ESSENTIAL HOMECARE SERVICES

Unit AB5 Ards Business Centre Jubilee Road Newtownards BT23 4YH

[email protected] www.essentialhomecareservices.co.uk

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INDUCTION PACK

http://www.essentialhomecareservices.co.uk/



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CONTENTS Main Policies Job Description Statement Of Purpose Protection Of Vulnerable Adults Child Protection Medication Policy & Procedures Ear, Eye Drops & Inhalers Procedure Restraint Policy & Procedures

Infection Control – Hand Washing / Decontamination Policy & Procedures

Handling Money Policy Pressure Ulcer Triggers Fire Procedure policy Induction Program




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MAIN POLICIES


Gifts and Bequests It is forbidden to discuss wills with clients. It is forbidden to accept money gifts from clients - if offered always check with Garry and Betty. Chocolates as a gift are acceptable. Complaints If a client wishes to make a complaint they can do so by the following methods. a. Contact Garry and Betty direct on phone. b. Ask for a home visit from Garry or Betty. Accidents / Incidents If you or a client is hurt whilst carrying out your duties then you have to report to Garry or Betty. We will then record that in an accident book. In the case of an accident or any incident always report to Essential Homecare Services. Handling Clients Money If it is written in the clients care plan that we are responsible to shop for a client then a cash transaction sheet will be in the client folder. The transaction sheet should be signed by the client and the receipt kept in the client folder after a shop. At present we are not responsible for any client’s money or shopping. Administration Of Medications - See induction pack Confidentiality All staff must respect the privacy of our clients and their families. Nothing concerning the client must be discussed with anyone other than the Provider Managers (Garry & Betty) or a Trust Representative. (Care Manager, District |Nurse or Social Worker). Allegation of Abuse - See induction pack Restraint - See induction pack Smoking Policy No smoking whilst attending to a service user. A service user who smokes will be asked to refrain from smoking 1 hour before their visit is due and to have the room they smoke in well ventilated.



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JOB DESCRIPTION


POST: Social Care Worker. ACCOUNTABLE TO: Essential Homecare Services Directors. Summary of Position The Home Care Worker will provide the necessary care for dependent elderly and people with a learning disability and their carers living in their own homes. It is expected that the Home Care Worker will be flexible e.g. work unsociable hours, to work unsupervised, taking initiative and contacting relevant professionals. The Home Care Worker must be able to work in a team and be committed to achieving the aim of the scheme. Personal Care Bathing/in bed/chair includes essential aspects of personal hygiene. Promotion of continence and management of incontinence. Assist with dressing/undressing/personal grooming. Assist with mobility/rehabilitation. Transferring clients using specialised equipment provided, within safe handling procedures. Domestic Care Overall to create a homely atmosphere. Essential Laundering. Emptying/cleaning commodes, lighting fires. Social Care Display sensitivity and an ability to listen to provide support to individual clients and carers, which may include the following, Providing carers relief. Providing social stimulation for clients and carers. Planning activities. Training To participate in induction programmes and regular in house training. All training is compulsory as it for staff development. Administration

Completion of relevant documentation, time sheets / diary etc. Completion of report forms /accident /untoward incidents forms. Communication To observe report and feed back to Essential Homecare’s Directors. Also:

Attend team meetings

Attend staff meetings

Supervision sessions

Attend reviews Health & Safety Policy To familiarise yourself with all relevant policies in relation to Health & Safety. Moving & Handling training is compulsory.

Travel Drive yourself and colleague(s) and be driven where appropriate, to and from:

Pick Up Points

Client Homes

Employer Premises

Any Other Destinations (As required). Personal Specification The successful applicant will require the following experience and personal skills: Essential Qualities

Good standard of health and fitness

Good communicator

Positive Attitude

Courteous Approach

An Understanding Of The Need Of The Client

Respect Confidentiality

Prepared To Work Shift System Desirable

Ability To Be Flexible

Ability To Work As Part Of A Team

Ability To Use Own Initiative

Be Motivated To Learn New Skills

Good Personal Hygiene TASKLIST Personal Care

Getting up and / putting back to bed

Moving and handling with or without a mechanical hoist

Washing, bathing, showering, and washing of hair, teeth, and nails

Application of creams as prescribed in the care plan

Dressing and undressing

Assisting clients to empty catheter bags

Assisting clients with toileting or incontinence pads

To carry out specific tasks for a client as determined and supervised by District Nurse

