ROSELYN HOUSE SCHOOL / THE RHISE SERVICE
Intimate and Personal Care Policy
Roselyn House School and The RHISE Service is committed to ensuring that all staff responsible for the intimate care of students will undertake their duties in a professional manner at all times.
We recognise that there is a need to treat all students with respect when intimate care is given. Our practice permits and promotes the greatest level of self-care and independence for every student.
Definition of Intimate Care Intimate Care is any care which involves washing, touching, changing or carrying out an invasive procedure a student is not able to do independently, for example:
Principles of Intimate Care
The provision of personal care may be routine care for some students with a disability. However, the need for personal care occurs occasionally for other students in the School / RHISE Centre.
The following statements are the fundamental principles of intimate care upon which our policy is based.
Every student has the right: ·
To be safe
To personal privacy
To be valued as an individual; to be treated with dignity and respect
To be involved and consulted in their intimate care to the best of their abilities
To express their views on intimate care and to have such views taken into account
To have levels of intimate care that is appropriate and consistent.
All staff working at Roselyn House School / The RHISE Centre will hold up to date Disclosure and Barring Service checks (DBS). Staff designated to carry out intimate care will be properly trained, receive appropriate guidance and know the school’s Safeguarding Policy, Intimate Care Policy and other related pastoral care policies.
Students and volunteers are not permitted to be involved in intimate care.
Staff behaviour is open to scrutiny and staff at Roselyn House School / The RHISE Centre will work in partnership with parents/carers to provide continuity of care to students whenever possible.
The school is committed to ensuring that all staff responsible for the intimate care of students will undertake their duties in a professional manner at all times.
Management of Intimate Care
The management of all students with intimate care needs will be carefully planned. The student who requires intimate care is treated with respect at all times; the student’s welfare and dignity is of paramount importance.
A student will be encouraged to attend to their own needs wherever possible and safe to do so. It may be possible to provide supervision and guidance, intervening only where necessary or if the student asks for help.
The expectation is that staff will use limited touch and when physical contact is made with students, it will be in response to the student’s needs at the time and be of limited duration.
Staff will encourage students to be as independent as they can.
Each student’s right to privacy will be respected.
Personal care should always be provided in an appropriate area so that the student is afforded privacy.
Careful consideration will be given to each student’s situation to determine how many carers might need to be present when a student is toileted or changed.
Where possible, one student will be cared for by one adult.
When a member of staff is required to provide intimate care, they must first notify another member of staff so that they are aware and remain within hearing or sight of the student.
If help is needed, one adult should be inside the room, with the door ajar and a second adult should be outside within hearing or sight of the student.
Continuing/Ongoing Intimate Care Need
If a child has a continuing need for intimate care, for example, they are in a nappy or pull-up, arrangements will be discussed with parents/carers, and an individual care/support plan will be written and signed.
Advice and support from a Health Visitor or School Nurse will be sought where necessary.
Meetings will take place between the parents/carers and the school on a regular basis to monitor progress.
The needs and wishes of students and parents will be taken into account wherever possible within the constraints of staffing and equal opportunities legislation.
Parents/carers will provide nappies or pull-ups, wipes, nappy sacks and a changing mat (where appropriate).
The school will provide disposable gloves and aprons as well as antibacterial hand wash and spray.
When a student requires intimate care, the member of staff caring for the student will notify another member of staff of the task being undertaken, and it will then be recorded in the Personal Care book held by the Group Lead.
It is the responsibility of all staff caring for a student to ensure that they are fully aware of the student’s method and level of communication.
Depending on their maturity and levels of stress, students may communicate using different methods – words, signs, symbols, body movements, pointing etc.
To ensure effective communication:
If a member of staff has any concerns about physical changes in a student’s presentation, e.g. marks, bruises, soreness etc. she/he will immediately report concerns to a DSL following the school’s child protection procedures. (see Safeguarding Policy)
The School Leadership Responsibilities:
Appendix 1 Intimate Care Procedures
Procedure for undressing and dressing students – after soiling/getting clothes dirty/wet:
(When a child is heavily soiled or in distress the parent/carer will be phoned and given the option of coming to school to change their child)
Appendix 2 Intimate Care Procedures
Procedure for changing nappies / pull ups:
(Where a student is heavily soiled or in distress the parent/carer will be phoned and given the option of coming to school to change their child)
PERMISSION FOR SCHOOL STAFF TO PROVIDE INTIMATE CARE
My child has an ongoing medical need and will require intimate care.
Reason for Intimate Care Need
I give permission to Roselyn House School / The RHISE Service to provide appropriate intimate care support to my child e.g.
Changing soiled nappies
Changing soiled clothing
Toileting if and when needed
Other intimate care as may be necessary
I will provide the school with suitable nappies, wipes, nappy bags and a change of clothes.
I will advise the Group Lead of any medical complaint my child may have which affects issues of intimate care e.g. an upset stomach.
I have read the school’s Intimate Care Policy.
I understand that the school will inform me if my child has needed intimate care
Name of Parent / Carer
This is subject to an annual review and will be next reviewed on