{{org_field_logo}}
{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Staff Dress, Workwear, Uniform and Personal Appearance Policy
1. Purpose
The purpose of this policy is to establish proportionate, lawful and person-centred standards for staff dress, workwear, uniform, footwear, personal appearance and hygiene while staff are working for {{org_field_name}}.
The policy is intended to:
- protect people receiving support, staff and others from avoidable harm, infection and cross-contamination;
- maintain the dignity, privacy, preferences and independence of people receiving support;
- enable staff to carry out their duties safely;
- support professional boundaries and public confidence;
- ensure that dress requirements do not unlawfully discriminate against staff;
- provide appropriate identification without unnecessarily disclosing that a person receives care or support; and
- ensure that any restriction on clothing, religious dress, jewellery, tattoos, piercings or personal appearance is necessary, proportionate and supported by an individual risk assessment.
This policy supports compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, as amended, including:
- Regulation 9: Person-centred care;
- Regulation 10: Dignity and respect;
- Regulation 12: Safe care and treatment;
- Regulation 17: Good governance; and
- Regulation 18: Staffing.
It should also be applied in accordance with the Equality Act 2010, the Health and Safety at Work etc. Act 1974, the Personal Protective Equipment at Work Regulations 1992, as amended, and current national infection prevention and control guidance for adult social care in England.
2. Scope
This policy applies to all employees, bank staff, agency workers, apprentices, students, volunteers, contractors and any other person carrying out work on behalf of {{org_field_name}}.
It applies:
- in a person’s own home;
- in shared supported living accommodation;
- in the community;
- during transport;
- at meetings, training and appointments;
- when accompanying people to health, leisure, education, employment or social activities;
- when carrying out personal care, food preparation, medicines support, cleaning, moving and handling or other support activities; and
- whenever a worker represents {{org_field_name}} in an official capacity.
As supported living is delivered in people’s own homes, staff must remember that the environment is primarily the person’s home and not a clinical workplace. Dress requirements must therefore balance safety and infection prevention with the person’s dignity, preferences, privacy, tenancy rights, independence and participation in community life.
Where there is a conflict between a general dress requirement and an assessed individual need, the manager must complete and record a proportionate risk assessment and agree appropriate arrangements with the person receiving support, where practicable.
3. Dress Code Requirements
3.1 General standards
Staff must wear clothing that is:
- clean at the start of duty;
- in good repair;
- appropriate to the work being undertaken;
- compatible with safe moving and handling;
- unlikely to become caught in equipment or be grabbed during foreseeable incidents;
- suitable for the weather and community activity;
- respectful of the person’s home, culture and preferences; and
- capable of being changed promptly if contaminated.
Clothing must not display wording, images or symbols that are offensive, discriminatory, sexually explicit, threatening, politically inflammatory or otherwise inconsistent with the organisation’s values and professional responsibilities.
Clothing must provide reasonable coverage during bending, reaching, moving and handling and other work activities. The standard must be applied consistently and must not be based on gender stereotypes, personal taste or assumptions about a person’s body shape.
Staff must not wear clothing that creates an identified health or safety risk. Any restriction must be based on the activity being undertaken and the level of risk, rather than on a blanket rule.
Managers must consider whether formal uniform or visibly branded clothing could identify or stigmatise a person as receiving care when staff accompany them in the community. Where appropriate, discreet workwear or ordinary clothing should be used, subject to risk assessment and the person’s preferences.
3.2 Uniform and workwear
Where {{org_field_name}} provides a uniform or designated workwear, staff must wear it when instructed, unless:
- an individual support plan or risk assessment identifies that ordinary or discreet clothing is more appropriate;
- wearing a uniform would unnecessarily identify a person as receiving care or support;
- a reasonable adjustment has been agreed;
- religious or cultural dress requirements have been agreed; or
- the manager has authorised an alternative for a specific activity.
Uniform and workwear must:
- fit safely and allow unrestricted movement;
- be clean at the start of duty;
- be changed as soon as practicable when visibly soiled or contaminated;
- be kept in good repair;
- not be altered in a way that creates a safety, identification or infection risk; and
- be worn in accordance with any task-specific risk assessment.