Administration of medicines as prescribed in care plan

Record and report any changes in client’s physical or mental state

Recognise needs for contacting GP / Nurse and act upon same

Co- operates with all people involved in client care

Take appropriate action if client is ill, missing or suspected to be dead Food & Nutrition

Preparation of food, ensuring hygienic standards

Dealing with dietary needs including special diets

Help with feeding or drinking

Advance preparation of snacks or drinks e.g. flasks

Management of food stores / fridge

Supervision at meal times Financial Transactions (When required written in care plan)

Maintaining receipts and records of all transactions regarding clients incapable of managing their affairs

Explaining financial transactions and accounting how money has been spent to the client

Domestic Services

Lighting of fires, managing heating systems

Bed making including beds following incontinence

Emptying and cleaning commodes

General cleaning/tiding

Laundry

Dealing with household refuse



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STATEMENT OF PURPOSE


STATEMENT OF PURPOSE

Essential Homecare Services is a family run business dedicated to providing a high standard of care to the elderly and people with learning and physical disabilities to remain independent in the comfort of their own home. QUALITY OF CARE POLICY Introduction EHCS have systems and procedures in place to ensure quality of care. EHCS management annually visits service users for an internal review. This process involves EHCS receiving feed back form service uses about the care being provided by EHCS. Comments form service user‘s family and Trust representatives are sought. An annual questionnaire is sent to all service users form them to comment on care provision. A question is asked if they wish for EHCS to visit to discuss any part of their care. A 3 monthly monitoring visit to service users is made to ensure a high standard of care is being provided and that their care plan is being adhered to. Staffs receive an annual supervision session where any performance issues EHCS have can be addressed. Quarterly monitoring / observations are done by EHCS management to ensure a high standard of care. EHCS prepare a monthly report to collate all information regarding internal review, staff observation, comments made by service users / family/ Trust representatives. An annual report is complied every year based on the annual questionnaire and learning outcomes form the years monitoring/ observation sessions. This report is shared with service users, staff, and Trust operational manager. Security Clearance Access NI All employees have undergone a criminal records check through Access NI. ESSENTIAL HOMECARE SERVICES OBJECTIVES ARE: To Provide A High Standard Of Care

Owner / Managers involved in day to day care (hands on) of service users and are always looking for feed back so we can constantly maintain a high standard and look for ways to improve our service. Staff performance is a priority and with regular contact and appraisal we can identify training needs and ensure staffs have the skills and knowledge required to perform their duties to a high standard. To Improve & Maintain Quality Of Life Quality of life is maintained through communication and sensory stimulation along with ensuring that service users are well washed dressed and are presentable. Monitoring of fluid and food intake will ensure good health. Risk assessing the home environment will ensure safety. Promote Independence Prompting and encouraging the service user to do as much as they can under supervision as to there preference. Preventing Instances Of Abuse To Vulnerable People & Children Staff are trained as to the different forms of abuse, how to recognise them and hat action to take if they suspect an incident of abuse. Risk Assessing Risk assessing is always ongoing to ensure the safety of the service user and staff attending. If a risk is identified then the appropriate professional (Physiotherapist / Occupational therapist) will be requested to assess and make a recommendation to eliminate that risk. Respecting Core Values Core values, privacy, dignity, independence, choice, fulfilment, rights are respected at all times. Service users have an in put into the care planning of their needs and sign a personal care plan agreeing to the care being provided. This plan gives them the choice as to how the care is provided making sure that they exercise their right of choice. Services Provided By Essential Homecare Services

Essential Homecare provides a range of services. Those being:

Getting Up / Back To Bed Service

All Aspects Of Personal Care / Hygiene

Regular Structured

Visits Through Out The Day

Day / Night Respite Sitting (11pm -7am)

Meal Preparation / Supervision

24 Hour Care The Registered Providers Mr. Garry and Mrs Elizabeth Cavill are the registered persons who Own and manage the company. Address: Unit AB5, Ards Business Centre, Jubilee Road, Newtownards. BT23 4YH Telepnoe: 02891810757. The person registered with the Regulation and Quality Improvement Authority is: Mr. Garry Cavill Unit AB5 Ards Business Centre Jubilee Road Newtownards BT23 4YH Mr & Mrs Cavill are the founders of Essential Homecare Services and have been running the company successfully since 1997. Our Social Care Workers are inducted into the company by the Owner Managers to ensure a high standard of care is delivered. Staff Training & Development Includes The Following:

Moving and handling of patients.

