LeicesterIslamicAcademy

Guidelinesforstaffprovidingpersonal

&intimatecarestatement

2016-2017

Guidelinesforstaffprovidingpersonal&intimatecarestatement

LeicesterislamicAcademyiscommittedtoprovidingpersonalcarethathasbeenrecognisedasanassessedneedandindicatedinthecareplanforanindividualchild,inwaysthat:

• maintainthedignityoftheindividualchild.• aresensitivetotheirneedsandpreferences.• maximisesafetyandcomfort.• protectagainstintrusionandabuse.• respectthechild’srighttogiveorwithdrawtheirconsent.• encouragethechildtocareforthemselvesasmuchastheyareableandprotecttherightsofeveryoneinvolved

Thediversityofindividualsandcommunitiesisvaluedandrespected.

Nochildorfamilyisdiscriminatedagainst.

Definition

Intimatepersonalcareincludeshands-onphysicalcareinpersonalhygiene,andphysicalpresenceorobservationduringsuchactivities.Intimatepersonalcaretaskscaninclude:

• bodybathingotherthantoarms,faceandlegsbelowtheknee.• toileting,wipingandcareinthegenitalandanalareas.• dressingandundressing.• applicationofmedicaltreatment,otherthantoarms,faceandlegsbelowtheknee• supportingwiththechangingofsanitaryprotection

Scope

ThispolicyappliestoallstaffundertakingpersonalcaretaskswithchildrenthroughouttheschoolbutparticularlytothosewhoareintheEarlyYearsFoundationStageOneandTwo.Thenormalrangeofdevelopmentforthisgroupofchildrenindicatesthattheymaynotbefullytoilettrained.Duetoparentingissuesitmaybethatsomemaynotevenhavecommencedtoilettrainingatthisage.

Inaddition to this thereareother vulnerablegroupsof childrenandyoungpeople thatmay require supportwithpersonal careoneitherashort,longertermorpermanentbasisduetoSENanddisability,medicalneedsoratemporaryimpairment.

Thiscouldinclude:

• childrenandyoungpeoplewithlimbsinplaster• childrenandyoungpeopleneedingwheelchairsupport• childrenandyoungpeoplewithpervasivemedicalconditions

Introduction

ToiletTraining

Startingschoolornurseryhasalwaysbeenanimportantandpotentiallychallengingtimeforbothchildrenandtheschoolsthatadmitthem. It isalsoatimeofgrowthandveryrapiddevelopmentalchangeforallchildren. AswithalldevelopmentalmilestonesintheEarlyYearsFoundationStage(EYFS),thereiswidevariationinthetimeatwhichchildrenmastertheskillsinvolvedinbeingfullytoilettrained.ForavarietyofreasonschildrenintheEYFSmay:

• befullytoilettrainedacrossallsettings• havebeenfullytoilettrainedbutregressforalittlewhileinresponsetothestressandexcitementofbeginningFoundation

StageOneorTwo• befullytoilettrainedathomebutpronetoaccidentsinnewsettings• beonthepointofbeingtoilettrainedbutrequireremindersandencouragement• notbetoilettrainedatallbutlikelytorespondquicklytoawellstructuredtoilettrainingprogramme• befullytoilettrainedbuthaveaseriousdisabilityorlearningdifficulties• havedelayedonsetoffulltoilettraininginlinewithotherdevelopmentdelaysbutwillprobablymastertheseskillsduringthe

FoundationStage• haveSENDandmightrequirehelp(duringtheFoundationStageandbeyond)withallorsomeaspectsofpersonalcaresuch

aswashing,dressingortoileting

Schoolsarenotexpectedtotoilet trainpupils.Thereforeunlessachildhasadisability,asdefinedthrough legislation, it isexpectedthatparents/carerswillhavetrainedtheirchildtobecleananddrybeforethestartinFS1.

However,admittingchildrenwhoarenotyettoilettrainedorwhohavecontinenceproblemsintoschoolsandsettingsshouldbethedecisionoftheHeadteacher.Thepurposeofthispolicyandguidelinesistoidentifybestpracticeforschoolsandwheresupportandadvicecanbeobtainedtoachievethefullinclusionofallchildren.Anydispute,orcomplaint,regardingadmissionsshouldberaisedinthefirstinstancewiththeHeadteacherandorthecomplaintspolicy.

Parentsshouldbeencouragedtotraintheirchildathomeaspartoftheirdailyroutine,andschoolsshouldreinforcetheseroutineswhilstavoidinganyunnecessaryphysicalcontact.

