CHW181-Burns and Scalds Policy
{{org_field_logo}}
{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Burns and Scalds Policy
1. Purpose
This policy outlines the procedures in place at {{org_field_name}} for preventing, identifying, responding to, and managing incidents involving burns and scalds. It reflects our commitment to delivering a safe and responsive care environment in line with the Regulation and Inspection of Social Care (Wales) Act 2016, the Health and Safety at Work etc. Act 1974, the Manual Handling Operations Regulations 1992, and CIW’s expectations for protecting people from avoidable harm. The purpose of this policy is to ensure that every possible precaution is taken to minimise the risk of burns and scalds to people receiving care, that any incidents are managed efficiently and safely, and that staff are fully trained and competent in prevention and first response.
2. Scope
This policy applies to all staff, including care staff, domestic staff, maintenance workers, kitchen personnel, volunteers, and agency staff. It relates to all people receiving care at {{org_field_name}}, including those who are particularly vulnerable due to frailty, mobility issues, cognitive impairment, or sensory deficits. The policy also covers equipment, environmental controls, water safety, and staff training.
3. Related Policies
This policy should be read alongside:
CHW11 – Safe Care and Treatment Policy
CHW16 – Health and Safety at Work Policy
CHW18 – Risk Management and Assessment Policy
CHW24 – Management of Accidents, Incidents and Near Misses Policy
CHW13 – Safeguarding Adults from Abuse and Improper Treatment Policy
CHW37 – Moving and Handling Policy
CHW40 – Assisting with Personal Care Policy
4. Policy Details
4.1 Understanding Burns and Scalds Risks in a Care Setting
Burns are caused by dry heat, such as contact with hot surfaces or equipment, while scalds are caused by contact with hot liquids or steam. People receiving care may be at increased risk due to thin or sensitive skin, reduced mobility, poor reaction times, or inability to communicate discomfort. Common causes in care settings include hot drinks, cooking areas, radiators and heaters, hot water during bathing or washing, hair styling tools, heated pads or blankets, and accidental spills of hot food or fluids.
4.2 Risk Assessments and Individual Care Planning
All individuals receiving care must have a risk assessment that includes an evaluation of their vulnerability to burns and scalds. This includes assessment of their mobility, skin integrity, cognitive ability, and ability to communicate discomfort. For individuals identified as being at higher risk, their personal care plan must include additional measures such as temperature checks, one-to-one supervision during bathing, and support with hot drinks or meals. Risk assessments are reviewed monthly and after any relevant incident.
4.3 Environmental Controls and Equipment Safety
{{org_field_name}} ensures that the environment is safe through the following control measures:
Hot water temperature regulators (TMVs) are fitted on all outlets used for bathing and personal care to ensure water does not exceed safe temperatures (maximum 43°C)
Regular maintenance checks are carried out by competent personnel to ensure that heating systems, radiators, water outlets, and electrical appliances are safe and compliant
Heaters and radiators are fitted with guards where necessary and checked daily in colder seasons
Hot drinks are transported using trays with lids when necessary, and never placed within reach of individuals who are at risk of spillage or unable to move away quickly
Kitchen and laundry areas are clearly marked as staff-only zones and remain secure at all times
Hairdryers, straighteners, heated blankets and similar items are used only with staff supervision and stored safely after use
4.4 Safe Personal Care Practices
Staff assisting individuals with bathing or washing must always check the temperature of the water using a thermometer and their elbow before helping the person into the bath or shower. Staff must never allow taps to run unattended. Residents must not be left alone with access to hot water or heat sources if they are assessed as being at risk. All personal care involving heat or hot fluids must be documented and carried out according to the individual’s care plan and in line with our procedures under CHW40. Where appropriate, bath aids, thermostatic controls, and anti-scald devices are used to support safe practices.
4.5 Staff Training and Awareness
All staff receive mandatory training in:
Burn and scald prevention and risk identification
Safe handling of hot liquids, food, and care equipment
Water temperature monitoring procedures
Emergency first aid for burns and scalds
Incident reporting and documentation
This training is included at induction and refreshed annually. The Registered Manager is responsible for ensuring training is completed and records are maintained.
4.6 First Aid Response to Burns and Scalds
If a burn or scald occurs, staff must take immediate action as follows:
Remove the individual from the source of heat
Cool the burn under cool or lukewarm running water for at least 20 minutes
Remove any clothing or jewellery near the affected area (unless stuck to the skin)
Do not apply creams, ointments, or greasy substances
Cover the burn with a clean, non-fluffy dressing or cling film
Assess for signs of shock or airway involvement
Contact emergency services or medical professionals as needed
Staff must document the incident clearly in the person’s care notes and complete an accident/incident form under CHW24. The family or representative must be informed, and the care plan updated to reflect any follow-up care or changes in risk management.
4.7 Incident Reporting and CIW Notification
All incidents involving burns or scalds must be recorded immediately and reviewed by the Registered Manager. Serious incidents must be reported to CIW in accordance with Regulation 60. Any pattern or trend identified through incident audits must be acted upon, with additional measures introduced as required. The service ensures transparency and learning from all such incidents.
4.8 Safeguarding Considerations
If there is concern that a burn or scald may have been caused by neglect, unsafe care, or deliberate harm, this must be treated as a safeguarding matter. The incident must be reported to {{org_field_safeguarding_lead_name}}, {{org_field_safeguarding_lead_role}}, and referred to {{org_field_local_authority_authority_name}} in accordance with our Safeguarding Policy (CHW13). Staff are reminded that even accidental harm may amount to neglect if proper procedures have not been followed.
4.9 Monitoring and Quality Assurance
The Registered Manager oversees audits of environmental safety, care documentation, incident reports, and maintenance records. Regular checks ensure compliance with this policy and the implementation of preventative measures. Any areas of non-compliance are addressed through supervision, training, or disciplinary procedures if required. Lessons learned from any incident are shared in staff meetings and action plans are created and monitored through the quality assurance cycle.
5. Policy Review
This policy will be reviewed annually or earlier if prompted by changes in legislation, guidance from CIW or Public Health Wales, or following any burn or scald-related incident. The review is part of {{org_field_name}}’s wider commitment to safety, continuous improvement, and learning.
Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.