{{org_field_name}} will provide staff with sufficient uniform or workwear, where uniform is mandatory, to allow items to be changed and laundered at appropriate intervals.
Uniform must not be worn for unrelated social or leisure activities. Travel directly to and from work in uniform may be permitted where this does not create an infection, confidentiality, safeguarding or security risk. Staff must cover or remove prominently branded workwear and identification where necessary to protect the privacy of people receiving support.
Staff must not wear contaminated workwear on public transport or into another person’s home. Where contamination occurs, the worker must remove the item safely as soon as practicable, place it in an appropriate bag and follow the organisation’s laundering and waste procedures.
3.3 Choice, dignity and supported living
People receiving support should be involved, where practicable, in decisions about whether staff wear uniform, branded workwear or ordinary clothing in their home and when supporting them in the community.
Staff clothing and identification arrangements must not unnecessarily disclose a person’s disability, health condition or receipt of care and support.
Where a person requests that staff do not wear uniform or visible identification in the community, the request must be considered and respected unless an identified safety, contractual or legal requirement makes this impracticable. Any decision not to follow the person’s preference must be documented, explained and reviewed.
Staff must not wear clinical-looking clothing or PPE as a matter of routine where it is not required by the task or infection risk. PPE must be selected according to the activity and removed promptly after the task has been completed.
3.4 Personal hygiene and grooming
Staff must maintain personal hygiene appropriate to their role and must attend work in a condition that does not create an avoidable infection, health, safety or dignity risk.
Staff must:
- keep their hands and skin visibly clean;
- cover cuts, grazes and broken skin on the hands or exposed forearms with a waterproof dressing;
- report any skin condition, weeping lesion or uncovered wound that may affect safe working;
- maintain good oral and general personal hygiene;
- keep hair clean and secure long hair when it could contact a person, food, medicines, equipment, body fluids or a work surface;
- keep facial hair appropriately clean and secured where necessary for the task or effective use of respiratory protective equipment;
- avoid fragrances where a person has an allergy, respiratory condition, sensory sensitivity, migraine trigger or documented preference; and
- follow hand hygiene and PPE requirements for the activity being carried out.
Personal hygiene expectations must be applied respectfully. Managers must address concerns privately, factually and without discriminatory assumptions.
3.5 Fingernails, hand hygiene and sleeves
Staff providing direct personal care, handling food, supporting medicines, cleaning contaminated equipment or undertaking another activity with an identified infection risk must:
- keep fingernails short, clean and smooth;
- ensure that nails do not interfere with effective hand hygiene or glove integrity;
- not wear false nails, nail extensions or nail jewellery;
- not wear chipped nail varnish;
- keep wrists and forearms free from items that prevent effective hand and wrist cleaning; and
- wear sleeves that can be securely rolled or pushed above the elbow where the task requires effective hand and forearm hygiene.
Unchipped nail varnish may only be worn where this is permitted by the organisation’s infection prevention and control risk assessment. Managers may prohibit nail varnish for particular tasks or during an outbreak.
Gloves do not replace hand hygiene. Staff must clean their hands at the appropriate times before and after care and after removing gloves.
3.6 Footwear
Staff must wear footwear that is appropriate to the activity, environment and identified risks.
When providing personal care, moving and handling, cleaning, food preparation or support involving a foreseeable risk of spills, dropped objects, slips or contact with body fluids, footwear should normally:
- fit securely;
- have a stable, low heel;
- provide suitable grip;
- be in good repair;
- allow the worker to move safely; and
- be capable of being cleaned where contamination is foreseeable.
Open-toed, backless, high-heeled or poorly secured footwear must not be worn where the task-specific risk assessment identifies a risk of injury, contamination, slipping or unsafe moving and handling.
A blanket prohibition does not apply to all office, training or non-care activities. Managers must apply restrictions proportionately to the duties and environment.
Reasonable adjustments must be considered where a disability, health condition, pregnancy, religious practice or other protected characteristic affects the type of footwear a worker can wear.
