Evaluating and Adjusting to the Positive Work Environment at Bolton Foundation

The assignment content discusses the evaluation of my activities as part of my work at Bolton Foundation, where I analyzed my current requirements with the organization's methods. The report concludes that success was made by gaining information on health and safety, highlighting the importance of risk assessment and controlling/monitoring of health and safety needs.

HEALTH AND SAFETY

TABLE OF CONTENTS
INTRODUCTION ..........................................................................................................................5
TASK 1A ........................................................................................................................................5
LO 1.................................................................................................................................................5
Reviewing systems, policies and procedures for communicating information ..........................5
Assessment of responsibilities for Bolton NHS Foundation Trust in relation to its structure.....7
TASK 1B ........................................................................................................................................8
Analysis of health and safety priorities........................................................................................8
TASK 2..........................................................................................................................................10
LO 2...............................................................................................................................................10
Analyzing how information from risk assessment informs care planning ...............................10
Analysis of impact of one aspect of health and safety policy....................................................11
Encountering dilemmas in relation to implement systems and policies....................................12
Analyzing the effects of non-compliance with health and safety legislation............................12
LO 3...............................................................................................................................................13
TASK 3..........................................................................................................................................13
3.1 Explaining monitoring and reviewing of health and safety policies and practices..............13
3.2 Effectiveness of promoting a positive health and safety culture.........................................14
3.3 Evaluate own contribution in placing the health and safety needs of individuals ..............14
CONCLUSION..............................................................................................................................16
REFERENCES .............................................................................................................................17
2

Index of Tables
Table 1: Health and safety legislation..............................................................................................5
Table 2: Risk assessment template................................................................................................10
3

Illustration Index
Illustration 1: Structure of Bolton NHS Trust..................................................................................7
Illustration 2: Gibbs Reflective Cycle............................................................................................15
4

INTRODUCTION
“Health and safety” is the most significant priority of every Health and Social Care
(HSC) organization. There are constant efforts made by the health care practitioners, doctors,
nurses and care providers to provide proper treatment and services with a motive of minimizing
the aspect of risk which is associated with the workplace setting. It is important to implement the
health and safety legislation for ensuring security of patients, visitors and care users. Assessment
of the risk is another vital way by which dilemmas are encountered to evaluate the impact of
health and safety policies and procedures. The need for monitoring and reviewing at the
workplace is essential for promoting positive and care culture in an organization (Hendrikson,
2010). This report is about management of health and safety at Bolton NHS Foundation Trust,
which is one of the busiest health care organizations in the Greater Manchester, England. This
UK based organization is funded by the NHS Trust and has three specialized sites for pediatric
and neonatal services. The main objective of this report is to highlight the health and safety
legislation. Analysis has been made about the consequences of health and safety need on patients
and doctors. Lastly, the central idea behind this report is to present the monitoring and reviewing
policies of health and safety policy at Bolton.
TASK 1A
LO 1
Reviewing systems, policies and procedures for communicating information
There are various systems, policies and procedures which are reviewed for
communicating the information on health and safety at the workplace in respect of legislation. In
British, there are certain laws and regulatory framework which has been provided with an
intention to meet requirements of health care (Sugiyama and et.al., 2008) . In Bolton NHS
Foundation Trust, various laws are governed by an objective to meet the workplace health and
security need. Following laws of UK implemented in this organization to fulfill the effective
requirement of fostering better communication systems and workplace safety has been stated in
following table as follows:
Table 1: Health and safety legislation
5

