associated with toileting and intimate care needs and ensures that employees do not work outside the remit of their responsibilities set out in this policy.

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Airfield Primary Academy
23 Norman Place
Weston-super-Mare
North Somerset
BS24 8GH
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Airfield Primary Academy is proud to be part of the Cabot Learning Federation. 
Registered Company: Cabot Learning Federation
Company No: 06207590