Nappy Changing and Intimate Care and Procedures

Nappy Changing and Intimate Care Policy and Procedures


All children are included at playgroup regardless of whether or not they are toilet trained. Parents are asked to tell us whether their child is in nappies or pull ups or how independent they are in managing their toileting needs, as part of our settling in procedures. We work with parents to make sure that we are consistent with toilet training procedures with the aim of supporting each child to be as independent in this area as possible.


Every child is treated as an individual and the intimate care is given gently, sensitively and professionally by staff who are familiar to the child (only staff who are registered as “Fit” persons can administer intimate care – see Safeguarding Policy).


It is our policy to balance the privacy requirements of the children with the “open” working practices required to safeguard both children and the staff.


Our procedure aims to minimise the spread of cross infection.


Procedure for nappy changing (including pull ups)

·  Gather all the necessary items needed before each nappy change

1.  child’s bag, check that it contains nappy and spare clothing, and if it does not, get these from the draw units under the changing table.

2.  cream – ONLY if provided by parents specifically for that child.

3.  wipes.

4.  nappy sack(s)

5.  gloves and plastic apron

·  Ask other children and adults to use another toilet cubicle if possible.

·  Wash and dry your hands and put on disposable gloves and apron. Use a new set of gloves and apron for each nappy change.

·  Place the child on the nappy changing mat (if the child is too heavy to lift on to the changing table, place the changing mat on the floor).

·  Remove the child’s clothing to access the nappy, if the child’s clothes are soiled, they should be double bagged separately and sent home. Do not rinse soiled clothes.

·  Remove the nappy and place it inside the nappy sack.

·  Using wipes, clean the child from front to back and place the used wipes in the nappy sack. Tie the nappy sack.

·  Put on a clean nappy (apply cream if provided by parent).

·  Take off gloves and apron, place in a nappy sac.

·  Dress the child. If Playgroup’s spare clothes have been used, put a “Please wash and return” slip with the soiled clothes.

·  Help the child to wash their hands and wash your hands using liquid soap, warm water and paper towels.

·  Take or send the child back to their group.

·  Return to the nappy changing area, place nappy sac containing the nappy inside the Sangenic container along with the bag containing the apron and gloves. Turn the cartridge 360’ and close the lid. Using antibacterial spray/wipes and paper towels clean the changing mat, surrounding area and underneath the mat. Wash and dry your hands again.

·  Record details of the intimate care provided on the “Intimate Care Record” sheets which are kept in a clipboard folder in the top draw of the right hand draw unit under the changing table.

·  Fill in a “notification of nappy/clothes change” slip and clip it to the front of the Accident/Incident book, to give to parent/carer at the end of the session.


Procedure to follow in other instances of intimate care e.g. changing or helping a child to change their pants/knickers; wiping or helping a child to wipe their bottom.

  • If the child’s pants/knickers are soiled follow the same procedure as for nappy changing. (note- use of the changing mat may be inappropriate)
  • Gather all the necessary items needed e.g. change of clothes (check if child has a bag with some in); bag for wet clothes.
  • Encourage the child to be as independent as possible.
  • If the child requires help, put on disposable gloves (these are not necessary if the child needs changing because they have spilled a drink or water down themselves). Once the intimate care is complete e.g. bottom has been wiped; dry pants/knickers are on and wet clothes are put in a bag and tied up) remove gloves, and dispose of in pedal bin.
  • Support child in washing and drying their hands and wash your hands using liquid soap, warm water and paper towels.
  • Take or send the child back to their group.
  • Return to the area and check that it is clean, if necessary use antibacterial spray/wipes and paper towels to clean the area. Wash your hands again.
  • Record details of the intimate care provided on the “Intimate Care Record” sheets which are kept in a clipboard folder in the top draw of the right hand draw unit under the changing table.
  • If relevant fill in a “notification of change of nappy/clothes” slip and clip it to the front of the Accident/Incident book to give to parent/carer at the end of the session.


The policy was adopted by Laleham Church Playgroup at a meeting on.5th September 2018




Signed on behalf of Laleham Church Playgroup...........................................


Definition of “intimate care”- care tasks of an intimate nature, associated with bodily functions, bodily products and personal hygiene, which demand direct or indirect contact with, or exposure of, the sexual parts of the body.



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