1. Health and
Safety 13
Standard

2. 13 Learning outcomes Standard
13.1 Understand the legislation requirements of Health & Safety 13.2 Understand responsibilities of yourself and the company 13.3 Understand that people have the right to take risks and your role in that 13.4 First aid and knowing your responsibilities 13.5 Medication its challenges and responsibilities 13.6 Your role in COSHH, Fire and Security 13.7 Your duty of care and how it interacts with H & S 13
Standard

3. Legislation
The main reason for Health and Safety legislation is to protect people at work and those who are affected by work activities.
In Health and Safety everyone is apportioned responsibility but the company and you.
So there are individual responsibilities but collectively everyone is accountable for ensure the Health and Safety of customers, staff and those in contact with the work we do.
Legislation, this term is used to describe laws and the process of creating statutory guidance on the legal rules that affect people in society.
This means if you or the company don’t follow them we could get prosecuted
Activity 13.1a

4. Legislation Health and Safety at Work etc. Act 1974
sets out how employers, employees and the self-employed must work in a safe way, giving every person on the work premises legal duties and responsibilities. As this act is very general, subject-specific ‘regulations’ have been put in place to help every workplace to be safe.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013
You will have to undertake accident and incident reporting as an important part of your work in any health or social care workplace
The Management of Health and Safety at Work Regulations 1999
How health and safety is managed within a care workplace, including risk assessment, training
The Regulatory Reform (Fire Safety) Order 2005
sets out how every workplace must prevent/protect against fire
Activity 13.1a
Health and Safety at Work etc. Act 1974 –sets out how employers, employees and the self-employed must work in a safe way, giving every person on the work premises legal
duties and responsibilities. As this act is very general, subject-specific ‘regulations’ have
been put in place to help every workplace to be safe.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 – are
often referred to as ‘RIDDOR’. You will have to undertake accident and incident reporting
as an important part of your work in any health or social care workplace. The most serious
accidents and incidents are reportable to health and safety authorities.
The Management of Health and Safety at Work Regulations 1999 – are about how
health and safety is managed within a care workplace, including risk assessment, training
and ensuring employees receive the information they need.
The Regulatory Reform (Fire Safety) Order 2005 – sets out how every workplace must
prevent/protect against fire.
Control of Substances Hazardous to Health Regulations (COSHH) 2002 – are
designed to protect people from hazardous substances, i.e. if they can cause harm or ill
health.
The Manual Handling Operations Regulations 1992 – cover the transporting or
supporting of any load (including people) and how to carry this out safely and
prevent injury.
The Provision and Use of Work Equipment Regulations 2002 – set out how
equipment, from televisions to lifting aids, is to be used safely. Work equipment needs to
be checked and maintained regularly and employees trained in its safe use.
The Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) have
specific requirements relating to work equipment which is used for lifting and lowering
people or loads.

5. Legislation
Control of Substances Hazardous to Health Regulations (COSHH) 2002
to protect people from hazardous substances
The Manual Handling Operations Regulations 1992
cover the transporting or supporting of any load (including people) and how to carry this out safely and prevent injury.
The Provision and Use of Work Equipment Regulations 2002
set out how equipment, from televisions to lifting aids, is to be used safely. Work equipment needs to be checked and maintained regularly and employees trained in its safe use.
The Lifting Operations and Lifting Equipment Regulations 1998 (LOLER)
Have specific requirements relating to work equipment which is used for lifting and lowering people or loads.
Activity 13.1a
Health and Safety at Work etc. Act 1974 –sets out how employers, employees and the self-employed must work in a safe way, giving every person on the work premises legal
duties and responsibilities. As this act is very general, subject-specific ‘regulations’ have
been put in place to help every workplace to be safe.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 – are
often referred to as ‘RIDDOR’. You will have to undertake accident and incident reporting
as an important part of your work in any health or social care workplace. The most serious
accidents and incidents are reportable to health and safety authorities.
The Management of Health and Safety at Work Regulations 1999 – are about how
health and safety is managed within a care workplace, including risk assessment, training
and ensuring employees receive the information they need.
The Regulatory Reform (Fire Safety) Order 2005 – sets out how every workplace must
prevent/protect against fire.
Control of Substances Hazardous to Health Regulations (COSHH) 2002 – are
designed to protect people from hazardous substances, i.e. if they can cause harm or ill
health.
The Manual Handling Operations Regulations 1992 – cover the transporting or
supporting of any load (including people) and how to carry this out safely and
prevent injury.
The Provision and Use of Work Equipment Regulations 2002 – set out how
equipment, from televisions to lifting aids, is to be used safely. Work equipment needs to
be checked and maintained regularly and employees trained in its safe use.
The Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) have
specific requirements relating to work equipment which is used for lifting and lowering
people or loads.

