Health and Safety Policies in Health and Social Care Institutions

Explore the implementation of health and safety policies in healthcare settings, focusing on risk assessments, compliance with regulations, and promoting a positive safety culture. Analyze the impact of non-compliance and dilemmas faced by care workers.

HEALTH AND SOCIAL CARE HEALTH
AND SAFETY
1

Table of Contents
Introduction................................................................................................................................3
LO: 1..........................................................................................................................................4
1.1 Review the systems, policies and procedures which the new director need to implement to
ensure that information on health and safety is properly communicated...................................4
1.2 Assess the responsibilities for managing health and safety within the North Staffordshire
NHS Trust..................................................................................................................................4
1.3 Select one service area from the above trust – for example, any of the following: surgical,
medical, elderly, children – analyse the health and safety priorities for the service chosen.....4
Notes on poster:..........................................................................................................................6
LO: 3........................................................................................................................................11
3.1 Explain how health and safety practices can be monitored and reviewed.........................12
3.2 Analyse the effectiveness of Health and Safety policies and practices in the workplace in
promoting a positive health and safety culture........................................................................13
3.3 Evaluate your own contribution to placing the health and safety needs of individuals at
the centre of practice................................................................................................................15
Conclusion................................................................................................................................16
Reference List:.........................................................................................................................17
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Introduction
Health and social care is a sensitive field in the sphere of life broadly, and more so in the
modern world of far reaching globalisation that has transformed societies across the planet to
bear the burden of a stressed and health system. The reason can be traced down to the
deficiency in the performance parameters that needs a thorough revision and streamlining to
match the needs of the modern time. The current assignment prepares the stage to have a
detailed discussion on the various policies and practice in health and social care that needs to
be modified or introduced in order to achieve inter-professional collaboration. In succession
to the same the various nuances and niceties of the application and practice of regulations
and policies will be discussed with reference to an array of cases, which throw infiltrating
luminary to support the discussion and the subsequent interpretations.
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LO: 1
1.1 Review the systems, policies and procedures which the new director need to
implement to ensure that information on health and safety is properly communicated
1.2 Assess the responsibilities for managing health and safety within the North
Staffordshire NHS Trust
1.3 Select one service area from the above trust – for example, any of the following:
surgical, medical, elderly, children – analyse the health and safety priorities for the
service chosen
4

Practicable Systems:
Adapting to a sophisticated and comprehensible bundle of effective communication is the key underpinning intelligibility
and simplicity in Healthcare facilities
The verbal communication methods would imply suitably training and instructing the working staff on certain norms and
safe practices that form part of their task or job responsibility and thus demand strict adherence like in the given case,
taking caveat to signs and symbols alluding to ‘Wet floor’ or maintaining certain requisite behaviour and approach as
demanded in a healthcare facility.
Written Communication is a key necessity to remedy the grey area purging the NHS Trust and can be sorted in form
multiple applicable devices.
Implementation of Policies and Procedures:
The inability to deliver optimal and expected levels of performance in keeping with the changing standards and practices can
be a broad upshot of wanting advancement to upgraded tools and techniques.
COSHH: This regulation is used by the employer to control the perilous substances of the organization the employer need
to perform this law (Borkum and Frey, 2014. Automatic completion of COSHH risk assessment forms using semantic
representation of GHS and CLP regulation.).
RIDDOR: RIDDOR, created on 2013 ( Reporting of injuries Diseases and Dangerous Occurrences Regulations ) primarily
covers various dangerous situations like injury, death etc.
In the present background of the casework, it points out to a particular responsibility to remedy the problems the hospital
authority is facing due to frequent slips, trips and stumbling on wet surfaces of the floors of the building. It can be answered
by the management with implementation of the ‘risk assessment tools’ as prescribed by the HSE guidelines to reduce harm
and health hazard at the workplace (Veiguela et al., 2016.). In addition, it will cover many other potential menaces that might
come up. The tool is a fivefold mechanism and can be listed as:
Indentifying potential hazards
Decide individuals who stand to be harmed and in what ways
Risk evaluation, nature and degree, taking necessary contingency precautions
Record and maintain critical findings
Keep updating risk data on a regular basis
The implementation of risk assessment tools would add a significant square to the set of responsibilities that the North
Staffordshire NHS Trust management are appointed with.
