OnlineNEWS 2 Scoring
The National Early Warning Score 2 (NEWS2) is a standardised system developed by the Royal College of Physicians to sup…
Continence is a person’s ability to control when and where they pass urine or open their bowels. Incontinence is the involuntary leakage of urine, faeces or both.
Urinary and faecal incontinence are symptoms that may have several underlying causes. They are not inevitable consequences of ageing and should not be dismissed as a normal part of living in a care home.
Good continence care focuses on assessment, treatment where possible, maintaining independence, protecting skin and ensuring that any support or containment products are appropriate for the individual.

Continence is an important part of personal comfort, dignity and independence. Changes in bladder or bowel control can affect daily routines, emotional wellbeing and a person’s confidence in asking for support. Understanding these needs helps staff provide sensitive care and recognise when further advice or assessment is needed.
This course explores bladder and bowel continence, common difficulties and the factors that influence a person’s ability to use the toilet. Learners will consider how communication, hydration, diet, mobility, the environment and individual routines contribute to everyday continence support. It also introduces hygiene, skin protection and the supporting role of continence products.
Through realistic care situations and interactive learning, learners will develop their understanding of recognising changes, following individual care plans, recording factual observations and reporting concerns appropriately. The emphasis throughout is on respectful support that promotes independence and remains within the worker’s role, training and responsibilities.
Training Overview
This course introduces the knowledge needed to support adults with bladder and bowel continence needs. You will explore everyday support, sensitive communication, changes requiring attention and appropriate reporting. Interactive activities and realistic care situations will help you connect the learning to practice. Knowledge checks and a final assessment will test your understanding.
Course Information
Course Aim
To develop the knowledge needed to promote continence, support adults respectfully, recognise changes in bladder and bowel needs, and report concerns appropriately within the learner’s role.
Course Objectives
This course will:
Learning Outcomes
By the end of this course, you will be able to:
Who This Course Is For
This course is suitable for care workers, healthcare assistants, support workers, senior carers, agency staff and other workers supporting adults in health and social care.
It is relevant to care homes, domiciliary care, supported living and healthcare settings. Registered professionals may also use the course as an awareness refresher alongside their professional responsibilities and role-specific training.
Course Scope and Limitations
This course covers adult bladder and bowel continence awareness, everyday support, recognition of changes, documentation and reporting. It supports care delivered in accordance with individual care plans, workplace procedures and the learner’s role.
It does not provide training or competency assessment in catheter insertion, rectal examination, invasive bowel procedures, prescribing or specialist continence treatment. It does not authorise learners to diagnose conditions or independently change prescribed treatment.
Completion demonstrates knowledge assessed within this course. Any practical duties require the relevant training, supervision and competency assessment appropriate to the role.
Legal and regulatory references will identify their geographical application. Requirements specific to England will be clearly distinguished from those applying elsewhere in the UK.
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