Health and Safety Audit Report: Barchester Healthcare Analysis

This report presents a comprehensive evaluation of health and safety practices within a nursing home setting, specifically focusing on Barchester Healthcare. It discusses the significance of nursing homes, their role in providing care, and the challenges they face, including emotional ambian...Read More

NEGOTIATED
WORKPLACE
LEARNING
ASSIGNMENT
BRIEF

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
An audit of an aspect of health at workplace...............................................................................6
CONCLUSION..............................................................................................................................12
REFERENCES..............................................................................................................................13

INTRODUCTION
Home health nursing is a nursing where the nurse provide home care services to patients
of all ages. Heathy and safety are most important for the individual and it is cost-efficient for the
patients and nurse to deliver the quality health and safety care to patients at clients nursing home.
Nurse creates the plan according the diseases of patients. It helps in providing the recovery care
and safety at nursing home. There are various challenges which are faced by the company such
as staff shortage, decline profits, etc.
The chosen company is Barchestor healthcare company which is an independent care
services provider in the United Kingdom. The company operates the seven register hospitals in
the country and well as it run to 250 care homes for the patients and provide quality services to
clients. The company have the 17000 more employees staff in the care home that provide the
nursing care and residential care. This report will discuss the evaluate the area of practice in the
health and safety on nursing home and audit of an aspects of health at work as well as skills
which are required to fulfil a health related role in the workplace.
MAIN BODY
Nursing homes are those organizations or entities which are providing different health
related services to their customers. These homes are having their great significance since in the
nation there are around 17600 care homes or nursing homes in UK. Nursing homes are
accounting around 30% of the total amount of care homes in UK. These are having their great
significance since majority of them are providing services to old age people are people who are
suffering form dementia or such type of severe disease (Gilissen, et al. 2020)
In the area of nursing home the responsibilities of such organizations becomes quite
bigger since they are serving those people who might have severe issues in term of their health
and a minute mistake or recklessness may lead to serious damages. Barchester Healthcare is one
of such organization which is engaged in nursing home services. The organization is having
around 17000 staff and there are approximately 250 care homes (Kinley, et al. 2018)
The role of Nursing homes is playing great role, they are providing full time care to
patients. It is becoming helpful for those people who are not having enough time to spend on
their close ones. They are looking for such services so can enshrine better health care. With this
regard, the role of such nursing homes become quite great. They are ensuring and providing the
best quality services.

Contrasting the above notion, there are some issues too. One of the biggest issue faced by
such patients is lack of emotional ambiance. Generally, in such nursing homes the business is
being carried out in traditional way but lack of proper emotional bond makes it lethal and bring
danger outcomes on the emotional state of such patient who are already experiencing bad and
bitter pills. Lack of healthy environment is another segment where these houses are having need
to work upon (Buchan, Seccombe and Smith, 2018)
There are some disease which are incurable or may be next to be incurable. Such patients
generally face the problem of exclusion. They are kicked out by the society and even face perils
such as character assassination. It not only hike their mental bother but at the same time may
become reason of moving towards suicide. The suicide rate in UK is 11.2 which shows that out
of 100000 population there are almost eleven people are loosing their life (Spacey, et al. 2018)
So it becomes essential to rip off that what are those drivers. It can be reduced with the help of
such home cares.
Besides, the positive argument shared above, it would not be unfair to conclude that these
nursing houses are providing better social care to patients. They are helping patients to have an
active social life. They would be able to have a well scheduled life, they would be given proper
treatment, health facilities, nurturing and calm environment etc. It is not possible for households
to provide same set of facilities.
But it is also seen that such nursing houses have been failed to fulfil this environment
related requirements of patients. They are not paying proper attention, poor behaviour of nurses,
poor ambiance, poor response time, low quality food etc. These all are affecting ability of such
houses to revert best set of services to the clients. The patients are not living with their families
so there is need to consider their personal desires, in order to take them out form mental trauma.
There has been number of occasion when people found home care as the best alternative
and it is helping them to do better in health care sector. In UK, with the development of time,
people are facing jeopardy of health concerns where such institution not only paves the way
forward but also surge the overall outcomes of health measures in a society.
Safety has been always a tough nut for nursing homes. They are less likely to abide
with all norms and some additional safety practises. It is seen that they generally do not use
Monitoring technology, Verification of medical procedures, Following basic hygienes,

