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This policy outlines the procedures when any employee, volunteer, service user, visitor to the agency or contractor has an accident, near miss or when a dangerous occurrence occurs on agency premises or as a result of work-related activities.
For the purposes of this policy, the following definitions apply.
This policy covers reporting and recording procedures for managers, employees and non employees. Suitable information and training will be given to all personnel regarding accident reporting.
The service recognises that keeping records of accidents and safety incidents at work is required by law and is an important part of any health and safety risk management process. The analysis of comprehensive accident records is a valuable management tool that can be used to aid risk assessment and put in place safety actions to prevent accidents in the future.
On a larger scale, the collection of reports about serious incidents that may endanger the public is an essential role for an enforcing authority such as the HSE, local authorities and regulators.
This care provider complies with the requirements of the Health and Social Care Act (2014) (Regulated Activities) Regulations 2014 in respect of service user care, particularly 12: Safe Care and Treatment and the following regulations relating to accident management, reporting and investigation.
The following HSE guidance will be followed:
Accident book reports
Introductory care staff or volunteers must report any accidents, incidents or near misses immediately after they happen or are discovered, no matter how minor they are or who they involve — care staff working in people’s homes should report what happened to their duty manager or supervisor.
In general, minor accidents, incidents or near misses will be recorded and reviewed as part of routine health and safety procedures — this will usually involve the accident, incident or near miss being recorded in the accident book through submission of an accident/incident form.
The accident book should be used to record the following information:
In this organisation, the accident book comprises accident/incident forms which are completed by the person involved in an accident or incident or by a witness — all forms are designed to comply with data protection law.
Aside from informing the duty manager and making a report, staff must maintain strict confidentiality relating to the details of any accident or incident.
Managers will be responsible for assisting contractors, agency staff and service users/relatives in complying with the organisation’s health and safety/accident reporting policies and procedures.
RIDDOR reports
Any serious accident or emergency incident which may require notification under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR) must be immediately escalated to senior management.
Incidents to be reported under the RIDDOR Regulations include:
RIDDOR reports should be made by a senior manager using the appropriate online form on the HSE website or, in the case of a death or serious injury, by phone immediately to the HSE reporting centre on 0845 300 9923.
If an incident results in over seven consecutive days of incapacity for work, it should be reported online under RIDDOR within 15 days.
Copies of RIDDOR reports should be kept with the accident book.
All accidents, incidents, dangerous occurrences and/or near misses occurring on premises which are the responsibility of the organisation, or occur in the homes of service users in connection with the work activities of the organisation, should be investigated.
Investigations should be conducted or led by a suitably trained manager.
Investigations should be proportionate to the severity of the accident or incident, the degree of risk and the scale of harm — investigations into serious incidents should result in a formal report to the senior management of the agency.
Appropriate people should be involved in the investigation — this should include outside experts/contractors as required.
The objectives of any accident investigation should be to determine the sequence of events leading to the accident and establish any unsafe acts and/or unsafe conditions within this sequence that were the direct causes of the accident.
Appropriate action should be taken by the management of the agency following an accident investigation — risk assessments should be reviewed and any learning from the investigation applied in order to prevent recurrence and maximise safety in the future.
Investigations should be conducted in full collaboration with workforce representatives.
The organisation will provide full access and co-operation where an HSE inspector or an inspector from a relevant regulatory body pursue their own investigation.
Reviewing accident/incident records
Accident records should be regularly reviewed by the senior management of the agency in order to ascertain the nature of incidents that have occurred and to identify any accident patterns or trends.
The review, which should be conducted with staff safety representatives, should be in addition to any individual investigation of the circumstances surrounding any incident.
This policy intends to safeguard the people who use our services from suffering any form of abuse or improper treatment while receiving care and treatment. This policy shows how All Carer Services Ltd protects its service users from abuse or harm in line with its legal requirements and best safeguarding practice guidance. It reflects in particular:
More specifically, it also reflects the (local safeguarding adults’ authority) policies and procedures.
All Carer Services Ltd shares and is committed to the vision of the local safeguarding authority, which is to empower and protect adults who are at risk of abuse and neglect, as defined in legislation and statutory guidance.
All Carer Services Ltd understands that local safeguarding arrangements and developments follow a government strategy based on. All adult safeguarding should reflect the following principles:
Improper treatment includes discrimination or unlawful restraint, which includes inappropriate deprivation of liberty under the Mental Capacity act 2005. We take a zero-tolerance approach to abuse, unlawful discrimination and restraint which includes:
We recognise that safeguarding involves a range of responses to different forms of abuse and potential sources of harm and the different contexts in which abuse occurs. Accordingly, this policy should be read and used in association with a suite of policies all designed to make sure that users are safe from abuse and the risks of their coming to harm are kept to the minimum and well managed.
Policy Aims
The central aim of this safeguarding policy is to set out:
All Carer Services Ltd works on the principle that it is the right of vulnerable service users to be kept safe from all forms of abuse/harm. Being and feeling safe will contribute a great deal to their wellbeing and quality of life. It therefore recognises that it must always protect its service users and identify and deal with specific instances of abuse/harm if they occur, following the required procedures and best practice guidance. All Carer Services Ltd is always aiming for the very best quality of care and will not be satisfied with anything that falls short of this. It takes every possible action to prevent abuse/harm and associated risks and to deal with the issues as promptly and effectively as possible when they arise.
All Carer Services Ltd seeks to work in line with local safeguarding adults’ authority policies and procedures (or, in relation to services to children and families, to work in line with local safeguarding children authority policies and procedures) . It recognises the importance of government and national guidance and seeks to comply in all respects with current safeguarding legislation and regulations.
All Carer Services Ltd recognises that service users who lack mental capacity are particularly exposed to abuse/harm and exploitation. It is accordingly mindful of the need to follow the principles and practice guidance that has accompanied the Mental Capacity Act 2005. These apply particularly to investigations of possible abuse/harm in which it is important to seek means of ascertaining the experiences and views of any victim or indeed alleged perpetrator who might lack capacity, eg through the services of independent advocates.
All Carer Services Ltd recognises that anyone who might need the help of an independent advocate when engaged in safeguarding enquiries and plans is entitled to one (as legislated for by the Care Act 2014). It will always support a person to have advocacy help where required in line with its (separate) advocacy policy.