The chosen department for the discussion of the topic is the Elderly Care and Treatment ward which is a very
delicate and sensitive segment of health and social care.
Taking care of environment basics: The chairs, beds and couches installed in the wards, should be carefully
designed for comfort and aligned with ergonomics of posture and comfort design. In addition, there should be
a threshold standard of hygiene and sanitation and needs to be maintained.
. In addition, temperature control should be a key integrants on the necessity graph of maintaining a safe and
hazard free environment at the elderly ward
Prevention of falls: As flimsy as the subject matter might sound in an otherwise context, trips, falls and slips
make a line of injury cases reported under RIDDOR provisions of the Workplace regulations, 1992.
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The implementation and adoption of standard practices concerning health and safety is a
must in working environment as in elsewhere. The regulations and compliances mandated
and enforced by the strict authority of the national government is to ensure the healthy and
constructive working environment. The policymakers too, of various authorities and facilities
have a growing appetite to capture knowledge and apply to practice, the formulae that
realises an equitable, fair and inclusive practice in healthcare systems. In reflection of the
case study of the Winchester and Eastleigh NHS Trust, a review of key constituents on the
architecture of applicable models can be done of implementable systems, policies and
procedures which are listed in the following:
Practicable Systems:
Adapting to a sophisticated and comprehensible bundle of effective communication is the key
underpinning intelligibility and simplicity in Healthcare facilities. The constant slips, trips
and falls that underline the crisis faced by the healthcare ward of Winchester and Eastleigh
NHS Trust needs a suitable and obligatory implementation of certain verbal and written
methods of communicating information which might be listed down to an assortment of
necessary inclusions. The verbal communication methods would imply suitably training and
instructing the working staff on certain norms and safe practices that form part of their task or
job responsibility and thus demand strict adherence like in the given case, taking caveat to
signs and symbols alluding to ‘Wet floor’ or maintaining certain requisite behaviour and
approach as demanded in a healthcare facility. In light of the given case, it would not only
entail the training on floor behaviour and adherence to the discipline of risk assessment tools
but also effective interpretation and processing of written and graphic communication.
Written Communication is a key necessity to remedy the grey area purging the NHS Trust
and can be sorted in form multiple applicable devices. Setting up graphic tools and training
sessions along with illuminated signposts, hand and acoustic signals, symbols and graphic
display boards as provided by the ‘EC Safety Signs Directive (92/58/EEC)’ for safety signs at
work is vital inclusion in addressing the setback faced by the given NHS institution
(Dejanović, and Heleta, 2016). ‘Fire Alarms’, ‘Fire exit’, warning for radioactive and electric
hazards are related signs are covered under the provisions of ‘Signpost to Health and Safety
Regulation, 1996’(Kendrick, 2014).
Implementation of Policies and Procedures:
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The inability to deliver optimal and expected levels of performance in keeping with the
changing standards and practices can be a broad upshot of wanting advancement to upgraded
tools and techniques. Vis a vis the noted case study of Winchester and Eastleigh NHS Trust,
it is requires mentioning that under the provisions of the ‘Health and Safety at Work Act,
1974’, the employers and directors of any organization, institute or entity in the United
Kingdom, are mandated to plan and keep a revised communiqué of the health and safety
policies. The policies and acts of contextual relevance are the ‘Health and Social Care Act,
2008’, ‘Care Standard Act’ and ‘Workplace Regulation, 1992’ which provide outlines to the
fit to practice mechanisms that provide direction and concord.
The policies are mirrored in and complemented by the applicable procedures which can be
actuated in application and practice of risk assessment tools as implemented by the authority
of the HSE (Health and Safety Executive), UK. The maintenance of decibel units, basic
hygiene and sanitation standards, warning against potential risks and hazard and strict
adherence to the RIDDOR and COSHH legislations should be replicated in the adopted
procedures.