Health and safety in the work place.

Basic life support.

Infection control.

Catheter care.

Challenging behaviour. (Special needs).

Protection of vulnerable adults and children.

Dementia awareness.

Care practice/recording and reporting.

Complaints Procedure EHCS aim is to provide a high standard of care. We can not accomplish this

unless we Are informed of any grievances you may have. If you have complaints then fill in a complaint form in your client folder or contact Mr G& Mrs E Cavil by phone, email, or we will call and discuss your complaint With you personally. A complaint report form is in this file (appendix 2) Your compliant will be addressed seriously and without delay and will be fully Investigated. Essential Homecare Services will inform the Trust Representative of your

compliant with in three working days. You will be notified as to an outcome /response of your complaint within 14 Working days Stage 1 - If the matter is unresolved the help of the Trusts Representative will be

sought. Stage 2 - If you are not satisfied with HSC Trust response then we will forward

you complaint to Northern Ireland Ombudsman service (.NI commissioner of complaints)

The NI commissioner of complaints will be approached if the complain tent remains dissatisfied. Essential Homecare Services will co-operate with HSC Trust and RQIA, NI Commissioner of Complaints. If any complaints are investigated. If a complaint relates to abuse, exploitation or neglect of a vulnerable adult/child Immediate action will be taken to safeguard the vulnerable adult /child.

Protection of Vulnerable adult’s policies and procedures will take effect. Policy No 6. If a complaint relates to EHCS failure to comply with statutory regulation then that

Complaint will be referred to RQIA Your complaint and our response will be made available to RQIA for inspection. If a complaint relates to abuse, neglect, exploitation of a child then our child protection policies and procedures will take effect (Policy Number 6). If a complaint is form a child the policy and procedure for dealing with complaints from children will be adhered to. The Representations Procedure (children) Regulations (Northern Ireland) 1966. (A copy of statutory rule 1996 Number 45 is attached in the policy and procedures file, Policy Number 2.) The following are relevant addresses and telephone numbers: Essential Homecare Services The Ombudsman Unit AB5 Ards Business Centre Free Post 1478 Newtownards Belfast BT23 4YH BT1 6r (028) 91 810757 (028) 90 234912 Free phone 0800 343 424 Trust Representative 2 Church Street Newtownards (028) 91 510000 Regulation and Improvement Authority 9th Floor Riverside Tower 5 Lanyon Place Belfast (028) 90 517500 The Following Provide Advocacy Services In South & East Belfast

Compass Advocacy Network. Laura McKendrey (Manager) Telephone: (028) 27 669030.

Bryson House, Jenny Johnston, Telephone: (028) 90 325835.

Orchard Ville Society - Employment & Skills Service, Telephone: (028) 90 732326

Families In Contact, Leigh Ann McLean, Telephone: (028) 90 298503

Alzheimer’s Society, Telephone: 0845 0300 0336

Patient & Client council Telephone: (028) 90 877777 Organisational Structure Mr & Mrs Cavill being the Owner / managers are responsible for all aspects and the complete running and care provision being delivered. All concerns and communication to and from staff or with any other professional body is done through them Philosophy Of Care At the start of any care provision the Owner / managers will discuss and prepare a care plan with the service user ensuring that all aspects of assessed needs have been addressed. The service user will be encouraged to have a maximum input into the care plan to enable them to have a choice into how the care will be delivered. Once this has been agreed a personal care plan will be drawn up and will require the service user’s signature to confirm they are agreeable to the tasks that will be preformed ensuring that they have a choice and that good and right decisions have been made. All staff will treat service user and service user’s home with respect. Confidentiality is enforced at all times. Before any care is started the Owner / Managers will introduce the care team to the service user. This gives the service user the peace of mind that no strange person will enter their home prior to an introduction. All Social care staff will carry ID badges, with a verification number on the reverse side. The care plan will be discussed and the service user’s choices and preferences will be high lighted. A routine will be set so all care teams are performing the tasks uniformly. The Owner Mangers will then monitor the team’s performance and visit them on a daily or weekly basis to encourage feed back as to the standard of care being provided. A Family quality assurance form is kept in the client folder in the service user’s home which will be inspected at each visit by Owner / Managers.