Development of strong and healthy atmosphere etc. These all are somehow getting missed which
is behind poor performance of nursing home and it is not able to get the patients satisfied.
The nursing homes have been notorious when it comes to safety practices. There are
some issues such as Medication errors, Patient discharge related issues, ageing hospital
facilities, sepsis, reprocessing issues, diagnostic errors, workplace safety issues etc. The life of
patients, medical staff, para medical staff come under suspiciousness, and they might get
suffered. These all things happen due to poor safety measures and control. These safety issues
are somehow leading to some severe perils too. As it has been experienced multiple times that
organization who are engaged in home nursing and not complying with safety norms are facing
jeopardies of winning belief of their clients (Smith, 2019)
Barchester is one of the most prominent house care organization. The entity is abiding
with safety and health norms in order to extend the best set of services to its clients and also
strives to make them thrive with healthy and safe environment. As it has promised to provide
“Tailored services”, “Online booking system”, for mental health “Life enrichment programmes”
etc. are being carried out (Cambra-Badii, et al. 2021) The purpose of these practises is very much
clear the organization is striving to fetch healthy and safe ambiance for its patients so can help to
make their health improved.
One of the model which is known as “Roy Adaptation Model” is one of the famous
model in nursing. This model is used to ensure the roles and responsibilities performed by
nurses. In the nursing homes there is need to abide with it, in order to ensure that all the activities
must be performed with proper compliance and attentiveness. The model suggests five elements
such as- Person, Goal of nursing, Health, Nursing Activities, Environment. These all segments
are supposed to be given high attention so can eradicate any sense of inferiority. Barchester
Healthcare who is known for the quality health services it is providing, may go for such practice
and this model will enable it to hike its overall performance and can improve all those areas
where it may face difficulties (Younas and Quennell, 2019)
“Johnsons behaviour system theory” is also helpful when it comes to nursing homes
and their work quality improvement. It evaluates a person as behavioural system, there are seven
subsystems too. Which are to be given importance if organization wants to fetch best practises, it
would be helpful for organization to enhance its quality of work. These seven subsystems are as-
 Achievement

 Attachment- affiliative
 aggressive-protective
 Dependency
 Ingestive
 Eliminative
 Sexual subsystems
According to her, the nursing is an act of external regulatory force, where range of
external factors are having their great impact. If this model is being followed then it would aid
organization to eradicate all negative aspects and would be able to enhance its effectiveness in
nursing home care. This model is quite helpful since it paves way for betterment in such nursing
homes and their practices. With the help or installation of this model organization may hike its
performance (Butts and Rich, 2021)
Barchestter health care is also engaged in this sector. The organization is providing
number of nursing home services to its clients. There is need to install these practices or models
in order to enhance its capability and efficiency level. There are some issues in health care
sector, specifically when it comes to nursing homes. They are highly abused for poor quality of
services, lower level of skilful employees, it is also seen that they are suffering from lower nurse,
patient ratio. So in these predicaments these models would be helpful to improve the
performance.
Barchester is having around 250 centrers and hundreds of employees are working their.
The model suggested by Roy is highly relevant with this regard (Bobbert and Rabe, 2022) As the
model has suggested five key components which are to be followed by the entity in order to
make its employee performance better. The model has suggested different realms which can be
inculcated by the organization in order to enrich its ability and efficiency level.
An audit of an aspect of health at workplace, A good working place adapts the physical space
behaviour which takes care of the health of its employees. Barchester healthcare has more than
17000 employees who are working towards achievement of the organizational goals. Therefore,
it becomes the duty of the company to take care of the health of the employees by making a
healthy work space (Barata and Cunha, 2019). It is the sole responsibility of the managers and
business owner to ensure the workplace safety for the betterment of the employees. Safety does

not have only a short term impact it has also a long term impact on the brand image of the
company. The Workplace safety has a direct connection with the employee motivation as this
impacts the motivation level of the employees. An integrated approach of work place health
promotion turns out in organized, planned and comprehensive set of policies, regulations,
programs and environmental supported designs to meet the safety and health needs of the
employees at the workplace. To conduct the audit of Barchester healthcare there are four steps
that needs to be followed. Let's understand the four steps of the audit carefully.
First step is to prepare for the audit, here managers and upper hierarchy people are
informed about the audit so that they can bring the important document that are needed. Also,
their input is necessary to have the idea of the premises and the workplace environment at the
Barchester healthcare. Second step is to find the facts and research about the scope of the audit.
Here a written program review will be done which can ensure and identify the hazard and
potential hazard that exist in the Barchester healthcare. It is important to look at the hazards first
and then identify the solutions (Elliott, 2020). And the review of the same will be done. The
program must cover the best industry practices in the organization. For a healthcare organization
the safety of the employees is really important as they are constantly being exposed to the
bacteria. A measure which constantly sanitizes the environment, air purifiers, wearing of masks,
having fire safety premises, earthquake safe buildings, and other safety practices that improves
the well being of the employees.
The very third step is to make the recommendations based on the above findings. Once a
checklist of the things is created now for the purpose of audit it is quite clear in what respect we
need to check the barchester's workplace safety. Checking for each such aspect and writing down
what are they lacking and what threats this can cause to the employees in both short term and
long term. Work environment must be free from the accidents and injuries as it attracts the
employees. Employees are more productive and satisfied in a safe environment. A safe
environment is pre requisite for both employees and employer (Mayer and et.al., 2022). In some
counties it is considered to be the right of the employees to have a safe working environment.
Regardless of the size of the company workplace safety is required. It is impossible to measure
the effects of human casualties as the respective families and friends might have the grave
consequences.