3.7 Jewellery, watches and accessories
Jewellery and accessories must not:
- prevent effective hand hygiene;
- damage gloves or other PPE;
- come into contact with a person, food, medicines, equipment or contaminated surfaces;
- create an entanglement, snagging or moving and handling risk;
- create a foreseeable risk of being pulled or grabbed; or
- compromise the safety, dignity or comfort of a person receiving support.
During direct personal care, food preparation, medicines preparation, cleaning of contaminated equipment or other tasks requiring effective hand and wrist hygiene:
- wristwatches, fitness trackers and wrist jewellery must be removed;
- bracelets must not be worn;
- hand jewellery should be limited to one plain band where permitted by the infection prevention and control risk assessment; and
- rings with stones, ridges or settings that prevent effective cleaning or may tear gloves must not be worn.
Small, secure earrings and other piercings may be worn where they do not create an identified risk. Restrictions must be proportionate to the worker’s duties and the assessed needs and behaviours of people receiving support.
Staff remain responsible for the security of personal jewellery and accessories worn at work.
3.8 Identification and confidentiality
Staff must carry authorised identification while on duty and must show it when reasonably required.
Staff must wear identification visibly where this is necessary for:
- security;
- access to premises;
- assurance to a person receiving support or their representative;
- professional visits;
- emergencies; or
- another identified operational requirement.
In supported living and community settings, badges should not be displayed where doing so would unnecessarily identify a person as receiving care or support, create a safeguarding risk or disclose confidential information.
Identification badges must:
- contain only information authorised by {{org_field_name}};
- be worn or carried securely;
- not create a ligature, snagging or infection risk;
- be removed or repositioned during personal care, moving and handling, food preparation or other tasks where they may cause harm or contamination; and
- be reported immediately if lost, stolen or damaged.
Where a lanyard is used, it must be suitable for the assessed environment. A safer alternative, such as a badge clip or retractable holder, must be used where a lanyard could be grabbed or become caught.
3.9 Tattoos, piercings and personal expression
{{org_field_name}} respects lawful personal expression. Tattoos and piercings will not be restricted solely because they are visible or because an individual manager dislikes their appearance.
A manager may require a tattoo to be covered where its visible content could reasonably be regarded as:
- discriminatory;
- hateful;
- threatening;
- sexually explicit;
- deliberately offensive;
- supportive of unlawful violence or criminal activity; or
- otherwise incompatible with safeguarding, dignity or professional boundaries.
A piercing may be removed, covered or secured where a documented risk assessment identifies a material risk of:
- infection;
- entanglement;
- being pulled or grabbed;
- damage to PPE;
- contamination;
- injury to the worker or another person; or
- interference with safe care.
Restrictions must be necessary, proportionate, consistently applied and recorded. Religious and cultural significance, disability and other protected characteristics must be considered before a restriction is imposed.
3.10 Religion, belief, culture and reasonable adjustments
{{org_field_name}} respects religious belief, non-religious belief, cultural identity and individual expression. Religious and cultural clothing, headwear and symbols are permitted unless a documented risk assessment identifies a specific and material safety or infection risk that cannot be adequately controlled by a less restrictive measure.
Where a potential risk is identified, the manager must discuss the matter privately with the worker and consider measures such as:
- securing loose material;
- using close-fitting or disposable sleeves for a specific task;
- changing the method by which an identification badge is carried;
- providing alternative PPE;
- adjusting duties temporarily;
- using alternative footwear;
- providing a suitable changing area; or
- agreeing another reasonable and proportionate arrangement.
Head coverings must be clean and must be secured where loose material could contact a person, food, medicines, equipment or a contaminated surface. Where head coverings become contaminated, they must be changed as soon as practicable.
Any restriction must be based on evidence and individual risk, not assumptions about a religion, culture or group. Decisions must comply with the Equality Act 2010 and must be documented and reviewed.
4. Infection prevention and control
{{org_field_name}} will manage dress and workwear in accordance with Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, the statutory Code of Practice on the prevention and control of infections and current national infection prevention and control guidance for adult social care in England.
Dress and workwear precautions must be based on:
- the activity being undertaken;
- the likelihood of contact with blood, body fluids, non-intact skin, mucous membranes, contaminated items or infectious material;
- known or suspected infection;
- current outbreak information;
- the person’s individual risk assessment and support plan; and
- current advice from relevant public health or infection prevention professionals.