All Carer Services Ltd has all required systems in place to track and monitor incidents, accidents, disciplinary action, complaints and safeguarding concerns, and to identify patterns of potential abuse/harm to its service users.
References
This Policy will also be consistent with and mindful of a range of legislation and guidance. Notably including:
Adults at Risk
Modern Slavery Act 2015
Care Act 2014
Domestic Violence Crime and Victims (Amendment) Act 2012
Human Rights Act 2008
Mental Capacity Act 2005
Defining Abuse
Adults at Risk
Aged 18 years or over; Who may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation.
Safeguarding
Safeguarding and promoting the welfare of vulnerable individuals can be defined as: Protecting vulnerable individuals from maltreatment
Preventing impairment of vulnerable individuals health or care
Ensuring that vulnerable individuals are living in circumstances consistent with the provision of safe and effective care
Taking action to enable all vulnerable individuals to have the best outcomes
Types of abuse
Types of abuse that can given rise to safeguarding concern can be described as: Physical abuse
Domestic abuse
Sexual abuse
Psychological abuse
Financial or material abuse
Modern slavery
Discriminatory abuse
Organisational abuse
Neglect and acts of omission
Self neglect
Safeguarding Commitment
All of our employees who are in contact with our commercial clients, service users and their families members have a responsibility to:
Protect the welfare of children, young people and adults at risk;
Safeguard any child, young person or adult at risk; and
Be able to recognise and respond appropriately to any potential or actual threat to the wellbeing of the child, young person or adult at risk.
Protect from abuse and improper treatment in accordance with this policy
Establish and effectively operate within the processes to investigate, immediately upon becoming aware of any allegation of such abuse.
Where appropriate we will follow national and local safeguarding arrangements.
We will ensure that:
All front-line employees are trained to recognize the signs of a person who could be at risk / suffering neglect and/or abuse
We know our customers and hold up to date customer data
We are assertive in working with statutory agencies
We have and will continue to implement and update robust process and procedures that make sure service users and all parties involved are protected
Induct new staff members with safeguarding training that is suitable and relevant for their role, with continual CPD and training for all staff members
Train staff to be aware of their individual responsibilities to prevent, identify and report abuse when providing care and treatment
Review incidents and complaints to identify potential abuse, take preventative action, and escalate where appropriate
Work within the requirements of the Mental Capacity Act 2005 when working with people who may lack the mental capacity to make certain decisions
We will know, understand and internally update local safeguarding arrangements so that all staff are aware and can act appropriately
We will the right people into the business to ensure that we mitigate any risk of safeguarding incidents, this is covered within our recruitment policy. Management has the responsibility to ensure that all staff members have the correct experience, qualifications, DBS checks and references in place prior to any employment contract offers made.
We will ensure that when creating or reviewing care plans for service users, that the risk assessments include safeguarding factors such are money management, manual handling and their ability to consent.
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Identifying Abusers
All Carer Services Ltd accepts that abuse/harm can be committed by a range of possible people. It therefore accepts its responsibility to protect its service users from possible abuse from all sources, which include:
> the staff and management of All Carer Services Ltd
> volunteers working in All Carer Services Ltd
> visiting health and social care practitioners and other official visitors to the person’s home > service users’ relatives and friends
> people who have contact with service users while they are temporarily outside > neighbours, people on their social network or living in the community at large.
The Role and Accountability of Staff
All Carer Services Ltd insists that all its staff have a responsibility to:
Report any incidents of abuse or potential abuse to an appropriate manager. If the person
● you are concerned about or is involved is a manager and you do not feel comfortable raising your concerns to another manager.
● Respect people’s privacy, dignity and human rights always, and treat people with sensitivity, respect and thoughtfulness, adhering to individual care programmes
● Understand their individual responsibilities in preventing discrimination in relation to protecting the protected characteristics set out in the Equality Act 2010.
● Regularly monitor and review the approach to restraint and restrictive practices.
● Take all reasonable steps to make sure service users are not subject to any degradation or treated in a manner that may be viewed in a degrading way.
● Always deliver care and treatment that enables all services users’ needs to be met in accordance with their set needs and preferences
● Act in accordance with the Mental Capacity Act 2005 Deprivation of Liberty safeguards
● Wherever possible support people’s independence and freedom of choice
● Comply with and implement the organisation’s policies and procedures
● Act within the limits of their training at all times
Whistleblowing
Staff members who wish to report a safeguarding concern anonymously can do so by using an anonymous reporting form. The business will ensure that the anonymity of the whistleblower is protected throughout the process. The reporting form will require as much detail about the incident as possible including the following:
– Service user name, date and time of the findings
– The category of safeguarding concern
– Any conversations had with the service user that is relevant to this concern – What actions have been taken to ensure they are not in any immediate danger – Names and details of any other parties involved.
We actively encourage all staff members to come forward and have a discussion with any of the management team or the registered manager directly regarding safeguarding concerns. We will look to protect the identity of those who report incidents and take all information and reporting seriously. If the report is regarding a manager within the business, to ensure that there is an impartial and fair way of investigating the matter you can do one of three things:
– Report the manager/ supervisor/ Director to another Director of the business to enable them to then investigate accordingly.
All Carer Services Ltd requires it’s Managers have a responsibility to:
● Develop the systems and structures within which it is possible to deliver the best possible care. To measure consistency internal auditing will be completed to ensure that procedures are being followed and that safeguarding incidents have been followed up correctly with the right outcomes.
Regular staff observations will be conducted to ensure that not only are they following the regulations as they should and not displaying any concerning behaviors towards our service users, but also that they are aware of being able to spot the signs of safeguarding concerns whilst caring for our service users.
● Encourage a culture and ethos that is hostile to any sort of abuse/harm
● Produce and regularly revising the policies and procedures to prevent and deal with abuse/harm
● Operate personnel policies which identify, appropriately deal with and, if necessary, exclude from practice potential or actual abusers
Provide training for staff in all aspects of safeguarding, abuse/harm and protection. This
● will include role play of safeguarding scenarios and testing their knowledge of how to deal with them and what they would do if an incident occurred.