The feeling of assurance is such that it motivates employees to come to the workplace.
The IT department here must ensure that there is no such electrical loophole which can case
harm to the lives. As working with the electronics in the office makes employees vulnerable to
the threats. Having employee insurance scheme is also important as it gives employees feeling of
safety and care at the workplace (Stackhouse and Turner, 2019). Having emergency exit doors
which can be used in the times of emergency by the employees. Maintaining PPE kits (personal
protective equipment) which can act as barrier to the virus. Taking efforts to create a
collaborative platform where employees can come forward with safety problems they are facing
in the workplace and ideas to solve such problems.
Fourth step is to take the respective actions and publish the results. In this step we need to
check take the respective action which are suitable for the company in fulfilling the ideal safety
measures. It is a very critical step to take practical measure and report it to the respective
authorities in the Barchester healthcare who can take appropriate action in this direction. As it is
only the people in upper hierarchy who can actually report to such problems as they know the
importance of the long term impact of these things on the company (Pidd, Roche and
Duraisingam, 2019). Incorporating such furniture in the workplace which is good for the health
of the employees. To maintain the right posture of the employees at the work place in order to
reduce the risk of getting back pain and joint pain good quality furniture must be installed. Like
rotation cushioning chairs, water purifier, anti glare desktops etc. as having these things onboard
can motivate the employees to bring productivity for goal achievement. Further the right
reporting and actions taken at the barchester's will be improving the workplace practices.
At Barchester healthcare various measures of employee safety are already in place yet
there is always room for the improvement. The company being a giant and having large number
of employees onboard it needs to be careful of its approach for health care safety of the staff. As
not being careful can impact the working of the company in both short term and long term. These
safety measures which are mentioned above must be checked from time to time as in this fast
changing world it is important to stay updated with the current advancement which can enhance
the company's safety further (Sirgo and et.al., 2021). The audit at the end of each year must be
made mandatory just like the financial audits at the work place. This measure can improve the
relation of the stakeholders of the company. It is important for the Barchester to make the safety

of its employees mandatory as it considers the human resources as the most important part of the
organization.
There are various skills and competencies which are required in the home nursing for health care
profession. The skills and competencies helps in survive in the health care sectors and Barchestor
healthcare company. These skills and competencies helps in fulfil the health related role in the
Barchestor healthcare company.
There are various soft skills which are required to fulfil the health care related role and job in the
workplace.
In the context of Empathy skills, in the health care profession, the empathize with patient
are most significant because they are facing the difficult situations and the awareness about the
patients emotions and feelings are most important because it important to understand the patients
that what they want and what pains they have (Spetz, 2019). It is the interpersonal skill which are
comes naturally to the people. The communication skills are also most important in the ensuring
home for the rapidly response top the patients and clients in the effective ways and also
communicate in the appropriate manner with respects. The healthcare workers in the Barchestor
healthcare company. They have to communicate with the patients and it families on the daily
basis as well as it helps in create the strong relationship with the patients and it families for the
mentally support. So, the communication skills are also most important in the health care sectors.
Teamwork skills are also most important in the healthcare on nursing home because the people
must working towards the patents care and provide them proper foods to work in team, and they
must have to handle the problems of patients and its families to working together in a team
(Bahrami, 2019).
In further illustrations, the work ethics are also most important in the health care role for
nursing home because it indicates the whole behaviours and attitudes so strong work ethic are
required to fulfil the health care in nursing home, it helps in retain the patients as well as attract
the new patients because of the facilities which are provided by the Hospital such as food,
cleaning, safe bed, etc.
Stress management skill are also most significant in the healthcare because the patients
gone in stress because of diseases so, the stress management are most important to handle and
manage the patients and its families in the difficult times and positively social interact with

