policy: f8 slips, trips and falls - west london mental...

West London Mental Health NHS Trust of 29 Policy F8 First Date of Issue: October 2009 This is current version F8/06 May 2015

Policy: F8 Slips, Trips and Falls

Version: F8/06

Ratified by: Trust Management Team

Date ratified: 13th May 2015

Title of author: Lead Nurse Older Persons Services

Title of responsible Director Director of Nursing and Patient Experience

Governance Committee: Patients Safety and Safeguarding Meeting

Date issued: 13th May 2015

Review date: March 2018

Target audience: All staff Trust wide

Disclosure Status : B Can be disclosed to patients and the public

EIA / Sustainability N/A

Other Related Procedure or Documents:


Equality & Diversity statement

The Trust strives to ensure its policies are accessible, appropriate and inclusive for all. Therefore all relevant policies will be required to undergo an Equality Impact Assessment and will only be approved once this process has been completed

Sustainable Development Statement The Trust aims to ensure its policies consider and minimise the sustainable development impacts of its activities. All relevant policies are therefore required to undergo a Sustainable Development Impact Assessment to ensure that the financial, environmental and social implications have been considered. Policies will only be approved once this process has been completed


Version Control Sheet

Version Date Title of Author

Status Comment

F8/01 23.10.09 Assistant Director, Primary Care Developments and the Head of Health and Safety.

Draft policy issued as a working document.

In May 09 – Draft policy developed as an outcome of accreditation process of AIMS in Older Peoples Services and presented to the CSSG in September 09. Draft policy revised to incorporate comments from CSSG. October 09 – Draft policy issued as working document on the 23rd October 2009.

F8/02 April 10 Assistant Director of Primary Care Developments and Head of Health and Safety.

Draft policy issued as a working document

Revised to reflect the NHSLA requirements and comments from consultation including medication aspects and a comprehensive Falls Risk Assessment Tool.

F8/03 30/07/10 Assistant Director of Primary Care Developments

Revised Policy cascaded

Revised to reflect requirements for NHSLA Level 2.

Policy presented to 20th July Policy Review Group – approved.

F8/04 Mar 11

14/09/11

01/03/12

16/03/112

Assistant Director of Primary Care Developments

Modernisation Lead for JCW and PHC Lead

Modernisation Lead for JCW and PHC Lead

Trust Management Team (TMT)

Policy Revised

Policy revised substantially to reflect NPSA Alert/2011/RRR001 Essential Care after an in-patient fall and to reflect NICE Clinical Guideline 56: Head Injury

Policy revised with PHC Lead Dr Cohen. To be submitted to 29th Sept Policy Review Group for approval.

Ratified by TMT on 14th March 2012


F8/05 19/10/12 TMT Minor changes made to comply with NHSLA Assessment.

F8/06 09/02/15 Approved for consultation at Feb 2015 PSS. Consultation ends 09/03/2015


Contents

1 Flowchart 5

2 Introduction (includes purpose) 6

3 Scope 7

4 Definitions 7

5. 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9

Duties Chief Executive Accountable Director Managers Policy Author Local Policy Leads Ward/Department Managers All Staff Estates and Facilities Department Capital and Development Department

7 7 8 8 8 8 9 9 9

6 Systems and Recording 9

7 7.1 7.2 7.3 7.4 7.5

Procedure/Processes Workplace Risk Assessment Clinical Falls Assessment Tool Falls Prevention Care Plan Incident Reporting Responsibilities for All Staff

9

10 10 11 11

8 Education Training 11

9. Monitoring and Review 12

10. Review 13

11 Supporting Documents 13

12. References 13

13. Glossary of Terms/Acronyms 13/14

14 Appendices

Appendix 1 – Workplace Risk Assessment 15

Appendix 2 – Falls Risk Assessment Screening Tool 24


1. FLOWCHART

Admission

to services

No history of falls

History of falls in

past one year

Frequency, context and

characteristics of falls history

Multifactorial assessment to be completed: - Falls history - Gait, balance and

mobility/muscle weakness - Osteoporosis risk assessment

(using NICE pathway - Perceived functional ability/fear

of falling - Visual impairment - Cognitive impairment,

neurological examination - Urinary incontinence - Environmental hazards - Cardiovascular examination &

medication review

(NICE 2014)

