RF=0 Nil 3 Use of hoists Residents & Staff No hoist used at present P=0 S=0 RF=3 Low 4 Hot water Residents & Staff Clients have own flat and tenancy Staff check of hot water temperature before use Staff training provided P=1 S-9 RF=9 Low Blood Borne Virus 1 Exposure to blood borne viruses in: contaminated wounds contaminated skin abrasions Direct Care staff and ancillary staff All employees receive infection control training at induction plus training programme with multiple choice answers P= 2 S= 3 RF= 6 Low 2 Cleaning blood spillages Sharps injury Direct Care staff and ancillary staff PPE provided Provision of first aid on site Employees trained in safe storage and disposal of clinical waste - safe system for use and disposal of sharps. P= 2 S= 2 RF= 4 Low 3 Contact with some unpredictability physically aggressive clients (scratches and bites) Support Workers and ancillary staff As above plus: Residents assessed prior to admission re appropriateness of placement Challenging Behaviour Training given P= 3 S= 3 RF= 9 Low Clinical Waste Disposal and Handling 1 Exposure to human pathogens Category A waste Human Tissue, Blood, related swabs and dressings Employees Residents Visitors Intruders Contractors Risk of cross infection Written clinical waste policies Safe system of work in place Staff trained in waste hazards Minimal exposure P=4 S=1 RF=4 Low 2 Exposure to human pathogens / sharps Category B waste Employees Residents Visitors Risk cross infection/ needlestick injury Safe system of work in place Staff trained in waste hazards P =1 S=3 RF=3
4 Wheels and tyres poorly maintained / direct contact with Operator – musculoskeletal injury from pushing chair if tyres insufficiently inflated. Operator/client trapped digits in spokes All direct care staff trained in use of wheelchairs including the pre use inspection. Faults reporting procedures System of monthly wheelchair inspection/maintenance by in house staff. Access to specialist contractors for major repairs works P=1 S=3 RF=3 Low 5 Collision with people/furniture/ equipment resulting in injury to persons and/or damage to property Clients, employees visitors and contractors – bumps, cuts, crush injuries to feet, falls injuries Training & supervision for client users as per client risk assessments Direct care staff trained in safe operating procedures. ‘Awareness training’ for all visitors to the site. Employees comply with written housekeeping procedures. P=1 S=3 RF=3 Low 6 Fall from chair during muscular spasms, coughing, challenging behaviour, manoeuvring over Client – minor to major falls related injuries Ref. Client risk assessments Additional supervision may be provided. Lap straps may be considered along with additional supervision P=2 S=4 RF=8 Low 7 Securing of wheelchair during minibus outings Client – minor to major falls related injuries Specialist minibus hired for any such occasion. Staff to ensure all wheelchairs are secured before movement is allowed. P=1 S=5 RF=5 Low Welfare 1 Extremes of temperature Employees Visitors Other Workplace temperatures are comfortable and above recommended minimums. Wall mounted thermometers are provided within the workplace. Regular rest breaks given to staff. Supply of drinking water made available. P=1 S=5 RF=5 Low
Heating provided where necessary. Facilities to make hot drinks are provided. 2 Lighting Employees Visitors Other Lighting levels are satisfactory. Natural daylight is provided where appropriate. Emergency lighting provided in areas that may be in darkness if the power fails. P=1 S=3 RF=3 Low 3 General welfare Employees Visitors Other Workplaces are not cramped. Assessments of risk are carried out for College Students, Young Persons, Pregnant Workers and Disabled Workers. Working hours are monitored and managed in accordance with the provisions of the Working Time Regulations. Toilets and other sanitary conveniences are provided. Drinking water is provided. Adequate rest facilities are provided. Adequate facilities are provided for the consumption of food. Up to date policies for dealing with alcohol and drug abuse in place. Adequate facilities provided for the changing of work clothing. P=1 S=2 RF=2 Low 4 Ventilation Employees Visitors Other Adequate ventilation is provided within the workplace. Ventilation is provided by windows or mechanical means. P=1 S=5 RF=5 Low 5 Violence Employees Visitors Other Up to date, written policy dealing with Violence at Work and with the security of staff in place. Assessments of risk are carried out for workers potentially at risk from violence. P=1 S=3 RF=3 Low 6 Smoking (UK only) Employees Visitors Other The premises are deemed a “No Smoking” site in accordance with Legislation Non-smokers are provided with a smoke free area to take rest and dinner breaks. P=1 S=2 RF=2 Low