Health and safety legislation
Health, Safety and Communication
Acts
Description
Health and Safety at Work Act 1974 According to this act, the responsibility of every health care expert is to
maintain the safety of patients at the care settings. The main objective of
this act is to define policies and procedures at the Bolton for ensuring
safety of staff and care experts. There is necessity to formulate the safety
at the workplace with the prescribed norms and rules so that assurance of
communication of information is maintained as well.
Health and Social Care Act 2001 As per this health care act in the UK, the staff of every organization
inclusive of Bolton has been authorized to make use of information
processing. The main objectives behind this act are to make arrangements
in respect to further provisions such as social care services and to make
further processing of patient information (Hurst and Patterson, 2014).
The idea here is to facilitate the doctors with their patient's data, so that
they can provide better treatments and care services to patients.
Electronic Communications Act
2000
This is the most vital act which is used by the Bolton Trust where the
associated health care practitioners use method of preparing prescription
of their patients electronically (Billings and Weger, 2015). This is a way
by which information of the each and every patient are recorded and
stored for future use. This is to ensure better communication and quick
delivery of information transmission.
Data protection Act, 1998 The processing of personal data, which is held in manual or electronic
form, is regulated by this Act. Along with the health records, this Act also
applies to the personal information. This act requires Bolton to comply
with eight data protection principles and observing the rights of the
patients. The medical information of a patient can only be obtained for
one or more specified and lawful purpose. The medical information
pertaining to the patients shall not be kept for longer than necessary.
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The personal data related to patients should be processed and
communicated in a lawful manner.
According to the workplace experience at the Bolton Trust, following stated methods are
used which are stated as follows: Written communication: This trust uses methods such as reports, advertisements,
memos, electronic mails, notice boards etc. for transmitting information in the written
form (Brand, 2012). Verbal communication: There is used an oral form of communication for short and
prescribed data transmission. At Bolton, there arise situations where the quick delivery of
task has been made by using verbal source.
 Visual communication: This is a method which is widely used in Bolton. At the time of
training and providing information in respect of human health etc., graphic modes are
used to share information (Barber, 2002).
Assessment of responsibilities for Bolton NHS Foundation Trust in relation to its structure
It is very imperative to assess the responsibilities of the individuals working at different
levels of management to ensure effectiveness of workplace settings at the Bolton NHS
Foundation Trust.
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 Director: The main role of the Director of the Bolton is to manage the overall work of the
organization. He is responsible for framing all the organizational rules and policy
framework in respect of health care and safety (Valentine, Nembhard and Edmondson,
2015). He also plays the role of assuring the discussion of safety standards by regularly
participating in the meeting with his staff members. Senior manager: The role of senior manager in Boston is to look after all the issues and
risks that arise at the workplace. In addition, he is also responsible for formulating ways
to define the solutions to meet with those changes. He is responsible to intimate director
on a direct basis and maintains direct contact with him. Assistant manager: The role and responsibilities of the assistant manager working at the
Bolton is to engage the team to work as a whole for workplace management of risk. He
maintains direct contact with the functional staff (Horie, 2010). He instructs them for
work at a place where hazards are identified and action plans to be implemented as per
legislation of the UK.
8
Bolton NHS Foundation
Trust
Director
Supervisior Assistant
Manager
Health Care
Assistant HR Manager
Illustration 1: Structure of Bolton NHS Trust