Assessment

Consider age of patient

Risk assessment of

falls to be

completed


2. INTRODUCTION

The aim of this policy is to ensure the risk of injury to Service users, staff and visitors arising from a slip, trip or fall, is adequately controlled and, consequently, minimised.

2.1 The NHS Institute for Innovation and Improving published, there will always be a risk of falls in hospital, however there is much that can be done to prevent significant harm and reduce risk of falling.

2.2 Falls affect approximately 60,000 people per year in the UK, resulting in up to

14,000 deaths. 2.3 2300 people are reported to fall each day, with up to 33% being people over the

age of 65 years, and up to 42% being people over the age 75 years. 2.4 Falls are reported to be a major cause of disability and mortality in the UK, and

with an aging population, this is likely to increase. 2.5 A fall is the most common patient safety incident reported from in-patient

services to the National Reporting and Learning Service (NRIS) of the NPSA.

2.6 A fall can precipitate the need for long-term care. Also, fear of falling can provide a significant limitation on daily activities and long-term psychological difficulties for the older person.

2.7 “A ward where no patient ever falls is likely to be a ward where patients are

unlikely to regain their independence and return home” (PSO 2007a)

2.8 June 2010 NPSA arranged a ‘falls prevention reminder’ to NHS organisations to follow guidelines aimed at the reducing of falls. This reminder was in response to publication of data of 283,438 reported slips, trips or falls between Oct 2008 and Sept 2009

2.9 NICE pathway: Falls in older people overview (2014) state:

“All healthcare professionals dealing with patients known to be at risk of falling should develop and maintain basic professional competence in falls assessment and prevention”

2.10 NRLS recommends that each patient at risk of falling should receive

multifaceted clinical and environmental interventions that could reduce the risk. To achieve this, NHS organisations must:-

Ensure that circumstances of falls are properly described on local incident forms.

Analyse and use reports of falls to learn about contributing factors.

Base falls prevention policies on the evidence described in its report.

Have appropriate guidance for staff.


3. SCOPE

This policy applies to all staff and all locations.

4 DEFINITIONS

Fall a sudden unintentional change in position causing the

individual to land on a lower level (or an object) other than as a consequence of a sudden onset of paralysis, epileptic seizure or overwhelming external force.” Feder (2000)

Slip to slide involuntarily and lose one’s balance or foothold.

This is either corrected or causes the individual to fall. (Adapted from COED 2000)

Trip to stumble or fall accidentally (often over an obstacle)

causing the individual to lose their balance. This is either corrected or causes the individual to fall. (adapted from COED 2000)

5. DUTIES

The general risk management responsibilities of individuals and groups in the Trust are described in the health and safety policy (H3) and in the risk management policy (R1), both can be found under Policies and Procedures on the Trust’s Intranet, and in the Trust’s Health and Safety Policy and Manual (available on The Exchange – see link in section 9). In addition, the following people and groups have specific responsibilities in the control of risks arising from slips, trips and falls

5.1 Chief Executive

The Chief Executive is responsible for ensuring that the Trust has policies in place and complies with its legal and regulatory obligations.

5.2 Accountable Director The Director of Nursing and Patient Experience is responsible for the development of relevant policies and to ensure they comply with NHSLA standards and criteria where applicable. They must also contain all the relevant details and processes as per P3. They are also responsible for Trustwide implementation and compliance with the policy.


5.3 Managers Managers are responsible for ensuring policies are communicated to their teams / staff. They are responsible for ensuring staff attend relevant training and adhere to the policy detail. They are also responsible for ensuring policies applicable to their services are implemented.