Useful Telehone Numbers

Essential Homecare Services (24 hour number)

(028) 91 810757

S & E Trust.

Care managers / Assistant Care managers

(028) 91 801234

Ulster Hospital

(028) 90 484511

Doctor On Call (Out of hours)

(028) 91 822344

Regulation and Quality Improvement Authority

(028) 90 517500

Police Service Of Northern Ireland

Non Emergency 101

Emergency’s 999



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PROTECTION OF VULNERABLE ADULTS




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CHILD PROTECTION


CHILD PROTECTION POLICY

Essential Homecare’s objective is to protect children and people with learning disabilities from harm while they are being attended to in their own homes by staffs that are employed by Essential Homecare Services. We achieve the above statement by giving parents, children, and people with learning disability information about what we do and the standard you can expect from us. We will at all times be making sure that our staff are carefully selected, trained and monitored on a regular basis ensuring the highest standard of care is delivered. Our complaints procedure will be explained to the service user from the start of their care. All staff must report immediately if they suspect any forms of abuse to Essential Homecare Services. The following details should be recorded if there is a suspicion of abuse:

Name of child

Age

Any special factors

Parents name

Home address

Telephone number

Details of concerns, (their own or somebody else)

Dates and times of any incidents

Any signs, physical, behavioural, indirect signs

Has the child been spoken to? If so, what was said?

Have the parents been contacted? What was said?

Has anybody been alleged to be the abuser? Record details

Has anyone been consulted?

Untoward incident form must be completed and returned to ESSENTIAL HOMECARE SERVICES WITH OUT DELAY. Essential Homecare Services will enlist the support of the Designated Officer to investigate the abuse All staff will be familiarised with the definitions and main forms of abuse what action to take if an incident of abuse is suspected. The main forms of abuse are: Physical, psychological, emotional, financial and sexual.

ALL FORMS OF ABUSE ARE TO TREATED AS AN UNTOWARD INCIDENT



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MEDICATION POLICY & PROCEDURES


MEDICATION POLICY & PROCEDURE Medicines must be administered strictly in accordance with the prescriber’s instructions. Medicines must never be used for social control or punishment. Any medication system in a service user’s home must ensure that medicines are administered efficiently in accordance with the prescriber’s instructions and allow for an adequate method of stock control. Although it may be normally convenient to administer medicines at set times, provision must be made for administering at other times when so prescribed by a GP or when the pharmacist advises that this is necessary to obtain the maximum benefit. Any problems about the medicines given to a service user should be discussed with the prescriber. The prescriber should be informed at an appropriate time when a service user has persistently refused medication and, if possible, the reasons for this. If a service user refuses medication or for some time other reason the medication cannot be administered the medication should be disposed of appropriately. The medication should not be put back into the container from which it was dispensed. The medication recording sheet should contain the necessary information in the comments section i.e. ‘medication not administered due to refusal or PEG tube blocked’. Always give clear explanation on the medication recording sheet stating why the medication was not administered and sign. Always inform the GP and District Nurse as soon as possible. PROCEDURE FOR ADMINISTRATION OF MEDICINES It is essential that individual medicines are clearly labelled with the service users name and medication details, right up to the time the medicine is administered to the service user. The practice of pre-dispensing medicines is not acceptable on the grounds that it increases the risk of error in treatment, both of product and dose.

The following procedure, which should is in writing is recommended for the administration of both prescribed medicines only.

Carefully check the identity of the service user.

Observe the service user’s record, checking the service users name and dosage instructions, noting in particular any recent changes in therapy and ensuring that the dose has not already been administered.

Identify the appropriate medicine container/s checking that the labels and the record match. If there is any discrepancy check with the

pharmacy or person in charge before giving the medicine to the service user.