patients to improve its well-being and health of nursing home residents and hospitals (Hirt,
2022). Positive attitudes are also important in the health care sectors for providing the metal
piece to the patients who are suffered from depression and that helps in rapidly recover chances
of patients on nursing home. While time management are most important in nursing home for
provide the services on time to patients and solve the issues like shortage of time and facilitating
services on time are essential for patients so the tome management skills in nursing home are
significant.
There are various core competencies which are required on nursing home for critically
evaluate the problems in the workplace.
Patient care is competencies which are required to fulfil the health care role in the nursing
home. The patients care means provide them proper treatments and prevention, preservation and
management of illness of mental and physical well-being with the helps of provide the health
professions. The competencies are required to know about that how to care about the patients
health and safety without harm them and provide timely services on nursing home (Lavallée,
2018). Medical knowledge are also important for fulfil the health care role on the nursing home
for providing the medicines to patients. The medical knowledge includes the various
understanding of evolving and established the clinical, biomedical, social behavioural science
etc. interpersonal skills are also required in the health care sector.
There are various interpersonal skills which are required in the health care sectors for
fulfil the job roles such as verbal communication, listening skills, problems solving skills,
negotiation skills, self-confidence, relationship management, non-verbal communication and
assertiveness. Problem solving skills helps in evaluate the issues of patients and its families on
nursing homes, and they know about that how to solve the problems and challenges which are
face by the patients in the health care sectors. The problems solving skills helps in care the
customers and solve the issues which are faced by them in the health care sectors and Barchestor
healthcare company. The also have the negotiation skulls in the competencies environments to
ignore the negative situations and play the creative skills to increase the better quality facilitate
for the patients.
The relationship management are also important in the health care role because manage
and handle the patients in the critical situations are essential for provide them metal support
which helps in rapid recovery of patients (Stone and Bryant, 2019). They also have to build the

trust regarding the treatments that will be well-being effectively and the medical competencies
are important in the health care because it helps in build the comfort zone for people they are
care for and provide the best ability treatment in the nursing home. Practice based learning are
also includes in the competencies to provide the better quality services to patients in the
workplace as well as satisfied and fulfil the expectations of customers and clients of
organization. Cultural competencies are also required in the health care role because it includes
the human services culture on nursing home which are most sensitive in nature and it also
consists the value and reputation of nursing home to survive in the competitive market so, the
cultural competence also must be maintained in the health care sector.
There are models which used in the health care to understand and explain the health-
related behaviours which are essential in the health education on nursing home. There are the
models which are based on the health care such as Roper, Logan and Tierney model that both
are based on the Henderson's needs basing approach that models helps in incorporates the
environmental and socio-economics influences on healthcare and health in the nursing home.
The roper, Logan and Tierney model are mostly used in the nursing home and its practice in the
United Kingdom (Holland and Jenkins, 2019). This model purpose is to assess the patients care
and nurse should assess this models in patients care and potential for patients independence and
this models helps in increase the independence of patients in the health care sectors as well as
they also make sure about the health and safety of patients through the roper Logan model. In the
models the roper stated that there are twelve activities which are assist the cognitive activities
and approach to the patients care. Nurse of health care sectors must understand the models and
theory which helps them in offer the proper patients care as well as provide them health and
safety. Nurse can also check the patients with the helps of theory and models that the patients get
improvement in health or not as well as they can provide care which are based on the evidence.
There are 12 activities which are included in the roper Logan, Tierney model of nursing
such as breathing, maintain a safe environments, communication, eating and drinking,
controlling temperature, washing and dressing, elimination, working and playing, mobilisations,
sleeping, sexuality and death. That all factors are influencing the living activities (Vieira,
Deodato and Mendes, 2021). Roper, Logan and Tierney recommend nursing that they must use
these activities and model for understanding the factors such as biological, physiological,socio-
cultural, environmental, and politico economic. This all factors are affect the independence ad

dependence of health care on nursing home. In the context of physiological are directly impact
the spiritual belief and emotion as well as understand the feeling and believes. The biological
factors impact the overall health and illness of patients. Socio cultural are based on the beliefs
and trust of patients with the health care providing by nursing home as well as expectation which
are based on the culture through the socio cultural factors.
CONCLUSION
From the case study above it can be summarized that the role of health and safety on
nursing homes. With this regard, Barchester Healthcare company is taken which is getting
operated in UK with wide number of beds and facilities. In the nation there are lacks of people
who are acquiring such services. They are greatly depended on nursing home services for their
health concerns. Over the time, it has been seen that these nursing homes are having some issues
and which are revering negative repercussions to the clients.
The report presented fully fledged evaluation of practices within nursing home sector. To
perceive different aspects of elements which are having their great significance, then an audit
was presenting depicting different aspects of Health and safety on nursing home. It also
elaborated those areas where severe attention is needed to be paid. At the end of this case study
an evaluation has been made reflecting key skills and competencies were required to fulfil health
related requirements at workplace.