5.4 Policy Author Policy Author is responsible for the development or review of a policy as well as

ensuring the implementation and monitoring is communicated effectively throughout the Trust via CSU / Directorate leads and that monitoring arrangements are robust.

5.5 Local Policy Leads Local policy leads are responsible for ensuring policies are communicated and

implemented within their CSU / Directorate as well as co-ordinating and systematically filing monitoring reports. Areas of poor performance should be raised at the CSU / Directorate SMT meetings.

5.6 Ward/Department Managers

These managers will ensure the ward/department areas in their areas of responsibility are safe and without risks to health. This will include:

(i) carrying out annual workplace inspections (see proforma on The

Exchange); (ii) performing a ‘slips, trips and falls’ risk assessment of the workplace

when indicated following the workplace inspection (see appendix 1), acting on the assessment findings;

(iii) reporting and investigating any ‘slips, trips and falls’ incidents; (iv) reviewing periodically, the statistics concerning ‘slips, trips and falls’

incidents to identify both trends and the appropriate action to take to reduce the current level of incidents;

(v) keeping pedestrian access and egress routes free from obstruction; and (vi) having an appropriate procedure for dealing with spills.

Further, in regard to patients, managers will ensure their staff are aware of and use the:

(vii) ‘Falls risk assessment’ tool, (Rio) (viii) ‘Falls prevention’ processes, as appropriate (ix) Falls Clinics referral processes, as appropriate (x) review the clinical assessment tool results, implementing any

appropriate interventions.


5.7 All Staff

Staff will cooperate with their manager and will comply with their own responsibilities (see 5.5.1 and 5.5.2).

5.8 Estates & Facilities department

Both external to and within Trust buildings, this department will suitably maintain safe pedestrian access and egress routes. This will include making good flooring to an appropriate standard of health and safety and keeping routes free from obstruction.

5.9 Capital & Development department

Similar to the Estates & Facilities Department, this department will, on Trust property, provide safe pedestrian access and egress routes as assigned. This will include providing suitable flooring.

6. SYSTEMS AND RECORDING

6.1 All information must be recorded using the RiO electronic recording system

using the appropriate falls assessment tool available. 6.2 Risk assessments and incident reports (IR1) to be updated with information of

any falls. 6.2 All information is to be recorded as soon as an assessment has been

completed 6.3 Information pertaining to a slip, trip or fall occurs to be immediately recorded

following such an incident. 6.3 Information to be recorded by the person undertaking the assessment or

witnessing a slip, trip or fall.

7. PROCEDURES 7.1 Workplace Risk assessment 7.1.1 Managers must:

7.1.1.1 carry out a workplace risk assessment and, subsequently,

reviewing it at least annually producing an implementation plan for any work required.

7.1.1.2 where a significant risk of injury exists, managers should ensure they carry out a ‘slips, trips and falls’ risk assessment.


7.1.2 This can be achieved by tailoring the generic risk assessment (see appendix 1) to create a local or ‘service specific’ risk assessment. This should include a falls from height assessment.

7.1.3 Any risks which cannot be adequately controlled should be managed and

escalated in accordance with the risk management policy, as appropriate. 7.1.4 The risk assessment should be reviewed, when circumstances have changed,

making the risk assessment no longer valid, or annually, whichever is sooner. 7.1.5 See Risk Assessment and Risk Registers section of the Trust’s Health & Safety

Policy and Manual. 7.2 Clinical Falls Assessment Tool (for the assessment of the Service User) 7.2.1 All patients who have a history of falls or an aetiology that would suggest

likelihood of falls should be assessed, using the Falls Assessment Tool; this can be completed electronically on Rio, within 72 hours of their admission. This should include a falls from height assessment and a review of prescribed medication. This will form part of the physical examination and the outcome will be recorded on the patient’s electronic record.

