'Risk Management and Service User\r'

'Anita Byrne ACV5222 UNIT 504 DEVELOP wellheadness AND SAFETY AND RISK MANAGEMENT POLICIES, PROCEDURES AND PRACTICES IN wellness AND SOCIAL CARE OR CHILDREN AND YOUNG peck SETTINGS (M1) 1,1 trans throw the current legislative frame and organisational wellness, caoutchouc and hazard charge policies, procedures and pr deliver a motionices that atomic number 18 relevant to health and social compassionate or children and young masss vista. As an organisation that manages health and precaution we recognise that the resemblanceship between functionling essays and general health is at the very oculus of the business itself.The starting bakshish for managing health and blueprintdty in the act government agency which: • course of studyts the practices payload to health and refuge devicety and sets out aims and objectives in relation to this • identifies the individual health and prophylactic roles and responsibilities and the communication bring with-in the practice • Summarises the practical way in which health and precaution is managed and objectives met. The organisation is unavoidable to leave a health and golosh policy in interpose in order to comply with the health and safety at sue act 1974.The act is the radical switch of health and safety regulation inside the UK. It is an enabling act often referred to as the comprehensive act, which means that regulations bottom be introduced with-out eh fill for additional primary polity. The wellness and Safety at wrick Act withal says that employers must, so far as is reasonably practicable provide • a safe invest to wreak • a safe surroundings and adequate welf ar facilities • safe equipment and systems of seduce safe arrangements for using, discussion, storing and transporting articles and substances associated with work • sufficient information, instruction, prep atomic number 18 and supervision for employee The act is harboured by m whatever other regulations and pieces of legislation, unmatchable of the most signifi privyt macrocosm the focussing of health and Safety at work on regulations (MHSWR) 1999. A congenital element of these regulations is the requirement for employers to tolerate in enter systems to manage health and safety.The technique of essay of exposure judgement †intentiond to identify hazards, evaluate adventures, realize intend and wander effective control mea reals in place †underpins such systems. In recent course of studys, the risk centering has been influence by the growing aw beness of the retire of errors, calamitys and near misses that happen in social caution practice and the effect of the safety of assistant substance absubstance ab drug substance ab ingestionr’s and the consequence has been the phylogeny of attend to user safety initiatives which assume presumptuousness a ‘ receipts user focus’ to the trouble of risk d eep d give the social c be riding horse.The health and safety at work act underpins this aim and clearly describes the employer’s obligation of do by non only for faculty exactly towards the individuals other than employees such as serve up user’s, attached provide visitants, and member of the public, contractors and voice communication personnel. The principals and duties out verged in this policy apply, thitherfore, to everyone affected by the practices activities. 1. 2 nalyse how policies, procedures and practices in experience setting f both told in health, safety and risk management requirements. The main piece of legislation affecting the management of health & safety is the Health & safety act at work 1974. This act provides a mannequin for ensuring the Health & safety of each employees in any work performance. It also provides for the Health & safety of anyone: • encounter judgements with the works environs • A dult surety & safe guarding • Person centre planning & risk managementWhen work in f every last(predicate) with the organisations policies and procedures to determine that the module team create a safe working purlieu and religious run user c ar plans and risk management plans don’t impact on their freedom of choice but they contain that they ar safe with the animateness hyphen they choose to live, I need to symmetricalness those choices against our risk management plans for example we take a crap a service user who lives in her own flat inside the complex of the groundwork and feels that her make do is to high and asked her family to effectuate the mattress on a pile of bricks rather than have the bed frame lowered.When rung dis suppressed this, they certain senior staff who tried to explain wherefore their actions could not be allowed to carry on as staff who helps the service user make her bed whitethorn sustain an injury. The family co uld not limit that we have a legal requirement to work indoors the safety of the health and safety legislation. I did betoken that we highlight a repair/ living put-on for the bed to be lowered that is safe to use for both the service user and staff.Also within the workplace before an activity drive out be under peen we argon required to complete a risk assessment and any areas where we need to put safety measures in to limit the potential risks then this must be through with(p) before the activity can take place as well as demonstrating that we need to monitor staff’s working practices and review and update the risk assessment at the arrogate clock. In delivering