6. Health And Safety Polices
Moving and Handling Policy
Medication Policy
Risk Assessment Policy
Health and Safety Policy
Reporting and Recording Incidents and Accidents
All of the above polices are there to ensure you and the company comply with the legislation you have just seen
Activity 13.1b You will need to see the policies mentioned in this slide ask them to comment on what they think they are for and what they say about responsibilities

7. Responsibilities
Health & Safety state that everyone has responsibilities to ensure the well-being, safety and security
When thinking about Health & Safety what do you think are the Health & Safety situations you may face?
RISK | ACCIDENT
PERSONAL SAFETY
EMERGENCIES
CHEMICALS
Slips
Trips
Falls
(By you or the customer)
A Customer becoming aggressive
An unlit area that you’re working in
A stranger coming into the customers home
A Fire
A Flood
An electrical fault
The smell of gas
Medical emergency
Death of a Customer
Cleaning equipment
Activity 13.1c ask them how they can ensure they comply with legislation for each category i.e. slip trips they should ensure they tidy up and not leave equipment in an inappropriate place
Activity 13.1f, 13.4a Write a list of different types of accidents and sudden illness that may occur on a daily basis in your workplace:

8. Responsibilities
You must take care of yourself and everyone else your activities might impact
You must follow the polices and procedures set out to ensure you are working in a safe way
Failure can result in prosecution.
We must assess any risks and take precautions to ensure you work place is reasonably safe
We must provide training to ensure you are informed on the agreed ways of working that will keep you and your customers safe
We must ensure all equipment is fit for purpose and inspected
Activity 13.1c

9. Responsibilities
As a rule you should not carry out any actions that are not covered by the individual’s care plan.
So given everything already said it is obvious that you cannot do anything you are not trained to do, can you think of some examples?
Activity 13.1d Use of equipment such as hoists and lifts to move people and objects safely
Medication: there is legislation and guidance that controls the prescribing, dispensing, administration, storage and disposal of medicines.
First aid:
Food handling and preparation:
This does not mean if they are trained on one piece of equipment that they cannot use another of the same type. Give the passing of a driving test example
Activity 13.1e
In addition where can they find more information Your manager if you can look at these and discuss them. Your handbook. Your supervisor, the internet

10. What would you do? Customer has fallen Unlit Area Gas Leak
RISK | ACCIDENT
PERSONAL SAFETY
EMERGENCIES
CHEMICALS
Customer has fallen
Unlit Area
Gas Leak
Use of Bleach to Clean
Activity 13.1f, 13.4a and b also see earlier slide

11. What would you do? RISK | ACCIDENT PERSONAL SAFETY EMERGENCIES
CHEMICALS
Customer has fallen
Unlit Area
Gas Leak
Use of Bleach to Clean
Dial 999
Do not attempt to move the Customer
Be prepared
Stay alert
Listen to your instincts
Shout for customer
Turn off gas
If safe go in open all doors and windows
DO NOT turn on any light or appliances
Bleach should not be used
PPE should always be worn
COSHH
Activity 13.1f, 13.4a and b also see earlier slide

12. What do you do if…
Under legislation you have a duty to report any Health & Safety issues you come across,
How do you do this??
Call the office or raise a concern on Mobizio
Who do you speak to?
A manager or someone in charge
How quickly should you do it?
Straight away, remember its your responsibility
Activity 13.2b
How do you do this?? Call the office or raise a concern on Mobizio
Who do you speak to? A Manager and make sure you get their name
How quickly should you do it? straight away

13. First Aid in Health & Safety
We have a basic and simple approach to first aid, you cannot ever administer first aid unless you are directed by a medically trained practitioner.
So if asked what first aid you can do you should answer nothing without being directed by a medically trained practitioner.
You can help someone to self administer first aid, i.e. help them to put a plaster on as long its under their guidance.
Activity 13.4c

14. First Aid in Health & Safety
So what should you do in an emergency?
In all emergency situation always remain calm
Dial 999 or 112 and get the emergency services on the phone
Do as little as possible unless under guidance
Reassure the individual observe them carefully try to work out what happened, you will be expected to report what you see and hear to the emergency services.
After everything don’t forget to file a report on Mobizio, and accident /incident form this bit is a legal requirement
Don’t forget to call the office as soon as your able
Activity 13.4c

15. The basics of Medication

16. Safe handling of Medication
Medication will be part of your daily support to a Customer and as such you need to learn how to safely handle medication.
The rules for you to follow are simple to learn and apply to your daily work. If you have ANY concerns over your knowledge or potential practice for medication speak to someone NOW, we cannot afford to get it wrong and you have a duty of care to ensure that anything you do or don’t do will not case harm to a Customer or anyone else.
You will learn about:
The 5 Rights for handling medication
Categories of medication
How to record using a MAR chart
How to report concerns/accidents/mistakes
Medication policy for your office
Consequences of getting it wrong