4.1 Clean workwear
Staff must begin duty in clean clothing or uniform. Clothing must be changed as soon as practicable where it:
- becomes visibly soiled;
- is contaminated with blood or body fluids;
- becomes wet through during personal care or cleaning;
- has been worn during an activity presenting a significant contamination risk; or
- is identified as requiring replacement under an infection prevention and control risk assessment.
Staff who work across more than one person’s home must take particular care not to transfer contamination between settings. The manager must ensure that arrangements are available for staff to obtain replacement clothing where foreseeable contamination risks exist.
4.2 Personal protective equipment
PPE must be used according to the assessed risk and current guidance. PPE may include disposable gloves, disposable aprons, fluid-resistant masks, eye protection or other equipment appropriate to the task.
Staff must:
- select PPE according to the task and level of risk;
- put on and remove PPE safely;
- change gloves and aprons between people and between different care tasks where required;
- never wash or reuse single-use PPE;
- dispose of used PPE in the correct waste stream;
- perform hand hygiene after removing PPE; and
- report shortages, defects or difficulties obtaining suitable PPE immediately.
PPE must not be used routinely where there is no identified need. Wearing gloves or aprons unnecessarily may be undignified, may create waste and does not replace hand hygiene.
4.3 Contaminated clothing
Where clothing becomes contaminated with blood, body fluids or infectious material, staff must:
- move away from the person and clean area as soon as it is safe to do so;
- remove the clothing in a way that avoids contact with the face and unnecessary dispersal of contamination;
- place it directly into an appropriate bag or container;
- clean exposed skin and perform hand hygiene;
- put on clean replacement clothing; and
- report and record the incident where required by the infection prevention and control, incident reporting or exposure management procedures.
Clothing heavily contaminated with blood or body fluids must not be taken home loose, carried openly or mixed with ordinary personal items.
4.4 Laundering
Uniform and reusable workwear must be laundered at the highest temperature suitable for the fabric, using an appropriate detergent and a complete washing cycle. Where the organisation’s infection prevention and control assessment requires a specific laundering temperature or process, staff must follow that process.
Workwear must:
- be transported in a closed bag where it is soiled or contaminated;
- be kept separate from clean clothing;
- not be shaken;
- be dried thoroughly before reuse;
- be stored in a clean, dry place; and
- not be worn again until visibly clean and completely dry.
Where staff are expected to launder uniforms at home, {{org_field_name}} must provide clear written instructions. Where home laundering cannot safely manage the identified contamination risk, the organisation must arrange an appropriate alternative.
4.5 Outbreaks and enhanced precautions
During an outbreak, or when supporting a person with a known or suspected transmissible infection, the manager may introduce additional temporary dress, PPE, laundry or workwear controls. Staff must follow current advice from the UK Health Security Agency, the local authority, the person’s healthcare professionals or another competent infection prevention professional.
Enhanced requirements must be communicated promptly, documented and withdrawn when they are no longer necessary.
5. Staff responsibilities
All staff are responsible for:
- reading, understanding and following this policy;
- attending required infection prevention and control, moving and handling, food hygiene and PPE training;
- following individual risk assessments and support plans;
- attending work in clean and appropriate clothing;
- maintaining effective hand hygiene;
- using PPE correctly;
- changing contaminated clothing promptly;
- protecting the privacy and dignity of people receiving support;
- reporting damaged or insufficient uniform, workwear or PPE;
- informing their manager about any health condition, disability, allergy, pregnancy-related need, religious requirement or other circumstance requiring an adjustment;
- reporting any infection, skin condition, wound or exposure incident that could affect safe working, in accordance with the organisation’s sickness and infection procedures; and
- raising concerns where the conduct or dress of another worker creates a significant safety, dignity, safeguarding or infection risk.
Staff must not challenge a colleague publicly about personal hygiene, religious dress, disability or appearance unless immediate action is necessary to prevent harm. Concerns should normally be reported discreetly to the line manager.