● Investigate any evidence of abuse/harm speedily and sympathetically
● Implement improvements to procedures if an enquiry into abuse/harm reveals deficiencies in the way in which the service operates
● All safeguarding incidents will be reviewed by the Registered manager in team meetings with other members of the management teams to discuss lessons learned, policy and procedure reviews to integrate preventative actions moving forward.
● All incidents will be shared with care staff to educate them in how to deal with these scenarios moving forward. This is integral to the continuous improvement within the service and form part of ongoing training for the staff.
● Collaborate with all other relevant agencies in combating abuse/harm and improving the safeguarding and protection of service users
Liase with the relevant safeguarding adults/children authority teams and following their
● guidance and instructions where applicable, including the issues arising from multi-agency involvement
Recruitment Practices
All Carer Services Ltd takes great care in the recruitment of staff, carries out all possible checks on recruits to ensure that they are of a high standard and co-operates in all initiatives regarding the sharing of information on care workers who are found to be unsuitable to work with people at risk.
The agency ensures that new employees employed in regulated activity have been checked against the Disclosure and Barring Service (DBS) criminal records and barred lists in line with the current requirements.
Preventing Abuse from Occurring
All Carer Services Ltd is committed to taking all possible steps to prevent abuse or harm of service users from occurring, including:
● Setting out and making widely known the procedures for responding to suspicions or evidence of abuse/harm
● Operating personnel policies which ensure that all potential staff in regulated activity are rigorously checked, by the taking up of references and clearance through DBS criminal records and barred list checks, with equivalent checks for staff employed from overseas
● Incorporating material relevant to abuse/harm into staff training at all levels
● Maintaining vigilance concerning the possibility of abuse/harm of service users from whatever source
● Encouraging among staff, service users and all other stakeholders a climate of openness and awareness that makes it possible to pass on concerns about behaviour that might be abusive or that might lead to abuse/harm
● Maintaining effective procedures for regulating any contact that care workers need to have with service users’ property, money or financial affairs
● Communicating concerns to the local Adults’ Safeguarding Board or, where applicable, Safeguarding Children Board
● Helping service users as far as possible to avoid or control situations or relationships that would make them vulnerable to abuse/harm.
Identifying Actual or Possible Abuse
All Carer Services Ltd will identify any instances of actual or possible abuse/harm involving our service users by all possible means including:
● Fostering an open and trusting communication structure so that staff, service users and others feel able to discuss their concerns with someone authorised to take action
● Ensuring that all staff and service users know whom they may turn to for advice and action if they become aware or suspect that abuse/harm is occurring
● Encouraging staff to recognise that a commitment to the highest possible standards of care must, when necessary, overrule loyalty to colleagues individually or corporately
● Making it clear to staff that failing to report incidents or suspicions of abuse is itself abusive and may lead to disciplinary or criminal proceedings
● Operating systems of management, supervision, internal inspection and quality control that have the potential to reveal abuse/harm where it exists.
Procedures for when Abuse Has Occurred
If abuse/harm is clearly occurring or is alleged to have occurred, the agency takes swift action to limit the damage to service users and to deal with the abuse, as follows.
Initial procedures
A staff member who witnesses a situation in which a service user is in actual or imminent danger must use their judgment as to the best way to stop what is happening without further damage to anyone involved including themselves, either by immediately intervening personally or by summoning help, which could include phoning the police on 999.
Any staff to whom actual or suspected abuse/harm is reported — usually the manager or a senior staff member — must immediately act to protect, support or arrange additional care to a service user who has been harmed.
The manager will discuss with the known or suspected abused/harmed person what actions they consider to be appropriate. In some circumstances, the person might not wish any action to be taken or agree to a referral being made on their behalf (though this would not apply to children).
In such cases, the manager will consider whether there are reasons for overriding the person’s wishes, eg because it is in the public interest and to prevent further harm or because the harmed individual is a child. This could include seeking advice from the Safeguarding Adults’ Authority or Safeguarding Children Authority.
Any adult “victim” whom it is thought might lack mental capacity to give their consent for the abuse/harm to be reported will be assessed for their capacity to decide and a “best interests” decision will be taken in line with Mental Capacity Act procedures.
Once a person has consented to further action being taken, or for someone unable to give their consent, it has been decided that it is in their best interests to do so, the senior staff member or manager (or whoever has authority at the time) will then alert the local Safeguarding Adults’ Authority or Safeguarding Children Authority and follow its procedures and guidance from that point on. This could involve a strategy meeting and a safeguarding plan to be implemented from the strategy meeting.
The specific procedures to be followed and referral forms are those available on the local SAB website.
In some instances, the registered manager/person responsible for safeguarding might need to report the matter directly to the police and take guidance from them on the measures to be taken.
The registered manager must ensure that there is no further risk of the victim being abused/harmed by the alleged or suspected perpetrator.
The registered manager must address the needs of the alleged victim of the abuse/harm for any special or additional care, support or protection or for checks on health or wellbeing as set out in the person’s safeguarding plan.
If the alleged abuser is a staff member and there is sufficient evidence that abuse/harm has or might have occurred, the manager will suspend the person from duty pending the outcome of a disciplinary investigation. The manager will receive guidance on the steps to be taken following the local safeguarding adults/children authority strategy meeting, which will be held following the reporting of the abuse or suspected abuse/harm.
If the evidence is insufficiently strong to warrant suspension, the staff member against whom the allegation has been made will be instructed not to have further unsupervised contact with any service users until the matter is resolved.
However, it should be noted that in the event of a referral being made to the police because a criminal offence might have been committed the police investigation will take precedence and no action should be taken that might jeopardise its enquiries, which might contaminate the evidence it is seeking and collecting.
Investigating Alledged Abuse
Investigations are based on a person-centred approach in which the wellbeing of the victim or alleged victim is the central focus of all the activities involved. In many cases, enquiries will be carried out or led by a member of an external agency in line with the action plan determined by the initial strategy meeting convened by the local SAB or Safeguarding Children Authority. If a staff member is expected to carry out an enquiry of its own, it will proceed as follows.
The person appointed to make the enquiries will usually consult the person who may have been abused/harmed to hear their account of what has occurred and their views about what actions should be taken, involving service users’ relatives, friends or representatives if that is appropriate and in line with the wishes of the service user.
