Intimate Care Policy

Approving Body: AGC Ratified: April 2023

Next review: Scheduled April 2025

Definition of Intimate Care

‘Intimate care is any physical care that involves an invasion of bodily privacy, and which may be a potential source of exposure or embarrassment to the pupil or their carer. Intimate care is any care which involves bodily contact during procedures such as washing or carrying out an invasive procedure such as cleaning up a pupil after they have soiled themselves, to intimate personal areas. In most cases such care will involve cleaning for hygiene purposes as part of a staff member’s duty of care.’

Co-op Academy Hillside is committed to safeguarding and promoting the wellbeing of all our children.

Introduction

Intimate care is any care which is associated with invasive procedures relating to bodily functions, bodily products and personal hygiene which demands direct or indirect contact with or exposure of intimate parts of the body, such as cleaning up after a child who has soiled themselves. In addition, some children may need help with dressing/undressing or using the toilet. Most children can carry out these functions themselves but it is recognised that some are unable to due to physical disability, learning difficulties, medical needs or needs arising from the child’s stage of development.

This Intimate Care Policy has been developed to safeguard children, support staff and ensure good practice is followed. At Co-op Academy Hillside, all staff are checked with the Disclosure and Barring Service (DBS) and we are committed to ensuring that all staff responsible for the intimate care of children will undertake their duties in a professional and caring manner at all times. We believe that the intimate care of children cannot be separated from other aspects of their learning and development and we believe that every child has the right to feel safe and secure. We do not discriminate against children who have not reached a stage where they can manage their own personal hygiene and as such welcome all children to participate in our school and provide appropriate support for each child on an individual basis. We recognise the need to treat all children with respect and dignity when intimate care is given. No child should be attended to in a way that causes distress, embarrassment or pain.

We aim to

• Safeguard the rights and promote the welfare of all children and young people including those who may be more vulnerable to abuse.
• Provide guidance and reassurance to staff whose duties may include intimate care.
• Assure parents and carers that staff are knowledgeable about personal care and that their child’s individual needs and concerns are taken into consideration.
• Remove barriers to learning and participation, protect from discrimination and ensure inclusion for all children and young people within our setting.

Our approach to Best Practice

Individual intimate care plans will be drawn up for particular children as appropriate to suit the circumstances of the child. We will work with parents of a child who requires intimate care to establish a preferred procedure for supporting the child.

Where these procedures may require specialist training, we will seek out training for the staff who will be involved in a child’s care, ensuring that the child’s key-person and at least one other member of staff accesses the training. Staff members who are known to the child will take on that responsibility for changing children. The staff member who is involved will always ask the child for permission to assist them. The child will be supported to achieve the highest level of autonomy and independence that is possible given their age and ability. Careful consideration will be given to each child’s situation to determine how many carers might need to be present when a child is toileted. Where possible one child will be catered for by one adult unless there is a sound reason for having more adults present.

It is the parent’s responsibility to provide nappies, disposal bags, wipes, and changing mat.

Positive approaches to intimate care

• Get to know the pupil beforehand in other contexts to gain an appreciation of his/her moods and verbal and non-verbal communication; have a knowledge and understanding of any religious and/or cultural sensitivities regarding aspects of intimate care related to the individual pupil and take full account of these
• Speak to the pupil personally by name so that he/she is aware of being the focus of the activity
• Give explanations of what is happening in a straightforward and reassuring way; be aware of others around who may be able to hear what is being said.
• Enable the pupil to be prepared for and to anticipate events whilst demonstrating respect for his/her body, for example, by giving a strong sensory clue such as the cloth or pad to signal intention to wash or change
• When washing, always use a disposable cloth and where possible encourage the pupil to attempt to wash private parts of the body him/herself; (females should be washed front to back)
• Provide facilities which afford privacy and modesty
• Respect a pupil’s preference for a sequence of care
• Keep records which note responses to intimate care and any changes in behaviour
• Agree appropriate terminology for private parts of the body and functions to be used by staff and encourage pupil to use these terms as appropriate
• Speak to older pupils in a way that reflects their age
• Undertake intimate care with tact, sensitivity and in an unhurried manner
• Ensure that the pupil is the focus of attention. Any conversation should involve and be appropriate to the pupil. During the delivery of intimate care, should the member of staff have cause for concern regarding possible pupil abuse, the recognised safeguarding procedures should be followed, notifying the designated member of staff with responsibility for safeguarding.