Ifatallpossible,staffshouldworkwithchildrenofthesamesexandbemindfulofandrespectthepersonaldignityofthepupilswhensupervising,teachingorreinforcingtoiletingskills.

Children and young people beyond the EYFS but throughout the primary and secondary stages of educationmay also experiencedifficultieswithindependenceandrequiresupportwithintimatecareissues.Theseissuesarelikelytorelatetocomplexhealthneedsoraspecificdisabilityrecognisedwithinrelevantlegislation.

These guidelines will ensure schools and settings overcome these challenges and can be confident they are meeting the welfarerequirements of the Early Years Foundation Stage (2012) andDisabilityDiscriminationAct (1995), SENDA (2001) and Equalities Act2010astheyapplytochildrenwithtoiletingandcontinenceneeds.

Safeguarding

Thesafeguardingandwelfarerequirementsaredesignedtohelpproviderscreatehighqualitysettingswhicharewelcoming,safeandstimulatingandwherechildrenareabletoenjoylearningandgrowinconfidence.(EarlyYearsFoundationStageStatutoryFrameworkp.13,2014)

Schoolsare required to complywithSection175of theEducationAct2002,which requires that the safetyandwelfareofpupils ispromoted.

Staffshouldbeawareoftheseguidelinesandencouragedtofollowthemfortheirownprotectionaswellasfortheprotectionofthechildren.TheyshouldalsohaveagoodknowledgeofthelatestKeepingchildrenSafeinEducationandtheschool’sSafeguardingPolicy(including‘AllegationsagainstStaff’).

Policiesandproceduresshouldbeinplaceaspartofsafeguardingframeworkrelatingtosafeguardingbothchildrenandadults.It isalsoimportantthatschoolleadersensurestaffaresupportedandtrainedsothattheyfeelconfidentintheirpractice.

CRBchecksarerigorousandarecarriedouttoensurethesafetyofchildrenwithstaffemployedinschoolsandsettings.Allschools/settings have a duty to ensure staff are not employedwithout a CRB check. Thismust be checkedbefore allowing staff to changechildren.It isessentialthatsaferworkingpracticesareadheredtoandthatnosettingorschoolsimplyreliesontheresultsofaCRBchecktoensurethatstaffareworkingappropriately.

All schools and settings are required to maintain a single central register which lists qualifications as well as details of trainingundertakenandchecksundertaken.

Section23intheDSCFGuidance‘GuidanceforSaferWorkingPracticeforAdultsworkingwithChildrenandYoungPeopleinEducationsettings’(March2009)statesthatstaffshould:

• always inform other colleagues and/or parents/carers about the contact(s) beforehand, assessing the need to have thempresentorcloseby

andSection20:

• makeotherstaffawareofthetaskbeingundertaken

Itisessentialthattheadultwhoisgoingtochangethechildinformstheteacherand/oranothermemberofstaffthattheyaregoingtodothis.Thereisnowrittenlegalrequirementthattwoadultsmustbepresent.However,inordertocompletelysecureagainstanyriskofallegation,asecondmemberofstaffmaybepresentwhereresourcesallow.

HealthandSafety

The provider must promote the good health of children attending the setting and take necessary steps to prevent the spread ofinfection,andtakeappropriateactionifchildrenareillorinfectious.

(EarlyYearsFoundationStageStatutoryFrameworkp.21,2014)

InductionproceduresandcontinuedCPDshouldbeinplacewithintheschooltosupportstaff indealingappropriatelywithissuesofintimatecare.

Schoolsshouldalreadyhaveproceduresinplacefordealingwithspillagesofbodilyfluidssuchastheprocesstobefollowedwhenachildaccidentallywetsorsoilshimself,orissickwhileonthepremises.Thesameprecautionswillapplyfornappy/pullups/changing.

Thiscouldinclude:

• stafftowearfreshdisposableapronsandgloveswhilechangingachild• soilednappies/pullupssecurelywrappedanddisposedofappropriately• changingarea/toilettobeleftclean.• caretaking/cleaningstafftobeinformed• hotwaterandsoapavailabletowashhandsassoonaschangingisdone• papertowelstobeavailabletodryhands.