The enquiries should take into account:
> the fears and sensitivity of the abused/harmed person
> any risks of intimidation or reprisals
> the need to protect and support witnesses
> any confidentiality or data protection issues
> the obligation to keep the abused/harmed person and, in specific instances, the alleged perpetrator informed on the progress of the investigation.
It will be important to assure the person who may have been abused/harmed that they will be taken seriously, that their comments will as far possible be treated confidentially, that they will be protected from reprisals and intimidation, and that they will be kept informed of actions taken and of the outcome.
It is important to consider if the service user needs independent help or representation, including the services of an independent advocate, in presenting their evidence. The care service manager will, if necessary, arrange for the appropriate help or support to be made available.
If the abused/harmed person expressly states a wish that no further action should be taken, the safeguarding enquiry will consider if:
> a danger to others exists from not investigating further
> in the light of that assessment it is possible to follow the person’s wishes
> in any case precautionary measures should be taken to protect others from the possibility of abuse from the same source
> the person will be informed of what is to happen.
Once decided that enquiries should proceed, they will look into all aspects of the situation discreetly and respecting their sensitive and confident nature.
The enquiry could include interviewing the staff involved in the incident or circumstances up to that point, hearing and assessing evidence from any others who might be in a position to supply information, exploring every other possible source of evidence, maintaining appropriate contact with any other agencies involved, and if necessary seeking expert advice on any technical aspects of the situation which are outside the knowledge or expertise available within the care service.
Any staff from whom evidence is taken will be assured that they will be dealt with in a fair and equitable manner and informed of their employment, legal and procedural rights.
The alleged victim of the abuse/harm, and where appropriate their relatives, friends or representatives, will at all times be kept as fully informed as possible of what is happening regarding the suspected abuse/harm.
The enquiry will be carried out within an agreed timescale.
The findings will usually be presented to the local safeguarding adults/children strategy group, which will then decide what further action to take, eg that a safeguarding plan should be developed and implemented.
If it is found that a member of the Senior management team or Director is reported for safeguarding concerns, a different approach to investigation will have to be conducted to ensure a fair, impartial and ethical approach to the matter is taken. If there are other Directors or senior management above the accused Manager/ Director, they will need to conduct the investigation and manage the disciplinary process.
If the accusation is made about the only Director of the business, then reporting to a regulatory board is the best course of action to ensure that a fair and robust investigation is conducted accordingly.
Following the Investigation
If it seems from the enquiries that on the balance of probabilities abuse/harm did indeed take place, the manager will, if the abuser is a staff member, initiate and carry through proceedings according to the agency’s disciplinary policy or, if the abuser is not a member of staff, take action to involve other responsible bodies.
If abuse/harm is proved against a care staff member, the manager will initiate appropriate action, which most likely will be dismissal and referral to the DBS to prevent them from being employed further in regulated activity.
Other employment sanctions could apply depending on whether there might have been mitigating or extenuating circumstances. In some cases, retraining could be appropriate.
The service user or representatives will be informed of the outcome of the investigation and any further action and will be consulted about whether any redress or apology would be appropriate and helpful to them in line with the service’s duty of candour.
The manager will take appropriate steps to inform the DBS for possible inclusion of the person on its barring lists as someone who is unsuitable to work again in regulated activity with at risk adults and/or children.
At all stages of the process, a careful record will be kept of all actions taken, paying particular attention to the sensitivity of the abused/harmed person.
Where relevant to the resolution of the situation, a plan will be drawn up to address the issues with the alleged or known perpetrator(s), particularly if they will be continuing to form part of the victim’s life, directly or indirectly.
Planning Further Action
At the end of an incident involving possible or actual abuse/harm, managers should review what has happened with a view to assessing whether the agency or its management has been in any way culpable, ineffective or negligent, learning lessons for the way the agency should operate in the future, and passing on any appropriate information to other agencies.
If necessary, the care service will review and revise its policies, procedures and training arrangements in response to any material that has emerged from the incident or the investigation.
The care service could carry this out with advice and guidance from the local Safeguarding Adults’ Authority or Safeguarding Children Authority.
Record Keeping
All Carer Services Ltd will record all details associated with allegations of abuse/harm clearly and accurately. The records are kept securely and the agency’s rules on confidentiality are carefully followed.
Record Keeping
All Carer Services Ltd will comply with its legal requirement to refer a care worker, where it has evidence that the staff member in question has been guilty of misconduct by harming or putting at risk of harm a service user or other person at risk, during the course of their work, to the DBS barred lists following the procedures issued by the DBS.
Training
All staff receive training in recognising abuse or harm and carrying out their responsibilities under this policy as part of their induction programme and further training in line with their training needs as identified from their supervision and appraisals and policy developments and changes. The training is updated on a regular scheduled basis at least annually.
All training, including induction training, is in line with the guidance and standards produced by the relevant social and healthcare workforce development organisations and the local safeguarding authority training policies and guidance.
Examples of a Safeguarding Training Strategy (to be amended as required by individual circumstances and local requirements).
Staff new to care work must achieve Standard 10: Safeguarding Adults and Standard 11: Safeguarding Children to achieve the Care Certificate.
Other new staff will have a baseline training level, which is at least the equivalent of the Care Certificate Standards 10 and 11 from previous or current induction training.
All Carer Services Ltd will check their knowledge and competencies to ensure it meets the required standard and provide additional training if needed (see the Training Factsheet).
All staff receive training to ensure that they are familiar with local Safeguarding Adults’ Boards policies and procedures.
All staff following induction are expected to proceed to at least a Foundation Level 2 award and a Multi-agency (Level 3) training in safeguarding.
Managers and staff responsible for safeguarding are required to receive Specialist Safeguarding Training (Level 4) and, where appropriate, to their roles and responsibilities, achieve the Multi Agency Safeguarding Leaders Development Programme (Level 5).
The registered manager will include the Safeguarding unit (LMAC5C/S) in their Level 5 Diploma in Leading and Managing Adult Care Service.
Policy Statement
All Carer Services Ltd is fully committed to the principles and values of equality, diversity, social inclusion and protection of human rights. We aim through this policy to communicate this commitment to everyone who uses our service and who help us to deliver it.
