Charleston Nursery Toileting Policy and Procedures Updated July 2015 Toileting Policy and Procedure Purpose of Policy The purpose of this policy is to ensure that nappy changing, toileting and management of the toilet area at Charleston Nursery provide children with a safe, clean environment that promotes privacy, dignity and independence. Who is Responsible? It is the responsibility of every member of staff to ensure that toileting incidents are dealt with in a timely, clean and private manner. It is the responsibility of the manager to ensure that all members of staff have knowledge of the correct procedures and provide or seek out staff training to ensure the correct guidelines are in place. It is the responsibility of the member of staff who has managed a toileting incident to maintain records and leave the changing area clean, tidy and ready for the next person. It is the responsibility of the member of staff allocated to cleaning to ensure that routine checks of the toilets are carried out and the area is clean and ready for use. It is the responsibility of this person to record these checks. Facilities Charleston Nursery has its own toilet facilities which are separated from the main nursery environment. It contains three toilets and two sinks which are appropriate for children’s age and heights. There is a wall mounted changing unit which currently meets safety standards from BSI (8). The area is fitted with a self closing door which currently will remain open for children’s safety. The room is easily cleaned with wipeable surfaces, is well lit and contains appropriate ventilation. The area has a child friendly bin for disposal of paper towels only and an adult bin for use for disposal of gloves, aprons, disposable nappies and other waste. Paper towels for hand drying and wall mounted soap dispensers are there for adult and child use. Nappy Changing Every child requiring their nappy changed during a nursery session should have their own Personal Toileting Plan which has been agreed with the parent prior to them starting nursery. This outlines the parental wishes and child’s routine during nappy changing. These should be stored in the toileting folder and a copy placed into their personal file. When changing a child’s nappy all staff will try to make it as fun as possible, whilst retaining good hygiene and respect for the child. To ensure the levels of hygiene in the toileting room the following procedure will be carried out: Use wall mounted or floor changing mat where child is deemed too big for fitted changing station Fresh gloves and apron must be worn for every nappy change. Prepare changing area by taking out relevant things that are required. The changing unit/mat should be covered with a fresh paper sheet. Staff must use the child’s wipes that have been provided by the parent/carer. When changing a nappy all staff should ensure that they clean from front to back to avoid any cross contamination or infection. Change the child’s nappy and place soiled disposable nappy within a nappy sac and tie securely. Double bag. Dispose of bagged nappy using designated waste bin. Gloves should be removed and second pair of fresh gloves are worn before a clean nappy is put on the child. Ensure child is comfortable and encourage child to wash hands. Spray and wipe the changing area after each nappy change with an antibacterial solution and disposable cloth. Tidy area and put all used items away ready for next person Dispose of gloves and apron in designated waste bin Wash your hands During nappy changing times the toilet facilities will be placed on amber for children to acknowledge that a child is being changed and some degree of privacy is required. Potty Use Children who are currently making use of a potty should have their own potty which has been provided from home. This should be clearly labelled with the child’s name. Children who currently are being potty trained will require their own Personal Toileting Plan which will identify parental wishes. When supporting a child and ensuring cleanliness in the use of a potty the following procedures should be followed: Fresh gloves and apron must be worn. Potties should be used in toilet cubicles. Children should be encouraged to independently recognise and find their own potty and take it in to a cubicle. Children should use toilet paper provided in cubicle. After the child has made use of the potty it should be sluiced in the toilet, cleaned using disinfectant spray and a disposable cloth. It should be dried thoroughly using paper towels. When storing do not stack potties. Children should wash their hands. Dispose of gloves and apron in designated waste bin Tidy area and put all used items away ready for next person Wash your hands. Toileting Children who are no longer in nappies are actively encouraged to use the toilets independently. It is part of their nursery routine that they learn how to use the facilities in a responsible way and take care of their own hygiene. Nursery staff will promote positive behaviour in the toilets and teach children how to wash their hands correctly through different activities across the nursery. This will help them to use the toilets in a safe and clean manner. Accidents We understand that children are still very young at this