Health and Safety - Domiciliary Care

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