Staff Training/Care & clinical
CQC-aligned · Care Certificate framework

Enteral Feeding and Stoma Care training that gets your team CQC-ready

  • CQC-aligned, mapped to the Care Certificate framework
  • Completed in the hub in over 60 languages
  • A certificate for every staff member, for your CQC evidence
  • A wrong answer triggers a follow-up lesson, so gaps are closed

From £25.99 per staff member, one-off. No subscription needed.

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CareStreamAI Enteral Feeding and Stoma Care training: Why People Need Tube Feeding
Lesson 1 of 8

Why People Need Tube Feeding

Some people cannot eat or drink safely by mouth because of swallowing difficulties, neurological conditions, or other medical reasons. Without tube feeding they would become malnourished, dehydrated and unable to take their medicines. Enteral feeding delivers nutrition, fluids and medication directly into the digestive system through a tube, keeping the person nourished and safe. Your role is to deliver this feeding exactly as prescribed by the dietitian and signed off in the person's care plan.

A clear, practical grounding in enteral feeding and stoma care.

This training gives you the knowledge to safely deliver nutrition, fluids and medication through feeding tubes and care for stoma sites for people who cannot eat or drink by mouth. It covers the different tube types, how to check tube position, give feeds safely, care for the stoma, give medicines through the tube and recognise complications. This is the knowledge part of your competency; you must also complete a practical assessment with a registered professional before you can give feeds in practice.

By the end, your staff will be able to:

Describe the different types of feeding tubes and when each is used
Explain how to check nasogastric tube position safely before every feed and medicine
Identify the correct steps to set up and give an enteral feed according to the person's prescribed regimen
Recognise signs of complications including tube blockage, dislodgement, infection and aspiration and know when to escalate
Apply safe infection prevention, equipment management and documentation practices when delivering enteral feeding and stoma care

A closer look at the enteral feeding and stoma care module.

The module is built in short, practical sections. Each one teaches a part of the topic, then applies it to a real care scenario and checks understanding before moving on.

01

Why People Need Tube Feeding

Some people cannot eat or drink safely by mouth because of swallowing difficulties, neurological conditions, or other medical reasons. Without tube feeding they would become malnourished, dehydrated and unable to take their medicines. Enteral feeding delivers nutrition, fluids and medication directly into the digestive system through a tube, keeping the person nourished and safe. Your role is to deliver this feeding exactly as prescribed by the dietitian and signed off in the person's care plan.

CareStreamAI Enteral Feeding and Stoma Care training: Why People Need Tube Feeding
02

Types of Feeding Tubes

Nasogastric tubes go through the nose into the stomach and are used for short term feeding. Gastrostomy tubes go directly through the abdominal wall into the stomach and include PEG tubes and balloon button devices; these are for longer term feeding. Jejunostomy tubes go into the small intestine. Each person's tube type, size and feeding method is specific to them. You must be signed off as competent for each individual person you support, working to their exact tube and regimen.

CareStreamAI Enteral Feeding and Stoma Care training: Types of Feeding Tubes
03

Checking Nasogastric Tube Position

Before every feed and every medicine given through a nasogastric tube, you must check the tube is still in the stomach, not the lungs. Draw back a small amount of stomach contents using a syringe, then test it with pH indicator paper. The pH must be 5.5 or below to be safe. If you cannot get aspirate or the pH is above 5.5, do not give the feed or medicine. Stop and get help from the registered nurse or clinical team. Never use unsafe methods like listening with a stethoscope or blowing air down the tube. Getting this wrong can kill someone.

CareStreamAI Enteral Feeding and Stoma Care training: Checking Nasogastric Tube Position
04

Setting Up and Giving a Feed Safely

Always wash your hands and use clean technique when handling feeding equipment. Check the feed is the correct type, in date and stored properly. Set up the feeding pump or gravity set according to the manufacturer's instructions and the person's care plan. Position the person sitting upright or at least 30 degrees to reduce aspiration risk. Give the feed at the prescribed rate and volume. Flush the tube with the correct amount of water before and after the feed to keep it clear. Stay with the person and monitor them during the feed.

