Personal Care & Continence PERSONAL CARE & CONTINENCE (QMS-F069-070) Notify Document Ref: QMS-F069-070 (Personal Care & Continence) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Responsive & Caring Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Washing, Dressing & DignityPreferred Washing Method- Select -ShowerBathStrip Wash (at sink)Bed BathLevel of Support for Washing & Dressing- Select -IndependentPrompting & Set-up only (e.g., laying out clothes)Requires 1 Care Worker (Physical assistance)Requires 2 Care Workers (Physical assistance)Care Worker Gender Preference for Intimate Care- Select -Female Care Worker OnlyMale Care Worker OnlyNo PreferenceAdditional Grooming Support Required Oral Care (Teeth brushing) Denture Care & Cleaning Shaving (Electric shaver only) Shaving (Wet shave) Hair washing / brushing Nail care (Filing only - strictly no cutting/clipping) Application of non-medicated moisturisersSECTION 2 - Continence BaselineBladder Control Status- Select -ContinentOccasional IncontinenceIncontinentCatheterisedBowel Control Status- Select -ContinentOccasional IncontinenceIncontinentStoma in placeContinence Aids / Products Used None required Pull-up Pads Wrap-around Slips / Form pads Bed pads / Kylie sheets Convene (Urinal sheath) Commode pan Urinal bottleSECTION 3 - Specialised Continence Support (Catheter & Stoma)Does the service user have a Catheter or Stoma?- Select -YesNoCare Worker Responsibilities for Catheter/Stoma Emptying Catheter Leg Bag Emptying Catheter Night Bag Emptying Stoma Bag only Changing Stoma Bag (Requires formal delegation & specific training) Cleaning Catheter site None - Handled by District Nurse / FamilyName and Contact of involved District Nurse / Continence TeamSECTION 4 - Risk Control & Person-Centred InstructionsStep-by-Step Personal Care InstructionsIs a daily Bowel Movement Log (Form 98) required based on health risk?Mandatory if the service user is on strong opiates, has a history of impaction, or scores a high Waterlow risk.YesNoAssessor NameDate of AssessmentSave Personal Care Needs
