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teh_boy  
#1 Posted : 13 April 2012 13:24:31(UTC)
Rank: Super forum user
teh_boy

It's Friday afternoon, so time to listen to some radio 4 and get ready for the weekend! http://www.bbc.co.uk/ipl.../b01fq84h/PM_11_04_2012/ IOSH on radio 4 All good advice - apart from the care home advice by IOSH. Go to about 50minutes in to listen to the IOSH bit.
teh_boy  
#2 Posted : 13 April 2012 13:28:23(UTC)
Rank: Super forum user
teh_boy

P.S. Well done IOSH! (p.s..s - the Radio 1 button was broken hence my choice of station - I'm no way near old enough for radio4 yet :) )
Andrew W Walker  
#3 Posted : 13 April 2012 13:33:28(UTC)
Rank: Super forum user
Andrew W Walker

teh_boy wrote:
(p.s..s - the Radio 1 button was broken hence my choice of station - I'm no way near old enough for radio4 yet :) )
Thanks God for that. When I need to listen to radio 4 I will be ready to shuffle off this mortal coil! (Sorry to any R4 listeners who read this) Andy
teh_boy  
#4 Posted : 13 April 2012 13:39:04(UTC)
Rank: Super forum user
teh_boy

Also wanted to clarify my statement I meant to imply that some myths are based in fact and we need to explore why they have arisen, instead it sounded like I being more accusational than I meant to be. Apologies
BuzzLightyear  
#5 Posted : 16 April 2012 11:34:10(UTC)
Rank: Forum user
BuzzLightyear

quote=teh_boy] All good advice - apart from the care home advice by IOSH.
I agree that you picked up on the IOSH comment about care homes. It does seem harsh to a family member to explain why you would not try to catch their elderly relative falling down the stairs, however the risks of severe back injuries to the care worker are very high. The emphasis should be on supporting people to use grab rails and stair lifts etc rather than relying on staff to catch people. I thought it was interesting when Richard Jones dismissed the idea of staff being made to walk up stairs infront of a resident - saying that it seemed counter-intuitive to him. Exactly! H&S is sometimes counter-intuitive and is not always down to common sense. This continual mantra that H&S is all common sense leaves me feeling uneasy. Plenty of other examples of counter-intuitive and sometimes technical nature of H&S - e.g correct positioning of a step ladder is at right angles rather than parallel to the work surface, wearing nitrile rather than rubber gloves to protect from certain solvents, using FFP3 respirators for exposure to asbestos rather than a cheep face mask, not trying to catch someone when they fall with an epileptic seizure, etc I like usually like Eddie Mair style and I guess this was much better than most media discussions about H&S. Richard Jones did very well in the circumstances. Not easy thinking on the spot in the time limited nervous environment of a radio interview, but his quick dismissive replies left me uneasy. Behind every scenario Eddie fired at Richard, I am sure there was a combination of myth and other factors that the listeners who submitted the scenarios, Eddie or Richard were not party to.
chris.packham  
#6 Posted : 16 April 2012 12:25:29(UTC)
Rank: Super forum user
chris.packham

Counter-intuitive to common sense? It all depends how you define 'common sense'. All too often it is assumed that this is something that we are born with (or not depending upon your viewpoint at the time!) and that we automatically have the knowledge on which to base our common sense decision. Of course, this is nonsense. Reaching a decision without sufficient knowledge to base this can hardly be described as 'common sense', yet this is often what happens. In my particular field I see lots of decisions made on the basis of 'common sense' without adequate knowledge, and which are then simply wrong. To me this is not 'common sense'. Common sense only works in conjunction with adequate knowledge. If I reach what is a logical decision based on adequate knowledge, could this not then be a 'common sense' decision? Perhaps what we should be aiming at is to ensure that people understand why common sense is not that common, nor that sensible either! Chris
A Kurdziel  
#7 Posted : 16 April 2012 13:28:25(UTC)
Rank: Super forum user
A Kurdziel

The problem is that the term ‘common sense’ is itself very woolly. For some it means relying on an instinctive, gut reaction-often without any knowledge or analysis. This is what leads to terrible accidents, people just assume that if they do A then B will or will not happen. Other people see’ common sense’ as a form of dynamic assessment where people quickly look at a situation and are able to analyse what they need to do, without having to go through a formal procedure. For those people common sense works in relation to H&S. Unfortunately you can’t assume everybody thinks of common sense in the same way or even that the same person will always apply the same criteria. A person wanting to finish off work on a Friday afternoon is likely to be in a different state of mind from someone earlier in the week. This is the part of H&S that is difficult to get across to the lay person, not the simple application of of rules and regs.
Invictus  
#8 Posted : 16 April 2012 14:50:35(UTC)
Rank: Super forum user
Invictus

