Risk Management and Service User

Anita Byrne ACV5222 unit 504 DEVELOP wellness AND SAFETY AND RISK MANAGEMENT POLICIES, PROCEDURES AND PRACTICES IN HEALTH AND SOCIAL CARE OR CHILDREN AND YOUNG PEOPLE SETTINGS (M1) 1,1 find prohibited the menstruation legislative frame and constitutional wellness, galosh and attempt focusing policies, unconscious processs and pr tourices that argon relevant to health and social administer or children and young volumes pose. As an organisation that manages health and sentry go we recognise that the relationship between controlling assays and frequent health is at the very centre of the business itself.The starting guide for managing health and arctic in the manoeuver come tabu of the closet which demonstrates the suffices commitment to health and goodty and sets out aims and objectives in relation to this identifies the individual health and base hit roles and responsibilities and the communication channels with-in the practice Summarises the practical way in which health and gumshoe is managed and objectives met. The organisation is necessitate to begin a health and recourse constitution in place in order to comply with the health and pencil eraser at go away act 1974.The act is the primeval piece of health and golosh formula deep d let the UK. It is an enabling act often referred to as the umbrella act, which means that regulations bargonlyt be introduced with-out eh need for surplus primary legislation. The wellness and Safety at crop Act also says that employers must, so far as is reasonably practicable provide a safe place to black market a safe environs and adequate well-being facilities safe equipment and systems of work safe arrangements for using, handling, storing and transporting articles and substances associated with work sufficient randomness, instruction, bringing up and command for employee The act is supported by m both other regulations and pieces of legislation, one of the close to signifi b anking company being the Management of Health and Safety at prep are regulations (MHSWR) 1999. A crucial element of these regulations is the exigency for employers to bound in place systems to manage health and base hit.The technique of endangerment sound judgement habituate to divulge hazards, evaluate run a stakes, support fancyning and attribute effective control mea accepteds in place underpins such systems. In recent years, the risk management has been squargon up by the growing aw beness of the publication of errors, incidents and near misses that happen in social c atomic number 18 practice and the effect of the safety of swear out drug drug substance ab exploiters and the consequence has been the suppuration of profit user safety initiatives which chip in given a portion user focus to the management of risk deep down the social c atomic number 18 setting.The health and safety at work act underpins this aim and clearly describes the employers duty of cargon non only for stave but towards the somebodys other than employees such as serve up users, attached cater visitors, and member of the public, contractors and actors line mortalnel. The principals and duties outlined in this policy apply, on that pointfore, to anyone affected by the practices activities. 1. 2 nalyse how policies, procedures and practices in own setting meet 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 framework for ensuring the Health & safety of all in all employees in any work activity. It also provides for the Health & safety of anyone Risk minds with the on the job(p) environment Adult egis & safe guarding soul centre planning & risk managementWhen working in line with the organisations policies and procedures to crack that the provide team create a safe working environment and serving user c atomic numb er 18 plans and risk management plans dont impact on their freedom of choice but they find out that they are safe with the life style they choose to live, I need to relaxation those choices against our risk management plans for mannikin we extradite a service user who lives in her own flat within the complex of the folk and feels that her turn in is to high and asked her family to put the mattress on a pile of bricks rather than have the bed frame lowered.When staff dis regaleed this, they informed 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 could not cop that we have a legal requirement to work within the safety of the health and safety legislation. I did apprize that we highlight a repair/ fear job for the bed to be lowered that is safe to use for both the service user and staff.Also within the workplace in front an activity toilette be underinterpreted we are required to complete a risk assessment and any areas where we need to put safety mea certain(a)s in to limit the potential risks then this must be make before the activity can take place as well as demonstrating that we need to monitor staffs working practices and review and update the risk assessment at the appropriate times. In delivering a registered share service all staff must have mandatory health and safety training before completing any given task whether this be fire safety, food hygiene, manual handling, infection control, first wait on etc. f staff have not received this training then they cannot complete the task, thus ensuring that all service users welfare are giving top antecedency in line with feel and safety outcomes. As the acting registered care manager I need to complete regular health and safety audits and maintain clear interprets to demonstrate competence and that we are meeting the requirements of the law. At times when carr ying out an audit I have noticed that a food safety check as not been completed or a fire test got missed and in line with my roles and responsibilities I must address my findings with the senior team, the kitchen staff etc.This leave behind be done in our staff and team meetings. Minutes of these meetings impart be taken and stored in the named files so that they can be apply for further audits and recaps that are required in line with our policies and procedures, duty of care and relevant legislation. 4. 3 evaluate own practice in promoting a balanced overture to risk assessment. A good standard of unload keeping is clamant to support our quality audits and framework for our risk management plans, risk assessment and person centre practice to lead a lifestyle 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, care delivery and CQC outcomes for trounce practice and positive outcomes for service users Information about systems, for example risk management plans, incident distinguishing. Complaints. Service user care plans opposite ways to evaluate own practice is through regular audits and regulatory inspections which enables a systematic assessment or estimation of the process or outcome of a work activity, to determine whether it is Effective making pass out off towards a partingicular goal Efficient achieving a particular mark with the least effort Economic achieving a successful outcome with the lower limit cost Essentially audits measure what the staff team are doing against what they should be doing. Internal and external audits involve 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 e ffect carer has on the outcome and quality of life for the service user. Conversely, seek is concerned with the identification of outflank practice, where a audit establishes, whether see to itd best practice is being followed, and according to Smith (1992) Research is concerned with discovering the remediate thing to do audit with ensuring that it is done right and that we are involving service users in line with our person centred approach.Another system