7.2.2 For those patients who have a history of falls, the assessment must be carried

out immediately upon admission. 7.2.3 A Falls risk assessment should be conducted on every patient who has either

recently fallen, has reduced mobility or who the clinical team consider is at significant risk of falling, using the NICE 2014 Multifactorial assessment guidelines. A score of twenty or more indicates a high to very high risk. For these patients, a Falls Prevention Care Plan/ Programme should be developed and evaluated regularly.

7.2.4 Patients should be re-assessed following any significant change in their

condition. Their risk status must be documented and shared with all staff in the team.

7.2.5 For patients over the age of 65 years, Falls risk assessments should be repeated more frequently.

7.3 Falls Prevention Care Plan/ Programme 7.3.1 Managers should ensure that, for those patients who are at significant risk of

falling, an appropriate plan of care has been formulated and implemented. This will include a referral to the Trust’s Physiotherapy department.

7.3.2 An assessment of need for inflatable cot sides must be performed initially and,

subsequently, updated regularly. If cot sides are required a care plan describing how risks are managed must be written.


7.3.3 When developing a treatment plan for those service users who are at significant risk of falling, the Multi-Disciplinary Team should consider any clinical interventions.

7.3.4 Where clinically indicated a referral must be made to the relevant Falls Clinic. 7.4 Incident Reporting 7.4.1 All incidents involving slips, trips and falls will be reported and an incident form

must be completed. 7.4.2 All incidents are reported at the Incident Reporting area of The Exchange. This

includes user guides and demonstrations. An Incident Management area can also be found here.

7.5 Responsibilities for All Staff 7.5.1 Staff will cooperate with their manager and, in particular:

(i) report to them any slip, trip and fall hazards, such as spillages (ii) keep work areas clean and tidy (iii) remove any obvious trip hazards (iv) reporting any ‘slip, trips and falls’ incidents, in accordance with the

incident reporting policy (I8). 7.5.2 And, in regard to patients:

(vii) use the ‘Falls risk assessment’ tool, on Rio. (viii) use the Falls Clinics referral processes as appropriate (viii) support the manager in the review of the clinical assessment tool

results, implementing any appropriate interventions (ix) use the ‘falls prevention’ processes as appropriate.

8. EDUCATION AND TRAINING

8.1 CSU PHC Leads will ensure that staff are provided with suitable information,

instruction and training in relation to managing the risk of injury arising from slips, trips and falls, details of which can be found on The Exchange or Training Matters.

8.2 Local PHC Leads will facilitate a presentation to ward managers on the clinical

aspects of slips trips and falls, the managers will be responsible for the dissemination of this information to their teams which should be repeated annually.

8.3 The Trust Physical Healthcare Forum will provide direction and support for the

co-ordination of appropriate training. 8.4 Managers will ensure all staff attends training as required including updates.

http://theexchange/sorce/


8.5 The Health & Safety Executive (HSE) ‘Slips and Trips e-Learning Package (STEP) provides a useful e-learning tool which anyone can access (see http://www.hse.gov.uk/slips/step/index.htm).

8.6 Monitoring of Training 8.6.1 All new staff to the Trust will receive information on Slips, Trips and Falls in the

Health and safety presentation at induction. Attendance will be recorded electronically on the exchange. Refer to M12, Mandatory Training Policy.

8.6.2 Ward Managers will keep records locally of attendance at the Slips, Trips and

Fall presentation. Senior Nurse Managers will keep a central register of attendance.

9. MONITORING AND REVIEW

Several performance measures will be used to monitor compliance with this policy; these include:

9.1 Work Place Risk Assessment 9.1.1 Work Place Risk Assessments are to be reviewed quarterly. 9.1.2 See Inspection, Audit and Review section of the Trust’s Health & Safety Policy

and Manual.

9.2 Incident Reporting 9.2.1 Quarterly, managers will review the ward/service slips, trips and falls incidents,

identifying and analysing any trends and producing appropriate action plans to minimise the risk of recurrence.