Administer the medicine

The administering record should be signed by the person administering the medicine immediately after the medicine has been given.

Where there is a choice of dosage (e.g. one or two tablets) record the number, or strength, administered.

Record if the medicine is refused or not given and state the reason.

Reference should be made to the care plan, particularly if a medicine is not given to a service user on a regular basis or is supplied ‘when required’ or ‘where necessary’

DISPOSAL OF MEDICINES Medicines should be disposed of in the following cases:

When the expiry date is reached; or,

When a course of treatment is completed or discontinued; or,

When the service user for whom they are prescribed dies. In such cases, the medicines should be retained for seven days following the death, in case the Coroner’s Office or courts require them.

Medicines awaiting return to the pharmacy for destruction must be kept segregated from all medicines currently prescribed. Currently prescribed medicines should not be returned to the pharmacy for destruction. Over stocking should never be a reason for disposal of medicines.



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EAR, EYE DROPS & INHALERS PROCEDURE


EAR DROPS

EYE DROPS

INHALER



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RESTRAINT POLICY & PROCEDURE


RESTRAINT INTRODUCTION This policy has been drawn up for staff working with service users who may demonstrate violent or severely challenging behaviours and there for require restraint. Restraint may take many forms. It may be verbal and physical and may vary in degree from an instruction to seclusion. The Purpose Of Restraint:

To take immediate control of a dangerous situation.

To contain or limit the service user’s freedom for no longer than is necessary

To end or reduce significantly the danger to the service user or others. The Most Common Reasons For Restraint Are:

Physical assault

Dangerous or threatening or destructive behaviour

Self harm or risk of physical injury by accident.

Extreme and prolonged over –activity likely to lead to physical exhaustion. The Basic Considerations Which Should Underline Any Methods Aimed At Reducing And Eliminating Unacceptable Behaviour Should Take Account Of:

The need for individual care planning

The physical condition of the service user

The physical environment of the dwelling

The need for supervision. RISK ASSESSMENT WILL ALWAYS BE ONGOING DEFINITIONS REASONABLE FORCE Means the amount of force, which is sufficient to stop the attacker or prevent personal injury.

UNREASONABLE OR EXCESSIVE FORCE Might lead to criminal prosecution or disciplinary action. WHAT SHOULD BE DONE TO PREVENT THE NEED FOR RESTRAINT:

Preventative and de-escalating measures must be the first means of avoiding violence and aggression

Service users with a history of violence and aggression should have personal care plan drawn up by medical professionals.

Consider relocation to a low stimulus or quieter environment.

The emphasis on the use of physical restraint as a last resort.

The individual should be asked to stop their behaviour.

Steps should be taken to avoid the need for restraint through, dialogue, negotiation, and diversions to compromise. Do not let the service user be backed into a psychological corner.

The findings of any risk assessment should be considered e.g. to identify and avoid any trigger that could lead to violent behaviour.

Additional support required, dependant on service user risk assessment. GOOD PRACTICE DURING RESTRAINT:

Service user’s history, circumstances, risk of injury to self and others should be the ultimate factor in deciding if restraint is necessary.

Make a visual check for weapons.

Identify team members prior to intervention.

The use of physical restrain should ALWAYS be the last resort and for the shortest time necessary.

If restraint is required, the least intrusive method should be used requiring only minimum and reasonable force.

Staff should take account the understanding, age, mental state, and physical ability of the service user.

When possible, other people not involved with the restraint, should be relocated to another area.

Restraint must be discontinued when staff restraining agree that the service user is once again in control of them selves.

Staff will always be aware that communication between themselves and the service user is not allowed to deteriorate into verbal confrontation.

UNACCEPTABLE METHODS OF RESTRAINT: Physical restraint should be used as little as possible. The following practices are unacceptable and in some cases are illegal:

Kicking, punching, or slapping

Neck locks

Restraining service users with blankets or tying to fixtures or furniture.

Making threats or intimidating the service user.

Illegal or inappropriate isolation. SITUATIONS WHEN CONTROL AND RESTRAINT SHOULD NOT BE USED:

When the behaviour can be halted by verbal request

Self injury should not usually involve restraint, unless there is risk of or repeated serious injury which can not be halted by any other means.

