What is continence, sleep and behaviour consultancy?

Welcome to Clear Steps Consultancy

With over twenty-five years qualified experience, we understand what it means to take the first steps in seeking and needing help, advice and further information.

We support individual children or young people from around the world, with and without a diagnosis, to enable families, carers, nurseries, schools, charities, organisations and professionals to access proven, focused, research, with experience and quality, help, care, training and support.

A Queen’s Nursing Institute Award winner, a registered Nurse in Learning Disability (RNLD Diploma in Health and Social Work), BSc (Hons) Community Specialist Practice Degree background and experience of working in clinics, schools, charities, NHS settings, family homes and organizations, we ensure children, young people and their families are always at the core of all support approaches.

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Step by step support approaches


  • Potty
  • Toilet Training
  • Wee & Poo
  • Day-time and night-time accidents
  • Soiling
  • Smearing


  • Refusal or reluctance to enter the toilet area
  • Insistence in wearing a nappy or pull up
  • Understanding the toileting routine
  • Moving from wearing a nappy to using the toilet
  • Moving from weeing or pooing around the home to using the toilet
  • Difficulties eating
  • Communication difficulties
  • Sensory needs
  • Routines
  • Demands
  • Avoidance
  • Anxiety
  • Puberty
  • Menstruation


  • Understanding the bedtime routine
  • Moving from bedtime battles to sleeping
  • Introducing a bedtime routine
  • Settling to sleep
  • Moving from co sleeping to sleeping independently
  • Reducing bed times and promoting sleeping times
  • Waking in the night
  • Waking early in the morning
  • Waking later in the morning
  • Identification of sleep conditions

The individual approaches available incorporate physical health needs, alternative communication, sensory needs, dietetic advice, environment, incentives, and motivators, enabling more than one need to be explored, to truly understand what the underlying need is, what the child or young person is experiencing, the reason for the difficulties and how to help them as an individual, their family and the team of support around them in moving forward and progressing.

Our support approaches include courses, webinars, groups, published books, Starter Packages of Care and Solution Consultancy Direct Assessment Packages of care.

To clarify and confirm the best support approach for you as a family, organisation, your child or young person, we are more than happy to discuss the options via a FREE introductory call. This provides an opportunity to discuss your child or young person’s needs, the support options available and identify the best approach to help move forward and progress.

We look forward to supporting you further, as a Continence Sleep and Behaviour Consultant.

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Help is available

Email us now, to book a FREE introductory consultation call

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Here’s what our clients say…


Toileting Success!

“We wanted to start toilet training our son, who was due to start school. Our son has a diagnosis of Autism, no speech and was weeing and pooing behind the curtain in the lounge. We didn’t know where to start!

Charmaine was able to help us with a step by step plan of where to start and how to help our son progress. It worked! Our son now uses the toilet to wee and poo! We are so pleased, words can not describe how much this has changed our lives as a family!”