The school will need tomake enquiries about the disposal of nappies if they do not already have arrangements in place. CurrentguidancefromtheHealthandSafetyExecutive,‘ManagingOffensive/HygieneWaste’(January2009),isthatanydisposalofwasteforone child canbe in theusual binsusingappropriatenappy sacks. Thewaste in this instancewouldbe considered tobemunicipalwaste.Anymorethanthisandschoolswillneedtomakespecialarrangements. Forwetnappiesasinglebagissufficientbutsoilednappiesrequiredoublebagging.However,themedicalcentreonsomegarrisonshavewhitebinsthatareavailableforsoiledandwetnappiesandarrangementsfordeliveryandcollectioncanbemadethroughcontactingyourlocalgarrisonmedicalcentre.

ShouldpupilhandlingberequiredinordertosupportorcompleteanyintimatecareprocedurethenadviceshouldbesoughtthroughanappropriateSHEFadviser.

Facilitiesandresources

Providersmustensuretherearesuitablehygienicchangingfacilitiesforchanginganychildrenwhoareinnappiesandprovidersshouldensurethatanadequatesupplyofcleanbedding,towels,spareclothesandanyothernecessaryitemsisalwaysareavailable.

(EarlyYearsFoundationStageStatutoryFrameworkp.25,2012)

Asuitableplaceforchangingchildren,includingprovidingthenecessaryresources(seeHealthandSafetysection)shouldbeincludedin a school’s/ setting’sAccessPlan. TheDepartmentofHealth recommends thatoneextended cubiclewith awashbasin shouldbeprovidedineachschoolforchildrenwithdisabilities.

Theguidanceisthatwheneverpossibleitisrecommendedthat:

• mobilechildrenarechangedstandingup• if this isnotpossible thenextbestalternative is tochangeachildonapurposebuilt changingbed (theseareavailableas

portableorfixedandcanbeloweredandraisedsafely)• childreninFS1andFS2maybechangedonamatonasuitablesurfaceifitisnotpossibleforthemtochangestandingupor

onachangingbed.• Iffacilitiesdescribedabovearenotavailable,thenchildreninFS1andFS2maybechangedonachangingmatonthefloor.

Childreninyear1andaboveshouldonlybechangedeitheronachangingbedorinatoiletcubiclestandingup.

Considerationofchallengesforschoolsandsettings:

It can take around ten minutes to change an individual child. The resource allocation of staff time is therefore an importantconsiderationthatisconstantlychanging.Itisthereforeimportantthatmanagersremainawarethattheirstaffallocationswillneedtobeflexibleinordertomatchneed.

Tenminutesisnotdissimilartotheamountoftimeallocatedtoworkwithachildonanindividuallearningtarget.Changingtimecanbeapositivelearningtimeandanopportunitytopromoteindependenceandself-worth.

The Headteacher or setting manager will need to ensure that, where necessary, resources from themainstream funding are ringfencedforsupporttoSENDsothatchildren’sindividualneedsaremet,includingfortoiletingissues.

Inpracticaltermstoiletingissuesrequiretheprovisionof;

§ hotrunningwaterandsoap(antibacterialwherepossible)§ toiletrolls§ antisepticcleanser§ Milton/sterilisingfluid§ bowl/bucket§ papertowels/cloths§ disposableapronsandgloves§ nappybags/sacks§ cleaningequipment§ bin

§ asupplyofsparenappiesandwipes(providedbythechild’sparent/carer)§ spare clothes (it alwaysuseful for each child tohave theirown spare clotheson theirpeg to change into forphysical and

emotionalcomfort)

ChecksshouldbemadebeforehandtoensurethattherearesuitablefacilitiesforintimatecareavailableonexcursionswheretheywillbenecessaryandconsiderhowintimatecarecanbedealtwithinrelationtoPE,swimming,afterschoolclubs,transporttoandfromschooletc.

PartnershipWorkingParentsarechildren’s firstandmostenduringeducators. Whenparentsandpractitionersworktogether inearlyyear’ssettings, theresultshaveapositiveimpactonchildren’sdevelopmentandlearning.

EarlyYearsFoundationStageCard2.2PositiveRelationships:ParentsasPartners

Partnershipwithparentsisanimportantprincipleinanyeducationalsettingandisparticularlynecessaryinrelationtoyoungpeople.Muchoftheinformationrequiredbytheschooltomaketheprocessofintimatecareascomfortableaspossibleisavailablefromtheparents.Regularconsultationandinformationsharingremainsanessentialfeatureofthispartnership.

Issuesaroundtoiletingshouldbediscussedatameetingwiththeparents/carerspriortoadmissions intotheschool/setting. Seniorleadersmustbemadeawareoftheseatthispoint.ThiswillincludeadmissionsforchildrenintoFS1andFS2andwillalsoprovideanopportunitytoinvolveotheragenciesasappropriate,suchasaHealthVisitor.

IftheschoolbecomesawarethatthereisadisproportionatenumberofchildrenarrivingatschoolwhoarenotyettoilettrainedthentheyareadvisedtomakecontactwiththeHealthVisitorintheirgarrisontodiscusstheirconcerns.

The school ‘Intimate Care Policy’ will make clear the schools position in relation to changing and toileting children. This could besummarisedintoaninformationbookletforparents.

Settingswillwanttomakeclearhowtheywork inpartnershipwithparentswhenachild iscomingtoschool inanappyorpull-ups.Such an agreement helps to avoidmisunderstandings and also helps parents/ carers feel confident that the schoolwillmeet theirchild’sneeds.Thiscanbedonebycompletingan‘IntimateCarePlan’withtheparentsifthechildwillbeenteringthesettingwearingnappies/pullups.

Someschoolsmaywanttoprepareahome/schoolmanagementagreementthatdefinestheresponsibilitiesthateachpartnerhas.Thismightinclude:

Parents/Carers:

• agreeingtochangethechildatthelatestpossibletimebeforecomingtoschool• providingsparenappies,wetwipesandachangeofclothes• understandingandagreeingtheprocedurestobefollowedduringchangingatschool• agreeingtoinformschoolshouldthechildhaveanymarks/rash• agreeinghowoftenthechildshouldberoutinelychangedifthechildisinschoolforthedayandwhowilldothechanging• agreeingtoreviewthearrangements,indiscussionwiththeschool,shouldthisbenecessary• agreeingtoencouragethechild’sparticipationintoiletingprocedureswhereverpossible.

Theschool:

• agreeingtochangethechildshouldtheysoilthemselvesorbecomewet• agreeinghowoftenthechildshouldberoutinelychangedifthechildisinschoolforthefulldayandwhowouldbechanging

them• agreeingaminimumnumberofchanges• agreeingtoreporttotheHeadteacherorSENCOshouldthechildbedistressedorifmarks/rashesareseen• agreeingtoreviewarrangements,indiscussionwithparents/carers,shouldthisbenecessary• agreeingtoencouragethechild’sparticipationintoiletingprocedureswhereverpossible• discussingandtakingtheappropriateactiontorespecttheculturalpracticesofthefamily.

IfthechildoryoungpersonhasadisabilityrecognisedaspartoftheDisabilityDiscriminationAct,askingortellingparentstocomeandchangetheirchild(unlesstheparentshaveexpressedapreferenceforthis)orwantinganoldersiblingtochangetheirsister/brotherislikely tobe adirect contraventionof theDDA, as is leaving a child soiledwhich couldplace the child at significant risk. Whereverpossiblethechildoryoungpersonshouldbeencouragedtodoasmuchastheycanforthemselves.

Theprocessforthemanagementofachild’spersonalcareneedsmayneedtobefurtherclarifiedthroughaToiletManagementPlanorHealthCarePlan.Forexample,wheretheschoolhasconcernsaboutparentalsupport,forchildrentransferringtoFS2orabovewhoarenottoilettrainedandforchildrenwithSENand/ordisabilities.

Whereappropriate,parentsandschoolwillneedtoagreeatoilettrainingprogramme.

Intheverysmallnumberofcaseswhereparentsdonotco-operateorwherethereareconcernsthat:

• thechildisregularlycomingtoschool/FoundationOneinverywetorverysoilednappies/pullupsand• thereisevidenceofexcessivesorenessthatisnotbeingtreated• theparentsarenotseekingorfollowingadvice

Inthefirstinstanceconcernsshouldberaisedwiththeparents.AmeetingmaybecalledthatcouldpossiblyincludethehealthvisitorandHeadteachertoidentifytheareasofconcernandhowallpresentcanaddressthem.Iftheseconcernscontinuethereshouldbediscussionswiththeschool’ssafeguardingco-ordinatorabouttheappropriateactiontotaketosafeguardthewelfareofthechild.

ConfidentialityConfidentiality isan important issue. Allschoolsshouldhave,aspartoftheirpartnershipworking,aConfidentialitysectionwhichissharedwithallstaff,parentsand,wherepossible,pupils. Sensitive informationaboutachildshouldbesharedonlywiththosewhoneedtoknow,suchasparentsorothermembersofstaffwhoarespecificallyinvolvedwiththechild.Escortsandothersshouldonlybetoldwhatisnecessaryforthemtoknowtokeepthechildsafe.Parentsandchildrenneedtoknowthatwherestaffhaveconcernsabout a child’swellbeing or safety arising from something said by the child or an observationmade by the staff then the school’sResponsiblePersonforSafeguardingwillbeinformed.Thismayleadtotheproceduressetdownintheschool’sSafeguardingPolicybeingimplemented.

