Non-mobile baby protocol

A non-mobile baby protocol has been written in response to a Serious Case Review which notes that, ‘Accidental bruising on non-independently mobile infants is rare and should therefore always warrant further investigation’.

The aim of the protocol is to safeguard non-mobile babies and older children who are unable to move because they are disabled by putting a procedure into place to protect them if they are observed to have unexplained bruising or other injuries such as fractures, burns or head injuries which might suggest they have been subjected to abuse. Experts recognise that innocent bruising and other injuries might occur, especially in mobile babies. However, evidence states that it is highly unlikely that innocent bruising or other injuries will be observed in non-mobile babies.

Little Explorers are required to keep babies and children safe from harm. We recognise that non-mobile babies and older children who are disabled are at increased risk of abuse. Evidence states that the younger the child the higher the risk that bruising or a mark on a baby is non-accidental. The Local Authority requires us to refer all cases of bruising in non- mobile babies and older children for investigation.

If a non-mobile baby or older non-mobile disabled child arrives in the setting with a bruise or other mark, the mark will be recorded. If a reason has been given for the mark or injury by parents / carers, this will also be recorded – in this instance, the parent / carer will be asked to sign the form.

If a non-mobile baby or older non-mobile disabled child has an accident while in my care that causes a mark or other injury, details will be recoded on an accident form. Parent(s) will be asked to sign the form.

We are not qualified to investigate the cause of bruises or other indications of abuse in babies and children and Local Authority state that any marks that give cause for concern must be referred for further assessment and investigation of potential child abuse without delay.

If you have any questions about this policy or would like to make any comments, please ask.