safeguarding Flashcards

1
Q

SAFEGUARDING - actions taken by the professionals help to ensure safe and effective care this includes: acting on any concerns they may have as quickly as possible.

A
  • Care Act 2014 set out new guidelines for care and support.
  • Safeguarding adults is needed to ensure that individual’s right to live free from abuse and neglect are protected, working together to prevent risk of abuse & neglect taking place.
  • Safeguarding children also needed.
  • Defined in government guidance ‘Working together to safeguard children 2015’ as:
    • protecting children from maltreatment
    • preventing impairment of children’s health and development
    • ensuring that children grow up in circumstances consistent with the provision of safe and effective care
    • taking action to enable all children to have the best outcomes.
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2
Q

Disclosure and Barring Service (DBS)

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  • The DBS works closely with police
  • helps safeguard both adults and children from harm and abuse by preventing unstable people from working with vulnerable adults and children by:
    • processing criminal record checks by searching police records and barred list information (barred list means a list of people unsuitable to work with children and/or adults)
    • deciding whether it is appropriate for a person to be placed on or removed from a barred list
    • placing people on DBS children’s barred list and adults barred list for England, Wales and Northern Ireland.
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3
Q

DBS checks

A
  • employers can get DBS checks for roles that involve working in H&SC and CCS.
  • authorities can request DBS check when someone applies to adopt or foster a child
  • those applying for a DBS check must be aged 16 or over and it can take up to 8 weeks to have a DBS check completed.
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4
Q

STEPS OF A DBS CHECK

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  • STEP 1: the employer gets an application form from DBS or from organisation.
  • STEP 2: the employer give application form to applicant to fill in and return with documents that prove their identity.
  • STEP 3: the employer gives the completed application form to DBS
  • STEP 4: sends a certificate to the applicant
  • STEP 5: the employer can check the status of the DBS certificate online.
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5
Q

TYPES OF DBS CHECK

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  • STANDARD - spent and unspent convictions, cautions, reprimands and final warnings.
  • ENHANCED - the standard checks as well as any additional information held by local police, relevant to the role that is being applied for
  • ENHANCED WITH LIST CHECKS - same as the enhanced check and additionally a check of the DBS barred lists.
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6
Q

INFLUENCES ON LEGISLATION - ON STAFF

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  • Health, safety and security legislation helps safe staffing levels and correct staff-to-client ratios with staff who have suitable levels of awareness, knowledge and skills.
  • Promotes wellbeing and safe and secure environments and working practices
  • Legislation also gives staff a role in implementing and making changes to health, safety and security arrangements in these work setting.
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7
Q

INFLUENCE OF LEGISLATION - ON PREMISES

A
  • a direct impact on how H&SC and CCS premises are maintained in terms of ensuring that they are clean (for infection prevention and control) and in good condition (for security)
  • good light and ventilation so employees can work in safe condition.
  • practicing good levels of personal hygiene:
    • hand-washing places, cleaning materials for cleaning and drying hands,
    • changing facilities
  • escape routes and exists must be provided
  • signs must be displayed where necessary to help people identify escape routes and find equipment such as fire alarms and extinguishers.
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8
Q

INFLUENCE OF LEGISLATION - PRACTICES

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Legislation encourages good personal practices:

  • good personal hygiene practice that can help to control the spread of infection (eg effective hand washing, wearing clean clothes, wearing protective equipment such as aprons and gloves) especially when coming into contact with the individuals body fluids
  • safe removal and storage of waste
  • recording and storing information correctly - processes for reporting accidents, illnesses and incidents
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9
Q

POLICY AND PROCEDURE OF - HEALTH AND SAFETY

A
  • every care setting is required to follow the law to have a fire emergency evacuation plan
  • important to remember that some individuals require more support than others. For example:
    • those with poor mobility who are in a wheelchair. as well as people who have deafness or dementia may not realise what is happening
    • some people may need personal emergency evacuation plans (PEEP’s) to be in place.
  • everyone needs to stay calm
  • regular fire drills, fire alarm checks to see if they can be heard throughout the building.
  • fire escape exits should be kept clear.
  • staff may be given specific roles to assist with evacuation, fire marshals or to support individuals in need of assistance to leave the building.
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10
Q