Information concerning intimate care procedures should not be recorded in a home school diary, as the diary is not a confidentialdocumentandcouldbeaccessedbypeopleotherthantheparent/carerandmemberofstaff.Itisrecommendedthatcommunicationrelatingtointimatecareshouldbemadethroughoneofthefollowing:

§ Sealedletter

§ Personalcontact(andrecordedinalog)

§ Telephonecall–betweenmemberofstaffandparent/carer(andrecordedinalog)

Sharing informationbetweenhomeandschools is importanttosecurethebestcareforpupilsbuttheconsentofparentsandtheirchildrenwhoareabletogivesuchconsentisneededfortheHeadteachertopassoninformationabouttheirchild’shealthtoschoolstafforotheragencies.TheiragreementisalsoneededforanyexchangeofinformationbetweentheMedicalOfficerandtheschoolaboutachild’smedicalcondition.

Parentsandstaffshouldbeawarethatmattersconcerningintimatecarewillbedealtwithconfidentiallyandsensitivelyandthattheyoungperson’srighttoprivacyanddignityismaintainedatalltimes.

AgreeingaProcedureforPersonalCareinSchool

IntimatecareatLIAschoolsandfoundationstagesettingsareordinarilyagreedaspartofemployeesjobdescriptionorotherwise.

Schoolsshouldhaveclear,writtenguidelinesforstafftofollowwhenchangingachildsothatstaffarenotputatanyunnecessaryrisk.

Writtenguidelinesshouldspecify:

• Whowillchangethechild(toincludemorethanonepersontocoverforabsenceetc)• Wherechangingwilltakeplace• Whatresourceswillbeusedandwhowillprovidethem• Howanappywillbedisposedof• Howotherwetorsoiledclotheswillbedealtwith• Whatinfectioncontrolmeasuresareinplace• Whatthememberofstaffwilldoifthechildisundulydistressedorifmarksorinjuriesarenoticed• Howchangingoccasionswillberecordedandhowthiswillbecommunicatedtoparents(inconfidence)

Note:

Staffshouldtakecare(bothverballyandintermsoftheirbodylanguage)toensurethatthechildisnevermadetofeelinsecure.

Bestpracticeshouldbefollowedandbyensuringthatallofthoseinvolvedwithintimatecarereceivespecificinductionfromtheschoolontheseproceduresandprotocols:

Insummary

• Befullyawareofthelegislativeframework• Recognisethatformostchildren,achievingcontinenceisoneofmanydevelopmentalmilestones,• Workinpartnershipwithparents/carerspriortoandafteradmissionsintotheschools/setting• Takefullaccountofthereligiousviewsandculturalvaluesattachedtoaspectsofintimatecarerelatedtothechild

• Agreewithparents, staff andchildren, theappropriate terminology forprivatepartsof thebodyand functions.Use thesetermsasappropriate.

• Agreeawrittenprocedureforpersonalcare/toileting• Respecteachchild’spersonaldignity• Gettoknowthechildinarangeofcontextstogainanappreciationofhis/hermoodsandverbal/non-verbalcommunication• Ensureclarityinjobdescriptionsofthepersonnelinvolvedinchangingchildren• View‘changing’timeasapositivelearningexperience(aimingtograduallyincreasethechild’sindependenceandself-worth).

DuringIntimateCare:

• Speaktothechildpersonallybynamesothats/heisawareofbeingthefocusoftheactivity• Giveexplanationsofwhatishappeninginastraightforwardandreassuringway• Enablethechildtobepreparedforandtoanticipateeventswhiledemonstratingrespectforhis/herbodye.g.bygivingthem

astrongsensorycluesuchasusingaspongeorpadtosignalanintentiontowashorchange• Whenwashing,alwaysuseaspongeorflannelandwherepossibleencouragethechildtoattempttowashprivatepartsof

thebodyhim/herself• Providefacilitieswhichaffordprivacyandmodestye.g.separatetoiletingandchangingforboysandgirlsoratleastadequate

screening;bathingchangingonechildatatime• Respectachild’spreferenceforaparticularcarerandsequenceofcare• Keeprecords,whichnoteresponsestointimatecareandchangesinbehaviour• Bestpractice shouldbe followedbyensuring thatall those involvedwith intimatecare receive specific induction fromthe

schoolontheseproceduresandprotocols.