For instances of verbal abuse FOLLOWING AN INCIDENT:

Staff should ensure that care and support is provided to the service user.

EHCS Owners will discuss if service user has any complaint to make.

The circumstances leading up to the justification for the restraint should be recorded in service user’s comment sheet and at HQ in service user’s file.

Assess for injuries and seek medical professional advice.

The restraint must be recorded as an untoward incident.

Time should be given to the service user to debrief and talk through the incident, not to apportion blame, but to see if any further incident can be prevented.

Staff involved should be given time to debrief and talk through the incident with EHCS Owners and ask themselves if any lessons can be learnt.

Service user should have access to the complaint’s procedure if required.

S& E Trust Care Manager to get a copy of the untoward incident report.

MONITORING USES OF RESTRAINT:

Every use of restraint should be monitored by EHCS Owners and Trust Care Managers to determine the justification for the restraint and ways of avoiding and managing service user violence in the future.

SUMMARY

Physical restraint must only be used as a last resort and only minimum force used where other measures have not been successful and there is a risk of serious injury or injury to others. Communication with the service user must be maintained during any restraint procedure. The ‘duty of care’ to service users requires the monitoring of their physical condition during and after a violent incident.

The circumstances and justification for using physical restraint must be recorded immediately.

The service user must be offered an explanation why it was felt necessary to restrain him/her.

Staff involved should discuss the incident formally with in 48 hrs of the occurrence.

A full incident / untoward incident report should be prepared and sent to EHCS owners.

Service users comment sheet should also be used for the recording of an incident.

EHCS Owners will monitor such incidents.



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INFECTION CONTROL


HAND WASHING

DECONTAMINATION INTRODUCTION

The purpose of this policy is to ensure there in a system in place that all reusable medical devices are properly decontaminated prior to use. The policy will cover all aspects of decontamination that are required to protect all staff and service users. The responsibility for ensuring this policy lies with EHCS management. All medical devices/ equipment are ‘single use’ or ‘reusable’. Single use devises has legal implications and can affect safety and effectiveness of the device. All reusable equipment must be decontaminated before use and between each service user use:

Devices designated for single use must not be reused under any circumstances.

Devices designated for single service user use should only be used once.

The reuse of single use devices can affect safety and expose the service user to risk.

If a single use item is reused this may negate the manufacturers warranty.

Essential Homecare Services would be liable under criminal law (Provision and Use of work equipment 1998) and civil law for injury caused by the reuse of single items

An employee could be held liable under criminal law (Health and safety at work Act 1974) for reusing a single use item.

DEFINITIONS Decontamination A term used for the destruction of microbial contamination. The term decontamination includes sterilisation, disinfection and cleaning. Cleaning A process that removes dirt, dust, and organic matter such as blood, faeces. Disinfection This is a process of removing or killing most viable organisms. The aim of disinfection is to reduce the number of micro organisms to a level that they are not harmful. Sterilization

This is a process of removing or killing organisms, dead micro organisms and toxins.

DECONTAMINATION METHODS

Item Decontamination method Frequency

Baths Clean with detergent and hot water or domestic cream

After each use

Bath Hoists Clean with detergent and hot water.

After each use.

Bed pans and urinals Clean with detergent and hot water followed by disinfectant if soiled with blood / bodily fluids.

After each use.

Bowls Clean with detergent and hot water, store dry and inverted.

After each use.

Commodes Thoroughly clean with detergent and hot water, followed by disinfectant if contaminated with blood / bodily fluids.

After each use. Commodes should be inspected at least weekly to ensure all surfaces are clean.

Hoists Clean with detergent and water.

Daily and if visibly soiled/contaminated. Clean bath hoists after each use.

Hoist slings Always follow manufactures instructions.

After each use.

Mattresses Clean with detergent and water. Do Not use alcohol on mattress covers as it will damage the material. Clean specialist mattress in accordance to manufacturing instructions.

After each use if soiled.

Medicine pots / cups Disposable or wash in hot water and detergent and dry. Do not soak.

After each use.

Razors Disposable single use. After each use.

Catheters (night bags) Dispose after use. Dispose after each use.

