Dormers Wells Infant School

Dormers Wells Infant School

Intimate Care 

Purpose of Policy

  • To safeguard the rights of pupils and promote their best interests so that no child is caused distress or discomfort
  • To ensure that pupils’ welfare and dignity are respected
  • To safeguard adults required to provide intimate care to pupils
  • To ensure that named adults with responsibility for Intimate Care have appropriate training: Paediatric First Aid Qualification, safeguarding training and H&S Lifting / Moving (if pupils with specific medical needs are admitted to the school)
  • To raise awareness of all staff and provide a clear procedure for intimate care

 

Definition of Intimate Care

We consider intimate care to fall into the following headings:

  • Supporting a child to dress / undress
  • Providing comfort / support for a distressed child
  • Cleaning and changing the clothing of a child who has soiled him / herself, vomited, been injured or feels unwell
  • Assisting a child requiring medical care which s/he is unable to administer him / herself
  • Administering an invasive procedure, in line with an Intimate Care Plan

 

Support for Dressing / Undressing

Staff will encourage pupils to do this unaided but will give support, only as absolutely necessary to completing the task, especially in EYFS.

Providing Comfort / Support for a Distressed Pupil

Physical contact must be kept to an absolute minimum and be child-initiated. Care given must be age-appropriate and staff members’ hands must always be visible.

If a child touches a staff member in a way that makes her / him feel uncomfortable, this must be gently discouraged in a way that communicates that the touch and not the child is unacceptable. This should be recorded on a Note of Concern sheet and passed to the Headtecher / Deputy Headteacher by the end of the school session.

Cleaning a Child and Changing her / his Clothing

This should only be done after parents (or emergency contacts) have given consent and fully understand the school’s need to take this course of action. If parents can attend the site within a few minutes, the child must be comforted and kept apart from other children to respect her / his dignity. An adult must be present at all times and the child must remain dressed.

If the parent / carer cannot attend school, then verbal consent to change the child’s clothing and clean her / him must be given and a record kept that this has been done.

If neither parents / carers, nor emergency contacts can be reached, then the Headteacher will make the ultimate decision, acting in loco parentis. Parents will be informed of this action in writing.

Assisting a Child requiring Medical Care

See Policy for Administration of Medicines

Administering an Invasive Procedure

This will be done, in line with an Intimate Care Plan, drawn up by Health Professionals and only after school staff have been fully trained in the necessary procedure. A record must be kept each time the procedure is administered.

Two appropriately trained staff members must be present for the administration of an invasive procedure. 

Procedures

  • The procedure being undertaken is discussed in a reassuring way with the child.
  • Privacy is given, appropriate to the child’s age.
  • Physical contact is kept to the absolute minimum required to complete the procedure required.
  • The child may have a preference as to which staff member s/he wishes to carry out the required procedure and this must be respected if that person is available.
  • Staff must be sensitive and responsive to the child’s reactions
  • At our school, procedures will be carried out in the medical room, disabled toilet or Nursery toilets for FS1 pupils.
  • Some procedures can only be carried out by a trained first aider.

 

Safeguarding

We recognise that staff administering Intimate Care are vulnerable to allegations of abuse so their work is open to scrutiny at all times, to protect them. The following rules must be adhered to at all times:

  • Another staff member must be close by when an intimate care procedure is being administered and the door to the room in which the procedure must be left ajar.
  • If an invasive procedure is being carried out, then two appropriately qualified staff members must be present.
  • Under no circumstances must volunteers or students carry out intimate care procedures.

Staff who witness a behaviour about which they are not happy have a duty to report it under the Whistle Blowing Policy and to share their concerns with the designated Child Protection Officer in school immediately.

Any allegation of misconduct against a staff member will be passed on to the LA senior Child Protection Officer for further advice.

 

Hygiene

  • Staff must wear protective, disposable gloves and other protective clothing when appropriate.
  • Body waste must be cleaned up within 10 minutes.
  • Soiled clothing is shaken into the toilet, where possible, sealed in a plastic bag, which is then placed outside the building by the office until home-time, when it is handed to the parent / carer.
  • Soiled and disposable items must be discarded in the appropriate bin which will be collected by PHS once a week.

Medical Needs

We will only admit a pupil with complex medical needs once training for staff and an Intimate Care Plan are in place. Each case will be considered individually as we must be confident that we are able to meet a child’s needs appropriately.

Before admitting a child with long-term Intimate Care requirements, the school will require specially adapted facilities and appropriate therapies to be in place.

 

Intimate Care Plans

  • Rigorous record keeping is required for pupils who have Intimate Care Plans. These are confidential and must be stored in a locked facility.
  • Intimate Care Plans will be drawn up for vulnerable pupils, appropriate to their needs, with the input of healthcare professionals.

An Intimate Care Plan must consider two aspects:

    1. Implications for the School
  • Strategies for developing pupil independence
  • Arrangements for whole school events
  • Storage & availability of Intimate Care stock / equipment
  • List of named and trained persons to deliver specialised Intimate Care

 

2.Implications for the Classroom

  • Enabling the child to leave the room discreetly
  • The child’s seating arrangement in class
  • Being alert to signs that the child is in discomfort
  • Awareness of how discomfort may impact on learning
  • Awareness of bullying / teasing / exclusive practices from peers and how to address them through Circle Time / PSHE
  • Implications for P.E.
  • Timetabling so that the child does not miss the same subject throughout the year, owing to the timing of Intimate Care procedures / medical appointments

 

Working with Parents / Carers and External Agencies

  • Intimate Care Plans will be discussed with parents / carers and a copy will be given to them.
  • The school will work with parents / carers to reassure them that their needs and concerns are taken into account.
  • In the event of an Intimate Care procedure being administered on a school trip, an appropriate facility must be found, two staff members must be present and the incident must be logged and reported to parents / carers on return to school.
  • Parents / carers will be asked to provide spare clothing / nappies to school where this is deemed to be necessary and to remove soiled clothing when the child is collected.

Briggs: 06/12

Review: 06/14