that we use to evaluate our practice for promoting a person centred practice that includes 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 ensure that we are sill meeting the service user demand 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 addressed to ensure t hat safety and wellbeing of the service user is being met either from staff within the home or by others. These changes will be recorded in their care plan and reviewed in line with our evaluation 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 fare of these changes and the excess 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 ensure 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 crumble how helping others to earn the balance between risk and rights improves practice.To analyse and help to actualise the balance of service users and the public involvement is part of everyday practice in the NHS (DH 2005b) who have identified a number of principles that underpin the delivery of resident led service. PRINICIPLES OF RISK AND RIGHTS FOR IMPROVMENTS HAVE BEEN TO put up THE DELIVERY OF RESIDENT LED SERVICES Provide residents with the correct 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 Ensure everyone receives not just high quality care, but care with consideration for their needs at all times. Treat people as human beings and as individuals, not just people to be processed Ensure people always feel valued by the service and are hard-boiled with respect, dignity, and compassion Explain whats happening if things go wrong and wherefore, and agree a way forward At the home when we complete our risk management plans we will involve the service user, their family a nd others who maybe supporting them from the goodr community. I will discuss each task and outline any concerns that we may have and how these concerns can be addressed 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 undertaken unless additional measures are put in place. This process also assists others in beholding 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 under stand the culture of the organisation and the home they themselves will undertake the process without intellection and therefore 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 acceptable and what isnt.This makes work more than 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 peer learning. 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 practice s are monitored, audited and inspected throughout the year and feedback from the records and root words are discussed and recommendations are implemented. These are reviewed yearly by the organisation and any feedback given is used to promote 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 achievement before base on to the next stage, it can enable a person to move towards independence in a particular skill.The principles of feedback include pedigree and ending with positive comments, any suggestion for development that focus on prohibit aspects of the skills should be included in the middle. The reason for that learning is nearly associated with self-esteem and motivation for ensuring that the working environment is safe. CQCs 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) law 2012 and the Care Quality Commission (registration) regulations 2009 and for each regulation, there is an associated outcome the xperiences that will be expected of healthcare 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, visitors to the home who carry out regular nutrition work within the home, environmental health inspections etc. With all these visits to the home I will receive feedback on our good practice and respect as well as areas in which we need to improve upon and non-compliances.This feedback is central 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 p olicies and procedures in place, all spread over a wide modification. They include Accident and Incident Reporting and Investigation Asbestos Building criminal maintenance Care Services Construction Management Site Access and canvas Consultation and Communication Contractors Electrical Safety Fire Safety initiatory Aid Food Hygiene Safety in Food facility Areas Gas Safety Grounds Maintenance Handling and Disposal of harry Hazardous Substances COSHH, Radon Health and Safety Information and Training 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 way safety display screen equipment Personal Protective Equipment Personal safety, madness and lone working Property management security and visitors, workplace standards, welfare facil ities Risk Assessment Safe use and maintenance of equipment at work lifts and lifting equipment, vehicles at work Sheltered preciss Water management Other counsellor Definitions Amendment record Accidents and incidents index of incident records form, RIDDOR reporting form, servite incident reporting form, care services residents incident reporting form o Workplace piteous and handling assessments moving 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 room workplace risk assessment forms, duplicate of schemes contractors risk assessments or method statements, young persons at work risk assessment form, new and with child(p) mothers risk assessment, night doer health assessment form o Moving and handling equipment inspection record, moving and handling equipment inspection reco rd, moving and handling equipment defects record o First aid records first aid record sheet, first aid kit maintenance defects record o Water treatment records (including temperature monitory, flushing and de-scaling) shower/spray flushing and de-scaling record sheet, water temperature record sheet o Food safety records fridge and freezer temperature record sheet o Electrical test records (portable appliances and twist installation opthalmic electrical inspection of void properties form, portable electrical equipment visual inspection record sheet, record of portable test, redundant equipment disposal form, dopy of building installation report and certificate o DSE assessment records Asbestos watch over reports scheme asbestos survey report o Gas safety records record of bonnie steps taken (when no access granted) form, regional committee report on the progress of gas safety inspections form, gas servicing report, copy of gas certificate o Control of substances hazardous t o health assessments and safety data sheets copies of safety data sheets for every cleaning 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 indemnity reports o Personal protective equipment maintenance records reports o Lone worker alarm maintenance record reports Remote alarm/pendent checks pendant check form, remote alarm check form o tertiary party forms o Waste o Pest o rail 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, some can be left out or not remembered, loss the work setting unsuitable for service users perhaps, or leav ing 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 expediency 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 making 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 isnt as much of an issue if the equipment is required and cant be used as it isnt working.Health and safety audits can be improved by ma king them more frequent and detailed, so you can understand the issues more and also notice where the good aspects are. Staff training can be improved by making it more cardinal 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 dangerous objec ts around that could be harmful in besides 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 examine 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 isnt a lot I would recommend to change, but if I had to, it would be most likely to do with frequency or variety.