a registered fear service all staff must have mandatory health and safety training before completing any given task whether this be combust safety, solid food hygiene, manual handling, infection control, first attending etceterateratera f staff have not trustworthy this training then they cannot co mplete the task, thus ensuring that all service user’s welfare are giving top priority in line with quality and safety payoffs. As the acting registered superintend manager I need to complete continual health and safety size ups and maintain clear shows to demonstrate competence and that we are worthying the requirements of the law. At times when carrying out an audit I have observe that a food safety hobble as not been completed or a fire show got miss and in line with my roles and responsibilities I must address my findings with the senior team, the kitchen staff etc.This provide be through with(p) in our staff and team meetings. Minutes of these meetings willinging be taken and stored in the named files so that they can be apply for bring forward audits and surveillances that are required in line with our policies and procedures, duty of sustainment and relevant legislation. 4. 3 evaluate own practice in promoting a proportiond prelude to risk assessmen t. A good standard of usher keeping is imperative to support our quality audits and framework for our risk management plans, risk assessment and person centre practice to lead a modus vivendi of their choice.When evaluating our own practice and our documentation I will look at:- • Policies, protocols and guidelines to keep staff and management informed • information regarding, health and safety, sustainment voice communication and CQC outcomes for best practice and coercive outcomes for service users • Information about systems, for example risk management plans, incident reporting. Complaints. Service user cope plans Other slipway to evaluate own practice is through unfaltering audits and regulatory limited reviews which enables a systematic assessment or estimation of the process or outcome of a work activity, to determine whether it is : Effective: fashioning make out towards a deducticular goal • Efficient: achieving a particular tar extend wit h the least effort • economic: achieving a successful outcome with the minimum equal Essentially audits measure what the staff team are doing against what they should be doing. Internal and external audits command systematically looking at the procedures within the practice that are used for diagnosis, care and support measures to our service user that enable them to lead a life of their choice, by examining how associated resources are used and nvestigating the effect carer has on the outcome and quality of life for the service user. Conversely, research is relate with the identification of best practice, where a audit establishes, whether tote up best practice is being followed, and according to smith (1992) Research is concerned with discovering the right thing to do:” audit with ensuring that it is done right â€Å" and that we are involving service users in line with our person centred approach.Another system that we use to evaluate our practice for promotin g a person centred practice that complicates a balance approach to risk management is in our statutory care review meetings where the service user, their family, staff and other professionals will review the care plan and risk management plans to check out that we are sill meeting the service user needs and that they are happy with the level of activities and levels of support they are receiving.Also these meetings may raise concerns and these concerns will be communicate to operate that safety and wellbeing of the service user is being met either from staff within the home or by others. These changes will be enroled in their care plan and reviewed in line with our paygrade procedures. Any changes to a service users care plan will be discussed in our daily handover sessions and staff meetings to make sure that all staff who support the service user k straight off of these changes and the additional resources and support that is being put in by the people who are supporting the service user.As the manager I will also use staff meetings, supervisions and training sessions to evaluate my own and others within the teams performance to hold back that we are meetings our health and safety requirements as well as promoting a person centred approach that ensure a balanced approach to risk assessments that cover the working activities in running a registered care home. 4. 4 analyse how dowery others to ensure the balance between risk and rights amends practice.To analyse and help to witness the balance of service users and the public involvement is part of everyday practice in the NHS (DH 2005b) who have determine a number of principles that underpin the delivery of resident physician †led services. PRINICIPLES OF RISK AND RIGHTS FOR IMPROVMENTS HAVE BEEN TO UNDERPIN THE rake OF RESIDENT LED SERVICES • Provide residents with the train information and choices that allow them to feel in control †understanding that they are the best judge of their life/how they wish to live their life • witness everyone gain vigors not just high quality care, but care with consideration for their needs at all times. process people as human beings and as individuals, not just people to be processed • Ensure people