COSHH: This regulation is used by the employer to control the perilous substances of the
organization the employer need to perform this law (Borkum and Frey, 2014. Automatic
completion of COSHH risk assessment forms using semantic representation of GHS and CLP
regulation.). This regulation is performed by explaining the risk of health, finding the way out
of the various prevention policies of health issues, providing proper measurement and control
and providing proper training to the employees.
RIDDOR: RIDDOR, created on 2013 ( Reporting of injuries Diseases and Dangerous
Occurrences Regulations ) primarily covers various dangerous situations like injury, death
etc.
The duties and responsibilities that the appointers and directors of healthcare institution are
tasked with are manifold and quintessentially sensitive given the kind of service they deliver
their service users. The given case of the North Staffordshire NHS Trust facility highlights a
set of key quadrants that needs attention and addressing in the context of the predicament
presented to the authority. It needs an added clarity into the interpretation of responsibility
from the holistic approach in a working environment. It can be defined as the onus of duties
or commitments that require execution by the assigned individual or group with certain
consequences on letdown or failure. In the present background of the casework, it points out
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to a particular responsibility to remedy the problems the hospital authority is facing due to
frequent slips, trips and stumbling on wet surfaces of the floors of the building. It can be
answered by the management with implementation of the ‘risk assessment tools’ as
prescribed by the HSE guidelines to reduce harm and health hazard at the workplace
(Veiguela et al., 2016.). In addition, it will cover many other potential menaces that might
come up. The tool is a fivefold mechanism and can be listed as:
 Indentifying potential hazards
 Decide individuals who stand to be harmed and in what ways
 Risk evaluation, nature and degree, taking necessary contingency precautions
 Record and maintain critical findings
 Keep updating risk data on a regular basis
The implementation of risk assessment tools would add a significant square to the set of
responsibilities that the North Staffordshire NHS Trust management are appointed with.
The numerous service areas covered by the North Staffordshire NHS Trust have a set of
priorities and responsibilities, some of which are comprehensive, rest exclusive in character.
The chosen department for the discussion of the topic is the Elderly Care and Treatment ward
which is a very delicate and sensitive segment of health and social care. The heath safety
priorities in the elderly healthcare department may be listed as follows:
Taking care of environment basics: The chairs, beds and couches installed in the wards,
should be carefully designed for comfort and aligned with ergonomics of posture and comfort
design. In addition, there should be a threshold standard of hygiene and sanitation and needs
to be maintained. It should be kept in mind that since the ageing and the elderly are often
afflicted with various coronary complications maintaining and checking noise pollution
should form a key necessity. In addition, temperature control should be a key integrants on
the necessity graph of maintaining a safe and hazard free environment at the elderly ward
(Kaneoka et al., 2015). Studies show that elderly people are highly susceptible to developing
terminal and life-threatening complicacies due to exposure to extreme temperatures on both
high and low scale since their immunity systems are highly debilitated. This necessitates the
seasoned and reasonable temperature regulation between the scales of 16 oC and 24 oC.
Prevention of falls: As flimsy as the subject matter might sound in an otherwise context,
trips, falls and slips make a line of injury cases reported under RIDDOR provisions of the
8

Workplace regulations, 1992. Setting up measure to prevent falls and slips is a key requisite
in the necessity graph since the old and the vulnerable can be seriously injured given their
slackening strength and tolerance accelerated by low bone densities (Vieira et al., 2016).
LO2
2.1 Analyse how information from risk assessments would assist care planning for
individuals and organisational decision making about policies and procedures which
would improve moving and handling experience for bariatric patients and carers
Risk assessment refers to conducting a careful examination for understanding the potential
factors that can harm people (Cowley and Leggett, 2011). This ensures that necessary
precautions are taken for ensuring that an individual does not become ill or gets hurt. Obesity
is increasing in the United Kingdom, because of which there has been a rise in the number of
Bariatric patients getting admitted in the Trust. These patients have special needs and
requirements, and it is important to conduct risk assessment of all patients as well as the
organisation. Conducting risk assessment of the patients will help in identifying the areas in
which the patient is ready to receive the treatment and the requirements that they have
regarding moving and handling.
