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COSHH assessments in Domiciliary care and peoples own homes
Rank: Forum user
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Hi
I recently new to the domiciliary care industry and would like to know how other service providers manage their COSHH assessments when staff are working in peoples own homes delivering domiciliary care.
The person whose home it is may buy different cleaning products every week which our staff would be required to use. The staff will have received COSHH training and supplied with the appropriate PPE but how do we manage safety data sheets and do we have to complete cosh assessments on every product (which as I stated above could change on a weekly basis)?
Many thanks
Lisa
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Rank: Super forum user
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Is it labelled toxic, corrosive, oxidising, harmful, irritant or flammable. See symbols on reverse of this sheet
Read instructions on the product and apply recommendations prior to use .If PPE is required and you do not have the PPE required do not use the substance. If no label do not use.
SBH
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Rank: Super forum user
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Base your CoSHH assessments on a 'task' based viewpoint rather than 'product' based.
If the substances are essentially domestic grade cleaning products, general CoSHH training should be adequate, issue of PPE and follow the instructions on the container label.
Cleaning products from different manufacturers are likely to contain the same base chemicals. Its how the substance is used, is the important bit.
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Rank: Super forum user
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I do not disagree with the comments made so far. But...
My experience in this field is that - if your staff member was to be injured in relation to a chemical used whilst working and the HSE/LA have an involvement they will want to see you COSHH risk assessment.
I have argued the point to LA that these are everyday products that staff would/could use in their own homes and with some training a lay person should be able to use these products safely. Their argument is that they are at work so COSHH applies. And for this reason we now have 50 odd COSHH assessments for most household products that are used in the social care setting.
Mrs Noodles,
Some household products can be hazardous for example some oven cleaners can be corrosive, we try to support our clients to purchase less hazardous products such as irritants instead of corrosives.
The problem arise when they ask your staff to mix up the toxic weed killer they brought from B&Q (other shops are available) to put down on their driveway!!
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Rank: Super forum user
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quote=Ian Bell]Base your CoSHH assessments on a 'task' based viewpoint rather than 'product' based.
Ian,
You are absolutely correct and I do not disagree, however, to use this approach in the social care setting would be extremely time consuming and impractical.
Our approach it to use the product for what they have been designed to be used for (product based) , and only use them for that reason. I.e.;
Use furniture polish on furniture,
Use window cleaner on windows and mirrors,
Use bleach for cleaning the WC,
Floor cleaner to clean the floor,
Carpet cleaner to clean the carpet, etc...
A pragmatic approach is always needed here, often the tasks change on a daily basis, one day we may be asked to clean a carpet the next day it may be using leather cleaner on the sofa. So... task based is not always possible in our setting.
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Rank: Super forum user
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Is the list you give, effectively a list of tasks?.....
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Rank: Super forum user
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Me I’d be bit nervous about allowing your staff to use someone else’s products.
You can’t tell what the stuff is, it might have been decanted into a new container or you might be missing a product and the employee might decide to improvise something.
Ideally your staff should be using your products. Only then can you be in control of the situation.
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Rank: Super forum user
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Toe wrote:
I have argued the point to LA .......... Their argument is that they are at work so COSHH applies.
How can it be applied? COSHH from first principles involves evaluation and selection at the procurement stage. Follow the instructions on the container. End of.
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Rank: Forum user
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Hi we have 2500 workers in the Dom services, common sense has to prevail good quality training combined with generic safe system of work, ultimately following instructions on the labels of the stuff they are using dont assume all brands of bleach are the same etc. and instructions to not use anything they are unsure of.
