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#1 Posted : 08 January 2005 14:27:00(UTC)
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Posted By Ron Hindle HELP AND ADVISE NEEDED URGENTLY......... my wife works for a private care home for the elderly, over the xmas and new year period there was an outbreak of vomiting and diarrhoea with the residents, some not all staff caught the bug and had to refrain from duties, my wife was off work with the vomiting and diarrhoea and was in a very bad way, my son who is a diabetic also caught the bug from his mother, he was rushed to hospital with dehydration and and was put under close observation. my wife complained to her manager regarding any control measures i.e. PPE such as wipes aprons and even masks, non were provided at all and there was no suitable information, instruction, training or supervision and to add insult to injury she was told that because she could not prove where she caught the bug from she would not be paid for any time off.after she complained some 2 weeks later a flimsy sort of method statement was issued to all staff telling them the correct procedure in the event of any outbreak and dated December 2004, it is my belief that that she can claim compensation from the care home for not complying to the HASAWA. my question is there an agreement anywhere between unions and private care homes for any industrial injury/sickness benefit for the workers? as a Health and Safety Manager for a large orginization i have very strong concerns for the HEALTH of my wife and other staff who work there in the future, i know i am asking for a couple of things here but any clarifying information would be a great help to my wife and to the other members of staff, i have also told my wife to start putting things in writing regarding any corrospondance with management regarding Health Safety and Welfare issues and pass them on to me, i will then forward it onto either the National Care standards Board or the Health and Safety Executive. many thanks Ron Hindle
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#2 Posted : 08 January 2005 18:35:00(UTC)
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Posted By Paul J Williams If the home is a residential home as oppose to a nursing home then the enforcing authority for H&S is the local authority environmental health dept not HSE. They too should be able to advise on the precautions that should be taken, all the time not just at times of an outbreak. The COSHH Regs are the key piece of legislation here. The local EHO in conjunction with the CCDC should be able to answer your questions with the exception of the financial matters you refer to
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#3 Posted : 10 January 2005 09:59:00(UTC)
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Posted By J Knight Hi Ron, Thoroughly endorse what Paul is saying, though I think that CCDCs are now called something else and work for the Health Protection Agency rather than local HAs. Under the old (1984) Care Homes Act and the local standards written under them any outbreak affecting more than three or more staff and or residents in a Care Home had to be notified to the CCDC. Under the new legislation things are a little less defined. Reg 37 of the Care Standards Regs 2000 now says that any outbreak which, in the opinion of a doctor, should be notified to CSCI (or CHAI) should be so notified. I would be inclined to let CSCI (or CHAI) know in any event as this sounds like an extremely serious situation. Certainly any of our Care Centres which had the majority of Service Users ill from a single cause would let their CSCI/CHAI Inspector know as a matter of course, whatever the GPs concerned thought, as this would be good practice. You can also contact your local CCDC (or whatever they are now called) direct, or as Paul suggests go through your EHO. As for the deeper issues of inadequate PPE, lack of training and so on, it could be that your wife's best bet would be to go and work for somebody else. I know that we wouldn't tolerate that kind of management approach in our organisation, and neither would my previous employer. There are many good care providers out there, John
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#4 Posted : 10 January 2005 10:20:00(UTC)
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Posted By Rod Douglass Hi Ron, Here are some standard Infection Control Practices PERSONAL HYGIENE:WASH and DRY HANDS frequently and effectively – immediately after contact with blood and/or body fluids. If hands are visibly clean but require decontamination prior to a clinical procedure, then an alcoholic hand gel is recommended. Hand cream should be used at the end of each working shift to maintain skin integrity. PERSONAL PROTECTION:WEAR GLOVES when hands are likely to touch moist body substances, mucous membranes or non-intact skin. WEAR A DISPOSABLE PLASTIC APRON if your clothes are likely to become soiled with body substances. Plastic aprons are impervious to moisture and therefore provide a better barrier than cotton gowns. ENVIRONMENTAL HYGIENE:DOMESTIC CLEANING. For routine cleaning use hot water and detergent wearing suitable protective clothing. BLOOD & BODY FLUID SPILLS must be dealt with as soon as possible, wearing suitable protective clothing. If necessary, an appropriate disinfectant such as hypochlorite (e.g. Presept/HAZ-tabs) can be used to wipe over the contaminated area. Further domestic cleaning then requires no special precautions. ENVIRONMENTAL SAFETY:DISCARD USED NEEDLES, SYRINGE UNITS AND OTHER SHARPS immediately after use, uncapped and in recommended puncture proof containers only. DO NOT RESHEATH NEEDLES UNLESS AN APPROVED DEVICE/PROCEDURE IS USED. LINEN. All linen should be handled with care. Linen heavily soiled with blood and/or body fluids should first be placed in laundry bags at the point of use. Do not overfill bags and ensure non-laundry items are not included. In the home, a normal domestic wash is adequate. WASTE. Clinical waste i.e. soiled with body fluids must be placed in yellow tiger striped clinical waste bags or the boxes as per policy. Domestic waste into black bags. Do not overfill bags, close securely and label/tag prior to storage and disposal. CLIENT CARE:MANAGING INCONTINENCE. Gloves should be worn routinely for cleaning incontinent patients. A plastic apron is also needed when changing bed linen. COLOSTOMY/URINE DRAINAGE BAGS. Wear gloves when emptying or changing drainage bags. Change gloves between patients. Ron, this company should have all this documented as an Infection Control Policy if they are reputable and it should be available to all staff to view. Aye Rod
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#5 Posted : 10 January 2005 11:03:00(UTC)
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Posted By J Knight Hi Ron, Just to clarify something in my previous point, I am referring to an outbreak of an infectious disease which wouldn't be automatically notifiable under RIDDOR or the Public Health Acts; the old registered homes acts required notification of disease purely on the grounds that a lot of people were ill at once from the same cause, whatever that cause was. The new standards require such outbreaks to be notified at the discretion of a doctor, though as I say I would notify CSCI in any event, John
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#6 Posted : 11 January 2005 20:13:00(UTC)
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Posted By Paul J Williams I think they are still called CCDCs, well ours never corrects me anyway. But next time I see her I will check
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#7 Posted : 30 January 2005 00:20:00(UTC)
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Posted By Simon Kidsley Hi Just read this thread, as I'm involved in a care home for the elderly and am in the process of overhauling our health & safety and safe working practices decided to register & respond. The current infection control guidelines are published free by the dept. of health "Guidelines on the Control of Infection in Residential and Nursing Homes". The Commission for Social Care Inspection has very informative web site which includes all relavant statutes and regulations as well as the Care Standards, Care Standards are not law but have to be taken into account by the CSCI when making registration decisions, standard 38 covers safe working practices. The Care Homes Regulations 2001 as amended specifically require the registered provider to make suitable arrangements to prevent infection.......and the spread of infection reg 13(4). http://www.csci.org.uk/ I'm sure they'd love to hear from you. Hope this is of use Simon
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