Moreover, if risk assessment of the organisation is done, the management will be able to
identify the areas in which problems are being faced by Bariatric patients (Cohen et al.,
2010). These patients require more space for movement and according to the case study,
inaccessible areas in Trusts have been reported by 33 per cent respondents, and space is not
considered by them in their policies. Risk assessment consists of five steps, which include:
1. Identification of the hazard that can affect the Bariatric patients
2. Understanding how the patients can be harmed during their moving and handling
3. Evaluating these risks and identifying ways in which these problems can be
eliminated
4. Recording the findings and implementing them
5. Reviewing the risk assessment from time to time and updating it
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The risks that have been identified in the second step can be eliminated by making changes in
the policies and procedures of the organisation. If effective policies are in place for reducing
spatial risk and increasing the space required for moving the Bariatric patients, it will lead to
enhanced moving and handling experience for both carers and patients. Risk assessment can
also assist organisations in taking decisions regarding obtaining appropriate equipment for
moving Bariatric patients so that manual handling risks can be avoided.
2.2 Analyse the impact on health and safety policy on lifting and handling in health and
social care practice and on the care users in the organisation given in the study
According to the Health and Safety at Work Act 1974, preparing a written health and safety
policy statement is imperative for health and social care organisations. The basic objectives
of these policies is to specify the responsibilities if the management and specifying the duties
if managers and employees to act responsibly. If the health and social care organisations have
a manual handling policy, then the carers will have to ensure that they comply with the policy
and will lead to a better experience for the care users.
The care workers working in the organisation have to hold, lift or manually handle Bariatric
patients, as they have limited or infirm mobility. If a proper manual handling policy is
present, then care workers will have to conduct a risk assessment of the patient before they
can undertake manual handling operation, as it is imperative according to Occupational
Safety & Health Regulation (Choi and Brings, 2016). Chances of risks associated with lifting
and handling the patients will reduce due to the presence of a proper policy, as employees
will undertake risk assessment and use mechanical aids wherever possible. Care users will
not be subjected to any injuries due to ineffective lifting and handling.
2.3 Discuss the dilemmas care workers will encounter in carrying out health and safety
policies and procedures
Dilemma occurs when an individual has to choose between two possible rights. There are
various cases in which care workers might encounter dilemma in carrying out health and
safety policies and procedures. Different cases or situations include:
 Sometimes carers might be faced with a dilemma in providing the patients with their
rights, their obligation to do no harm, and the best interest of clients. For example, a
patient with dementia might reject medication, and the care worker might be in
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dilemma to forcibly administer medication or let the patient exercise their right, which
can harm their health.
 Some treatments might result in prolonging life, while others can increase the quality
of life. It can be difficult for care workers to choose a particular course of action (Lo,
2012).
 Sometimes clients can be incapacitated and care workers might have to divulge
personal information for providing effective care, which results in the dilemma of
respecting client privacy and providing effective service.
 Some situations like when patients have contagious, life-threatening disease can result
in a dilemma between duty of care and risk to self.
2.4 Analyse the effects of non-compliance with health and safety legislation in a health
and social care workplace.
Compliance refers to adhering to the requirement of organisational and industrial codes and
standards, laws of the country and ethical standards among others. It is important for health
and social care organisations to comply with the health and safety legislations, because non-
compliance can lead to prosecution by the Office of Rail Regulation and HSE, which can be
detrimental for the organisation. Conviction for breaching the legislations can lead to paying
fines, resulting in losses for the organisation. Moreover, being convicted can have a
significant impact on the reputation of the organisation, which can affect the patients coming
to the health and social care organisation to get treated (Carthey et al., 2011).