6. Management responsibilities
Managers are responsible for:
- implementing this policy consistently and fairly;
- completing individual and task-specific risk assessments where required;
- consulting people receiving support about uniform and identification arrangements;
- ensuring that staff have sufficient suitable uniform or workwear where it is mandatory;
- ensuring that suitable PPE is available in the correct sizes and quantities;
- ensuring staff receive appropriate training and competency assessment;
- considering reasonable adjustments promptly;
- ensuring that restrictions are evidence-based, proportionate and recorded;
- addressing concerns privately and respectfully;
- monitoring compliance through supervision, observation, audits, incident reviews and feedback;
- taking prompt action where contaminated workwear, inadequate PPE or unsafe practices create risk;
- seeking occupational health, human resources, infection prevention or health and safety advice where necessary; and
- retaining appropriate records of risk assessments, adjustments, training, audits, concerns and actions taken.
Managers must not impose local dress rules that conflict with this policy or introduce restrictions based only on personal preference.
7. Risk assessment
A written risk assessment must be completed where:
- a person’s behaviour creates a foreseeable grabbing, pulling, ligature or entanglement risk;
- jewellery, piercings, lanyards, headwear or loose clothing may create a specific risk;
- staff support a person with a known or suspected infection;
- contamination of workwear is reasonably foreseeable;
- a staff member requests a reasonable adjustment;
- religious or cultural dress may interact with PPE or a work activity;
- specialist footwear is required;
- respiratory protective equipment is required;
- staff work across several people’s homes during the same shift; or
- the person receiving support requests an arrangement that differs from the usual dress code.
The assessment must identify:
- the nature and likelihood of harm;
- who may be affected;
- existing controls;
- less restrictive alternatives;
- the person’s preferences and dignity;
- equality and human rights considerations;
- additional actions required;
- the responsible person;
- the review date; and
- circumstances requiring an earlier review.
Restrictions must be the least restrictive means of managing the identified risk.
8. Monitoring, audit and non-compliance
Compliance with this policy will be monitored through:
- staff induction and competency checks;
- supervision and appraisal;
- direct observation of practice;
- infection prevention and control audits;
- PPE and uniform stock checks;
- incident and exposure reports;
- complaints and compliments;
- feedback from people receiving support and their representatives;
- sickness and outbreak reviews; and
- management quality assurance systems.
Audit findings and incidents must be used to identify themes, learning and required improvements. Actions must be assigned, recorded, completed and reviewed.
Minor or isolated concerns should normally be addressed promptly through discussion, guidance, retraining or supervision.
Repeated, deliberate or serious failure to follow this policy may be managed under the organisation’s disciplinary procedure. Immediate action may be required where a worker’s clothing, hygiene, jewellery, footwear or failure to use PPE presents a significant risk of harm, infection or loss of dignity.
Any management action must be fair, consistent, proportionate and compliant with employment and equality law.
9. Reasonable adjustments and conflicting requirements
{{org_field_name}} will consider reasonable adjustments for staff whose disability, health condition, pregnancy, menopause-related symptoms, religion or belief, gender reassignment or other protected characteristic affects their ability to comply with a dress requirement.
A staff member requesting an adjustment should speak to their line manager. The manager must:
- discuss the request confidentially;
- identify the relevant work activities and risks;
- consider the worker’s proposed solution;
- consider less restrictive alternatives;
- seek occupational health, human resources, infection prevention or health and safety advice where appropriate;
- record the decision and agreed control measures; and
- set a review date.
A request must not be refused solely because it differs from the usual uniform or appearance standard. Where an adjustment cannot be agreed because it would create an unmanageable risk, the reasons and alternatives considered must be recorded and explained to the worker.
Staff will not be required to disclose more medical or personal information than is reasonably necessary to consider the adjustment.
10. Pregnancy and temporary health needs
Where pregnancy, injury, surgery, swelling, skin sensitivity, sensory need or another temporary health condition affects a worker’s ability to wear standard uniform, footwear or PPE, the manager must review the worker’s risk assessment and consider temporary alternatives.
Adjustments may include:
- alternative sizing or maternity workwear;
- different footwear;
- alternative fabrics;
- additional changes of clothing;
- modified duties;
- additional rest or changing arrangements; or
- alternative PPE that provides an equivalent level of protection.