 Supervisor: The role of the supervisor is to look after the efficiency of how the work is
being carried out in Bolton. He looks after the arrangements to be made. In addition, he is
responsible for training the operational staff by providing required training as per
organizational norms and settings (Hujala, Laulainen and Lindberg, 2014). HR manager: The role of HR Manager of the Bolton is to recruit and train manpower as
per organization's standards. He looks after the appropriate working methods and training
initiatives in respect to developing staff.
 Health care assistant: The job role of health care assistant working at Bolton is to look
after the effective exercise of health care policies and procedure followed in maintaining
health and safety.
The table given below will state the roles and responsibilities as follows:
Employer's
Responsibility
Employee’s responsibility Service users' and
visitors' responsibility
Director- The director
of day care centre has
the responsibility of the
overall health and
safety of staff, patients
and visitors.
Health and social care
worker- He has the
responsibility to follow the
policies and procedures. He is
also responsible for protecting
the rights of older patients
suffering from dementia and
Alzheimers.
Service users- they have
the responsibility to
adhering to the
instructions given to
them by the care worker
regarding health and
safety procedures.
Health and safety
executive- he has the
responsibility to
enforce various acts and
statutory instruments in
relation to health and
Ward manager- He has the
responsibility of ensuring that
the staffs are properly trained
in health and safety
procedures.
Visitors- the visitors are
responsible for their own
as well as the patient's
health and safety. It is
their responsibility to
abide by the rules of the
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safety at the care centre. care centre.
TASK 1B
Analysis of health and safety priorities
There are various ways by which health and safety priorities are designed at the
workplace setting of Bolton Foundation NHS Trust. There is a need for doctors, nurses, care
experts etc to work as a whole for promoting culture of workplace and patient's safety as well.
Following are some of the health and safety priorities which are defined in an order to meet with
the changes in the organization and are stated as follows: Slips, falls and other types of accidents: This is the most vital planning which is being
prioritized at Bolton. The major risk is derived from the falling, tripping and related
accidents. There is need to make safety plans by considering such aspects so that visitors,
patients and even the staff will safe at any part of this health care organization (Anderson,
Chaturvedi and Cibulskis, 2007). In this trust, the record keeping is maintained where
such accidents are recorded and objectives are maintained by keeping this aspect as
priority. Healthy and nutritious diet: This priority has been defined keeping in account the
treatment and care of old age patients specially. Also, all age group care users are
required to provide with the privilege of healthy and nutritious food (Corbett, Travaglia
and Braithwaite, 2011). Along with this, nurses and care providers must be trained well
for taking care of the medicinal treatment on time and effectively for the better recovery
of the patients. Safe working environment: The next priority of working in this health care organization
is by developing better health care services for the patients. It is the duty of doctors and
care providers to work by addressing the aspect of safe surrounding as a priority of
patient's safety and care. It is essential to consider the Occupational Safety and Health
Administration's (OSHA) guidelines for ensuring effective job working of the Bolton.
The main objective of the OSHA is to work with an objective to minimize fatalities,
illness etc.
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 Prevention of infection control:This is another health and safety priority which is
required to be met for controlling infection at the workplace. In hospitals and care homes,
this is very common aspect which may affect the other visitors and patients. Therefore,
there is need to use infection control methods for maintaining safety. There is Reporting
of Injuries, Diseases and Dangerous Occurrences Regulation (RIDDOR) which is
responsible to enforce the authorities who investigate the reasons for serious accidents
and provide safer working environment (Christophorou, 2013). The role of this authority
is to help the action of prevention plan. This is made to reduce the aspect of loss from
accidents and injuries.
 Minimization of risk: This is another priority which is all about defining the parameters
that contribute the chances of hazard. After identifying those factors, the role of Boltan is
to make implementation of devices which minimizes the workplace risk. It is inclusive of
fire alarms, chemical explosion risk, repaired devices and instrument etc. for fostering
workplace safety.
Given below is a table that shows the safety priorities followed at Boltan and are planned as
follows:
Safety Priority Why is it a safety priority? How do you deal with this?
Safety from falling
This is considered as a safety
priority as risk of falling has
been associated with the same. It
is vital as risk of injury is
associated with the same.
Walking aid can be provided
to needed applicants to deal
with such issues.
Safety from road accident
and getting lost
Risks involved are inclusive of
patients such as those suffering
from dementia and mental ill
health.
In order to mitigate with those
risks, sufferers will not be
allowed to go out alone.
Safety from poor lighting Patinets who are suffering from
eyes issues or dementia are
associated with risks.
It can be managed by
increasing light levels.
Daylight issued wherever
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possible.
TASK 2
LO 2
Analyzing how information from risk assessment informs care planning
Analysis of Information from risk assessment is a sort of care planning for individuals
which helps in organizational decision making. In this regard, the following risk assessment has
been provided at the Bolton in tabular form as follows:
Table 2: Risk assessment template
Potential
hazards at
the workplace
Who might
be harmed
and how?
Actions
already
been taken
Additional
actions to be
taken for
managing
the risk
Person
responsible
for taking
the action
Date of
action
Present
status
Infection The admitted
patients,
visitants,
children and
old age
individuals.
The use of
covering
mask for all
the Hospital
staff is used.
Proper
cleaning of
hospital is
required.
Patients are
compulsory
wear masks.
The usage of
complete
hygienic
belongings
and
requirements
should be
used.
Staff and
senior
nurse.
07/09/15 On-going
Injury and
abuse
Both old age
people and
children are
affected by
the injury and
abuse
activities. The
manpower of
this
organization
may also be
The trust has
serviced
work devices
or
instruments.
They are
checked
regularly
time to time.
Training is
provided to
the personnel
of hospitals.
There is a
necessity of
withdrawing
the broken
parts.
Proper
Health care
Staff and
supervisor.
07/09/15 On-going
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Potential
hazards at
the workplace
Who might
be harmed
and how?
Actions
already
been taken
Additional
actions to be
taken for
managing
the risk
Person
responsible
for taking
the action
Date of
action
Present
status
harmed due
to defective
devices and
deficiency of
technical
aspects.
observation is
required so
that the old
age patients
and children
are not
abused.
Working staff
also needs to
be disciplined
for precluding
the accidents
or abuse of
patients and
visitors by
mentally ill
patients.
(Tomlin, 2009)
The above defined risk assessment template is a reflection of care planning of
individuals. It is an analysis of all the responsibilities and duties which are required to be adhere
by the Bolton's staff. This is a care plan which is made with an objective of depicting the
management with their duties and work to be made in health care unit.
The significance of the information is to make management with the policies in
consideration with the achievement of workplace effectiveness. This risk assessment is a tool
which helps to make proper methodology to foster communication at the Bolton.
The significance of using risk assessment to organizational decision making through policies
and procedures are discussed through following points:
 Bolton is enabled to be informed regarding risks and harms that patients with dementia
can face. Therefore, in response to those harms, the day care centre is able to make
procedures.
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 With the help of risk assessment plan, carers will be informed about the harm that can be
caused. This may include improper storage of dangerous substances such as cleaning
agents, medicines etc.
 With the help of risk assessment, dementia patients who were associated with the risk of
getting loss are provided suitable attention and protection.
Analysis of impact of one aspect of health and safety policy
Various health and safety issues have been identified which have direct impact on the
health and safety policy. There is a need to develop secure working environment. It implies that
while performing any kind of operations and treatment at the Bolton, the health care professional
and care must be aware about the guidelines provided in respect of handling of equipment. There
are various negative implications such as injury, cut, pain, and harm with the improper use of
these instruments (Tisserand and Young, 2013). There is, thus, need to make such plans and
policies where the use of health and social care practices are used. In similar fashion, the place
should be addressed properly where these equipment are required to be kept (Farrell, Byrne and
Moore, 2014). Keeping sharp and chemical related objects in open space and in reach of
everyone may leads to harmful consequences. In addition, the authority members of Bolton
would be responsible for same.
The policy impacts health and social practice in the following ways:
 It provide training to workers regarding safety and hygienic at the workplace of Bolton.
 They enable them to make use of good practices at work so that germ free environment
can be created.
 Staffs become informed and knowledgeable regarding the possible changes which create
positive impact on the life of patients and care providers.
 The policies set benchmark for the compliances and their significance in health and social
care sector.
Encountering dilemmas in relation to implement systems and policies
The element of handling dilemmas is made by effective implementation of health and
safety policies at the Bolton. Every action plan designed carries a benefit of secure action
system, policies, plans and laws. Dilemmas are considered as a tough job where the alternative
challenges came through the way of doctors while handling their patients. Moral dilemmas are
14