If organisations are investigated for the breach of health and social care regulations, then the
inspectors consider individuals who were involved in the accident. If the individuals are
found guilty, then they can be imprisoned for six months and also up to two years in severe
cases. Additionally, if someone dies because of the breach of a legislation, then the
organisation can be prosecuted for corporate manslaughter and gross negligence
manslaughter. This can result in unlimited fines or life imprisonment for all the individuals
involved.
LO: 3
Introduction
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The various areas that require the monitoring and evaluation in the health and social care
ward with respect to the Surrey and Sussex Healthcare NHS Trust has been overviewed and
analysed to understand the benefit of each. The discussion that follows introduces the basics
of procurement, supply chain, delivery and arrangement in furnishing the various services
and handling of the same under the dictates of certain legislations, regulations and
compliances by the HSE authority and the policies and procedures adopted by the unit is
response to the same. The discussion is supported by added recommendations and
suggestions of policies and practice s that breed a safe and secure environment in the
healthcare and nursing facility at the Surrey and Sussex Healthcare NHS Trust.
3.1 Explain how health and safety practices can be monitored and reviewed
Maintaining a sound and effective workplace milieu is a primary necessity in any
organization, more so in the case of a healthcare unit. This requires taking care of certain
quadrants in the necessity graph in ensuring health and safety implementations in the institute
which can be listed in the following points:
Mapping the key areas that demand monitoring of the healthcare authority board in order to
ensure health and safety standard at the workplace are: risk assessment, first aid and fire
safety, reporting injuries and accidents, announcing caveat and warning for electric and
radiation hazards, work equipment, ensuring proper training on and handling of hazardous
substances and equipment which in the concerned case could mean administration of
medicines in higher level that required dosage, especially those containing aspirin and similar
drugs and IV administrations endosope and other surgical instruments. All of this comes
under the identification of risks under the content of the risk assessment tool.
After the mapping is done of the potential hazards the authority needs to indentify the
individuals who are exposed to the potential risks and harms that might crop up. Protecting
service users and working staff from any kinds of vulnerability is the key responsibilities of
the health and social care workers. In addition, being the part of a health and social care
organization, it is also important to protect the patients, while providing health care practices,
to resolve their health issues. In this context, the practices must be anti-discriminatory,
ensuring that patients are not at all being discriminated, at any means. On the other hand, all
the policies and legislations available in the local and national level of health and safety,
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needs to be followed, in order to ensure that clients and colleagues are protected in the
workplace.
The healthcare unit should next take care of introducing reforms and revising in their policies
especially with regards to the PHC (Primary Health Care) reforms introduced by the WHO
(World Health Organization). The purpose PHC is to make the healthcare units more people
centered and enhance health equity tenets to make the health and social care institutes more
reliable and trustworthy to their service users. (Who.int, 2018).
In addition, technology and software could be sufficiently mined to the rescue of monitoring
and inspections for the various slips and misses that can have a damaging effect on the
reputation and operation of the Surrey and Sussex Healthcare NHS Trust. It could mean
implanting Standardized Exposure Index(EI) to check unobserved variations in radiation
exposures used for diagnostic purposes (Scott et al., 2015). This would work better with
proper device calibration, software upgrades and proper integration of the EI gauges to
collect data regularly and monitor checks, preventing potential accidents. Safety-Alarm
Management systems and installation of network firewalls for superior cybersecurity would
help address the problem of data leak and phishing, thus protecting the data of both the
employees and the service users and patients.
3.2 Analyse the effectiveness of Health and Safety policies and practices in the
workplace in promoting a positive health and safety culture
As evident from the analysis of the NHS Trust case study, it can be evident that the Senior
BCA (back care Advisors) had implemented some polices and practices to examine the risk
in the clinical areas associated with the working of equipments like couches, trolleys, chairs,
mattresses and other equipments. Upon identification of the risks related to the functioning of
the equipments, the BCA identified crucial indicators and they together with he team
members formulated some policies and practices such that to increase the longevity and
proper functioning of the health care equipments.