age and accidents do happen. Every child should come to nursery with a spare change of clothes available and kept on their peg ready for such instances. In the case of an accident the following procedures should be followed: Use wall mounted or floor changing mat depending on the child’s size and development Fresh gloves and apron must be worn for every change. Prepare changing area by taking out relevant things that are required i.e wipes/fresh clothes. Spare clothes are available within draws in the toilets. The changing unit/mat should be covered with a fresh paper sheet if using this area. Staff must use the child’s wipes that have been provided by the parent/carer to ensure the wet or soiled areas are cleaned. Remove any wet or soiled clothes and place within sealed bags provided. Double bag. A label with the child’s name should be placed on the bag. This bag should be kept on the changed clothes hook within the toilet facilities ready for parents to take home at the end of a session. Gloves should be removed and hands washed and a second pair of fresh gloves are worn before a clean clothing is put on the child. Ensure child is comfortable and encourage child to wash hands. Spray and wipe the changing area after each change with an antibacterial solution and disposable cloth. Tidy area and put all used items away ready for next person Dispose of gloves and apron in designated waste bin Wash your hands. During changing times the toilet facilities will be placed on amber for children to acknowledge that a child is being changed and some degree of privacy is required. Recording A record of nappy changing and accident changing must be recorded on the Record of Changing/Cleaning Children sheet. When children have had an accident and have had to be changed parents should be informed verbally at the end of a session. Cleanliness An audit of toilet use should be carried out termly to ensure toilet checking and cleaning procedures are appropriate for the number of children accessing them in a session. This should be established using the Toilet Audit Form. Toilets will be clean and ready for use for each nursery session. All sites of hand contact i.e handles/taps/door knobs will be cleaned/disinfected. Disposable cleaning cloths will be available for minor clean up jobs. A nursery mop is stored in the school’s cleaning room available for larger accidents. This should be kept clean by disinfecting, wringing out thoroughly and positioned with mop facing upwards ready for use. Waste bins should be lined with appropriate disposable bags. Sinks found in the nursery toilets will only be used for hand washing purposes. The toilet cleanliness will be checked by a designated member of staff throughout the day and will be recorded on the Toilet Cleanliness Record. Toilets will be deep cleaned by school cleaners daily. In cases where toilets are found soiled or unfit for purpose a janitor and SMT should be contacted immediately. Storage All cleaning disinfectants, substances and materials will be stored out of reach of children in the locked cabinet at all times. Products should be clearly labelled as to what they are used for. Items required for changing children i.e. clothes or additional wipes/cotton wool. will be stored in sealed drawers in the nursery toilets. Staff disposable aprons and gloves will be stored in a separate drawer and labelled. These should be kept in original packaging where possible with the expiry date and serial number available. Recall of these products will be routinely checked by the nursery manager. Information about recall alerts can be found through the Medical and Health Regulations Agency (MHRA) at www.mhra.gov.uk How the Policy is Implemented This policy and procedures will be shared with staff and parents. It will be routinely updated and reviewed as outlined in the nursery’s policy review overview. The nursery manager will look to ensure that all relevant training in line with the policy is sought out for nursery staff. This will ensure they are able to meet policy and procedure requirements outlined. Responsibilities for cleaning and recording highlighted will be on a rota basis. LAST UPDATED / REVIEWED ON 01/07/2015 SIGNATURE A Cartlidge Nappy Changing Procedure Use wall mounted or floor changing mat Fresh gloves and apron must be worn for every nappy change. Prepare changing area by taking out relevant things that are required. The changing unit/mat should be covered with a fresh paper sheet. Staff must use the child’s wipes that have been provided by the parent/carer. When changing a nappy all staff are aware in making sure that they clean from front to back to avoid any cross contamination/infection. Change the child’s nappy and place soiled disposable nappy within a nappy sac and tie securely. Double bag. Dispose of bagged nappy using designated waste bin. Gloves should be removed and hands washed and a second pair of fresh gloves are worn before a clean nappy is put on the child. Ensure child is comfortable and encourage child to wash hands. Spray and wipe the changing area after each nappy change with an anti bacterial solution and disposable cloth. Tidy area and put all used items away ready for next person Dispose of gloves and apron in designated waste bin NOW WASH YOUR HANDS!!