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MrsBlue  
#1 Posted : 26 February 2014 09:20:35(UTC)
Rank: Guest
Guest

Morning all

As you may know I do some work part time for a charity who run day centres for adults with learning difficulties. The following happened:

?? was upset about a badge on her bag. Threw her bag and started hitting her head on the wall.

?? was cross and hit her head on the door three times.

No injury sustained so which heading from above would you list these two happenings if at all?

Rich
Steve e ashton  
#2 Posted : 26 February 2014 10:05:49(UTC)
Rank: Super forum user
Steve e ashton

Rich:

The charity should have arrangements for investigating episodes of abnormal behaviour.. Is this what you mean by 'listing'? Where there are individual carers these should normally be involved int eh investigation (they will often have additional specific information which may not be obvious) and as a minimum the carers / family should be told about the episode, since it may indicate a medication imbalance.

The intention should be to identify what (if any) behavioural or other triggers there may be for the individuals, to record these and to ensure that all the charity staff know and understand the reasons for avoiding creating the conditions which may upset the people they are working with.

So - should these two episodes be 'listed'... erm... listed where? Report - yes. Investigate - yes. Communicate findings and take action if necessary - yes.

Hope this helps.

Steve
wizzpete  
#3 Posted : 26 February 2014 10:35:10(UTC)
Rank: Forum user
wizzpete

I don't think these are attributable to an accident or near miss in OSH terms. The carers that should accompany people with leanring disabilities would know the people they care for and what possible triggers may be and should report such incidents within their own organisations and, if necessary to the care manager or CQC.

Such incidents are therefore recorded and managed, but it's not through health and safety, but the care system they are part of.

You many want to get clarification of what you may do to mitigate risk or harm following such behavioural instances from the carers or local authority that provides the care but -as you've identified - communication with those providing care on what measures you can take to help them provide care is very important.
jontyjohnston  
#4 Posted : 26 February 2014 11:17:15(UTC)
Rank: Super forum user
jontyjohnston

Rich

Social services will have required the charity (dealing with vulnerable persons) to have in place reporting arrangements. These are normally straightforward and form an incident log.

Steve has the right of it, also key is that family are made aware of the episode.

J
SamJen1973  
#5 Posted : 27 February 2014 10:53:23(UTC)
Rank: Forum user
SamJen1973

Hi Rich

In the organisation I work for, we would class these 'challenging behaviours'. Our accident/incident system as a CB category that staff can use when reporting such incidents (along with other reporting categories of slip/trip/fall, moving/handling etc etc).

We class non-injurious behaviours as incidents (verbal aggression, attempting to harm self or others, disruptive/destructive behaviours etc).

I realise that other organisations may not think it appropriate to record these events in their Accident/Incident system, but it works for us. It means we can run statistical reports on challenging behaviour incidents/injuries to monitor for patterns/trends in behaviours.

Sam
MrsBlue  
#6 Posted : 27 February 2014 11:12:00(UTC)
Rank: Guest
Guest

SamJen1973 wrote:
Hi Rich

In the organisation I work for, we would class these 'challenging behaviours'. Our accident/incident system as a CB category that staff can use when reporting such incidents (along with other reporting categories of slip/trip/fall, moving/handling etc etc).

We class non-injurious behaviours as incidents (verbal aggression, attempting to harm self or others, disruptive/destructive behaviours etc).

I realise that other organisations may not think it appropriate to record these events in their Accident/Incident system, but it works for us. It means we can run statistical reports on challenging behaviour incidents/injuries to monitor for patterns/trends in behaviours.

Sam


Thanks for all the replies

Morning Sam - My charity seems to run the same procedure as you have described in as much as all events are recorded utilising the Accident/Incident/Near Miss Reporting procedure.

When I first looked at the spread sheet (used as a record) I couldn't see the wood for the trees and got bogged down with incidents which another post describes as Care Incidents.

All is now clear

Rich
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