Provide specialist skin camouflage services

This standard is about providing specialist skin camouflage services to address a wide range of conditions, to restore the skin's colouring to match the unaffected skin tone. It also covers the use of a variety of specialist camouflage products, together with client instruction in the application, maintenance and removal of their own skin camouflage.

To carry out this standard you will need to maintain effective health, safety and hygiene throughout your work. You will also need to maintain your personal appearance and demonstrate effective communication and consultation skills.

The main outcomes of this standard are:

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1. maintain safe and effective methods of working when providing specialist skin camouflage

2. consult, plan and prepare for specialist skin camouflage

3. carry out specialist skin camouflage

4. instruct and advise the client on skin camouflage techniques

5. evaluate the success of instruction

**Maintain safe and effective methods of working when providing specialist skin camouflage

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1.  maintain your responsibilities for health and safety throughout the service

2.  prepare your client and yourself to meet legal and organisational requirements

3.  respect your client's modesty, privacy and any sensitivities to their personal appearance

4.  position your client to meet the needs of the service without causing them discomfort

5.  ensure your own posture and working methods minimise fatigue and the risk of injury to yourself and others

6.  ensure environmental conditions are suitable for the client and the service

7.  keep your work area clean and tidy throughout the service

8.  use working methods that minimise the risk of cross-infection

9.  ensure the use of clean equipment and materials

10. promote environmental and sustainable working practices

11. follow workplace and suppliers' or manufacturers' instructions for the safe use of equipment, materials and products

12. dispose of waste materials to meet legal requirements

13. complete the service within a commercially viable time

Consult, plan and prepare for specialist skin camouflage

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14. use consultation techniques to determine the client's service plan

15. ensure that informed and signed parent or guardian consent is obtained for minors prior to any service

16. ensure that a parent or guardian is present throughout the service for minors under the age of 16

17. recognise any contra-indications and take the necessary action

18. identify and agree the skin camouflage needs and the area to be camouflaged with the client

19. obtain signed, informed consent from the client prior to carrying out the service

20. ensure the client understands the limitations of skin camouflage

Carry out specialist skin camouflage

21. apply compatible skin care products and a complementary colour before the skin camouflage application

22. use application tools, techniques and camouflage products which are best suited to the client and their skin camouflage needs

23. establish an acceptable colour match on the area to be camouflaged to restore the skin colouration to the surrounding skin tone

24. ensure camouflage products are applied to achieve the required density, colour and effect

25. apply compatible cosmetic and skin care products after the skin camouflage application

26. give your client advice and recommendations on the service provided

27. ensure the client's records are completed and signed by you and the client

Instruct and advise the client on skin camouflage techniques

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28. discuss and recommend camouflage products and application tools and techniques to meet the client's skin camouflage needs

29. demonstrate application on the area to be camouflaged and check the client's understanding

30. use instructional techniques which are delivered at a pace suitable for the client

31. guide the client through self-application and removal of the skin camouflage product

32. guide the client on how to select and apply compatible cosmetic and skin care products, for use under or over their camouflage

33. allow the client time to practise skin camouflage techniques on themselves

34. provide the client with opportunities to give feedback, ask questions and seek clarification

35. remind the client on the need to seek medical opinion if any lesions, moles, or conditions change

36. remind the client that they should discontinue the use of camouflage product until medical opinion is sought

**Evaluate the success of instruction

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37. ask your client to make an evaluation of their own learning and provide any additional instructions to meet their needs

38. ask your client questions on the delivery of the instruction process and record their feedback

39. use client feedback to make improvements to your own skin camouflage instructional techniques and delivery

Maintain safe and effective methods of working when providing specialist skin camouflage

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1.  your responsibilities for health and safety as defined by any specific legislation covering your job role

2.  the legal and organisational requirements for client preparation

3.  the legal and organisational requirements for your own personal hygiene, protection and appearance

4.  safe positioning techniques for yourself and your client for optimum skin camouflage application

5.  the necessary environmental conditions for services, such as heating and ventilation and why these are important

6.  why it is important to keep your work area clean and tidy

7.  methods of cleaning, disinfection and sterilisation

8.* * methods of working safely and hygienically and which minimise the risk of cross-infection

