HINGUAR PRIMARY SCHOOL AND NURSERY School Toilet Policy Policy and Practical Guidance to Promote Personal Development in relation to Pupil Toileting and Continence The enclosed policy and procedures lay down comprehensive guidelines to help with the smooth running of Hinguar Primary School and Nursery. Their existence is aimed at assisting parents /carers and staff, in fulfilling our aims and remaining within the boundaries of all relevant legislation. This policy have been drawn up in accordance with OFSTED Guidelines and Recommendations.

Responsible members of Staff Mrs. V. Stevens ( Headteacher) Mrs F. Willis (Assistant Headteacher and EYFS Manager) Mrs D. Whitehead (Nursery Manager) Chair of Governor is : Mr D. George Early Years Foundation Stage Governor is Mrs. N. Ramsay

This Policy was approved by the Governors April 2016 This policy will be reviewed on an annual basis “Hinguar Primary School and Nursery is committed to safeguarding and promoting the welfare of children and expects all staff, governors and volunteers to share this commitment”

This document outlines the philosophy, aims and principles of promoting effective toileting practice. The aims of this policy are primarily targeted to support effective toileting practice within the EYFS, though recognises the need to take into account individual children within other year groups. This policy aims to take into account diversity and provide equality of opportunity. It was developed during the Summer Term of 2016. It will next be reviewed in Summer Term of 2017. This policy document was produced by the EYFS coordinator in consultation with pupils, parents, school staff, governors and the school nurse and is freely available to the entire school community through the school newsletter, website and prospectus. Introduction Starting school or nursery has always been an important and rewarding, yet, potentially challenging time for both children and the schools that admit them. It is also a time of growth and very rapid developmental change for all children. As with all developmental milestones in the foundation stage, there is wide variation in the time at which children master the skills involved in being fully toilet trained. Children in the Foundation Stage may:        

be fully toilet trained across all settings have been fully toilet trained but regress for a little while in response to the stress and excitement of beginning the Foundation Stage be fully toilet trained at home but prone to accidents in new settings be on the point of being toilet trained but require reminders and encouragement not be toilet trained at all but likely to respond quickly to a well structured toilet training programme be fully toilet trained but have serious disabilities or learning difficulties have delayed onset of full toilet training in line with other development delays but will probably master these skills during the Foundation Stage have AEN/SEN that make it unlikely that they will be toilet trained during the Foundation Stage

Admitting children who have continence problems into foundation stage and Key Stage 1 provision can present a challenge to schools. The purpose of this policy and guidelines is to identify best practice and guidance to support the full inclusion of such children. (See appendix 1 for conditions that my affect bowel or bladder continence). Early Years Foundation Stage “Every child deserves the best possible start in life and support to fulfil their potential. A child’s experience in the early years has a major impact on their future life chances A secure, safe and happy childhood is important in its own right, and it provides the foundation for children to make the most of their abilities and talents as they grow up.” (Statutory Framework for the Early Years Foundation Stage. Department for Children, Schools and Families, 2007)

Aims It is every child‟s right to grow up safe, healthy, enjoying and achieving, making a positive contribution and with economic well-being. At Hinguar Primary School and Nursery the overarching aim of the EYFS and across the school is to help young children achieve these five “Every Child Matters” outcomes. At Hinguar we aim to: 

To maximise access to pupils‟ toilet facilities during the day to promote the health, wellbeing and learning opportunities of all pupils.

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To provide good quality toilet facilities throughout the school.

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Support children who have continence problems with compassion, dignity and respect.

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Promote successful toilet training development prior to children‟s entry to school.

Rationale: Why we are writing this policy? 

The school recognises that well-maintained toilet facilities where pupils feel comfortable and safe and have open access to throughout the school day, are essential for health, wellbeing, and learning.

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We value and respect our pupils and want them to be able to benefit from good provision and practice.

General Objectives: What do we want to achieve? 

To ensure that this policy is both accepted and upheld by the whole school community - school management, staff, pupils, governors, parents, site manager and cleaning staff.

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To keep all toilets open and available to pupils throughout the school day. While pupils can use toilet facilities at break and lunchtimes if they need to, we ensure pupils have access at all times. We recognise that toilet needs are highly individual and do not conform to regimental timetables. We recognise that some pupils only feel comfortable going to the toilet when others are not around and will allow children to quietly sign in and out of class to use the toilet without adverse comment. Toilet Pass indicators in KS1 and KS2 will be used where appropriate to ensure that the class teacher is aware of children‟s whereabouts throughout the day.