POLICY AND PROCEDURE - ASBESTOS

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  • found in any building built before the year 2000, and according to HSE is causes around 5000 worker deaths per annum
  • fibres are released into the air. they are inhaled. and can cause serious disease in our lungs.
  • anyone who is a building owner is responsible for the maintenance of premises has a “duty to manage” any asbestos that is in the building. Asbestos ‘duty to manage” responsibility holders have to:
    • find out if asbestos is present
    • make a record of the location, type and condition of the asbestos
    • asses the risk and see who has been exposed.
    • prepare a plan for how to manage the risk
    • put in plan, monitor and see if need to update.
    • provide information to people it might harm.
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11
Q

POLICY AND PROCEDURE - TRANSPORT

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  • POLICY: covers the maintenance and safety of vehicles used, such as minibuses for school trip.
  • PROCEDURE:
    • make sure that they have a license for the vehicle that they drive.
    • service and maintenance updates.
    • seat belts are working.
    • parental consent form.
    • putting risk assessment and control measure put into place. making sure that specific hazard should be to this trip.
    • traffic - if breaks down
    • weather - rain, wind, snow
    • medical emergency.
    • contingency plans
    • first aid provisions
    • emergency contacts details, phone, money
    • impact of poor weather
    • supervision - to be put into place.
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12
Q

POLICY AND PROCEDURE - ELECTRICAL SAFETY

A
  • electrical appliance belonging to any resident need to be maintained and checked for safety.
  • examples of what electrical safety policy and procedures would cover:
    • portable electrical equipment should test regularly (PET testing)
    • staff make frequent visits to check for:
      • damage to cables
      • damaged to plugs
      • broken socket covers
      • damaged or worn equipment
    • no use of extension cables
    • no overloading of sockets
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13
Q

POLICY AND PROCEDURE - SAFEGUARDING

A
  • they need to have a known safeguarding lead that all people should be aware of and there should be widespread knowledge of the procedure to follow on safeguarding issues.
  • the policy and procedures should include:
    • a named person responsible for safeguarding
    • all staff need to be DBS checked
    • all staff must have safeguarding training
    • all staff must know the poetical indicators of abuse.
    • a reporting system exists for concerns of abuse
    • ways to minimise potential risks to vulnerable individuals.
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14
Q

POLICY AND PROCEDURE - REPORTING OF ACCIDENTS

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  • A ‘reporting of accidents’ policy would take into account the requirement of RIDDOR.
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15
Q

POLICY AND PROCEDURE - FOOD SAFTEY

A
  • for some groups of individuals who use care services, food poisoning can be very serious. those at - risk groups include babies and children, pregnant women, elderly people and people with reduced immunity.
  • food hygiene policy and procedures to protect at-risk individuals and to comply with food safety legislation. Examples of procedures:
    • check ‘use by’ and ‘best by’ dates
    • use different coloured chopping boards for raw meat and other foods
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16
Q

POLICY AND PROCEDURE - CHEMICAL AND BIOLOGICAL HEALTH HAZARD

A
  • organisations need a policy for dealing with hazardous substances and waste.
  • staff will have training on agreed ways of working for handling hazardous substances, following COSHH
  • For example:
    • cleaning materials, liquids, sprays
    • disinfecting surfaces
    • safe removal of bodily fluids - urine, faeces, blood
    • secure handling of medication (eg on locked trolleys in hospitals)
    • disposal of clinical waste such as dressings
    • removing and cleaning contaminated clothing, towels, bed linen
17
Q