9.  the different types of working methods that promote environmental and sustainable working practices

10. the hazards and risks which exist in your workplace and the safe working practices which you must follow

11. suppliers' and manufacturers' instructions for the safe use of equipment, materials and products which you must follow

12. the legal requirements for waste disposal            

13. **the reasons for completing the service in a commercially viable time

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Consult, plan and prepare for specialist skin camouflage

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14. why it is important to communicate with clients in a professional manner

15. how to complete a consultation taking into account the client's diverse needs

16. the legal requirements for providing treatment to minors under 16 years of age

17. the age at which an individual is classed as a minor and how this differs nationally

18. the importance of agreeing the service that meets the client's needs

19. the legal significance of gaining signed, informed client consent to carry out the service

20. the legislative requirements for storing and protecting client data

21. how to recognise contra-indications that would prevent or restrict the service

22. the contra-indications requiring medical referral and why

23. the necessary action to take in relation to specific contra- indications when referring clients

24. the reasons for not naming specific contra-indications when referring clients

25. why it is important to avoid intrusive questioning techniques

26. why it is important to respect the client's modesty, privacy and any sensitivities relating to their own appearance

27. your own limitations when dealing with clients requiring specialist skin camouflage services

28. why clients must appreciate the limitations of skin camouflage and have realistic expectations of the camouflage result

Carry out skin specialist skin camouflage

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29. why it is important to test for a skin colour match on a small area

30. the reasons for applying a complementary colour prior to the skin match         

31. the range and availability of skin camouflage products and where they can be sourced

32. the selection and application of products to meet the needs of individual conditions

33. the principles of colour theory

34. the attributes and limitations of skin camouflage products

35. the different properties in skin camouflage products

36. the compatibility and limitations of other cosmetic and skin care products used in conjunction with skin camouflage

37. the compatibility and limitations of other treatments used in conjunction skin camouflage

38. the different skin types and skin characteristics

39. the structure and functions of the skin

40. the causes and appearance of skin conditions likely to need camouflage

41. the photosensitivity of skin and how it differs in different skin groups such as the Fitzpatrick Classification System

42. the characteristics of different types of scar tissue

43. the importance of understanding such conditions as body dysmorphia

44. the psychological effects of a changed image on the client

45. the correct psychological approach when working with people requiring skin camouflage

46. possible contra-actions which may occur, how to deal with them and what advice to give to clients

47. the benefits of keeping your own reference materials on camouflage applications and conditions

Instruct, advise and evaluate the service

48. how to plan skin camouflage instruction sessions

49. methods of presenting information and instructions

50. methods of demonstrating skin camouflage application techniques and use of tools and equipment

51. how to match instruction with individual clients' learning needs when applying skin camouflage

52. ways of checking the clients' understanding and their ability to carry out skin camouflage application on themselves

53. how to adapt and tailor your skin camouflage instruction to meet individual needs

54. aftercare advice on preservation, maintenance and removal of skin camouflage

55. the advice and recommendations on products and services

56. different methods of evaluating the success of skin camouflage instructional activities

57. the most suitable methods of gaining and recording feedback from skin camouflage instructional activities

Consultation techniques

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1. questioning

2. listening

3. visual

4. manual

5. written

Necessary action

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1. encouraging the client to seek medical advice

2. explaining why the camouflage application cannot be carried out

3. modification of the camouflage service

*Camouflage needs
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1. tattoos

2. atrophic scar tissue

3. hypertrophic scar tissue

4. keloid scar tissue

5. hyperpigmentation

6. hypopigmentation

7. erythema

8. bruising

Area to be camouflaged

1. head or neck

2. chest or shoulders

3. limbs

4. back

5. abdomen

Application tools

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1. brushes

2. fingers

3. sponges

4. velour puffs

Camouflage products

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1. camouflage creams

2. camouflage powders

3. setting products

4. skin stains

Advice and recommendations

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1. suitable aftercare products and their uses

