Standards and Regulations
Fostering Services National Minimum Standards (England) 2011:
Training, Support and Development Standards for Foster Care:
You should be clear about what decisions you can make about giving consent for medical treatment and this will be recorded in the child/young person's Placement Plan.
You must notify Foster for Bradford, via your supervising social worker or the duty / emergency duty team, if a child requires first aid and / or medication as soon as possible after you have dealt with the situation. See Significant Events and Notifications – When I Need to Tell Other People About Things.
You should have a fully equipped first aid box in the home and in each vehicle used to carry children. Your Supervising Social Worker will make sure arrangements are in place to keep first aid boxes fully stocked when they do a Health and Safety check. You should make sure that you take the opportunity to attend health and safety training opportunities when they arise.
First aid boxes should be kept in a safe accessible place, not within reach of small children, where the people who need to get access to them can do so.
The first aid box may be looked at in an unannounced visit.
If a child is at risk or requires first aid, you should apply first-aid if it is safe to do so, and contact your Supervising Social Worker as soon as possible. You must not delay the process of getting medical help.
You should always assess the situation and in a medical emergency, send for medical help and an ambulance or the Police if this is needed.
Before help arrives:
When medical help arrives, pass on any information available, including any medication they may taking.
If a child who is placed with you has particular health needs, the child’s social worker should provide information and advice on specialist advisory or support groups.
You must have written consent/guidance on giving both prescribed and non prescription medication
You are expected to complete records when you administer any medication or when there has been a medical incident i.e. hospital admission, consultant/GP appointments.
If you accept responsibility to give medicines either by injections, administering rectal medication or tube feeding etc. the following criteria should be met:
Any health-related issues should always be discussed in supervision meetings and recorded.
You will receive training in relation to the management and administration of medication.
Home Remedies may only be given to a child with the consent of the parent, if the young person is over 16 or after consulting with the child's GP and it is recorded in the Placement Plan.
Home Remedies are medicines that can be bought over the counter without prescription, including Paracetamol, Aspirin, homeopathic, herbal, aromatherapy, vitamin supplements or alternative therapies. Consideration should be given as to how long a child continues to use Home Remedies before you arrange to see their GP.
Although Aspirin may be purchased 'over the counter', without prescription; it may not be given to children unless prescribed by a medical practitioner.
Home Remedies must be kept in a locked cabinet that is only accessible to you, unless a child is permitted to keep their own Home Remedies, in which case the arrangements for this must be set out in the Placement Plan.
Home Remedies, other than Paracetamol, should only be given for a maximum of 48 hours. If the symptoms continue the child should see a GP before further dosages are given. Where children are not able to give Home Remedies themselves, care must be taken to make sure they take it correctly and with you there.
A specialist allergy nurse/consultant will help develop a Health Care plan which should be shared with you and with all agencies working with the child/young person.
The Care and Placement Plan and Health Care Plan should contain the following:
For further information see the NHS website or see Allergy UK Website.
The following steps must be followed:
All medicines from whatever source, including medication from hospital should be recorded.
The record should show:
Some children and young people are prescribed controlled drugs. Examples of controlled drugs are morphine and pethidine for pain, methadone for withdrawal and Ritalin for hyperactivity.
ALL CONTROLLED DRUGS MUST BE STORED SAFELY BY BEING KEPT IN A LOCKED CABINET. NO MORE THAN 28 DAYS' SUPPLY SHOULD BE KEPT AT A TIME.
See also: CQC information on Controlled Drugs.
A record is required to identify what happens to medication in the home. This record should show:
First aid and records of all medicines that have been given will be recorded in the daily record; if advice is sought from a GP, NHS 111 or pharmacist, you should record details of the discussions. If an accident occurs, which results in a visit to GP/hospital, it should be recorded.