POLICY AND PROCEDURE - DISPOSAL OF HAZARDOUS WASTE

A
  • correct disposal methods should be used for hazardous waste.
  • hazardous waste includes needles, bodily waste and expired medication
  • for example:
    • clinical waste and dressings placed in yellow bags and burnt
    • medication - out of date and no longer required taken to pharmacy or GP surgery.
    • needles go in yellow ‘sharps bin’, contact local council or specialist companies to collect and safely dispose of
18
Q

POLICY AND PROCEDURE - STORAGE AND DISPENSING MEDICINES

A
  • not all health and social care environments dispense or admin meds
  • if they do, there should be a meds policy and procedure setting out a correct procedure for employees to follow
  • only staff who have the right training can dispense medicines
  • when administering meds, staff need to be aware of agreed policy and procedure in handling meds and address:
    • ordering: quick and efficient
    • receiving: a list of meds that were ordered should be the same as received
    • storing: controlled drugs must be in a locked cupboard
    • administering: ensuring that the right person gets the right dose at the right time.
    • recording: use the medicine administration record (MAR)
    • transfer: meds should always stay with the individual, so if they are transferred then that needs to go with them
    • disposal: return unwanted medication to a pharmacy. Care homes must use a licensed waste management company to do so.
19
Q

POLCIY AND PROCEDURE - LONE WORKING

A
  • Lone working policy and procedures - Following on from your risk assessment, you will need to produce a safety policy for your lone workers.
  • A lone working safety policy is a guide that will set out your companies’ rules on working alone and help your employees to understand the risks they may face.
  • Risks of working in the homes of others:
    • social workers might have to take children out of their home, home visits can be a highly emotional and intense experience.
    • staff are often required to work at patient/client houses, including late at night, risk of physical abuse
20
Q

POLICY AND PROCEDURE - LONE WORKING

A
  • depending on the type of lone working role or job, the appropriate procedures will vary, but could include:
    • telling colleagues where you are going and when you will be back
    • carrying a personal alarm
    • carrying a basic mobile
    • taking self-defence training
    • training on appropriate response to an attack
    • at night parking your car in a well lit-area
21
Q

POLICY AND PROCEDURE - SECURITY OF PREMISES

A
  • Policy for security of premises:
    • these are necessary to keep staff and service users safe from intruders by preventing unauthorised individuals (who may be violent or steal individuals’ possessions) from entering the care setting.
    • also to prevent vulnerable individuals, such as young children or adults with dementia, from leaving the care setting unsupervised.
  • will also ensure that the setting complies with health and safety legislation.
22
Q

POLICY AND PROCEDURE - SECURITY OF PREMISES.

A
  • this may include:
    • having a list of key holders means the whereabouts of the keys at all times.
    • limiting the number of people who have keys so access is controlled, this can help prevent intruders entering the building.
    • other policy and procedures:
      • staff have ID lanyards
      • having electronic security pads and pins to enter
      • locking doors and gates
      • staff at reception desk
      • having windows locks or restraints
      • escorting visitors
      • CCTV monitoring external entrances
      • monitoring of keys
      • issuing visitors badges
23
Q

REVIEW OF POLICIES AND PROCEDURES

A
  • it is good practice to date and number policies and procedures once they are regularly reviewed and updated.
  • there should be a system in place for regular review meetings, including planned review dates and how any changes will be communicated.
  • policies and procedures will only be effective if they contain up-to-date info and have safe working practices that staff follow and comply with.
  • not complying will have serious consequences on organisation, employee or employer:
    • employees may be asked to attend training, supervision or face disciplinary actions.
    • the employer may be liable to imprisonment and organisations may be liable to fines and closure.
24
Q

Health, safety and security policies check list

A
  • health and safety
  • risk assessment
  • fire evacuation
  • safeguarding
  • reporting of accidents
  • food safety
  • cleaning
  • disposal of hazardous waste
  • lone working
  • storage and dispensing of medicines
  • security of premises, possessions and individuals