REFERENCES
Bahrami, M., and et.al., 2019. The components of nursing competence in caring for older people
in Iranian hospitals: A qualitative study. Iranian Journal of Nursing and Midwifery
Research. 24(2). p.124.
Barata, J. and Cunha, P. R. D., 2019, June. Safety is the new black: the increasing role of
wearables in occupational health and safety in construction. In International Conference
on Business Information Systems (pp. 526-537). Springer, Cham.
Bobbert, M. and Rabe, M., 2022. Ethical issues of digital care planning and documentation in
nursing. Digitalisierung der Pflege: Interdisziplinäre Perspektiven auf digitale
Transformationen in der pflegerischen Praxis, p.37.
Buchan, J., Seccombe, I. and Smith, G., 2018. Nurses work: an analysis of the UK nursing
labour market. Routledge.
Butts, J. B. and Rich, K. L., 2021. Philosophies and theories for advanced nursing practice.
Jones & Bartlett Learning.
Cambra-Badii, I., et al. 2021. TV medical dramas: health sciences students’ viewing habits and
potential for teaching issues related to bioethics and professionalism. BMC medical
education. 21(1). pp.1-11.
Elliott, K. S., 2020. Influencing Workplace Safety through Educational Training. The Midwest
Quarterly. 61(3). pp.360-369.
Gilissen, J., et al. 2020. International COVID-19 palliative care guidance for nursing homes
leaves key themes unaddressed. Journal of pain and symptom management. 60(2).
pp.e56-e69.
Hirt, J., and et.al., 2022. Staff-to-resident abuse in nursing homes: a scoping review. BMC
geriatrics.22(1). pp.1-14.
Holland, K. and Jenkins, J. eds., 2019. Applying the Roper-Logan-Tierney Model in Practice-E-
Book. Elsevier Health Sciences.
Kinley, J., et al. 2018. Family perceptions of care at the end of life in UK nursing care
homes. Journal of research in nursing. 23(2-3). pp.203-217.
Lavallée, J.F., and et.al., 2018. Barriers and facilitators to preventing pressure ulcers in nursing
home residents: A qualitative analysis informed by the Theoretical Domains
Framework. International journal of nursing studies. 82. pp.79-89.
Mayer, B. and et.al., 2022. The impact of workplace safety and customer misbehavior on
supermarket workers' stress and psychological distress during the COVID-19 pandemic.
International journal of workplace health management.
Pidd, K., Roche, A. and Duraisingam, V., 2019. Drug use and workplace safety: Issues and good
practice responses. Increasing Occupational Health and Safety in Workplaces. pp.69-
92.
Sirgo, G. and et.al., 2021. Cross-cultural adaptation of the SCORE survey and evaluation of the
impact of Real-Time Random Safety Audits in organizational culture: A multicenter
study. Medicina Intensiva.
Smith, M. C., 2019. Nursing theories and nursing practice. FA Davis.
Spacey, A., et al. 2018. End-of-life care in UK care homes: a systematic review of the
literature. Journal of Research in Nursing,. 23(2-3). pp.180-200.
Spetz, J., and et.al., 2019. Home and community-based workforce for patients with serious
illness requires support to meet growing needs. Health Affairs. 38(6). pp.902-909.

Stackhouse, M. and Turner, N., 2019. How do organizational practices relate to perceived system
safety effectiveness? Perceptions of safety climate and co-worker commitment to safety
as workplace safety signals. Journal of safety research. 70. pp.59-69.
Stone, R.I. and Bryant, N.S., 2019. The future of the home care workforce: training and
supporting aides as members of home‐based care teams. Journal of the American
Geriatrics Society. 67(S2).pp.S444-S448.
Vieira, J.V., Deodato, S. and Mendes, F., 2021. Conceptual models of nursing in critical
care. Critical Care Research and Practice. 2021.
Younas, A. and Quennell, S., 2019. Usefulness of nursing theory‐guided practice: an integrative
review. Scandinavian journal of caring sciences. 33(3). pp.540-555.