Health and Safety - Domiciliary Care

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  • Q1: Is there a clearly defined and documented health and safety policy that is specific to domiciliary care operations?
  • Q2: Are risk assessments regularly updated for all care activities performed in clients’ homes?
  • Q3: Are staff trained in health and safety relevant to home-based care, including lone working and emergency situations?
  • Q4: Does the organisation foster a safety learning culture where incidents are openly reported and acted upon?
  • Q5: Are environmental risk assessments completed for each service user’s home before care begins?
  • Q6: Are arrangements in place for staff to assess safety on each visit (e.g., trip hazards, security, hygiene)?
  • Q7: Do staff have protocols for reporting and escalating environmental risks in clients’ homes?
  • Q8: Are there procedures in place to ensure equipment used in the client’s home is safe and properly maintained?
  • Q9: Is there a lone worker policy in place that includes check-in systems and emergency protocols?
  • Q10: Are staff provided with mobile communication devices and GPS tracking if necessary?
  • Q11: Is travel between service users planned with safety considerations (weather, area risk, fatigue)?
  • Q12: Are staff trained in managing aggressive behavior or conflict in service users’ homes?
  • Q13: Are IPC protocols tailored for home settings and followed during visits?
  • Q14: Are PPE supplies available and used appropriately by staff during home visits?
  • Q15: Is waste disposal handled safely in accordance with both IPC and environmental standards?
  • Q16: Are staff vaccinated according to CQC and NHS guidelines (e.g., flu, COVID-19)?
  • Q17: Is medical and moving/handling equipment checked for safety and functionality before use?
  • Q18: Are staff trained in safe use of hoists, slings, and other assistive devices?
  • Q19: Are medicines stored, administered, and recorded in compliance with the Medicines Optimisation quality statement?
  • Q20: Are medication errors or near misses recorded and reviewed for learning?
  • Q21: Are there documented emergency procedures tailored for domiciliary care scenarios (fire, falls, health crises)?
  • Q22: Do staff know how to escalate and respond to medical emergencies in the home?
  • Q23: Is there a system in place to ensure service continuity during adverse weather or pandemics?
  • Q24: Do staff have access to emergency contact information at all times?
  • Q25: Are staff trained to recognise signs of abuse, neglect or domestic risk in clients’ homes?
  • Q26: Are safeguarding concerns promptly reported and recorded following organisational and local authority protocols?
  • Q27: Do care plans include up-to-date consent forms and decision-making documentation?
  • Q28: Are care records kept secure and only accessed by authorised individuals?
  • Q29: Are staff trained in GDPR and handling personal data in a domiciliary setting (e.g., using personal devices, remote access)?
  • Q30: Is there a process in place to audit health and safety practices and implement improvements?
  • Q31: Are learning outcomes from incidents or complaints fed back into staff training and procedures?