The policy should always be referred to wherever there are differences of views based on lack of understanding or prejudice about diversity, equality and human rights.
All Carer Services Ltd shows its commitment to equality, diversity and protection of human rights in its statement of purpose and all information produced for the people who use its services. This enables us to provide responsive services to meet people’s diverse needs for care and support.
We show the same commitment to equality, diversity and protection of human rights in our staff recruitment, deployment and human resources policies
Policy Statement
Our commitment to equality, diversity and human rights guarantees everyone receiving a service from us will have their needs comprehensively addressed and they will be treated without discrimination. This is regardless of an individual’s ethnic background, language, culture, faith, gender, age, sexual orientation or any other aspect that could result in their being socially stigmatised and discriminated against purely because they have such characteristics; or who could be vulnerable to acts of hate crime as a result.
We follow the same principles when assessing and meeting the needs of people who lack decision making capacity by treating them with respect, developing person-centred care and treatment and by following all mental capacity act best interests’ assessment and decision-making procedures.
In implementing its equality, diversity and human rights policy, we do not accept that there can be any hierarchy of protected characteristics, but aims to celebrate all individual differences, regardless of being caused by ethnic backgrounds, religion, sexual or gender diversity.
We will treat everyone equally. We recognise that treating people unequally can result in their losing their dignity, respect, self-esteem and self-worth and ability to make choices, and is in breach of their human rights.
We do not assume that equality, diversity and inclusion principles and policies apply only to staff treatment of people using the service. People using our service must also respect the ethnicity,
Legal Compliance
All Carer Services Ltd fully understands its legal responsibilities under the Equality Act 2010 and the Social Care Act 2008 (Regulated Activities) Regulations 2014 which underpin commitment to equality, diversity and protection of human rights.
We refer in particular to the following.
Regulation 9: Person-centred Care — requires service providers to ensure that the care and treatment of people using services must be appropriate, must meet their needs, and must reflect their preferences.
Regulation 10: Dignity and Respect — requires that people using services must always be treated with dignity and respect, including respect for personal preferences, lifestyle choices, diversity and culture.
Regulation 14: Meeting Nutritional and Hydration Needs — requires service providers (where involved in the provision of food and drink) to ensure that the nutritional and hydration needs of the people using services are met, including the meeting of any reasonable requirements of a person for food and hydration arising from the person’s preferences or their religious or cultural background.
Regulation 15: Premises and Equipment — requires that people using services can easily access a care service’s premises and use its equipment safely and effectively, and where they cannot because of their disabilities, reasonable adjustments are made in line with the Equality Act 2010 and other relevant legislation and guidance.
Our commitment to equality, diversity, and human rights runs through everything that this care service stands for and practices. The care service will always have evidence of “good” or “outstanding” practice in relation to the Care Quality Commission quality statements that reflect equality issues, particularly the following.
Caring
Treating people as individuals.
Responsive
Care provision, integration, and continuity.
Equity in access.
Equity in experiences and outcomes.
Well-led
Shared direction and culture.
Workforce equality, diversity and inclusion.
We will protect everyone from bullying, harassment, avoidable harm and abuse that may breach their human rights, including that which is associated with a person’s race and ethnicity, culture and religion, sexual orientation and preferred gender, physical and neurological disabilities and sensory impairments.
Our Approach to Equality, Diversity and Human Rights
All Carer Services Ltd will:
Never refuse anyone requiring care and support based on discriminatory grounds such as ethnicity, sexual orientation, religion, or other protected characteristics as defined by the Equality Act 2010 and human rights laws, provided they meet all other admission criteria.
Never provide inferior or substandard services based on a person’s ethnicity, sexual orientation, or any grounds on which discrimination can occur.
Always assess the need for additional “reasonable adjustments” in line with the Equality Act 2010 for any person receiving care who has protected characteristics, in addition to their other assessed care and support needs.
Always address a person’s communication needs arising from sensory, cognitive, neurological, and other impairments, acting in accordance with our separate policy on achieving the Accessible Information Standard.
Act decisively if anyone receiving our services experiences offensive or abusive treatment based on their ethnicity, religion, or sexual orientation, including those who identify as gay, lesbian, bisexual, transgender, or their preferred gender.
Work with each person using our service to determine their wants and needs, and how they will be provided with the required service. This process will consider the person’s gender, sexual orientation, culture, personal choices, and other characteristics, avoiding assumptions that everyone wants the same thing.
Encourage people receiving our care and staff to relate to one another based on equality and respect for individual differences and chosen lifestyles, including those who identify within the LGBTQ+ spectrum.
Develop self-awareness among staff and service users to report, challenge, or complain about any form of discriminatory behavior, including offensive or abusive language directed at a person’s disability, ethnicity, preferred gender, sexual orientation, or religion.
Ensure that people using our service and staff are continuously aware of the procedures for dealing with complaints and allegations of discriminatory or oppressive language or behavior, including our safeguarding policies.
Promptly and properly address all reports, complaints, allegations, and incidents of abuse that breach our approach to equality, diversity, and protection of human rights.
Develop non-discriminatory recording practices that reflect and are consistent with equality principles through the careful use of language and terms, in which staff will be trained and expected to use.
How We Practise Equality and Diversity and Protect Human Rights
All Carer Services Ltd expresses its commitment to equality, diversity and inclusion by:
Respecting people’s ethnic, cultural, and religious practices, and individual sexual identities, and reassuring the people who use our services that their diverse backgrounds and individual preferences enhance the quality of experience of the service.
Accepting people who use our services as individuals, not as cases or stereotypes, and making reasonable adjustments which, if not made, would result in their being treated unequally and unfairly; including the use of communication and digital aides and equipment.
Adapting and using equipment and devices that people can competently use and are always accessible to them when they need them.
Involving people who use the service to express their individuality and to follow their preferred lifestyle irrespective of any LGBTQ+ status, and helping them celebrate events, anniversaries, or festivals which are important to them as individuals and in relation to their sexual orientation or gender identity.
Only sharing sensitive information with third parties with a person’s consent and with regards to our policy on confidentiality, in line with data protection requirements.
Showing positive leadership and having management and human resources practices that actively demonstrate a commitment to equality, diversity, and the protection of human rights.