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Rank: Super forum user
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Here is where COSHH enters the real world and those designing the law did not envisage nor take account of such working circumstances nor any circumstance where data sheets are not available noting that the philosophy of what is 'reasonably practicable' needs to be fully understood even with regards to COSHH
I advise [after working in such areas for 17 years] that you take note of Bob T etc. and use common sense and there are many laws etc. connected to this sector all of which must be accounted for and COSHH is only one of them so a balance needs to be struck
The LA, NHS and SS are offloading as much as they can with regards to these work area sectors to the private sector and never did proper assessments themselves [I have worked for ~10 LA's in my time] and do not now as far as I aware; so again they want higher standards than they have themselves
I facilitated in creating a master COSHH RA that accounted for all foreseeable areas in this sector where private substances [data sheets are not provided for domestic purchases] were used by staff in such situations and thereafter created workable and easy systems for staff to follow and I suggest that U do the same noting that what is RP in the circumstances must be evaluated &applied
Additionally U need to talk to the LA's inhouse H&S bods as they should have a good handle on this & should be able to support U and I have found that QA systems/ In-house LA auditors have no allowances /place for such situations
best of luck
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Rank: Forum user
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Hi Mrs Noodles
In my establishment we try and minimise the products we use so we have a product that covers a number of cleaning tasks. Our COSHH data sheets are kept in a very clear, documented folder in the housekeeping cupboard and are updated regularly.
Staff are taken through these at their induction and know of where they sit.
they also have a copy each of the COSHH risk assessment. It really is training, and a common sense approach.
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Rank: Super forum user
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Bob - you are spot on the money here.
The LA who are the commissioners for these services expect a higher standards than they have themselves, which is fundamentally wrong and frustrating. NOTE: The common sense approach sounds great until and injury occurs and you come under the scrutiny of the commissioners, loved ones or the regulators (HSE, CI, CQC etc) or a lawyers letter drops on your desk for a claim, and you only defence is 'we have a common sense approach' believe me I have been there.
Ron
Quote: Follow the instructions on the container. End of Quote:
This is my thoughts exactly, these are everyday products that are used in everyday homes, however, the regulators do not see it this way, they expect more, for example risk assessments, whether under COSHH or Mgnt Regs, assessment's are expected for the safe 'use' of the products.
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Rank: Forum user
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We have a LAPS agreement with the local authority covering our head office and hold regular meetings with them and the HSE. This ensures a consistent approach to enforcement across the country. We have recently revised our COSHH policies which take a common sense approach to retail chemicals - do what is says on the tin. Whilst the enforcers won't outright say they endorse our policies they have indicated that they feel we are managing the risks appropriately.
So for domestic products we have a one-line RA: risk information from the label and follow manufacturers' instructions. Above that, oven cleaner, garden chemicals etc an assessment will be needed. From what has been said these types of tasks are not everyday and could be postponed until the next visit whilst an assessment is carried out. Key to this is staff training - so they know to ask about where chemicals were purchased, not to use anything that has been decanted and not to mix products.
This has to be the only practical way to approach this - carers do not have the time or knowledge to carry out COSHH assessments and Lisa, I guess there is only one of you (or a small H&S team), you cannot reasonably carry out an assessment for each and every chemical that might be found in clients' homes.
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Rank: Super forum user
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here here Ian
One other thing to consider is that people who really want to work in this area actually care for their clients so they will put their client above other matters in a different way to people putting their jobs first in a warehouse, construction site, office etc. so the caring factor must also be accounted for
And if we are too formal this can sometimes be a backward step and will not help a care plan nor respect for the client noting that most of the people in care today went through a war or even two or more wars so our 'little hazards today are meaningless' to them as was noted to me by a 90 year old client recently
best of luck
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Rank: Forum user
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Thank you all for your many replies and very useful comments.
You were correct in assuming their is only 1 of me and yes I can't physically visit each home to complete COSHH assessments.
I agree, a common sense approach is needed here and I will work to develop, as suggested, a generic safe systems of work that will cover the use of products in clients homes. All staff are supplied with PPE and receive COSHH training as part of their induction and attend refreshers once a year. The key message is also if it has no label or has been decanted, do not use. Check what the label says.
Thanks again.
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Rank: Super forum user
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I have learned something new!
I am surprised that home carer staff were expected to use the clients' own cleaning products, rather than bringing their own. Apart from the COSHH issue, what would they do I they found themselves working in a house with no cleaning products available?
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