9.2.2 All action plans associated with patient falls risk assessments will be monitored

within the CSU Ward Governance structure. 9.2.3 See Inspection, Audit and Review section of the Trust’s Health & Safety Policy

and Manual. 9.3 General 9.3.1 The Physical Healthcare Group will work with the Clinical Audit and

Effectiveness department to identify and agree audit and research topics that will demonstrate compliance with this policy.

9.3.2 The Trust Physical Healthcare Group will monitor any issues relating to the

effective implementation of this policy.

http://www.hse.gov.uk/slips/step/index.htm


10. REVIEW 10.1 The Policy will be reviewed three yearly. All relevant national clinical guidance

and Health and Safety requirements are to be considered for inclusion in this policy.

10.2 Policy reviews will be the responsibility of the Chair of the Trustwide Physical

Healthcare Group and the Trust’s Health and Safety Manager.

11. SUPPORTING DOCUMENTS

This protocol should be read in conjunction with the following Trust Policies: - M5 – Safer Moving and Handling - H3 - Health and Safety Policy - I8 - Incident Reporting and Management Policy - R1- Risk Management Strategy and Policy - Slips, Trips and Falls Procedure (September 2008) - West London Mental Health NHS Trust Health & Safety Policy and

Manual (http://theexchange/sorce/app_centre/launch_app.asp?apphandle=Risk_Mgt&fhandle=RISK_MANUAL_SEARCH )

- Incident Report via the Exchange - Risk Assessment Proforma

(http://theexchange/sorce/docs/dt24134v/25640_0/Workplace%20Inspection%20Proforma%2C%2007.04.11%20%2D%20Final.doc )

12. REFERENCES

- Feder, G. 2000, ‘Guidelines for the prevention of falls in people over 65’ - The National; Service Framework For Older People (2001) – Standard 6 - The National Institute For Clinical Excellence – Guideline 21 (2004) - Our Health, Our Choice, Our Say – DOH (2006) - The Health and Safety at Work Act 1974 - The Health and Safety (Workplace) Regulations 1992 - Management of Health and Safety at Work Regulations 1999

13. GLOSSARY

RiO Trust patient Information System The Exchange Trust Intranet

http://theexchange/sorce/app_centre/launch_app.asp?apphandle=Risk_Mgt&fhandle=RISK_MANUAL_SEARCH

http://theexchange/sorce/app_centre/launch_app.asp?apphandle=Risk_Mgt&fhandle=RISK_MANUAL_SEARCH

http://theexchange/sorce/docs/dt24134v/25640_0/Workplace%20Inspection%20Proforma%2C%2007.04.11%20-%20Final.doc

http://theexchange/sorce/docs/dt24134v/25640_0/Workplace%20Inspection%20Proforma%2C%2007.04.11%20-%20Final.doc


ACRONYMS NRIS National Reporting and Learning Service

NPSA National Patient Safety Agency

HSE Health and Safety Executive

NICE National Institute of Health and Clinical Excellence

NRLS National Reporting and Learning Services

PHC Physical Health Care

STEP Slips and Trips e-Learning Package


Appendix 1 Developing a LOCAL ‘SLIPS, TRIPS AND FALLS’ risk assessment Service and ward managers and team leaders are expected to carry out explicit (i.e. written) slips, trips and falls risk assessments for those Trust services that pose a significant risk of injury to patients and staff etc. This paper provides guidance on how to carry out a ward/service-specific risk assessment starting with the corporate, generic, risk assessment as a template. For the purposes of carrying out a service-specific risk assessment, the corporate risk assessment is only a guide. Its full content is unlikely to be relevant in its entirety to any one service, therefore appropriate amendments and additional entries will need to be made to all columns of the risk assessment Indicators that an explicit risk assessment may be necessary might include a high level of accidents, significant level of employee and/or service user complaints, etc. If you are unsure whether the service needs to carry out an explicit risk assessment, you should seek further advice from, in the first instance, your line manager and then, if necessary, either the Occupational Health or Health and Safety Services. RISK ASSESSMENT CONTENT Column 1 - Identify Hazard This column contains a fairly comprehensive (but not exhaustive) list of the hazards/factors which are commonly thought to create a significant risk of slips, etc. The presence and effect of each individual hazard should be considered on its own, in isolation. Additional hazards that are relevant to particular service environments or professions can be added, as required. Column 2 - Groups at risks In this column, you should list the groups who are likely to be affected by the hazard. Column 3 - Suggested control measures This column provide a fairly comprehensive list of the typical control measures which are used typically to control the hazard in question You should delete those controls which are not currently in place NB The controls which are not used currently may need to be implemented and, therefore, listed in column 5