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To ensure that the toilet and washroom facilities are suitable for the range of anticipated users, including pupils with disabilities and special needs, with adequate lighting, fixtures and fittings.

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To ensure the toilet and washroom facilities cater for the needs of all pupils from ethnic and religious communities, and ensure these needs are met in a sensitive, informed and appropriate manner.

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To ensure that all toilet areas have properly maintained supplies at all times of warm and cold water, soap, hand drying facilities and toilet tissue in dispensers, provided at a convenient height.

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To ensure sanitary disposal units in all female cubicles (for girls aged eight and over), serviced on a regular basis and to provide sanitary towels where required, stored in the central location of the school‟s medical room.

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To implement and maintain an effective toilet cleaning, supervision and inspection regime to ensure proper standards of provision and cleanliness, throughout the school day.

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To locate drinking water supplies and outlets in safe and appropriate locations, and not in toilet areas.

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To supervise the toilets at break and lunchtimes, if pupils perceive the need. If pupils assume this role, we will train and supervise them to ensure they carry out their duties correctly and do not restrict fellow pupils from using the toilets as and when they need to.

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To actively seek the views of the whole school community in relation to any concerns about toilet provision and access issues, ensuring a child friendly procedure for pupils to report deficiencies or problems, and to respond seriously to these and deal promptly with any problems highlighted by the pupils. .

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To actively consult and involve the pupils in managing the toilets (via the School Council or establish a working group).

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To encourage pupils to respect the toilets and each other supported through discussions by the School Council, PSHE lessons, and SEAL‟s lessons.

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To encourage pupils to actively take responsibility and establish a Pupil Code of Conduct in toilets and washrooms.

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To regularly include toilet management issues in all appropriate School Council, staff, parent and governor meetings.

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To provide indoor social areas to discourage toilets from being used for such purposes.

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To implement and maintain annual reviews of the policy to monitor that it is being adhered to and remains relevant.

Support for children who experience continence problems Hinguar Primary School and Nursery is committed to ensuring that designated staff are responsible for the personal care of children and will undertake their duties in a professional manner at all times. We recognise that there is a need to treat all

children with respect and dignity when personal care is given. No child should be attended to in a way that causes distress, embarrassment or pain. Children‟s dignity will be preserved and a high level of privacy, choice and control will be provided to them. Staff that provide personal care to children have a high awareness of child protection issues. Staff will work in partnership with parents/carers to provide continuity of care. Definition Personal care is any care which involves supporting a child to wash, wipe or clean themselves with minimal physical contact from the supporting adult. In most cases such care will involve procedures to do with personal hygiene and the cleaning of associated equipment as part of the staff member‟s duty of care. Any situations which require personal care will be completed by one familiar CRB checked and appropriately trained member of staff in the nursery and reception and two familiar DBS checked and appropriately trained members of staff for the rest of the school. Our Approach to Best Practice 

The management of all children with personal care needs will be carefully planned. The child who requires care will be treated with respect at all times; the child‟s welfare and dignity is of paramount importance. Each child‟s right to privacy will be respected.

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One or Two familiar, trained and DBS checked adults are to provide personal care when required.

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Staff who provide personal care are trained to do so (including Child Protection and Moving and Handling where appropriate) and are fully aware of best practice. Suitable equipment and facilities will be provided to assist children who need special arrangements following assessment from physiotherapist/ occupational therapist. Careful consideration will be given to each child‟s situation to determine how many carers will need to be present when the child is toileted.

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Within the EYFS it is believed to be best practice for familiar adults to provide personal care for children when required. In most instances this could be the Nursery Nurse, EYFS teaching assistant or the EYFS class teacher. To ensure continuity throughout the day designated familiar lunchtime and office staff are trained to support children if EYFS staff are unavailable. Whist personal care may be provided by appropriately trained and DBS checked lunch or office staff, the EYFS teacher must be informed of any incident as soon as possible who will provide compassionate support where required to the child.

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The child will be supported to achieve the highest level of autonomy that is possible given their age and abilities. Staff will encourage each child to do as much for him/ herself as they are able.

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Individual personal care plans will be drawn up for children as appropriate to suit the circumstances of the child as well as a toileting risk assessment. (See appendix 2 and 3)

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The medical Room and Hygiene Room will be a central location for personal care equipment to be stored. Toileting bags are designed to provide a quick response to a continence incident and are readily available to take on educational visits where required. Each bag will contain disposable gloves, aprons, sanitary wipes, towel and obscured plastic bags in which to place any soiled materials. Spare clothing and clean underwear will also be stored close by as well as in the central EYFS clothing storage for ease of access.