Toilets Clean with detergent and water or domestic toilet

Daily if soiled

cleaner.

Vomit bowls Disposable. Empty contents down toilet and dispose of bowl. Reusable: empty as above and clean with disinfectant.

After each use.

MANAGEMENT OF BLOOD AND OTHER BODILY FLUIDS It is the responsibility of staff to ensure that blood and bodily fluid spillage is cleaned up safely. All blood and bodily fluids must be considered a potential infection hazard. It is important that gloves and aprons are worn when attending to such spillage. The spillage must be removed as soon as possible. Blood splashes on floors and walls and other surfaces. Clean immediately with hot water and detergent using a disposable cloth. Dispose of paper towels. Mop floor with hot water and detergent. Blood and other spillage on floors. The spillage can be absorbed with paper towels or similar material. Spillage of blood or other bodily fluids onto skin of staff. INTACT SKIN Wash off with soap and water BROKEN SKIN If sharps have occurred encourage the wound to bleed. Wash with soap and warm water. Cover with a waterproof dressing. RECORDING When any of the items listed in the table ‘Decontamination methods’ have been attended to then this must be recorded in the daily record sheet, so the following team are aware of any spillages and what action was taken.



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HANDLING MONEY POLICY


MONEY HANDLING POLICY

There has to be agreement between service user and a Trust representative that we can handle client’ money. This must be clearly stated in the Care Plan (E.g. incidental, shopping). All transactions must be done using cash. Essential homecare Services do not permit their staff to handle bank cards or have knowledge of pin numbers or bank account details. Due care must be taken by all staff with client’s property, possessions and money. All money handled due to collection of pensions. Purchase of shopping or payment of bills must be accounted for with the client by production of receipts. A duplicate receipt must be signed at all times. The receipts must be kept in the client’s folder for 2 months. The cash transaction form to be used, which is kept in the client’s folder. Where possible or appropriate the service user or their carer (s) should be encouraged to sign the record. Where a client is unable to understand these transactions a record must be kept to account to the client’s representatives and Essential Homecare Services. All staff are not to become involved in any personal financial transactions with any client. This includes the sale or purchase of goods and borrowing or lending of money or goods. All staff are not permitted to receive cash or goods from a client. Client’s money must be kept separate from your own money at all times. Client’s money must never be saved or kept in your own home or private bank account.



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CASH TRANSACTION FORM

Date Cash Received

Cash Spent

Balance Items Purchase

d

User Signatur

e




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PRESSURE ULCER TRIGGERS


028 91 810757



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FIRE PROCEDURE POLICY


INTRODUCTION Essential Homecare Services takes every step to ensure that all staff are aware of potential fire risks and hazards. Fire regulations (2006 NI) require all Domiciliary Care Agencies to observe specific requirement in order to reduce the risk of fire occurring. This policy informs staff of what to do in the case of a fire and how best to ensure the safety of Service Users, Staff and Others. By following the Fire Risk Policy guidelines staff will have utilised the most effective method in fire fighting, namely Prevention. For a fire to start, three things are needed:

A source of ignition

Fuel

Oxygen If any of these three are missing a fire cannot start, every effort should be taken to avoid these three coming together. Fire is spread by three methods:

Convection

Conduction

Radiation CONVECTION The most dangerous and causes the largest number of injuries and death. When fire starts in a home setting the smoke rises from the fire gets trapped by the ceiling and then spreads in all directions to form a deepening layer of smoke over the entire room space, the smoke will pass through any holes or gaps in the walls, ceilings and floor to other rooms within the house. The heat gets trapped in the building and the Temperature rises. CONDUCTION Some materials such as metal shutters are ducting can observe heat and transmit it ti the next room where it can set fire to combustible items which are in contact with the heated materials.