17. First thing First
You need to think about the agreed ways of working ALWAYS :
Wash your hands BEFORE handling medication
Put clean gloves after washing and BEFORE handling medication
Read the daily records and MAR chart BEFORE undertaking any medication related task
Think about the 5 RIGHTS BEFORE you start the task
Concentrate on the task at hand, Do not RUSH and take your time to complete the task safely
Promote INDEPENDENCE wherever appropriate and safe to do so
Follow the MEDICATION ACTIVITY for guidance
Record CORRECTLY using the appropriate legend (see next slide)
Report ANY concerns about a customer to the office immediately
Return medication to its SAFE STORAGE AREA after use
Never undertake ‘COVERT’ medication task unless it is set down in the Care Plan and all risk have been considered
DO NOT administer tampered medication

18. The Levels of Assistance
Level P Verbal prompt ONLY
Level A1 Administering WITH Customer instruction
Level A2 Administering WITHOUT Customer instruction
Level AS Administering by SPECIALIST TECHNIQUE
These levels are those that you report when filling in Mobizio medication record.

19. Right Person Right Drug Right Dose Right Route Right Time
The Five Rights
Right Person
Right Drug
Right Dose
Right Route
Right Time

20. Hazardous Substances
What hazardous materials are you likely to come into contact with:
Cleaning materials
Disinfectants
Body fluids
Medication
Clinical waste such as dressings
Contaminated bed linen.
How do we protect ourselves from these hazardous substances?
Wear PPE
Activity 13.6a Discuss how we protect ourselves by using PPE and how we dispose of them i.e. procedure get the to look at page 10 of their workbook if there not sure

21. Fire Safety

22. Fire Cause and prevention
Causes of fire
Preventative actions
Smoking
Over loaded electrical sockets
Faulty electrical equipment
Candles
Clothes to near to heaters/fires
Cookers being left on / unattended
Don’t allow a build up of rubbish/clutter
Educate the customer in the risks they are they taking
Check to see if smoke alarms are in place
Check to see if smoke alarms are working
Empty ashtrays/dowse with water if contents are still warm
Be aware of the fire procedures for the environment you are working in

23. What to do ? What do you do if a fire breaks while in a Customer?
Don’t put yourself in danger
If you think you can put the fire out inside 20 seconds then do so
If you don’t think you can put the fire out don’t waste time Ring 999
Get yourself and the customer out if possible
If unable to get your Customer out, leave them as safe as possible and wait outside for the fire brigade
Remember fire and smoke can spread very rapidly YOU DON’T HAVE TIME TO THINK, JUST DO
Activity 13.7b

24. Working safely and securely
Your Duty of Care includes ensuring the safety of the people you support
Always ask the customer if they know someone before letting them into the premises
Before you leave the premises you MUST ensure the home is secure (key safes, window locks)
You should report security concerns to your line manager and to the customer
Activity 13.8a and Activity 13.8b discuss with the group how they will use the information provided (see slide) to ensure safety and security of the customer

25. INVEST IN A PERSONAL SAFETY ALARM MAKE SURE YOU AVOID DANGER SPOTS
STAY ALERT
INVEST IN A PERSONAL SAFETY ALARM
MAKE SURE YOU AVOID DANGER SPOTS
PLAN AHEAD
LISTEN TO YOUR INSTINCTS
ENSURE YOU TAKE PRECAUTIONS WHEREVER YOU ARE
Activity 13.8a

26. Personal Safety
You have a rota stick to it or inform the office if you are running late or early
We provided you with a company mobile phone and you probably have you own, keep them charged
Buy a wind-up torch (many can charge a phone also)
Tell your family your expected time home and keep them informed
Activity 13.8a

27. Stress
This might seem silly but people without stress in their life are worse because of it.
We all need stress in our life it powers the adrenaline and its what our bodies have evolved to do.
But…constant stress is a bad thing like drugs our body becomes unresponsive to the stimulus and instead suppresses it, causing illness or higher craving
The symptoms of stress related illness breakdown into three categories
Psychological
Physiological
Behavioural

28. Stress Categories Psychological Physiological Behavioural
anxiety, anger, depression, low self-esteem, feeling helpless, sensitivity or tearfulness, irritability and indecisiveness
Physiological
heart palpitations, stomach complaints such as irritable bowel syndrome, uneasiness and tension
Behavioural
aggression, increased substance misuse such as smoking or alcohol, sleeping more or less, changes in eating patterns and changes to mood
A person can have a mix of the above but beware other problems can cause the same symptoms
Activity 13.9a

29. Dealing with Stress
The main strategy to coping with stress is in three parts
Deal with the cause
Look at your work life balance the things causing unnecessary stress, engage in something relaxing
Deal with symptom
You GP can help with medicinal assitance
Deal with yourself
Try to disconnect the stressful activity, count to ten, or take a deep breath, S.U.M.O ??
Activity 13.9c

30. S.U.M.O. Shut Up and Move On
Where is this issue on a scale from 1 to 10?
How important will this be in 6 months?
Is my response appropriate and effective?
How can I improve or influence the situation?
What if anything can I learn from this?
What will I do differently
What can I find that’s positive about this situation ?
Activity 13.9c