one such aspect where the doctors have to make decisions from among two courses of
alternatives. The need arises when the systems are required to make the selection with the
obligation of risk-benefit investigation, personal hazard and risk to other individuals,
consequences of resources use and precedence of stakeholders, both external and internal.
Similarly, there is Health and Safety Legislation of UK who takes into applicability of for all the
staff, doctors and management of NHS Trust to perform their responsibilities by considering the
welfare of patient’s safety and welfare as a priority (Reese, 2012). The Health and Safety
Executive (HSE) is a government body of UK who implement the legislation for health and
safety as a proposal for content and guidance with online services as well which may prove
advantageous for Bolton.
For instance, there was once dilemma encountered at Bolton where Mary who is 60 years
old lady was suffering from dementia. Doctors recommended her oral antibiotics and medicines.
But, she does not want to take the medicines and rejected for the same. If nurses gave her
medicines forcefully, then it is an illegal procedure. However, not giving her medicine on time is
against her health. Therefore, this is an example of issue that is faced by health care providers at
Bolton.
Analyzing the effects of non-compliance with health and safety legislation
There need of addressing the health and safety legislation are of core importance in an
order to maintain effective health care services. In respect to Bolton, there are defined certain
internal and external norms and code of conduct for avoiding the internal and external laws
properly. There are certain effects of non-compliance with the health and safety regulations.
There is The Health and Safety Executive (HSE) which is a UK governance body who is
responsible for supporting safety plans and guidelines to give maximum safety and security to
the workforce. Care Quality Commission (CQC) which is a social care provider organization of
UK aims to assess, monitor, evaluate and inspect the care standards for the Bolton's working
which is inclusive of providing proper care and treatment (Woods, 2012). Similarly, the effect of
non-compliance of health and safety legislation may leads to risk factor if the safety and security
is provided in respect to the equipment and instruments being used by doctors and care expert.
15