Column 4 - Risk Rating In this column you should give your opinion to what extent the particular hazard, with its present levels of control, is contributing to the risk of slips etc i.e. ‘high’, ‘medium’ or ‘low’ Those hazards rated as ‘High’ risk will be those requiring high priority actions to ensure the risk is adequately controlled (and reduced to as low a level as is reasonably practicable). Those hazards rated as ‘Low’ risk will be those risks meriting lowest priority attention. Column 5 - Actions/measures required Where the residual risk has been assessed as either ‘high’ or ‘medium’, action should be taken to reduce the level of risk still further. If they are not already in place, if appropriate, you can use some of the controls listed against the hazard in the generic risk assessment Column 6 - When by? Where necessary actions have been identified, their proposed completion date should be recorded, together with the individual responsible for implementation. The risk assessment should be reviewed either when circumstances in the workplace change or annually, which ever occurs soonest.


Appendix 1 (cont) Generic workplace ‘Slips, trips and falls’ risk assessment

Hazard Groups / individuals at risk

Existing controls

Category of risk : high, medium, low

Actions / measures required

Action by?

Action date

Surface

Uneven floor surface arising from damage or overuse e.g. cracks or debris

All staff

Service users

Contractors

Members of the public

Select and use appropriate floor construction material and surface for anticipated type and degree of use Repair floor surface Regularly monitor (e.g. in periodic workplace inspection) and maintain surface Use warning signs

Unintentional changes in floor level e.g. arising from construction, the use of door bars, or changes in floor surfaces

All staff

Service users

Contractors


‘Signpost’ changes in floor level

Design out level changes and implement

Use warning signs

(intentional) changes in floor level e.g. ramps, stairs, slopes,

All staff

Service users

Minimise ramp gradients, ensuring the gradient is consistent and gradual

Provide handholds, handrails etc



Existing controls



Action by?

Action date

etc Contractors


Make unobvious changes highly visible e.g. use hazard markings.

Design out level changes

Ensure consistency in size of stair treads and risers

Ensure stair nosing’s are highly visible

Floor coverings e.g. poor quality carpets, raised, loose carpet tiles, slippery mats or rugs

All staff

Service users

Contractors


Remove floor covering Keep carpets etc flat; Use floor covering with non-slip backing Trim any frayed fibres that might cause trips Ensure the floor covering remains stuck down or fixed firmly in all places

Changes in floor surface (such as moving from tiles to carpet, or moving from a polished floor to a carpeted office), etc

Minimise such changes in floor surface (to help achieve consistency in user expectation)

Adjacent floor surfaces have similar slip resistance levels

Slip resistance of surface is inherently too low

Maximise or increase surface roughness e.g. through etching, sand-blasting, etc Increase floor surface resistance Increase floor hardness Use appropriate (e.g. anti-slip)



Existing controls



Action by?

Action date

footwear

Obstructions

Temporary obstruction (either on the floor or otherwise)

Change work flows to minimise likelihood of obstruction build-up

Good housekeeping

Dispose of (unwanted) items

Place (wanted) items elsewhere in permanent, purposely-built, store

Ensure items are not stored in pedestrian routes

Exclude people from the area

Any items stored in pedestrian routes are stored temporarily along the walls or on suitable wall shelves

Ensure objects are removed on which clothing may catch

Maintain a clear path to a width of at least 1.6m (?) along the pedestrian route

Maintain a clear path to a height of at least 2.6 metres(?) along the pedestrian routes

Use highly visible warning signs

Highlight the obstruction



Existing controls



Action by?