The health care organizations need to follow some key health and social care principles, to
maximize the compatibility of equipments along with the standards, while ensuring the health
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and wellbeing of the pressure ulcer patients. For instance, while treating the pressure ulcer
patients, the equipments must be working according to the standard (Bulmer, 2015).
Health and Safety Polices: This is a policy to ensure the security and safety of all patients
and health care professionals by maintaining the standards of the practices and the
equipments in an organization. In health and social care sector, to solve some ethical issues it
is necessary to develop such policies alongside with local and national policies of heath care.
The health care practices needs to achieve the practice of national standard and to do so the
policy reforms are done on the basis of new policies which help in the formulation of an
effective regulatory framework. It is necessary to associate the policies that deal with the
social care activities and equipments for patients with the safeguarding regulations and
related standards of care. The bringing up of an advanced safeguarding activities and
equipments helps in maintaining the health care standards in the workplace. The up-gradation
of the standard of community care practices and equipments would help in maintaining the
performance and responsibility of the organization towards the patients and improve the
various activities of the organization.
Health care practices and standards- Based on this care, it is necessary for the health and
social care to reorganize and strengthen the standard of the health care services including the
equipments to the standard level while providing care to the pressure ulcer patients
(Thompson, 2016).
Changes in the inspection process- Inspection process became tougher due to changes in the
standard and to achieve the minimum standard Health and social care organizations require to
follow high standard care activity (Weimer and Vining, 2017).
In the context of health and social settings, teamwork is the key to achieve successful
outcomes. Teamwork is required to meet all the care needs of service users, which is not
possible to be addressed by a single HSC professional from a particular care domain. Rather,
nowadays, care procedure is a chain of process followed by professionals, where the health
information and requisites for care procedures are relayed among professional from different
dimensions, in order to meet the holistic health needs and maximize the overall wellbeing of
the patients by upgrading the patients and the system (Weimer and Vining, 2017).
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3.3 Evaluate your own contribution to placing the health and safety needs of individuals
at the centre of practice.
As a healthcare professional my role in accordance with the codes of practice has been to
adhere to certain malpractices that have come to my notice and I have been proactive in
raising concern about. In one instance, I had come to notice discrimination against a black
patient that I took no time to report to the authorities, which I understand is a huge ethical
blow to the tenets of humanity and morality. On another instance I have found a freshly
mopped floor area near the security reception of the facility, without a warning tool of an
alert sign and out of sense and responsibility that I have taken care to report this constant
misses and lackadaisical performance of the staff to the concerned authority at the ward.
Conclusion: In the social and health care organizations the employer’s and the employee’s
working practices is being described by the various health and safety regulations and
legislations mandated by the government. These codes of practices are used to address the
concern of both the service providers and the service users in order to strike a balance of
meeting expectations. The purpose of the codes is to describe the standard of work and
aligning them to expected standards of health and safety graph.
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Conclusion
The assignment, through successive references of different cases, has highlighted the key
areas which demand definition and interpretation in the function and operations of the
healthcare facilities. The areas which have been underlined in the flow of discussion are the
regulation, policies and procedures which conform to maintaining safety and security at the
workplace for healthcare practitioners as well as their service users. It can be translated into
the guidelines of models of approaches and implementation of tools and strategies that
nurture a harmonised and healthy environment in the healthcare staff. In addition, the
advisable codes of behaviours and listed priorities in regulating safe environment in service
areas with respect to the elderly and vulnerable ward have been detailed. The following
discussion focused on an introspection of the bariatric problem, which is at rife in the United
Kingdom, along with the dilemmas faced by the caregivers and medics in dealing with the
certain borderline obesity cases. The detailing was shouldered by suggested asylum provided
by the policies and legislations and astute decision-making prescribed in part of the
management and directors of Healthcare institutions in bridging those acute grey areas. In the
concluding segment of the assignment the various processes and features on monitoring an d
assessing the health and safety regulations in the workplace of healthcare institutes as well as
reviewing implementable policies and practices to address the same concern. The findings of
the paper overall give merit to the effectiveness of hazard and risk free working environment
in a healthcare facility and the various plans and procedure addressing various distinct cases.
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