CareStreamAI Enteral Feeding and Stoma Care training: Setting Up and Giving a Feed Safely
05

Caring for the Stoma Site

A gastrostomy or jejunostomy stoma is where the tube enters the body through the abdominal wall. Clean around the stoma daily with warm water and dry it gently. Check for redness, swelling, discharge, bleeding, leakage of feed or overgranulation. Rotate the tube gently if the care plan says to. For balloon devices, check the water in the balloon weekly as prescribed. Report any changes or concerns immediately. Good stoma care prevents infection and skin breakdown. The person may feel self-conscious about their stoma, so always maintain their dignity and privacy.

CareStreamAI Enteral Feeding and Stoma Care training: Caring for the Stoma Site
06

Giving Medicines Through the Tube

Medicines given through a feeding tube must be in the right form, usually liquid or dispersible tablets crushed and mixed with water. Never put whole tablets or capsules down the tube as they will block it. Flush the tube with water before and after each medicine. Give medicines separately, flushing between each one, not mixed together. Only give medicines prescribed to go via the tube and follow the care plan exactly. If you are unsure about any medicine, stop and check with the nurse or pharmacist. Poor medicine administration can block the tube or mean the person does not get their treatment.

CareStreamAI Enteral Feeding and Stoma Care training: Giving Medicines Through the Tube
07

Recognising and Responding to Complications

Know the signs of problems and what to do. A blocked tube may show as the pump alarming, resistance when flushing or feed not flowing; try warm water flushes but call for help if it does not clear. If the tube falls out, this is an emergency because the stoma can close within hours; cover the site, keep the tube safe and call the clinical team immediately. Signs of aspiration include coughing, choking, breathing changes or chest infection; stop the feed and get urgent help. Vomiting, diarrhoea, constipation or abdominal pain may mean the feed is not being tolerated; stop and report. Always know your limits and when to escalate.

CareStreamAI Enteral Feeding and Stoma Care training: Recognising and Responding to Complications
08

Infection Prevention and Equipment Management

Always wash your hands before and after any contact with feeding equipment or the stoma. Use clean technique when handling syringes, giving sets and feed. Change giving sets according to the manufacturer's instructions, usually every 24 hours. Use the correct water for flushes, usually cooled boiled water or sterile water as specified in the care plan. Store feed as instructed, refrigerate if needed and discard opened feed within the safe time. Keep a spare tube or device in the care setting in case of emergency. Clean and store equipment properly. Good infection control protects the person from serious infections.

CareStreamAI Enteral Feeding and Stoma Care training: Infection Prevention and Equipment Management

The things your team must remember.

  • Competency for enteral feeding is person specific; you must be signed off by a registered professional for each individual you support
  • Always check nasogastric tube position with pH paper before every feed and medicine; pH must be 5.5 or below
  • Position the person upright during feeds, monitor them closely and stop if they show signs the feed is not being tolerated
  • Check the stoma site daily for infection, leakage or skin problems and report any changes immediately
  • Give medicines in the correct form with proper flushing; never crush slow release tablets or put whole tablets down the tube
  • If the tube falls out, this is an emergency; if you cannot get safe aspirate, or if there are signs of aspiration or other complications, stop and get help immediately

Who and how often

Enteral Feeding and Stoma Care is refreshed every year, for the staff in your care setting whose roles require it. It includes a practical sign-off.

CQC and standards

Supports the training evidence CQC expects to see for a well-run, safe care setting.

Not a slideshow once a year. Training that sticks.

CareStream delivers enteral feeding and stoma care training in the hub your team already uses, grounded in best practice and your own policies, so it fits your care setting and not a generic template.

Teach, then assess

Short teaching sections and a real care scenario, then an assessment that checks understanding.

In any language

Staff complete it in over 60 languages, while your records stay in English.

Learn and retry

A wrong answer triggers a short follow-up lesson and a fresh question, so the gap is closed.

Renewals handled

Automatic reminders at 90, 30 and 7 days, with a live compliance dashboard.

From your dashboard to your team, in the CareStream hub.

Training is delivered in the hub each staff member logs into. You allocate the modules, they complete them in their own language, and you get the completion records and certificates for your CQC evidence, with any gaps closed by automatic follow up training.

