Intimate Care Policy

 

Definition

 

Intimate care may be defined as an activity required to meet the personal care needs of each individual child in partnership with the parents/carer and the child.  Parents/carers have a responsibility to advise of the intimate care needs of their child.


Intimate care can include:

 

  • Washing

  • Dressing

  • Toileting

  • Oral Care

  • Menstrual Care

  • Feeding

  •  

    Introduction

     

  • All children have the right to be safe and treated with dignity and respect. 

  • Staff involved in providing or assisting with intimate care need to be         sensitive to the child’s needs and also aware that some care tasks or   treatments could be open to misinterpretation

  • Staff who work with young children or children who have special needs     will realise the issue of intimate care is a difficult one and will require           staff to be respectful of children’s needs

  • Children’s dignity will be preserved and a high level of privacy, choice       and control will be provided to them/staff who provide intimate care to       children have a high awareness of child protection issues .  Staff     behaviour is open to scrutiny and staff at St Brigid’s primary and Nursery School, Foundation, Key Stage One, Autistic Class and Key Stage Two             Learning Support Class work in partnership with parents/carers to        provide continuity of care to children whenever possible.

  • St Brigid’s Primary and Nursery School, Foundation Stage, Key Stage One Autistic lass and Key Stage Two Learning Support Class is committed to         ensuring that all staff responsible for the intimate care of children will    undertake their duties in a professional manner at all times.  We   recognise that there is a need to treat all children with respect when             intimate care is given.  No child should be attended to in a way that   causes distress or pain.

     

    Guidelines for Good Practice

     

  • All children who require care are treated respectfully at all times;  the      child’s welfare and dignity is of paramount importance.

  • Staff will be supported to adapt their practice in relation to the needs of   the individual children, taking into account developmental changes such    as the onset of puberty and menstruation.  Staff who are involved in the            intimate care of children will not be involved with the delivery of sex        education to these children as an additional safeguard to both staff and         children involved.

  • There is careful communication with each child who needs help with         intimate care in line with their preferred means of communication (verbal, symbolic, etc) to discuss the child’s needs and preferences.  The child is aware of each procedure that is carried out and the reasons for        it.

  • As a basic principle children will be supported to achieve the highest         level of independence that is possible given their age and abilities.  Staff will encourage each child to do as much as themselves as they can.  This         may mean, for example, giving the child responsibility for washing            themselves.  Individual intimate care plans will be drawn up for particular children as appropriate to suit the circumstances of the child.     These plans include a full risk assessment to address issues such as         moving and handling, personal safety of the child and the carer.

  • Ensure practice is intimate care is consistent.  As a child can have multiple carers, a consistent approach to care is essential.  Effective     communication between parents/carers/agencies ensures practice is         consistent.

  • Be aware of one’s own limitations.  Only carry out care activities that       you understand and feel confident to carry out.  If in doubt, ask.  Some          procedures must only be carried out by staff who have been formally             trained and assessed,  eg  enteral feeding.

  • Each child’s right to privacy will be respected.  Careful consideration will be given to each child’s situation to determine how many carers might           need to be present when a child needs help with intimate care.  Where             possible, one child will be cared for by one adult unless there is a sound    reason for having two adults present.

  • Parents/Carers of children with special needs, will be involved with their child’s intimate care arrangements on a regular basis;  a clear account of           the agreed arrangements will be recorded on the child’s care plan.  The      needs and wishes of children and parents will be carefully considered         alongside any possible constraints  eg  staffing and equal opportunities         legislation.

     

    If during the intimate care of a child you accidentally hurt him/her, or if the child appears inappropriately distressed or uncomfortable, reassure the child and ensure his/her safety.  Report and record promptly the incident including any unusual emotional or behavioural response by the child to the designated teacher and parent/carer.  It is important to follow reporting and recording procedures.  A written record of concerns must be made and kept in the child’s medical/nursing/personal file.

     

    The Protection of Children

     

  • Education Child Protection Procedures will be accessible to staff and         adhered to.

  • Where appropriate, all children will be taught personal safety skills,          carefully matched to their level of development and understanding.

  • If a member of staff has any concerns about physical changes in a child’s presentation eg  marks bruises, soreness etc, he/she will immediately           report concerns to the appropriate designated person for child         Protection.  A clear record of the concern will be completed and       referred to social services and/or police, if necessary.  Parents will be informed that a referral is necessary prior to it being made unless doing   so is likely to place the child at greater risk of harm (See our Child             Protection Policy).

  • If a child becomes distressed or unhappy about being cared for by a          particular member of staff, the matter will b looked into and outcomes        recorded.  Parents/Carers will be contacted at the earliest opportunity     as part of this process in order to reach a resolution.  Staffing schedules    will be altered until the issue(s) are resolved so that the child’s needs        are paramount.  Further advice will be taken from outside agencies if         necessary.

     

    If a child makes an allegation against a member of staff, all necessary procedures will be followed (as outlined in our Child Protection Policy).

     

    Personal Care Record

     

    Personal Care Record Book – located in appropriate classroom (Nursery, Year 1, Autistic Class and designated classrooms for identified pupil).

     

  1. To be completed by school staff each time a child needs changing.

     

  2. Personal Care Record Book should be closed and placed in pouch after use to ensure confidentiality of information – use a code for any concerning comments or physical marks on the child that must be reported to the principal/designated teacher.

     

  3. They should be reviewed frequently to identify if there are frequent situations related to a particular child or frequent incidents in a particular part of the room or time of day with a particular individual or group of children.

     

    Personal Care Record (Nursery Specific) for recording Intimate Care

     

     

    Personal Care Record Book – located above sink in playroom.

     

  1. To be completed by Nursery staff each time a child needs changing.

     

  2. Personal Care Record Book should be closed and placed in pouch after use to ensure confidentiality of information – use a code for any concerning comments or physical marks on the child that must be reported to the principal/designated teacher.

 

 

  1. They should be reviewed frequently to identify if there are frequent situations related to a particular child or frequent incidents in a particular part of the room or time of day with a particular individual or group of children.