Action date

Permanent obstruction (either on the floor or otherwise) e.g. electrical and telephone sockets

Design out obstruction

Maintain a clear path to a width of at least 1.6m (?) along the pedestrian route

Maintain a clear path to a height of at least 2.6 metres(?) along the pedestrian routes

Slippery surfaces

Dry material or dust contamination

Clean spills immediately

Maximise surface roughness (and, therefore, slip resistance)

Maintain area (and equipment in the area) to prevent contamination

Design entrances to the area to minimise ingress of contamination

Install dust capture systems to minimise spread of dust

Have contamination cleaned promptly (report to cleaner)

Erect warning signs

Exclude people from the contaminated area

Use appropriate cleaning regime



Existing controls



Action by?

Action date

Fluid contamination

Clean spills immediately NB when cleaning spills, maintain dry path through the area, use a dry cleaning method, if possible, and clean during quiet areas

Use appropriate cleaning regime

Design entrances to the area to minimise ingress of contamination

Design floor to drain away spillages

Maximise surface roughness (and, therefore, slip resistance)

Maintain area (and equipment in the area) to prevent contamination e.g.

Install equipment and items to capture or contain leakage e.g. drip trays/buckets, mats to dry wet footwear, towels,

Have contamination cleaned promptly (report to cleaner)

Erect warning signs

Exclude people from the contaminated area

Distracting conditions



Existing controls



Action by?

Action date

Lighting

If the lighting is too bright, reduce light levels and/or glare

If the lighting is too low, increase lighting levels

Excess noise Reduce noise levels

Extremes of temperature

Ensure temperature remains within comfortable limits

Excessive repeating eye patterns e.g. on walls or floor coverings etc

Visual distractions are minimised

Task

Load carrying

Carry out manual handling assessment

Select load carrying route which minimises likely obstructions

Mechanise manual handling operation

Ensure load is not too heavy, too bulky, not awkward, etc

People

Behaviour and attitude Establish a positive attitude that slips, trips and falls can be prevented e.g. through publicity, consultation,



Existing controls



Action by?

Action date

involvement, etc

Train, inform and supervise employees and service users

Allocate tasks in high-risk slip areas only to those competent to follow slips precautions

No rushing around

Capability Staff not permitted to drink alcohol

Staff not fatigued


Existing controls



Action by?

Action date

Heights

All staff

Service Users

Contractors

Members of the Public

Warning/Hazard Signs

Limited/No access to heights


Appendix 2


Plan for Dissemination of Procedural Documents To be completed and attached to any document which guides practice when submitted to the appropriate committee for consideration and approval.

Title of policy / procedure document:

F8 Slips, Trips and Falls

Date finalised: Dissemination lead: Print name and contact details

Previous document already being used?

Yes / No (Please delete as appropriate)

If yes, in what format and where?

Local Guidance For Ealing Older Peoples Services

Proposed action to retrieve out-of-date copies of the document:

Issue of approved policy with instruction to delete previous copies.

To be disseminated to:

How will it be disseminated, who will do it and when?

Paper or Electronic

Comments

Clinical leads/Clinical Mangers

Issued as Policy to Policy leads.

Electronic Policy Lead and Clinical Directors instructed to ensure Policy discussed at local Clinical Improvement Groups and implementation/progress agreed.


Dissemination Record - to be used once document is approved.

Date put on the Exchange / Week of Monday Matters announcement

Date due to be reviewed

Disseminated to: (either directly or via meetings, etc)

Format (i.e. paper or electronic)

Date Disseminated

No. of Copies Sent

Contact Details / Comments

CSSG Electronic Chair

Physical Healthcare Group

Electronic