I don't believe in 'common sense' as I don't think it is very common. Look at some of the accidents that occur if we use the common sense approach then you could argue that these accidents shouldn't have happened. But I also don't think that throwing a risk assessment together, writing it down and giving it to people to read is also the best approach. It may be a legal requirement but what purpose does it really serve 'to stop a claim against the company' it doesn't protect anyone. Risk assessing everything is not the answer 'making cups of tea, using a kettle, walking up and down stairs al a waste of time, what this does is deflect from the real issues and makes the profession a laughing stock. We should be allowed to risk assess real issues and then look at how to get the message across, specific training is better than any risk assessment. But come Friday afternoon and you want to finish early then that's another matter.
maxbancroft  
#9 Posted : 16 April 2012 17:11:22(UTC)
Rank: New forum user
maxbancroft

Common sense I remember being once defined by someone in the HSE as "The prejudices we have acquired by the age of 18".
BuzzLightyear  
#10 Posted : 17 April 2012 09:32:50(UTC)
Rank: Forum user
BuzzLightyear

maxbancroft wrote:
Common sense I remember being once defined by someone in the HSE as "The prejudices we have acquired by the age of 18".
That was Albert Einstein! A great definition.
decimomal  
#11 Posted : 17 April 2012 10:11:18(UTC)
Rank: Super forum user
decimomal

Invictus wrote:
I don't believe in 'common sense' as I don't think it is very common. Look at some of the accidents that occur if we use the common sense approach then you could argue that these accidents shouldn't have happened. But I also don't think that throwing a risk assessment together, writing it down and giving it to people to read is also the best approach. It may be a legal requirement but what purpose does it really serve 'to stop a claim against the company' it doesn't protect anyone. Risk assessing everything is not the answer 'making cups of tea, using a kettle, walking up and down stairs al a waste of time, what this does is deflect from the real issues and makes the profession a laughing stock. We should be allowed to risk assess real issues and then look at how to get the message across, specific training is better than any risk assessment. But come Friday afternoon and you want to finish early then that's another matter.
Quite. Common sense is not that common, and what is common to one person may not be common to another. As far as risk assessments are concerned, my understanding as a pedant is that it is not a legal requirement to give a risk assessment to somebody to read, but more a requirement is to communicate the significant findings and control measures to the employees. Giving the risk assessment out may well be counter productive. I was at a meeting last week where an HSE inspector made the point that he would not expect risk assessments for trivial tasks such as using a kettle or microwave oven; however an insurer/ claims company may take another view.
BuzzLightyear  
#12 Posted : 17 April 2012 13:04:38(UTC)
Rank: Forum user
BuzzLightyear

Just to add to my skepticism of some of the scenarios and Richard Jone's impromptu reactions, a couple of other ones stood out for me: - the case of the adult art class where they were not allowed a kettle in the art room. May be that same room is used for infants during the day? If so it could be taking quite a risk putting a kettle in there in case someone forgets to put it away after the class. May be some toxic paint chemicals are used, in which case keeping hot drink making separate is a sensible precaution. The listener said she was told it had to be removed because of risks of being scalded. May be that was a misinterpretation of why the rule had been set up. Who knows. - the case of the DIY store not putting tins of paints in bags. Richard said this is complete and utter nonsense. Why is it complete and utter nonsense? - I presume the average carrier bag is not designed to withhold a 5 or 10Kg load. If they suddenly rip - result can be injured feet, paint everywhere for the poor staff to clear up and a possible manual handling injury and slip hazard. So why would you say this is complete and utter non-sense? What is utter non-sense is when the person serving says they cannot put paint in bags and then suggest the customer does it themselves. Again the person who is giving the H&S warning may not be aware of the reasoning behind what they are being asked to do. -
jay  
#13 Posted : 17 April 2012 13:24:21(UTC)
Rank: Super forum user
jay

I heard the interview and the responses to the questions, to me personally were in a context as I understood them. A lot of the issues were, in my view, to do with health & safety in context of trhe fear of being sued etc. Why would it be safer for the customer to place the tins ? A better response by the DIY store could be that our bags can take only x weight or a speciufic response instead of generic health and safety.
BuzzLightyear  
#14 Posted : 17 April 2012 14:14:33(UTC)
Rank: Forum user
BuzzLightyear

quote=jay]A better response by the DIY store could be that our bags can take only x weight or a specific response instead of generic health and safety.
I wonder if that is half of the problem - people not understanding the context of a rule that has been set up for a specific H&S reason and instead either second guessing why (wrongly) or labelling it under that evil dark pointless controlling force that is know as "elf'n'safety". I do think that IOSH spokespeople and HSE should be careful not to get too trigger happy with dismissing media quotes of H&S decisions without knowing the full facts. Judith Hackett and Wimbledon may be a case in point.
Victor Meldrew  
#15 Posted : 17 April 2012 15:50:53(UTC)
Rank: Super forum user
Victor Meldrew

It’s always the same when you speak / deal with the media, damned if you do and damned if you don't. 'They' have their agenda and will fulfil it no matter what is said - mythbusters has got its work cut out - personally I can't see a differing approach from the media to H&S being 'good for a laugh', which will in turn probably affect public perception, this side of the next ice age..... major incidents only provide a brief respite.
Victor Meldrew  
#16 Posted : 27 April 2012 11:00:33(UTC)
Rank: Super forum user
Victor Meldrew