always feel valued by the service and are treated with respect, dignity, and compassion • explain what’s happening if things go wrong and why, and agree a way forward At the home when we complete our risk management plans we will involve the service user, their family and others who maybe supporting them from the wider community. I will discuss each task and outline any concerns that we may have and how these concerns can be communicate without imposing on the service users rights, dignity, choice etc. ut I must make sure that I protect the service user and the staff in carrying out the task etc. I feel this process of informing others, discussing the issues can go a long way in helping others to understand why things can be done and or cannot be go aboutn unless additional measures are put in place. This process also assists others in perceive where the potential risk of harm may take place and why we are constantly reviewing our work activities and the abilities of the service users to cooperate with staff when carrying out an activity etc.The same process will be used in staff meetings to ensure that the team can fully understand their roles and responsibilities and reasons why additional measures have been put in place. Also when staff understand the culture of the organisation and the home they themselves will undertake the process without thinking and thitherfore ensure that the working environment is safe for everyone. By allowing others to understand the balance between risks and rights, you improve practice because they know what is congenial and what isn’t.This makes work much positive and makes the care that is given more effective and more suitable to the service users that require it. By helping others to do this, you are helping them improve their job, and helping them develop with their own knowledge, which they can pass on to other employers; this is companion nurture. 5. 1 obtain feedback on health, safety and risk management policies, procedures and practices form individuals and others. The polices, procedures and practices at the home have been developed, reviewed and updated in line with health and safety legislation and our CQC registration requirements.This ensures that the homes working practices are monitored, audited and inspected throughout the year and feedback from the records and reports are discussed and recommendations are implemented. These are reviewed yearly by the organisation and any feedback given is used to countenance and improve the services within the home. The context of feedback can be used as a learning tool. The practice of over-learning produces reinforcement of a sense of consummation befor e move on to the next stage, it can enable a person to move towards emancipation in a particular skill.The principles of feedback include stock and ending with positive comments, any suggestion for ontogeny that focus on negative aspects of the skills should be include in the middle. The reason for that learning is closely associated with self-conceit and motivation for ensuring that the working environment is safe. CQC’s the essential standards of quality and safety consist of 28 outcomes that are set out in two pieces of legislation: The health and social care Act 2008 (regulated activities) pattern 2012 and the Care Quality Commission (registration) regulations 2009 and for each regulation, thither is an associated outcome †the xperiences that will be expected of health care professionals as a result of the service and care provided and feedback for each outcome must be addressed by the manager. I will also get feedback from various health and safety contractors , visitor’s to the home who carry out regular aliment work within the home, environmental health inspections etc. With all these visits to the home I will receive feedback on our good practice and compliance as well as areas in which we need to improve upon and non-compliances.This feedback is important to ensure that the team and I meet the required standards and that the home and our activities are undertaken in a safe manor. 5. 2. evaluate the health and safety and risk management policies and procedures and practices within the work setting At the Manor House, we have numerous policies and procedures in place, all spread over a wide variety. They include †• Accident and Incident Reporting and Investigation • Asbestos • construct Maintenance • Care Services Construction Management ~ Site Access and Surveying • Consultation and conference • Contractors • Electrical Safety • Fire Safety • premier(prenominal) Aid • Food Hygiene ~ Safety in Food Preparation Areas • Gas Safety • cause Maintenance • Handling and Disposal of Waste • uncivilised Substances ~ COSHH, Radon • Health and Safety Information and culture • Health and Safety Management ~ Monitory and Review, Inspections and Surveys • Health and Wellbeing at Work ~ Alcohol, Drugs, CommunicableDisease, Immunisation, Pre-employment medical, Pregnant Women, Smoking, Stress, Work related absenteeism and Young persons. • Manual handling • seat safety ~ display screen equipment • Personal preventive Equipment • Personal safety, violence and lone working • seat management ~ security and visitors, workplace standards, welfare facilities • Risk Assessment • Safe use and maintenance of equipment at work ~ nears and lifting equipment, vehicles at work • Sheltered schemes • piddle management • Other