  1. 01

    Buy and allocate

    Assign Enteral Feeding and Stoma Care to each staff member in seconds. No course builder and no setup for each person.

  2. 02

    They complete it in the hub

    Staff work through the module on any device, in over 60 languages, teaching then checking understanding. A wrong answer sends a short follow up lesson.

  3. 03

    You track it

    See live completion status and a certificate for every person, ready as evidence for CQC.

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Any step, in their language, in one tap.

Care teams are diverse and training should not leave anyone behind. On any lesson or question, a staff member taps the language button and the whole step flips into the language they think in. They understand it properly, and your records stay in English.

  • One tap flips any lesson or question into their language, instantly.
  • Over 60 languages, with no setup and no separate versions to manage.
  • Completions and certificates stay in English for your CQC evidence.

Try the language button in the preview, or see every language

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Enteral Feeding and Stoma Care

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CareStreamAI Enteral Feeding and Stoma Care training

Learning: what to read first

About 35 min

This training gives you the knowledge to safely deliver nutrition, fluids and medication through feeding tubes and care for stoma sites for people who cannot eat or drink by mouth. It covers the different tube types, how to check tube position, give feeds safely, care for the stoma, give medicines through the tube and recognise complications. This is the knowledge part of your competency; you must also complete a practical assessment with a registered professional before you can give feeds in practice.

Inside every course

Built for real learning, not box ticking

Every CareStream course goes further than a lesson and a quiz. These features come as standard on every course, giving your staff a richer way to learn and giving you the evidence to prove it.

References and further reading

Every course is built on recognised UK guidance and cites its sources, from NICE and Skills for Care to the NHS and the legislation itself.

Key terms explained

A plain English glossary of the technical terms in each course. A simple way to support every learner, including staff with English as a second language.

Measured learning gain

A quick knowledge check before the lesson is compared with the final assessment, so every certificate comes with evidence of how much the course actually taught.

Reflective practice

After passing, staff record what they will do differently in their day to day work. Their reflection is saved to their training record and shown with their certificate.

A course summary to keep

A printable one page takeaway of the outcomes, key points and key terms. Perfect for staff files, supervision conversations and the staff room wall.

Observed competency checklist

A printable checklist for managers to confirm skills in practice, with a sign off section. It completes the picture beyond the knowledge assessment.

The CareStream staff training hub showing assigned courses, progress and follow up questionsThe end of module screen with the reflective practice prompt, mapped standards and the printable course summary and competency checklist all available in CareStreamThe printable one page course summary with learning outcomes, key points, key terms and references all available for CPD approved CareStream training modulesThe printable observed competency checklist with tick boxes and a manager sign off section all available for CPD approved CareStream training modulesThe Follow-up section of the staff hub listing the questions a staff member got wrong, each with Learn and retry options all available for CPD approved CareStream training modules
The follow up loop

Wrong answers become lessons, not failures

Most e learning marks an answer wrong and moves on. CareStream does not. Every wrong answer triggers an automatic follow up loop that teaches the point again and rechecks it, so no knowledge gap is left behind.

The Follow-up section of the staff hub listing the questions a staff member got wrong, each with Learn and retry options all available for CPD approved CareStream training modules

Instant lesson and feedback

A wrong answer immediately opens a short lesson explaining the point, so the gap is closed there and then.

Targeted follow up question

A fresh question on the same point checks the lesson has landed. The loop repeats until it has.

Progress only when understood

Staff move on to the next module and their certificate once they genuinely know the answer, not just after one lucky guess.

Why CareStream

Why choose CareStream?

Training built for the care sector, delivered the way busy teams actually learn.

Time to complete: ~35 min

90+ care-specific training courses
Bitesize, engaging lessons your staff actually finish
Mapped to the Care Certificate & CQC standards
Available in 60+ languages
Instant certificate on completion
Flexible learning, anytime, on any device
Content kept up to date with UK care regulations
A care worker viewing their mandatory training on the CareStream app

Frequently asked questions.

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Give your team enteral feeding and stoma care training that actually sticks.

See how CareStream delivers your mandatory training in the hub, in any language.