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clane  
#1 Posted : 06 August 2015 12:59:18(UTC)
Rank: Forum user
clane

Hello All, Need your advice/help! I recently applied for a risk advisor position with a social enterprise who provide domicilary care to people with varying issues including mental health, substance mis-use, leanring difficulties, primary care etc. I have now been invited for interview next week and have been asked to give a 10 minute presentation on h&s/risks within domicilary care. The care that they provide is administered in peoples homes, care apartments/supported living and residential care homes, so as a result there would be a varying degree of h&s concerns that would be faced by the service users themselves, staff, visitors and contractors. Also it is debatable whether or not the HSE would get involved in any incident that would be suffered by a "domestic worker" in private households, unless they are employed by the NHS, LA or employment agency, so what would be protocol in such a situation? I guess what I really need to know is what are the everyday h&S concerns/risks to people who operate in this environment? What should I pay special attention to? This would be my first role in h&s (also first interview) since qualifying, so obviously I'm quite keen to make a good impresssion. I would welcome the thoughts of anyone willing to share some advice regardless whether you are familar with the care industry or not. Regards,
DHM  
#2 Posted : 06 August 2015 13:29:41(UTC)
Rank: Forum user
DHM

Hi clane Try these to start things off.... Fire safety and evacuation procedures for those more vulnerable individuals Manual handling of patients Security to prevent access and egress to dementia patients and unwanted members of the public Housekeeping - Storage of drugs and other harmful substances like cleaning products. Asbestos awareness in older buildings (visiting contractors carrying out works etc) Food hygiene arrangements? Regards DHM
DHM  
#3 Posted : 06 August 2015 13:38:30(UTC)
Rank: Forum user
DHM

I should add that I was considering the residential care home scenario hence the duty to manage things like food, fire and asbestos risks. Not the domestic care element that your potential new job may involve.
clane  
#4 Posted : 06 August 2015 13:59:19(UTC)
Rank: Forum user
clane

Thank you DHM, I imagine that most of the work would revolve around the residential side of things but no harm in being prepared for other scenairo's. Would it be worth mentioning/identfying the various regs/legislation that govern such work if only to show that I am aware of it even if not overly familar with how its implemented?
stevedm  
#5 Posted : 06 August 2015 14:01:52(UTC)
Rank: Super forum user
stevedm

Clane You may just for Background reading want to have a look at the CQC Website...don't hold a lot of stock in it practically but worth a note to potentially impress a new emplyer... good luck.. :)
DHM  
#6 Posted : 06 August 2015 14:43:37(UTC)
Rank: Forum user
DHM

Yes it would be worth referring to other regs, but try not to get trapped into a conversation where you are not 100% sure of the specific legislation, Oh don't forget Legionella, requirement for a survey and risk assessment and management controls. Happy to help out a new safety professional, we were all there once. DHM
JayPownall  
#7 Posted : 06 August 2015 14:49:54(UTC)
Rank: Super forum user
JayPownall

clane - i've PM'd you as I believe you may be going for a role at my previous employer!
SamJen1973  
#8 Posted : 06 August 2015 14:54:37(UTC)
Rank: Forum user
SamJen1973

Hi You should consider lone working risks , if staff working 1:1 in people's homes and/or travelling between different homes during course of their shifts. Depending on the client group, consider challenging behaviour (physical or verbal aggression/abuse directed towards staff or other clients, self-harming behaviour, disruptive/destructive behaviours). Also infection control - staff supporting customers with personal care, administering medication, household chores. Risk potentially increased if supporting people with substance-misuse issues (eg drug paraphernalia). Hope this helps. Sam
Invictus  
#9 Posted : 06 August 2015 15:00:38(UTC)
Rank: Super forum user
Invictus

Don't forget communicable diseases, violence, needle stick injuries, violence from visitors, day trips out, Loss of services, i.e. water, electricity etc and your emergency planning and effect on the service. Supervision levels Manaul handling particularly of people They will have most in place, but I always look at fire particularly in residential, so if you use fire as already mentioned talk about robust procedures for horizontal evacutaion, training of staff and fire wardens. Good luck
Corfield35303  
#10 Posted : 06 August 2015 15:14:43(UTC)
Rank: Forum user
Corfield35303

Think/talk broadly about the risk management process, each individual should have a care plan, this should detail their vulnerabilities and 'risks' they may pose. The measures needed to work safely should be in the care plan for the individual rather than in a separate risk assessment, although additional risk assessments may be appropriate on occasion. The care sector is strapped for cash so they will not be interested in resource heavy additional safety management controls, much better to use and fine tune existing (care based) systems.
Invictus  
#11 Posted : 06 August 2015 15:18:23(UTC)
Rank: Super forum user
Invictus

The care planning system is based on the xare of the individual and there needs now and future. This I see as being more the role of care assistants. The H&S advisor should be looking at the broader spectrum of safety and not taking over the role of the care provider.
clane  
#12 Posted : 06 August 2015 15:29:55(UTC)
Rank: Forum user
clane

Thank you all for your contributions.. It seems now that my next issue will be to try and condense all of this information you have provided into just 10 minutes, which usually giving a presentation goes so fast. Also, are there any general h&s questions I can expect to be asked in the interview? Is it important to have you own philosophy when it comes to risk management strategy? Thanks again all
Invictus  
#13 Posted : 06 August 2015 15:33:39(UTC)
Rank: Super forum user
Invictus