guidance • Definitions • Amendment record Accidents and incidents †business leader of incident records form, RIDDOR reporting form, servite incident reporting form, care services residents incident reporting form o oeuvre miserable and handling assessments †pitiful and handling operations preliminary risk assessment form, moving and handling operations risk assessment form, moving and handling care plan o Workplace risk assessments and young person at work risk assessments †scheme/office/kitchen/staff board workplace risk assessment forms, written matter of schemes contractors risk assessments or method statements, young persons at work risk assessment form, new and expectant mothers risk assessment, night worker health assessment form o Moving and handling equipment inspection record, moving and handling equipment inspection record, moving and handling equipment defects record o First aid records †first aid record planer, first aid kit maintenance defects record o Water treatment records (including temperature monitory, flushing and de-scaling) †shower bath/spray flushing and de-scaling record sheet, water temperature record sheet o Food safety records †fridge and deep freezer temperature record sheet o Electrical test records (portable appliances and building installation †visual electrical inspection of void properties form, portable electrical equipment visual inspection record sheet, record of portable test, redundant equipment organisation form, dopy of building installation report and award o DSE assessment records Asbestos quite a little reports †scheme asbestos survey report o Gas safety records †record of reasonable steps taken (when no get to granted) form, regional committee report on the come about of gas safety inspections form, gas servicing report, copy of gas certificate o Control of substances idle to health assessments and safety selective information sheets †copies of safety data sheets for every cleani ng product used at the scheme o Health and safety audit and survey reports †health and safety survey form, schemes health and safety audit report completed by the health and safety team o rider lift inspection records †copy of certificate, passenger lift inspection and insurance reports o Personal preservative equipment maintenance records †reports o Lone worker panic maintenance record †reports Remote alarm/ qualified checks †pendant check form, remote alarm check form o 3rd party forms o Waste o Pest o personal credit line continuity arrangements The positives of having all these policies, procedures and risk managements in place is that it covers everything, meaning that we know what is considered wrong and what is considered correct. The negatives are that because there are so many in place, close to can be left out or not remembered, leaving the work setting inconsistent for service users perhaps, or leaving the standard of care low; but because we have them all, and are all used frequently, they are all understood, this is a positive out of the negative situation. SEE AC 1. 2 5. :- identify areas of policies, procedures and practice that need improvement to ensure safety and protection in the work setting Here, there are few areas of policies and procedures of/and practice that may need improvement, this is because they are good, but not at the best standard I think they could be. These are: health and safety audits, the medication rounds, maintenance of equipment and staff training. The medication rounds could be improved by fashioning them faster, or by having more staff working on it, to increase the speed of residents getting their required medication. The maintenance of equipment could be improved by having it done sooner rather than later, so there isn’t as much of an issue if the equipment is required and wobble be used as it isn’t working.Health and safety audits can be improved by making them more fr equent and detailed, so you can understand the issues more and also notice where the good aspects are. rung training can be improved by making it more important and motivational, and by making it more frequent to allow better development of career work. 5. 4 recommend changes to policies. procedures and practice that ensure safety and protection in the work setting The changes that I recommend would only be improvements, and the improvements would be to make the policies and procedures more ‘spread out’, so they cover more areas of the work setting, so everything has a policy or procedure to make it more effective and reliable.Reviewing the policies and procedures would be a start to see where the changes could happen and be recommended, to ensure safety I would recommend a change to the health and safety act policy, to give it a wider variety of protection of the work setting, to add more ‘safer’ equipment and make the environment safer, by having less da ngerous objects around that could be harmful in anyway to a resident, visitor or staff member. I would recommend a change in the frequency of procedures dealing with forms and assessments, to make sure everything is checked frequently, to make sure there are no problems or issues that are missed if they are only checked every now and then, this would be like risk assessments, fire safety, equipment checks or kitchen assessments etc. There isn’t a rope I would recommend to change, but if I had to, it would be most likely to do with frequency or variety.\r\n'