Developing an ethos throughout the care service that reflects these values and principles and expecting all staff to work to equality, diversity, and human rights principles and policies and to behave at all times in non-discriminatory ways.
Having a code of conduct that makes any form of discriminatory behaviour unacceptable, which applies to staff and people receiving care; this is rigorously observed and monitored accordingly.
Providing training, supervision, and support to enable staff to carry out care in line with our expectations on equality, diversity, and human rights.
Addressing rigorously and fully, in line with the service’s complaints procedure, any complaint which a person using the service or someone acting on their behalf might make about the behaviour of another or others that is causing them offence because it potentially breaches the service’s policy on equality, diversity, and human rights.
Addressing any acts of abuse or hate crime towards an individual because of their ethnicity, religion, or LGBTQ+ spectrum characteristics through the service’s safeguarding policy and procedures, involving and co-operating with the local safeguarding authority as required.
Encouraging people who are vulnerable or at risk from experiencing abuse because of their ethnicity, religion, gender, sexual orientation, and LGBTQ+ spectrum identities to obtain support through local or national support groups, organizations, and advocacy schemes.
Carrying out regular assessments of the impact of our approach and policies on equality, diversity, and human rights on people who use the service and our service provision generally.
Specific Practice Toward Religious and Cultural Beliefs
We recognise that contacts with places of worship and fellow believers are for many people an important element of their continued integration with the community, and we will take steps to make such continued contacts possible and meaningful.
We acknowledge that at the time of dying and death, religious belief and practice may assume a particular significance, and if our workers are involved at such times we will try to observe any requests for special treatment, ritual, or family and community contacts which are requested, for anyone receiving care who is close to death and after, and for their friends and relatives.
We recognise that for some people the expression of personal and spiritual values takes forms outside a structure of religious belief and practice, and in such instances we will do everything possible to facilitate that expression in ways appropriate to individuals in order to make possible their maximum personal fulfilment.
We know that some people with severe disabilities, communication difficulties, mental disorders or terminal illnesses retain a sense of the importance of their personal faith; we will respect and try to respond to this need in any appropriate way.
We will take vigorous steps to ensure that no one is the subject of discrimination because of their religious beliefs or practices. A lack of respect for religious needs on the part of any member of staff will be the subject of disciplinary action.
We will seek in the makeup of the staff group to reflect the diversity of faiths and cultures among people living in the home and in the local community as a way of helping people to feel accepted and respected. We will not discriminate on grounds of religion against applicants for posts in the care service, and we will attempt to accommodate staff whose personal religious beliefs require them to be away from work at certain times or on specified days.
We see our efforts to promote appropriate responses to people’s religious needs as a part of all our efforts to provide each person living in the home with as fulfilling and participative a lifestyle as is possible according to their personal preferences, needs and choices.
Achieving the Accessible Information Standard
The Accessible Information Standard requires all health and care providers to carry out specific actions to ensure that their users’ communication needs are fully and adequately addressed throughout their care, treatment, and support.
We are legally required to carry out the following:
Find out if an individual has any communication or information needs relating to a disability or sensory loss, and if so, what they are.
Record those needs clearly and in a standard way on all of an individual’s care records and documents.
Highlight them in their care records so everyone who has to communicate with that person and has access to their records can address their communication needs in line with the individual’s communication plan.
Where required and relevant, pass on to others an individual’s information or communication needs and how they should be addressed.
Ensure that each individual receives information they can access and understand and receives communication support if they need it throughout their care, support, and treatment.
We understand that communication and the provision of information is a fundamental part of treating people with dignity and respect and in providing good, compassionate care. Furthermore, we recognize that effective communication can be affected by conditions such as dementia, stroke, hearing conditions, sight loss, or cases where the person lacks the capacity to make decisions.
The Accessible Information Standard requires all health and care providers to carry out specific actions to ensure that their users’ communication needs are fully and adequately addressed throughout their care, treatment, and support.
All Carer Services Ltd is legally required to carry out the following:
Find out if an individual has any communication or information needs relating to a disability or sensory loss, and if so, what they are.
Record those needs clearly and in a standard way on all of an individual’s care records and documents.
Highlight them in their care records so everyone who has to communicate with that person and has access to their records can address their communication needs in line with the individual’s communication plan.
Where required and relevant, pass on to others an individual’s information or communication needs and how they should be addressed.
Ensure that each individual receives information they can access and understand and receives communication support if they need it throughout their care, support, and treatment.
All Carer Services Ltd understands that communication and the provision of information is a fundamental part of treating people with dignity and respect and in providing good, compassionate care.
Furthermore,All Carer Services Ltd recognizes that effective communication can be affected by conditions such as dementia, stroke, hearing conditions, sight loss, or cases where the person lacks the capacity to make decisions.
Procedures
Step 1 of the Accessible Information Standard
To find out if an individual has any communication or information needs relating to a disability or sensory loss and, if so, what they are.
People who use services have the right to be communicated with and receive sufficient information about their care and treatment so that they can make a balanced judgment on whether or not to give their consent.
To be responsive to individuals’ communication needs, we adopt a “whole person” approach by identifying the most effective means of communicating with that individual, where necessary, with specialist help, which is also based on their views and preferred ways of communicating. The results are written into their plan of care and highlighted, particularly where other than standard means of communication are required.
People who use services who have difficulty communicating their needs because of their difficulties or impairments will be offered or recommended access to specialist support. This may be in the form of assessments by speech and language therapists, psychological assessments, and advisers from organizations specializing in disabilities and sensory impairments.
It is possible that new people’s communication needs will already have been identified by other health and care agencies involved, but we will always check that these needs have been accurately assessed and addressed so that we can communicate effectively with the person about their care needs and deliver the appropriate care.
Steps 2 and 3 of the Accessible Information Standard
(2) To record the person’s communication needs clearly and in a standard way on all of an individual’s care records and documents.
(3) To highlight a person’s communication needs on their care records so everyone who has to communicate with that person and has access to their records can address their communication needs in line with the individual’s communication plan.
We will clearly record in a highlighted separate section of the person’s care records the relevant information. Everyone involved in the person’s care and support will know how to communicate effectively with that person.
We will discuss with the person as part of the care planning process (and, if necessary, in consultation with other professionals and agencies) what adjustments and interventions are needed to improve communication with that person.
