Care Home and Supported Housing (SHEQ Auditing) august 2016

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Dave Bennion BSc(Hons); Tech IOSH; SIIRSM RSP; ACIEH; DipEnvNEBOSH

MInstLM; CertCIH; MISQEM ; AMIIAIHealth , Safety, Fire, Environmental & Quality

ProfessionalBy David Bennion ©2016

Care Homes and Supported Housing Providers – SHEQ Auditing

1 May 2023 2By David Bennion ©2016

Legal Compliance

Whilst all health & safety service must comply with UK law (ie Health and Safety at Work Act 1974 etc) your industry has other considerations like:

Health & Social Care Act (Safety and Quality) 2015

Equality Act 2010

CQC 28 standards – care, respect, dignity etc

Mental Capacity Act 2005

There are others dependent on service provision and stakeholder requirements.

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Auditing AccreditationsA number of Housing Association have adopted various accreditation Standards. The most common SHEQ accreditations are:

o BS OHSAS18001* – Health and Safety (ISO 45001 – due Autumn 2017 – currently in draft but not fully enacted) o ISO 14001 – Environmental Managemento ISO 9001 – Quality Management

o Some have a full IMS (Integrated Management System) which embraces all 3 accreditations.

There are others around IT Security, Business Continuity and Risk Management.

By David Bennion ©2016

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Risk Factors


There are a number of risk factors however these are just a few:

Vulnerable adults – mental health, learning difficulties.

Mobility – wheelchairs, walking sticks, walking frames

Blind, deaf, sensory impairment, diminished responsibility

On a section (ie: MHA s3) or a licence (serving the remaining part of a prison sentence in the community under supervision) Confused, violent outbursts, self harm, depression


Safety & Security

There is a variety of safety and security measures however these are just a few:

CCTV monitoring Secure entry via fob key, intercom. Alarmed rooms internet and external Public areas and offices have 2 egress routes Neutral colours – behavioural modification Panic alarms linked to central monitoring system Window restrictors (150mm max) opening


Fire Safety PEEPs, Places of refugee, several egress routes Automatic sprinkler systems Automatic Fire Alarm system Fire doors & compartmentalisation Crib 5 furniture & fittings Smoking policy – designated area etc Vibrating pillows, trembler alarms, audio and warning lights Fire Evacuation Plan Fire Risk Assessment Fire Plan Business Continuity Plan Fire Maintenance & inspections Fire Drills


Training IOSH managing safely (3 to 4 days) working Safely (1 day) Fire Warden & general fire awareness training Lone working Professional boundaries Common Induction standards (care homes) within 2 weeks of employment – all staff – all grades Managers trained to level 4 RMA minimum (Care homes) ideal also DipSW/CQSW/ B.SW or RMN/LD/RGN etc Level 2 in Food hygiene all staff & residents working in kitchens. Level 3 Supervisors – must be current (within 3 years) CIEH have e-learning which is accredited. Behaviour modification, break away & de-escalation training First Aid training ie: emergency first aid training all staff (1 day) + appointed person first aider (3 or 4 day) – must be current (with in 3 years)


Residents/ customers

Outing fully risk assessed – authorities notified if required ie: on a licence, need escorting by staff

Care plan/ support plan – SMART objectives, constructive use of time.

Educational training ie G&C 3071 or learning centre

Social skills for independent living

Signposting to professional services – CBT, counselling (drugs, alcohol etc).

There are others, these are just a few!

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Workshops/ horticulture etc

Given the scope of workshop and horticultural activities there are many factors however these are just a few: Fully risk assessed Supervision by qualified instructors Availability of PPE & RPE Safe environment, workshops well ventilated and suitable lighting Emergency procedures (fire, environmental etc) First aid & fire training Controls to meet DEFRA, EPA etc. Maintenance logs PMP, Alarms, walkie-talkies etc

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MedicationTraining of staff ie Boots system – must be current (refresher 1 year & full training 3 years)

Documentation – security of medication ie; locked cabinet, double locked cabinet CD medication – must be secure.

Audit trails, MARS sheets, double signing

Double signing of destroyed and returned to chemist medication.

NB: All medication can only be given to the named person in line with the GP agreement. If a customer seeks more/ refuses medication/ or will not take in front of you, consult the advise of a GP!

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This presentation is a very basic outline. As a business you will need to determine the level of training required by staff to maintain a safe and protected business operations.

In no way does this presentation represent a suitable and sufficient training package for staff as every business has different needs thus no liability can be sought against the owner of this material.

Remember it is the business owners responsibility to have a suitable and sufficient business risk assessment in place, to keep it up to date and provide “competent” training for staff to fulfil their employed duties with regards to your business operations.

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Contact:

Mobile: 07900431649E-mail: [email protected]


Care Home and Supported Housing (SHEQ Auditing) august 2016

Government & Nonprofit

Transcript of Care Home and Supported Housing (SHEQ Auditing) august 2016