Non compliance with this legislation may leads to various effects to Bolton. These are
stated and evaluated as follows:
 Health and Safety Executive take some action plans. However, if they were not
implemented on the basis of laws, this may threaten the life and health of patients and
care users.
 If the health legislations will not be followed then, this may cause rise in poor hand
hygiene.
 Absence of complying with the legislation may leads to lowering of standard.
 In this regard, Care Quality Commission can take action against Graceland if it finds its
care service of lower standards.
 Non compliance with the legislation will also have other impacts on the care centre.
LO 3
TASK 3
3.1 Explaining monitoring and reviewing of health and safety policies and practices
The monitoring and reviewing is the most critical aspect which is required to be
undertaken in an organization. This is made to ensure that all the activities in providing treatment
and care services are executing in respect of existing laws and UK regulations. At Bolton,
management of staff, health care practitioners etc regularly indulge in some or the other activities
which helps in monitoring and evaluating the work in an organization. Certain laws such as
health and safety regulation 1981, RIDDOR (revised in 2013), COSHH 2002 etc which are made
in accordance with the risk assessment advantage are used to monitor and review workplace
actions. As a part of NHS, the organization has main motive of maintaining following set of
good practices and core action plans stated as follows:
Core actions
 The activities of providing information for training and maintaining program and events
at the Bolton are prioritized.
 There is made regular auditing systems at this NHS Trust organization to ensure
management effective working in respect of health and safety.
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 The board of the Bolton Foundation NHS Trust takes on periodic audit. The main aim is
to introduce new policies and procedures when the for health and safety elements leads to
failure (How to carry out a risk assessment. 2015). The activity of controlling and monitoring should be reviewed as per legal documents
periodically. It is very significant to consider as a fundamental need for meeting the legal
requirement.
Good patterns:
 The health and safety execution can be made in respect of appraisals, incentives and
promotions of the senior health care professionals and care experts at Bolton trust.
 Observation of sickness absentees from hospital should be measured by the board.
 Individuals should be involved in catering health and safety practices at health care
settings.
 Aggregation of health and safety information is an instance which shows a benchmark for
effective work.
Methods used to monitor and review polices
 Auditing is one method which is made on monthly basis at Bolton. It is made as per trhe
standards followed by Department of Health.
 Active monitoring is another way where monthly report is given to meet with various
policy changes and alternations.
3.2 Effectiveness of promoting a positive health and safety culture
The effectiveness of promoting a positive health and safety culture is of great significance. It
is vital to examine the health and safety policies in an order to maintain good culture. At Bolton,
maintaining workplace safety is an ideology which is also inclusive of behavior. Attitude,
perception to do work of all the management level workers is critically examined in an order to
gain the workplace efficiency. The management of risk, workplace injuries, aspect of attitude,
behavior, treatment methods, environment safety, are some of the ways to be taken care. There
are several factors which ensure promotion of health care in respect to various things. Following
three principles are viewed as measures to promote and develop healthy care culture stated as
follows:
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 The condition to adopt methods which can help to reduce the factors such as accidents,
near misses and safety performance etc to bring out constant improvements.
 Efficacious working activities with the management of rules and conditions for making
effective control of the risk and hazard methods.
 Keeping positive behavior towards risk management and abidance with the control
processes in an organization.
3.3 Evaluate own contribution in placing the health and safety needs of individuals
Evaluation of my own contribution in placing the health and safety needs of individuals
at the Bolton Foundation NHS Trust has been provided with the support of model namely, Gibbs
reflective cycle stated as follows:
 Description: According to this stage, as a role played my me and my duty and
responsibility is to develop my skills and knowledge about the existing health and safety
needs (Eyre, 2015). With an intention to provide better care and services to my patients, it
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Illustration 2: Gibbs Reflective Cycle
(Source:Eyre. E., 2015)

is equally important at my part to make myself aware with the legislation of the UK and
internal policies of Bolton Foundation NHS Trust.
 Feelings: In this second stage, I was given with my work and therefore I underwent
training to work efficiently. Training is considered as a way to develop a positive culture
in accordance with the safety and health needs. It is made by ensuring patient's treatment
and care properly in respect to the code of conducts, moral and ethical norms.
 Evaluating: In this step of my reflective cycle,I examined my activities as a part of my
work at Bolton Foundation. It is to analyzed by the methods employed to match my
current requirements with the organization's. It is all about adjusting with the current
positive work environment of this health care organization.
 Conclusions: This is the step after work evaluation where I was supposed to inform to my
mentor. He analyzed my performance and was identified with the clinical practices which
are crucial in this organization.
 Actions: In this last stage, my contribution is necessary to measure. It is a reflection
which demonstrate that activity is achieved as per job role and identified ambiguities are
improvised in the next step of my working.
CONCLUSION
In a nutshell, it can be said that success of this report has been made by gaining
information in respect of health and safety. The research has been made in respect of Bolton
Foundation NHS Trust of UK. The significance of different legislation in respect of health and
safety has been strengthened. The responsibilities of management are embraced to reflect the
effective management of safety at health care place. Care planning has been provided which
highlights the work prioritization at Bolton. The importance of risk assessment has been made
which shows the implications and effects of non-compliance of various laws. The central idea
behind controlling and monitoring of health and safety needs have been measured by using
Gibbs Reflective Cycle.
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