Agreed methods of communication and interventions will be recorded in the person’s care plan in a prominent and consistent way so that all care staff know exactly what has been agreed to meet the needs of people using the service, their relatives and carers.
Step 4 of the Accessible Information Standard
To pass on where it is required and relevant to others an individual’s information/communication needs and how they should be addressed .
All staff who have access to a user’s care records will be aware from the records of that person’s communication needs and support plan. They are also expected to impart and share the facts of a person’s specific communication needs and support plans with others involved in that person’s care, support and treatment, but who might not have authorised access to the person’s care records.
Where someone transfers to another service or receives care from another service, we will, with the person’s permission, share information that we are requested to provide about their communication and information needs (along with other information sharing) with the receiving service.
Where it is suspected that a person does not have the mental capacity to communicate, or in any other way has no ability to communicate, then the provisions of the Mental Capacity Act 2005 will be implemented and best interests’ decisions made with the involvement of people close to the person using the service, such as relatives, carers or advocates.
Step 5 of the Accessible Information Standard
To ensure that individuals receive information which they can access and understand, and receive communication support if they need it throughout their care, support and treatment.
All reasonable adjustments will be made to meet the communication needs of people with sensory difficulties, including people with visual and hearing difficulties.
Where required and appropriate to the role of the care service, we will provide or facilitate the sourcing and provision of resources and assistive technology such as Braille books and magazines, large print/easy read copies of literature, British Sign Language interpreters for deaf people, Braille or talking telephones and mobile phones, hearing aids, text phones, loop hearing systems, etc.
For any person using the services, family member or carer who might require it, advocacy will be provided or sought to help meet their communication and information needs.
All staff are responsible for helping to deliver this policy by communicating in a way that is accessible to every user of this service.
Training
All care staff will receive training as relevant to their roles and responsibilities in the care of people with hearing and sight problems and disabilities, which will include learning about communication techniques and providing accessible information.
Care staff:
receive initial training based on the Care Certificate Standard 6: Communication and develop their communication skills from there
will receive training in the five steps of the Accessible Information Standard so that they can communicate effectively with all users with special communication needs.
All Carer Services Ltd is committed to providing the highest possible quality of service to the people who use our services, the organisations who purchase services on their behalf and all other customers and stakeholders and we believe that, no matter how good our present service, there is always room for improvement.
The high standard of service we aim for is achieved through the implementation of a plan of continuous improvement, which covers all of our operational functions from delivery of care and support through to our internal management systems. Staff at all levels of the organisation are involved in this process of improvement and this commitment to staff involvement is reflected in our on going support and reward for staff.
We provide evidence-based and continually improving services, which promote both good outcomes and best value, which includes:
Ensuring a person centred approach to the care and support for each individual.
Enabling the people we support to set Customer Standards and involving them in the auditing process.
Internal Quality Monitoring Audits, identifying recommendations and requirements to ensure the improvement and development of the service, as well as identifying commendations for good practice and achievements.
Obtaining feedback from others who are involved with our services, such as healthcare professionals and relatives.
Policies, procedures and guidelines, which detail how these agreed levels of service are to be achieved.
Auditing of our systems to ensure that our high quality standards are maintained and to highlight areas for improvement.
Quality Assurance Audits
The organisation works within a number of externally imposed quality frameworks that define standards. The most important of these include:
Health and Social Care Act 2008 (Regulated Activities) Regulations 2015
Other regulatory standards, e.g. Health & Safety Executive, Fire Authority, Environmental Department
Contracts compliance as set by the placing authority
In general these external quality frameworks all aim to ensure that quality is built into services through setting and implementation of standards, through processes for review, and through monitoring to ensure that services meet the needs of service users and other stakeholders.
Internal Audits
We aware that other key aspects of quality assurance include mechanisms for the monitoring or auditing of services to ensure they are being delivered as originally intended.
These include:
Monitoring Visits- Unannounced spots checks to observe staff performance in a real world setting)
Monthly Managers check – Monthly audit of Essential Standards of Quality & Safety, examination of buildings, fixtures, fittings, risk assessments, equipment, policies, procedures, records, reports
Complaints monitoring and effective “open door” policy
Policies, Procedures & Practices – Review of policies, procedures and practices in light of changing legislation and reflection of good practice as advised by appropriate authorities or multidisciplinary body
Satisfaction surveys – collection of service users’ questionnaires, family/advocates questionnaires, stakeholder questionnaires to gain insight directly from those benefiting from the services provided. To be handled without prejudice, discrimination or recrimination.
Service User Involvement – Quality assurance begins and ends with the service users – the key customer. In order for any quality assurance programme to be successful, their views must be sought on a regular basis and action taken if a service no longer appears to be meeting their needs.
Participation & Consultation
Service user meetings – Meetings will be held at least every six months to enable service users to have a forum to share and discuss issues concerning the running of the business and its activities.
Family meetings – to enable families to work in partnership with staff and service user.
Key working meetings – to ensure all aspects of the key working contract is fulfilled.
One-off meetings – Where there are specific important issues or changes on which service users should be consulted.
Care plan review meetings – to be held monthly for each service user, the service user is to attend if at all possible and the meeting recorded in the care plan.
Continuous Improvement Plan
The service will have a continuous development plan for quality improvement, based upon feedback from service users, staff and others. The improvement plan will become part of an agreed ‘live’ ongoing commitment to continuous improvement. The plan becomes ‘live’ because it is regularly reviewed, amended and added to.
The files which may be in situ for continuous improvement may be:
Discovered – complaints, suggestions, and compliments, good and innovative practice.
Health & Safety – risk assessments
Management – budgets, procedures, guidelines, codes of practice.
Service users – surveys, meetings and individual comments.
Staff – meetings & individual comments, training, conferences.
All Carer Services Ltd has a duty of confidentiality to its individuals. All Carer Services Ltd regards this as being of the utmost importance and key to building trusting, caring relationships, where people who use the service are safe in the knowledge that their confidences will be kept and where information about them will be protected.
The service’s policy is that all the information we receive about or from people using the service is confidential, and that only those people who need to know the information will have access to it. All Carer Services Ltd will always seek the written permission of its users prior to sharing personal information about them with anyone else.