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To minimise distress to the child and the time taken to provide the care, all equipment needed should be collected before personal care begins.

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It is suggested that as soon as you are aware that a child requires personal care, the designated staff members are located as indicated by a staff rota. One designated adult is then to remain with the child in a quiet area to provide reassurance whist the other designated staff member collects all necessary equipment.

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If a child has already removed their clothes, they should be covered immediately with a towel to maintain dignity and ensure comfortable, whilst support is given.

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Upon any incident of incontinence, the parent will be informed and a personal care plan put in place to determine an agreed plan of care for the child.

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Personal care arrangements will be discussed with parents/carers on a regular basis and recorded on the child‟s personal care plan. (See appendix 3)The needs and wishes of children and parents will be taken into account wherever possible within the constraints of staffing and equal opportunities legislation.

The Protection of Children Child Protection Procedures and Multi-Agency Protection procedures will be adhered to.  If any member of staff has concerns about physical changes to a child‟s presentation, e.g. marks, bruises, soreness etc. s/he will immediately report concerns to the appropriate designated person for child protection.  If a child becomes distressed or unhappy about being cared for by a particular member of staff, the matter will be looked into and outcomes recorded. Parents/carers will be contacted at the earliest opportunity as part of the process in order to reach a resolution; staffing schedules will be altered until the issue(s) are resolved.  All staff will be required to confirm that they have read the „School Toilet Policy‟ document.

Appendix 1

Conditions that may affect bowel or bladder control

Some of the conditions, which can have an effect on bowel or bladder control, include the following: Autistic Spectrum Disorder:

Crohn’s Disease:

Hirschsprung’s Disease:

Imperforate Anus: Irritable Bowel Syndrome:

Spina bifida: Epilepsy and seizures

a lifelong, non-progressive neurological disorder characterised by language and communication deficits, withdrawal from social contacts and extreme reactions to changes in the immediate environment. an inflammatory bowel disease characterised by severe chronic inflammation of the intestinal wall or any portion of the gastrointestinal tract. a rare disorder of the bowel, the symptoms of which can include constipation, distension of the bowel and vomiting. a congenital abnormality in which the anus is not fully formed. a bowel condition characterised by abdominal pain and by wide variations in the frequency and predictability of bowel movements. the incomplete development of the spinal column, which can cause difficulties with bladder and bowel control. sudden intense electrical activity in the brain causing temporary disruption to normal brain activity. Seizures often result in incontinence.

In all cases where a condition is identified and for any incidence of incontinence, a planned programme of support will be implemented with the support of the child’s parents to ensure that the child’s needs are provided for.

Appendix 2 Toileting Risk Assessment Child‟s Name: Date of Risk Assessment: Yes Notes 1. Does weight /size/ shape of pupil present a risk? 2. Does communication present a risk? 3. Does comprehension present a risk? 4. Is there a history of child protection concerns? 5. Are there any medical considerations? Including pain / discomfort? 6. Has there ever been allegations made by the child or family? 7. Does moving and handling present a risk? 8. Does behaviour present a risk? 9. Is staff capability a risk? (back injury / pregnancy) Are there any risks concerning individual capability (Pupil) General Fragility Fragile bones Head control Epilepsy Other Are there any environmental risks? Heat/ Cold If Yes to any of the above complete a detailed personal care plan.

Appendix 3 Personal Care Plan for children wearing nappies/ pull-ups/ regularly soiling in school Child‟s Name:

DOB:

Name of School:

Completed by:_________________________________ (member of staff) Date of Plan: ______________

Date to review Plan: _________________

Who will change the child?

How will be the child be changed? e.g. standing up in a toilet cubicle, lying down on a mat on the floor

Copies of procedure for changing given to parent where available

Who will provide the resources? e.g. wipes, nappies, disposable gloves

How will the changing occasions be recorded and if/ how this will be communicated to child‟s parent/ carer

Consider using the Record of Intimate Care Intervention Table

How will wet/ soiled clothes be dealt with?

What the member of staff will do if the child is unduly distressed or if marks or injuries are noticed

Consider referring to the schools child protection policy and procedures

Agree a minimum number of changes

How will the child be encouraged to participate in the procedure?

Any other comments/ important information: e.g. medical information

This plan has been discussed with me and I agree to change my child at the last possible moment before he/ she comes to school, provide the resources indicated above and encourage my child’s participation in toileting procedures at home as appropriate and where possible.

Signed: __________________________________________________ Parent/ Carer‟s Full Name: ____________________________________