RADIATION Radiation heats the air in the same way that an electric bar heater heats a room. Any material close to the fire will absorb the heat until the item starts to smoulder and combusts. Smoke produced by a fire also contains toxic gases which are harmful to people. A fire in a house with modern fittings and materials smoke that is thick and black obscures vision causes difficulties in breathing and can block the escape routes. PROTECTION FROM A FIRE There is shared responsibility for fire prevention between Essential Homecare Services staff, Service Users and Others (family, landlord etc). Essential Homecare Services acknowledges that staff are asked to work in Service Users homes and that home becomes the staff member’s workplace. Essential Homecare Services has a responsibility to ensure the safety of their staff members as well as a duty of care to those being supported by Essential Homecare Services. Therefore Essential Homecare Services has to find the appropriate balance between those two aspects. Crucial to this whole process is a fore risk assessment which Essential Homecare Services must carryout in every home in which they provide support. The outcome of the risk assessment will determine the extent of which Essential Homecare Services staff is directly involved in the fire prevention procedures and which procedures will be implemented. Each staff member at their induction should be guided in the following:

How to minimise the risk of fire

Basic fire safety requirements

What to do in case of a fire

How to raise the alarm

Means of escape STAFF TRAINING RECORDS The staff training records should indicate what ares of concern there is within the home they are working in and what measures or training has been put in place to support the staff member. RAISING AWARENESS Staff and Service Users if appropriate should have the opportunity to discuss at point of referral fire safety issues pertinent to their area of work.

Essential Homecare Services management will ensure that staff are familiar with the reporting and recording of any concerns of fire safety within the home they are working in. BASIC PRICIPALS SHOULD BE RAISED AT TEAM MEETINGS AND INDIVIDUAL SUPERVISION ON THE FOLLOWING:

Identity Hazards

Identify People at risk

Evaluate, remover or reduce risk



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INDUCTION PROGRAM


INDUCTION TRAINIG PROGRAM

EMPLOYEE NAME

ASSESSORS NAME

TOPIC 1 DURATION DATE COMPLETED

ASSESSORS NAME

BASIC INFORMATION

30 MINS

GUEST IN A PERSONS HOME

30 MINS

CUSTOMER CARE 30 MINS

ROLE OF OTHER PROFESSIONALS

30 MINS

TOPIC 2 DURATION

DATE COMPLETED ASSESSORS NAME

RECORDING

30 MINS

CONFIDENTIALITY

30 MINS

RECORD KEEPING/ RECORDING

30 MINS

REPORTING EMERGENCIES & UNTOWARD INCIDENTS

30 MINS

OUT OF HOURS SUPPORT

30 MINS

TOPIC 3 DURATION DATE COMPLETED ASSESSORS NAME SAFETY

30 MINS

HEALTH AND SAFETY IN THE WORK PLACE

30 MINS

TOPIC 4 DURATION DATE COMPLETED ASSESSORS NAME MEDICATION ADMINISTRATION AND RECORDING

1 HOUR

POLICY AND PROCEDURES

1 HOUR


ASSESSORS NAME

COMMUNICATION 30 MINS

AGEING PROCESS 30 MINS

PROMOTION OF CONTINENCE MANAGEMENT

30 MINS

COMMUNICATION WITH PEOPLE WITH SENSORY IMPAIRMENT

30 MINS


ASSESSORS NAME

FOOD & HYGIENE

30 MINS

NUTRITIONAL NEEDS

30 MINS

ASSIST WITH FEEDING AND DRINKING

30 MINS

MOUTH CARE

30 MINS

TOPIC 7 DURATION

DATE COMPLETED

ASSESSORS NAME

PERSONAL HYGIENE

30 MINS

SKIN CARE

30 MINS

PRESSURE AREA CARE

30 MIINS

CATHETER CARE

30 MINS

INFECTION CONTROL

30 MINS

HAND WASHING

30 MINS

DRESSING/ UNDRESSING

30 MINS

FOOT CARE

30 MINS


ASSESSORS NAME

PROTECTION OF VULNERABLE ADULTS & CHILDREN-

30 MINS

INDICATORS OF ABUSE & REPORTING

30 MINS

COMMENTS IDENTIFIED TRAINING

NEEDS

ACTION PLAN TIME SCALES

(Insert employee name) has demonstrated good knowledge and understanding of the above induction training and deemed competent.

EMPLOYEE SIGNATURE

ASSESSORS SIGNATURE

I have received an induction pack and staff hand book and have read and understood its contents.

EMPLOYEE SIGNATURE

DATE

Documents

ESSENTIAL HOMECARE SERVICES