Hygiene

• All staff must follow infection control guidelines and be up to date with these guidelines.
• Staff must have access to protective disposable gloves and disposable apron, and take the necessary care when dealing with spillage of blood or other bodily fluids and disposing of dressings or other equipment.
• Staff must wash their hands before and after carrying out intimate care.

Partnership and Participation

We believe that our partnership with parents is an essential principle in our setting and is particularly necessary in relation to children needing intimate care. We recognise that the information required to carry out intimate care is gained from parents as is prior permission. We acknowledge that cultural influences may affect what is deemed ‘intimate’ and ensure we pay regard to social, ethnic and cultural perspectives through open dialogue with parents.

• Parents/carers should be closely involved in the preparation of pupil’ care plans; arrangements should be discussed on a regular basis and recorded on the pupil’s care plan.
• Intimate care should be a positive experience. It is essential that every pupil is treated as an individual and that care is given as sensitively and gently as possible.
• It is important for staff to bear in mind how they would feel in the pupil’s position.
• pupils should be encouraged to be as independent as possible.
• Care to be delivered should be explained to the pupil according to their age and understanding prior to & during carrying out personal care, and when possible their permission sought.
• As far as possible, the pupil should be allowed to exercise choice, furthermore should be encouraged to have a positive image of his/her own body.
• When any intimate care is carried out on children with individual care plans, it will be recorded on their own personal record.

All information concerning intimate care procedures is recorded and stored securely. We appreciate that sometimes children have toileting ‘accidents’ which are out of character for them. In the event of this, and in the absence of a personal intimate care plan, the child would be fully encouraged and supported to achieve the highest level of autonomy that is possible given their age and ability. Staff will encourage the child to do as much for his/herself as possible and parents will be informed the same day. On the rare occasion that a child is soiled to a point where they are unable to clean themselves to a comfortable state, parents would be contacted immediately so that the child could be taken home for bathing.

Care Plans

• The main purpose of the care plan is to identify the support that is needed for the pupil at school. It is written in consultation with the parents and where relevant, appropriate medical professionals.
• This plan clarifies for staff, parents and the pupil the help that the school can provide.
• Any special requirements or concerns relating to intimate care should be identified and documented.
• Individual care plans should be reviewed on a regular basis. This will be done as part of the annual review process, but changes must be made as they occur.

The Protection of Children Child Protection procedures will be adhered to. All children will be taught personal safety skills carefully matched to their level of development and understanding to build their confidence and assertiveness about their own body and its worth. Confident and assertive children who feel their body belongs to them are less vulnerable to abuse. If a member of staff has a concern about physical changes in a child’s presentation, e.g. marks, bruises, soreness etc. s/he will follow our safeguarding procedures.

If a child becomes distressed or unhappy about being cared for by a particular member of staff, the matter will be 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. If a child makes an allegation against a member of staff, all necessary procedures will be followed. (See Safeguarding and Child Protection Policy and Procedures)

Allegations of Abuse

Personnel working in intimate situations with children can feel particularly vulnerable. This school policy can help to reassure both staff involved and the parents of vulnerable children. Action will be taken immediately should there be a discrepancy of reports between a child and the personal assistant. Where there is an allegation of abuse, the guidelines in the Child Protection procedures will be followed.

Policies

These guidelines should be read in conjunction with policies:

• Health and Safety Policy
• Child Protection and Safeguarding Policy
• Administering Medicine Policy
• Complaints Policy
• SEND policy

Appendix

Dear Parent/Carer,

Permission Form for the Provision of Care

If a child wets or soils themselves whilst they are at nursery or reception, it is important that measures are taken to have them changed (and if necessary cleaned) as quickly as possible. Our Early Years staff are experienced and trained at carrying out this task if you wish them to do so or, if preferred, the school can contact you or your emergency contact who will be asked to attend without delay. If a child in an older year group wets or soils themselves, staff will respond in the same way according to this policy.

Co-op Academy Hillside has an Intimate Care Policy which is available upon request. Please fill out the permission slip below stating your preference.

Yours sincerely,

Name of Child………………………….………………………. Class…………………………… Please tick the box as appropriate:

• I give consent for my child to be changed and cleaned by staff if they wet/soil themselves while in the care of Co-op Academy Hillside.

• I do not give consent for my child to be changed and cleaned if they wet/soil themselves. The school will contact me or my emergency contact and I will organise for my child to be cleaned and changed. I understand that in the event that I (or the emergency contact) cannot be contacted, the staff will act appropriately and may need to come into some level of physical contact in order to aid the child.

Signature of Parent/Carer………………….…………………..……Date ……………...………