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corrinaevans  
#1 Posted : 03 September 2012 13:54:26(UTC)
Rank: Forum user
corrinaevans

Afternoon all, As part of my work with the healthcare sector I am putting together a workshop for Gps Surgeries to look at the importance that H & S plays within Care Quality Commission (CQC) compliance. My question is am I simplifying things too much by saying that if the Surgery can evidence compliance with H & S legislation/standards they are pretty much compliant with CQC H & S based standards? The NHS is used to providing this type of evidence but single handed Surgeries who are having to register for the first time this year will struggle I am sure and I want to make my sessions as practical and useful as possible, so my thinking was along the lines of all the usual suspects in terms of documentation (H & S audits, risk assessments and incident/accident reporting etc) and add in the patient experience. I look forward to hearing your thoughts on this matter. Corrina
aud  
#2 Posted : 03 September 2012 14:38:25(UTC)
Rank: Super forum user
aud

Hi Corrina. I used to provide H&S training to GP Practice Managers across the SE on behalf of a college. More recently I have some familiarity with CQC within the LA care sector. As far as I could establish, the requirement is broadly "safe environment". I was unable to find any specifics, although I would expect fire standards to be looked at. Could always tell when CQC (or previous CSCI) was due as there would be a flurry of requests for "first aid policy", "risk assessment" "fire policy" and all sorts of other assorted (and non-existent as such) documents. Never got any feedback. I suspect the best way to deal with these may be to take the time to write a summary of the approach to H&S at the site, with basic supporting evidence (organisational policy) either with it, or referenced with location. Two things to bear in mind: The main focus is client or patient wellbeing (not staff), and the inspectors are unlikely to have any particular H&S interest or knowledge. Some (Ofsted too) can have a particular bee in bonnet, so they may ask to see 'all' risk assessments, for example. I think you are right in your assumption - try the summary to offer as a starter, as I suspect that may be enough. It could also provide a template if it works! When I did the training, first aid was always an odd one, as PMs assumed just being a premise full of medical stuff and people would be enough. Try the customer experience of someone falling badly as they come to the surgery door, and how that would be dealt with (that's not likely to be a CQC enquiry!). They are low on my list of risky workplaces to be honest, especially nowadays. The training interest came about from a HSE prosecution (early 90's under CoSHH) following a 2-year old finding and drinking phenol in a small practice.
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#3 Posted : 03 September 2012 14:49:02(UTC)
Rank: Super forum user
Ian.Blenkharn

You will find that inspections focus in the main on a different range of hazards: - waste management and sharps injury prevention & management - security: staff safety, secure storage of prescription pads, drug stocks etc - hygiene: flooring issues but mainly the ability to sanitise floors effectively; location of sinks; hard surface disinfection The remainder is primarily addressing service performance matters. Most inspections overlap substantially with hygiene compliance and infection prevention. The surgery will get more assistance form the PCTs IPC staff (now may have been moved to LA in the great shake up). This is where the main focus lies, and forms the greater part of assessment frameworks. It would be unusual if inspection strays from this pattern, but beware of the unexpected. Training and competence issues will generally revolve around these issues, with particular emphasis on HCAs and Receptionists.
bilbo  
#4 Posted : 03 September 2012 15:06:19(UTC)
Rank: Super forum user
bilbo

Corrina If you haven't already - check out the attached - it will give you a good steer as to what is expected. Agree with other posters though its is broadly a "safe environment" they are looking for and this for patient or "users" primarily. http://www.cqc.org.uk/si...ac_-_dec_2011_update.pdf
corrinaevans  
#5 Posted : 04 September 2012 07:28:23(UTC)
Rank: Forum user
corrinaevans

Thank you to all for your really helpful replies, I now have a clearer direction of travel! Corrina
boblewis  
#6 Posted : 05 September 2012 12:26:34(UTC)
Rank: Super forum user
boblewis

The obvious curving ball was to ask for a copy of the H&S Policy statement as most practices have more than 5 employees. Other than that Ian has it about spot on. Where there is drug storage on the premises, especially where there are various practice nurses around, then storage room, storage temperature and issue control this will be added to the list. Bob
stevedm  
#7 Posted : 06 September 2012 07:41:11(UTC)
Rank: Super forum user
stevedm

Corrina Having audited both sides - clinical and H&S in this environment. The focus is always on patient safety and it is always an uphill battle to just add the required parts of the H&S safety to give them a complete Management system. As they say it is all in the mindset...
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