There was a comment earlier on about the response re: Care Homes and staff being made to walk up stairs in front of a resident. I spoke with my wife who has been a Carer now for nearly 30 years and Policy is never to take a resident up stairs by any other means other than with the assistance of mechanical aids, stair lifts etc. However, and my wife has checked with her senior managers to see if the Policy has changed in recent years, SHOULD the mechanical means fail and it would be a rare SHOULD as they have three mechanical aids, then two members of staff MUST assist and walk in front of a resident when taking him/her up stairs. There were cases years ago, before mechanical aids became the norm, when residents, if being assisted from behind and fell, caused severe injuries to the Carer if and when falling upon the Carer. Similarly, Carers are informed, never to hold on to a resident who may fall down stairs, as there have been cases when a Carer has caused serious injuries if pulled down and falls on to the resident in the fall.
MrsBlue  
#17 Posted : 27 April 2012 11:55:54(UTC)
Rank: Guest
Guest

If I was in a position and saw someone falling down the stairs I would automatically reach out and try and break their fall - so, in my opinion, would 99% of other people. It's a natural reaction for most human beings and to be taught not to would be damn near impossible. Thus I find some aspects of H&S non-sensical let alone commenting on the pros and cons of common sense - which I believe doesn't exist. Rich
chris42  
#18 Posted : 27 April 2012 12:08:45(UTC)
Rank: Super forum user
chris42

I have not worked in this environment, but how exactly do they assist if they can not hold onto them ?, and therefore why are two people required?
Victor Meldrew  
#19 Posted : 27 April 2012 12:22:15(UTC)
Rank: Super forum user
Victor Meldrew

rich777 - I never said anything about what happens practically, probably yes the Carers would reach out and try and break their fall, like you say a natural human reaction, but in fairness we do appear to have a lot of natural human reactions not happening, e.g. firemen, policemen not putting themselves at risk and that probably emanates from the Atherstone issue/court case. My response was purely to state what was the actual Policy - fortunately the Care Home where my wife works has never had an issue, as all those residents who are unable to go upstairs safely themselves are based on the ground floor and like I say they have numerous mechanical means of getting people upstairs whereupon ALL are encouraged to utilise.
Corfield35303  
#20 Posted : 27 April 2012 13:20:39(UTC)
Rank: Forum user
Corfield35303

teh_boy wrote:
P.S. Well done IOSH! (p.s..s - the Radio 1 button was broken hence my choice of station - I'm no way near old enough for radio4 yet :) )
I'm 44 and listen to Radio 1, 2 and 4 - the news from R4 is sensible, and if you are after a good analysis of current events then it beats TV news and most papers, all-in-all I'd prefer to listen to loud rock music, but as I find it quite useful to keep abreast of whats happening in the world, I make myself listen to R4.
MrsBlue  
#21 Posted : 27 April 2012 14:56:29(UTC)
Rank: Guest
Guest

Perhaps all care homes should be ground level buildings or if multi-storied they should contain a lift. I know it would, in a lot of cases, be impracticable in existing buildings to put in a lift but all new care homes (purposely built) should include a lift large enough to take wheel chairs. During refurbishment of a building from one use to a care home the planners should insist on the incorporation of a lift. If this cannot be done then the planning application should be refused Then the issue of falling down stairs and injuring others would not be an issue. Logical really - and a necessity after seeing all the adverse publicity surrounding some, so called, care homes. Panorama had a programme this week about abuse in care homes Rich
BuzzLightyear  
#22 Posted : 30 April 2012 09:20:00(UTC)
Rank: Forum user
BuzzLightyear

I admire the beauty of your logic rich777. Personally, I think the situation is a bit more complex: Care homes are there (often not built) - just there because they are often normal houses in the community that are adapted. Perhaps you are thinking of large purpose built care homes. I work in the learning disability sector where most care homes are typical four or five bedroom houses built anytime between the Victorian and current era. So retrofitting passenger lifts is not always an option. However, I would agree that if a new build home is intended for people who are likely to have difficulty using the stairs then a passenger lift would be sensible. Another point to bear in mind is that people do not turn incapable of using the stairs over night. Like all of us, we age gradually. I have heard of occupational therapists saying that it is important to keep people using the stairs as long as possible because their mobility tends to deteriorate very rapidly once they become reliant on equipment. There are a number of balances to consider with these issues: - the balance between staff safety verses quality of life of the person they support - the right balance of safety of the person who lives in the care home versus their loss of independence and mobility - the right balance of huge expenditure on buildings compared to the likelihood of the people who live in the home becoming at risk of falling or reliant on mobility equipment. If I can respond to other comments about instinct to save people. All I can say is 'exactly', people will often instinctively save people from falling and that's where we can end up with two severe injuries instead of one. Hence the reason why practice or equipment is designed to not put people into the vulnerable situations of succumbing to instinct in the event of a fall. So coming back to the radio programme and the indignent listeners, I believe many of these issues are the result of lack of understanding of the nuances and subtleties of each situation.
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