The care service seeks to comply with the following requirements.
To have effective systems for keeping confidential information safe and secure (Regulation
● 17(1)(a)).
● To keep all sensitive information confidential such as in the handling of complaints, (Regulation 16(2)) and in the exercise of a duty of candour (Regulation 20(2)).
To share information with people and agencies outside the service on a strict “need-to
● know” basis.
● To have information governance systems that comply fully with data protection laws (Regulation 17(2)(c)).
Values and Principles
All Carer Services Ltd adopts the Caldicott principles of confidentiality, which were developed for health services and are equally applicable to social care. These are:
● the purpose(s) for using confidential information must be justified
● confidential information should only be used when absolutely necessary
● the minimum information that is required should be used
● access to confidential information should be on a strict need-to-know basis
● everyone must understand their responsibilities to treat information confidentially
● everyone must understand and comply with the laws, particularly those on data protection
● the duty to share personal information can be as important as the duty to have regard for patient confidentiality.
In applying these principles, the care service will follow these rules.
● We treat all information about people who use the service confidentially and respectfully.
● We share our information when needed so that the person receives safe and effective care.
● If we publish information about people who use the service it will be on an anonymous basis.
● We will respect the right of people to object to any sharing of their personal information.
We apply these rules and rights to people without capacity to give their consent to any
● sharing or disclosure of their personal information for whom best interests decisions might need to be taken.
Procedures
To comply with this policy staff must:
● store securely all files or written information of a confidential nature (eg in a locked filing cabinet or using strong password protected computer files)
● only access this information if they have a need and a right to access it
● wherever practical or reasonable, fill in all care records and individual’s notes in the presence of and with the co-operation of the individual concerned
● ensure that all care records and individual’s notes, including care plans, are signed and dated.
Situations can arise which give rise to exceptions to this duty, where confidential information may relate to harm to other people who use the service or harm to the person sharing the confidence. In such circumstances, the service expects staff to report the information to a senior member of staff for further consideration.
In such circumstances:
● the relevant person will be informed of the service’s position and full details will be discussed with the person who uses the service
● appropriate notes will be made in the individual’s plan, and these notes will be open to inspection by the person using the service
● the information will only be given to those who absolutely need to know and wider issues of confidentiality of that information will still apply
● the individual will be free to make a complaint through the service’s complaints procedure if they consider that the information held about them has not been treated in the confidential manner they should expect.
Initial Assessment Policy
New people to the service or people considering using the service are shown a copy of the statement below, and have it explained to them and their representatives so that they can understand it as fully as possible and sign it.
Every effort is made by staff to ensure that people who use the service fully understand the implications of the policy. The member of staff carrying out the assessment will ensure that the new people to the service understand and have read the following statement.
“To help us make an assessment of your needs, we will need to ask you for personal information about your circumstances and to record this information. We will not share this information with anyone, including friends and relatives, without your agreement (unless they have legal authority as guardian or attorney) and it will be kept in a confidential file which will be kept securely.
Only care staff with permission to see the file will be able to access it. Care staff will record in the file on a daily basis information relevant to your care and will pass on information relevant to your day-to-day care to your key worker or to whoever is in charge of each shift.
You may have access to your notes at any time to see what is actually being recorded. It is the care service’s policy that all the information we receive about or from people who use the service is confidential and that only those people who need to know the information will have access to it.
The care service will always ask your permission before we share with anyone else the information you have given us.
In certain circumstances, however, we may need to share information in your best interests and may do so to fulfil our duty of care to you to keep you safe from risk of harm by following the procedures that are set out in the service’s safeguarding policy.”
Requests for Information
All Carer Services Ltd will not provide information to relatives, spouses, friends or advocates without the consent of the individual concerned. If the person is unable to give their consent, a decision will be taken in line with “best interests” procedures set by the Mental Capacity Act 2005.
All enquiries for information, even if they are from close relatives, should be referred back to the person using the service, or their permission sought before disclosure. If the relative or person who seeks to have access to this information objects to the decision, they will be asked to make a formal written complaint, which will be addressed through the service’s complaints procedure.
The service is also often asked for reports by insurance companies, solicitors, employers, etc. Before providing these reports, we shall require written consent from the individual concerned and will never divulge information without consent unless obliged to by law.
Recording Keeping
We keep files on all our people who use the service but only keep relevant information to ensure that the care we offer as an organisation is of the highest quality. The files are only available to staff who need to use them. We keep very personal letters or notes securely.
This service makes sure that:
● records required for the protection of people who use the service, and for the effective and efficient running of the service are maintained, are up to date and are accurate
● people who use the service have access to their records and information about them held by the service, as well as opportunities to help maintain their personal records
● individual records and care service records are kept in a secure fashion, are up to date and in good order, and are constructed, maintained and used in line with the General Data Protection Regulation and the Data Protection Act 2018 and other statutory requirements.
All Carer Services Ltd adheres fully to the current standards on record keeping, while recognising the importance of responsible information sharing to enable a person to receive safe and effective care from the responsible sharing of information, particularly in emergencies such as occurred during the Covid-19 pandemic.
The service considers that access to information and security and privacy of data is an absolute right of every person who uses the service, and that they are entitled to see a copy of all personal information held about them and to correct any error or omission in it.
The care service will ensure the confidentiality of all information covered by the GDPR and Data Protection Act 2018.
Training
New staff are required to read and understand the policies on data protection and confidentiality as part of their induction. All staff receive training on confidentiality, data protection and access to records’ policies.
Training in the correct method for entering information in individual’s records is given to all care staff. The nominated data user/data controller for the service is trained appropriately in the GDPR and Data Protection Act 2018.
All staff who use the computer system are thoroughly trained in its use, including data security.
Supporting independence with compassionate care, every moment of life feels cherished
02477395020
info@acscarer.co.uk
Room 2C, Sherbourne House, Humber Ave, Coventry CV1 2AQ
ACS is the trading name of All carer services Limited, registered in England and Wales (number 15220611). Registerd Office: 128 City Road, London, United Kingdom, EC1V 2NX.
The Care Quality Commission (CQC) defines companies like All carer services ltd as an introductory agency pursuant to the Health & Social Care Act 2008