As it is your first role in H&S they might ask how your past experience will benefit you and them in this role. What do you think are the major risks within the sector. I was asked that. I said fire, due to residential care and the service users understanding.
DHM  
#14 Posted : 06 August 2015 15:47:27(UTC)
Rank: Forum user
DHM

Talk about being pragmatic in your risk management outlook and that you don't want to try and tie the business up in red tape?
Invictus  
#15 Posted : 06 August 2015 15:50:25(UTC)
Rank: Super forum user
Invictus

Also, on that talk about involving employees and particularly managers by giving direct feedback to them from audits, fire risk assessments etc. this way you hope they will feel empowered and want to work with you.
bob youel  
#16 Posted : 06 August 2015 17:20:02(UTC)
Rank: Super forum user
bob youel

what is your history / background as parts of these businesses are completely different areas of H&S than offices shops etc. and off the top of my head the HSE no longer enforce these areas its now under CQC + EHO's, Ofsted, fire, EA + social services are involved. However there is little chance of real day to day enforcement or visits except via a social worker or nurse Personally I think that such areas are better to work in than construction & similar as the mind has to really work all of the time and enforcers are not as up to date as say the construction people but note that the public are up to date when they want something! you must ask just what does the employer really they want of U so as U can do your best to support the employer best of luck
toe  
#17 Posted : 06 August 2015 20:22:39(UTC)
Rank: Super forum user
toe

I think that most of the main risks have been identified by previous posts. I would just like to point you in the direction of the publication linked below - yes, its about care homes but the information in the document can be widely applied in the social care industry and offers great guidance. http://www.hse.gov.uk/pUbns/priced/hsg220.pdf Good Luck Clane.
SamJen1973  
#18 Posted : 07 August 2015 09:18:04(UTC)
Rank: Forum user
SamJen1973

A question you may be asked is your approach to risk management in balancing the safety of staff with the rights of the clients they are supporting. Basically balancing the organisation's duty of care to the clients they are supporting, with its duty of care as an employer. This could relate to something as "simple" as staff's working environment, eg working with clients who smoke, or who's homes are very, very dirty. It could be around supporting clients with their activity of choice, eg client wants to go to the pub and get drunk. If you can demonstrate you recognise that clients (who have capacity for their decision making) need to be supported even when they make what we would consider to be poor decisions, so there must be systems in place to keep staff safe while doing so. Good luck with your interview, feel free to PM me if you've any specific questions.
clane  
#19 Posted : 07 August 2015 09:39:22(UTC)
Rank: Forum user
clane

Again thank you all for your input... The care industry as a whole seems to be a little bit of a minefield, with so many variables to take into consideration. It also provokes quite a lot of debate judging by what's been said on this and other posts...or maybe that's just h&s in general. As a relatively raw individual in the field my views have yet to be shaped and influenced, I'm sure that will happen in due course... However I do feel more informed about what to expect and how to approach it. Should I succeed, I will no doubt be back here again plotting my way forward. Thanks again
Steve e ashton  
#20 Posted : 07 August 2015 10:05:33(UTC)
Rank: Super forum user
Steve e ashton

All the above plus... Perhaps the biggest single risk to life for the staff is likely to be travel, and specifically driving/road risk! Make sure that you understand the new license checking processes, the need for business cover insurance if using own car, and general issues like fatigue, working hours, eyesight, and drugs/alcohol... Often overlooked because we tend to focus on fixed premises working, but a Dom care assistant may be helping four or five clients and travelling between can be a big part of the day. Also.. Think about the Cordia case and the appeal decision effect on limiting responsibility for issues arising in day to day life... As others have said.. Good luck.
Graham Bullough  
#21 Posted : 07 August 2015 10:16:02(UTC)
Rank: Super forum user
Graham Bullough

The IOSH Manchester & North West Branch has an active Healthcare Section as described at http://www.iosh.co.uk/Me...re-Group-NW-section.aspx If your geographical location and circumstances enable you to attend its meetings, the presentations and opportunity to chat with members already working in the healthcare sector could be very useful - and go beyond the advice available on this forum with its inherent limitations. If other forum users know of similar entities elsewhere within the IOSH Network, hopefully they'll respond to this thread for your benefit - and that of others who may also be contemplating roles in the healthcare sector.
biker1  
#22 Posted : 07 August 2015 10:48:38(UTC)
Rank: Super forum user
biker1

I can't add all that much to what has been said already, only to be aware of and able to mention cases where care homes have been prosecuted in recent years, so show you are aware of liabilities. Such cases have included patients falling from unrestricted windows (and in one case from the roof), patients being scalded in baths due to unregulated hot water supply, and patients falling from hoists or the hoists failing (or indeed not being used properly).
jwk  
#23 Posted : 07 August 2015 11:02:47(UTC)
Rank: Super forum user
jwk

Hi clane, You need to stick everything that has been suggested on one risk register, and either include that in your presentation or bring it along (explain of course that you're estimating risk values and that the mitigations you suggest are samples). A former colleague of mine did that, as it was the way we worked at my previous place, and it got him a job with a well-known charity; they'd never seen anything like it! John
Corfield35303  
#24 Posted : 07 August 2015 11:08:06(UTC)
Rank: Forum user
Corfield35303

To build upon a comment earlier another titbit to add might be around development of homecare staff to be the well placed eyes and ears to detect safety risks too. I used to do safety training for the home-helps (a long time ago) and this was always well received as part of a balanced approach to risk. Good luck and let us know how it goes!
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