Temporary arrangements must be documented and reviewed at appropriate intervals.
11. Supply, replacement and costs
Where {{org_field_name}} requires staff to wear a particular uniform or specialist workwear, the organisation will provide sufficient items to enable staff to comply with hygiene and changing requirements.
Staff must report lost, damaged, worn, ill-fitting or insufficient uniform promptly.
Staff will not be required to continue using an item that is unsafe, cannot be adequately cleaned or no longer fits appropriately.
Decisions about charging staff for lost or damaged items must comply with the worker’s contract and applicable employment law. No deduction will be made from wages without lawful authority.
Financial hardship must not result in a worker being required to use unsafe, damaged or unhygienic clothing. Concerns must be discussed confidentially with the manager.
12. Training and competency
Staff must receive information and training appropriate to their role on:
- this policy;
- standard infection control precautions;
- hand hygiene;
- appropriate use of gloves, aprons and other PPE;
- safe putting on and removal of PPE;
- management of contaminated clothing;
- laundering requirements;
- respiratory hygiene;
- exposure to blood or body fluids;
- food hygiene where relevant;
- moving and handling implications of clothing and footwear;
- dignity, confidentiality and identification in supported living;
- equality, religion, belief and reasonable adjustments; and
- reporting concerns and incidents.
Training must be provided during induction and refreshed at intervals determined by risk, current guidance, audit findings and staff competency.
Managers must take action where observation or audit indicates that a worker cannot apply the requirements safely in practice.
13. Related policies and procedures
This policy should be read alongside:
- Infection Prevention and Control Policy;
- Hand Hygiene Procedure;
- Personal Protective Equipment Procedure;
- Management of Blood and Body Fluid Exposure Procedure;
- Outbreak Management Procedure;
- Health and Safety Policy;
- Moving and Handling Policy;
- Food Safety and Hygiene Policy;
- Medicines Management Policy;
- Staff Code of Conduct;
- Equality, Diversity and Inclusion Policy;
- Reasonable Adjustments Procedure;
- Sickness Absence and Staff Infection Reporting Procedure;
- Risk Assessment Policy;
- Incident Reporting Policy;
- Safeguarding Adults Policy;
- Confidentiality and Data Protection Policy;
- Lone Working Policy;
- Disciplinary Procedure; and
- Uniform Issue and Return Procedure, where applicable.
Where document reference numbers are used by {{org_field_name}}, the correct current number must be added beside each policy title.
14. Legislation and guidance
This policy has been developed with reference to:
- Health and Social Care Act 2008;
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, as amended;
- Care Quality Commission guidance on Regulations 9, 10, 12, 17 and 18;
- Health and Social Care Act 2008: Code of Practice on the prevention and control of infections and related guidance;
- current infection prevention and control guidance for adult social care in England;
- Equality Act 2010;
- Health and Safety at Work etc. Act 1974;
- Management of Health and Safety at Work Regulations 1999;
- Personal Protective Equipment at Work Regulations 1992, as amended;
- Control of Substances Hazardous to Health Regulations 2002, as amended;
- Human Rights Act 1998;
- Employment Rights Act 1996; and
- UK General Data Protection Regulation and Data Protection Act 2018, where staff identification includes personal information.
References must be reviewed whenever national guidance, infection prevention advice or CQC regulatory guidance changes.
15. Review, approval and document control
This policy will be reviewed at least annually and sooner where:
- legislation or CQC guidance changes;
- national infection prevention and control guidance changes;
- an outbreak, exposure incident or serious incident identifies a policy weakness;
- an audit identifies repeated non-compliance;
- feedback from people receiving support or staff indicates that the policy is not effective or proportionate;
- new work activities, equipment or PPE are introduced;
- the organisation begins supporting people with different or additional risks; or
- an employment, equality or health and safety concern requires amendment.
The review must consider:
changes to legal or professional guidance.
feedback from people receiving support;
staff feedback;
infection prevention and control audit findings;
incidents and complaints;
reasonable adjustment requests;
disciplinary or grievance themes;
PPE and uniform availability; and
Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.