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Nail Care (Wales) Policy

Aim and Scope of Policy

This policy describes this service’s (care home or domiciliary care) approach to the care of the person using services nails, as agreed from their needs assessment and individual plan. The service considers that finger and nail care is an important part of personal care. Having healthy nails helps to maintain pride in one’s appearance, self-respect and dignity and, with toenails, comfort and mobility.

The policy is in line with the requirements of the Regulated Services (Service Providers and Responsible Individuals) (Wales) Regulations 2017, (Version 2 2019) which provide the provision of safe, person-centred care that always maintains people’s dignity and respect and that results in the people who use the services having confidence in their care providers.

Nail care involves cleaning, cutting and filing, which can be carried out as self-care or by others who are trained and competent in the procedures involved. Consent is always obtained for any nail care, which is proposed or provided and, where the person using services cannot give their consent because of mental incapacity, a decision to provide nail care might need to be taken following a best interests’ assessment and decision. Where nail care is provided, the service will always ensure that the person is treated with dignity and respect throughout the procedures and that their preferences and choices are always respected.

Policy Statement

Fingernail care

The service meets individual needs or requests for help with fingernail care in the following ways.

Toenail care

The service considers that toenail care should be provided as part of general foot care and always following a medical or podiatric assessment of the treatment that is required. It might then meet needs or requests for help with toenail care in the following ways.

Diabetes

Poorly controlled diabetes can lead to a range of foot problems. People who use services with diabetes may suffer from a variety of complications with their feet and require specialist assessment with the appropriate treatment and at least annual assessment.

Common issues include:

Training

Care staff receive training in the finger and toenail procedures that they can carry out in their role from qualified beauticians/chiropodists/podiatrists.

The service encourages its care staff with a corresponding interest and involvement to obtain relevant further vocational qualifications in all aspects of nail care, which will benefit people who use services.


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