2. avoidance of activities which may cause contra-actions

3. durability and removal of camouflage products

4. future treatment needs

Instructional techniques

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1. skills demonstration

2. verbal explanation

3. use of written instructions

**Health and safety

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1. Health and Safety at Work Act

2. The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR)

3. The Health and Safety (First Aid) Regulations

4. The Regulatory Reform (Fire Safety) Order

5. The Manual Handling Operations Regulations

6. The Control of Substances Hazardous to Health Regulations (COSHH)

7. The Electricity at Work Regulations

8. The Environmental Protection Act

9. The Management of Health and Safety at Work Regulations

10. The Health and Safety (Information for Employees) Regulations

Environmental and sustainable working practices

1. reducing waste and managing waste (recycle, reuse, safe disposal)

2. reducing energy usage (energy efficient equipment, low energy lighting, utilising solar panels)

3. reducing water usage and other resources

4. preventing pollution

5. using disposable items

6. using recycled, eco-friendly furniture

7. using low chemical paint

8. using environmentally friendly product packaging

9. choosing responsible domestic products (Fairtrade tea and coffee)

10. encouraging carbon reducing journeys to work

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Diverse needs

1. cultural

2. religious

3. age

4. disability

5. gender

Contra-indications that would prevent or restrict

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1. abrasions

2. open wounds

3. rashes

4. sutures

Contra-indications requiring medical referral

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1. structural changes in the area to be camouflaged

2. suspicious lesions, including moles

3. infections

4. clinically undiagnosed skin conditions

**Other treatments

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1. topical treatment

2. medical treatments

3. beauty therapy treatment

4. holistic therapy treatment

Skin conditions likely to need camouflage

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1. hypopigmentation such as vitiligo

2. stretch marks

3. hyperpigmentation such as melasma

4. age spots

5. erythema such as acne rosacea

6. thread veins

7. scarring

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Presenting information and instructions

1. pictorially

2. verbally

3. logical sequencing

4. presenting small amounts of information at a time

Advice and recommendations

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1. additional services

2. additional products

3. other products which can be used in conjunction with skin camouflage

4. products/substances/environments which should be avoided

5. camouflage product maintenance

6. camouflage product removal

7. products for home use

The following key values underpin the delivery of services in the beauty, nails and spa sectors

1. a willingness to learn

2. a flexible working attitude

3. a team worker

4. a positive attitude

5. personal and professional ethics

The following behaviours underpin the delivery of services in the beauty, nails and spa sectors. These behaviours ensure that clients receive a positive impression of both the organisation and the individual

1. meeting the organisation's standards of behaviour

2. greeting the client respectfully and in a friendly manner

3. communicating with the client in a way that makes them feel valued and respected

4. treating the client courteously and helpfully at all times

5. adapting behaviour to respond effectively to different client behaviour

6. checking with the client that you have fully understood their expectations

7. responding promptly and positively to the client's questions and comments 

8. recognising information that the client might find complicated and checking whether they fully understood

9. meeting both organisational and industry standards of appearance.

The following key skills underpin the delivery of services in the beauty, nails and spa sectors

1. the ability to self-manage

2. excellent verbal and non-verbal communication

3. using the most appropriate ways of communicating with a client

4. responding promptly to a client seeking assistance

5. quickly locating information that will help the client

6. providing the client with information they need about services and products offered by the organisation

Atrophic scar tissue

Scar tissue that is lower than the surrounding skin; an indented scar.

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Attributes of skin camouflage products

The positive effects of using camouflage products, such as being waterproof and providing a sunblock.

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Erythema

Redness to the skin caused by irritation, or injury to the tissue.

Fitzpatrick Classification System

Devised in 1975 at Harvard University, this is a skin classification system, measured on a scale of 1 to 6, based on photosensitivity reaction to ultra violet radiation.

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Hypertrophic scar tissue

Scar tissue that is higher than the surrounding skin; a protruding scar.

Hyperpigmentation

Excessive colouration in comparison to the surrounding skin due to excess melanin (for example age spots, freckles, stretch marks, sun tan, melasma and chloasma).

Hypopigmentation

Loss of colouration in comparison to the surrounding skin area (for example leucoderma, stretch marks, scarring, vitiligo).