The Health and Safety Executive (HSE) regulates the health and safety in all workplaces in the UK, this includes all health and social care settings. There are other regulators in the UK who work in conjunction with the HSE, these include the Care Quality Commission (CQC), the General Medical Council (GMC) and the Health and Care Professionals Council (HCPC). All accidents and incidents are reportable according to the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR).
The Care Quality Commission (CQC) monitors, inspects and regulates hospitals, clinics, care homes, GP’s, dentists, home and community services and mental health services. Once a provider of care has passed the audits/inspections, they can display their CQC rating in a place where it is visible (also, on their website, if they have one). They must provide their latest CQC service report to the public. Care/medical providers that provide the 14 ‘regulated services’ (as regulated by the CQC) must register with the Care Quality Commission.
There are fundamental standards set by the CQC, by which the quality of care must never fall. These include person-centered care, whereby, the person must have care tailored to meet their specific needs. Also, each person under care must be treated as equals, with dignity, be given privacy and the support so they can remain as independent as they can in their community. The service user must not be at risk in their environment. All staff must be qualified and competent to care for the individual. The premises and equipment must be maintained properly. The individual must be able to give feedback on their treatment, if they wish to do so.
Care givers/providers must ensure certain safety steps are taken to ensure the safety for all. The HSE regulates fire risk, and general fire precautions are enforced by the individual Fire and Rescue Services. Other risks include the incidence of Legionnaire’s disease. This bacteria can grow in hot and cold water systems. The risk of this contamination must be eliminated. The principles of LOLER (Lifting Operations Lifting Equipment Regulations 1998) and PUWER (Provision and Use of Work Equipment Regulations 1998) must all be understood and administered by both staff and care service providers.
There are many areas of risk that needs to be adequately controlled in home and social care settings. First aid equipment and first aiders must be provided for in care settings. The provision of bed rails are not mandatory in all circumstances; their need must be assessed through a risk assessment. Window restrictors are required whereby people who are vulnerable are not at risk from falling.
In general, both care service providers and their staff have a duty under the Safety at Work Act 1974 to ensure a safe and comfortable home and workplace for all.