This document discusses health and safety legislation, priorities, and policies in health and social care facilities. It outlines the structure for managing health and safety, including roles for management, departments, and employees. Key priorities include preventing fires, accidents, and infections. A risk assessment template is provided, along with an example care plan. Monitoring and reviewing policies and practices is important to evaluate effectiveness. Individual contribution and adherence to health and safety practices is also discussed.

1. Introduction
Introduction. 3Health and Safety Legislation in Health and Social Care Facilities. 3Health
and Safety Priorities. 5Impact of Health and Safety Requirements for Customers and
Practitioners. 7Principles of Care Planning. 7Risk Assessment Template. 8A Care Plan from
the Risk Assessment 9Impact of Health and Safety Policy. 10Response to Dilemmas in
Applying Policies. 10Effects with Noncompliance with Legislation in Safety and Healthy.
11Monitoring Health and Safety in the Care Facility. 11Monitoring and Review of Policies
and Practices. 11Effectiveness of Health and Safety Policies and Practices. 12Evaluation of
Individual Contribution. 13Conclusion. 14References. 15IntroductionAs a nurse at the
facility, I have discussed and compiled various reports upon being delegated to do so by the
management staff.Health and Safety Legislation in Care FacilitiesThe systems in place
include the structural ones that will guide how the information will be controlled. According
to the Imperial College of London (2015), the structure should comprise of the organization
council at the top, which controls all communications on matters of health and safety. This
council is followed by the principal officers who coordinate departments that work
together. Then, the departmental heads follow, and their role is to report information to the
above principal heads. In each department, there are employees who have the most
important role of passing information from the point of service with the care receivers to
the above management.is care home are in line with the legislation. The Health and Safety
Authority ( (Health and Safety Executive [HSE] 2005). For instance, the care facility should
install fire alarms and extinguishers in aIDition to providing information to the people in
the institution on how to respond a fire emergency. However, the case that one has a
problem, there must be guidelines on how to respond to the health hazard that is already in
place. For instance, patients who fall on the floor in the hospital and get injured should file a
report in writing through the immediate care providers.On the other hand, the employees
have a great role in safety and health management. Employees are supposed to provide
reasonable care in order to protect their safety and health in their place of work. In doing
so, they also have to make sure that in their course of work, their acts don’t cause any harm
to the service care receivers and their fellow colleagues (Field and Lohr 1992). That can be
achieved when they follow safe procedures in doing their work. In a health care facility, the
nurses and doctors should follow aseptic techniques while providing their care to patients
so as to minimize nosocomial infections and promote the healing process. Ensuring the use
of clean and or sterile equipment has indicated that the infections transfer to patients in the
hospitalized patients are reduced to a great deal (Cherney 2013). Cherney asserts that using

2. the technique also protects the health care professionals from getting infections from the
sick patients they routinely serve.In aIDition to that, employees should work hand in hand
with the managements of safe practices in a new organization promotes safety (Australian
Commission on Safety and Quality in Health Care [ACSQHC] 2008). There are priorities like
accidents and emergencies that the health and social care facilities put forward among
others.Health and Safety PrioritiesIn the health and social care facility in the heart of East
London, there are health and safety priorities that need to be implemented. In this section, a
case study will be used to illustrate some incidences that predispose the priorities, not only
to the knowledge of the employees, but also the stakeholders. Mr. Fred, a safety specialist,
came to the care facility to assess the practices and emergency preparedness concerning the
safety and health of all the institutional members. When he entered the facility, he found out
that due to the shortage of land, there wasn’t adequate space in the compound where
people could rest. In aIDition, most people were just lying next to a building that was still
under construction.of. While he was moving, he found clear instructions on what to do in
the case of a fire emergency. There were notices all over, with descriptions of the directions
to run to once a fire erupts. On the same line, he found that all the areas of the facility were
installed with fire extinguishers. They were all in good functioning condition and
adequately filled. However, the well-installed fire alarms were not functional. They were
incompletely installed, although the chairperson, Dr. Adams, assured that all would be well
in a week’s time.When it came to the records for the patients, there were many complaints
about some patients who fell into the flow, yet Adams had no idea since the cases weren’t
reported. Proper communication is a remedy for many problems that can concern the
patients’ safety (Coiera 2006, p. 83). More so, the patients’ files indicated that some patients,
although few, had hospital-acquired infections. That indicates that there were infections
either from other patients or due to septic practices. However, the hospital was running
well with all members whom Mr. Fred had an interaction with saying that the care facility
had clear strategies to handle safety issues. He agreed with that from the evidence he had
already seen in the chairperson’s office.In the analysis of the case, it is clear that the safety
unit is well equipped for handling fire emergencies. However, priorities in the installation
and maintenance of well functioning systems need to be given an upper hand. The facility
should ensure that the alarms are always functional. (Imperial College of London 2015). In
aIDition, the priority of the facility is to buy more land so that there can be space even to
create fire assembly points. More so, the availability of land will prevent other problems
that are risky to the health of the occupants of the institution. For instance, people will
never be resting near the building under construction, because, in the case of a collapse,
many can die or sustain injuries.Similarly, the hospital should ensure that all cases
regarding safety are reported. Although there are clear guidelines, the cases should be
reported appropriately to the management and appropriate action taken. On the same line,
training of the care providers should be made a priority, especially in areas of hospital
disease prevention and aseptic practice. That can help reduce hospital-acquired infections.
The use of aseptic technique in the provision of care results in the protection of fatal
infections between the care provider and the patient and also among (Cherney
2013).Impact of Health and Safety Requirements for Customers and PractitionersPrinciples

3. of Care PlanningIn care planning, the individuals who receive the care must be identified in
aIDition to identification of the potential or actual problems. Some of the principles include
identification of those who have the actual or potential problems (National Patient Safety
Agency 2007). Then, it’s good to have the indicators of why the care plan should be
formulated. In aIDition, practitioners who will to the appropriate actions to eliminate the
problem should be identified and a procedure of how they will occur put in place. More so,
there should be an evaluation of how the plan was implemented and the goals that were
achieved in a given duration of time. In the case of a care facility, a risk assessment can be
done with findings documented as shown in the template. After the assessment, a care plan
formulation follows that guide the implementation of measures to promote health and
safety.Risk Assessment TemplateFacility name: Date of risk
assessment:Hazards People who can be affected What is being done Whose
responsibility is it? Starts from when Was is doneFire Patients, practitioners
and visitors Fire extinguisher installations.Fire alarm installations.Strengthening the fire
response unit Management, supervisors, the safety and health council A month ago
Still being done up to dateAccidents Patients, practitioners, and visitors
Keeping flows dry and cleanPromoting safe needle injection practicesEducating
patients who can’t walk to seek for assistance when they want to move. Cleaners,
health caregivers, risk educators Three months ago Being done up to
dateInfections Practitioners and patients Promoting aseptic practicesPractitioners
should wear protective, healthy clothes.Using clean and sterile equipment. Management,
practitioners From now on Being done to dateThe information from the risk assessment
is very influential to both the individuals and the institution. For instance, the organization
can decide to formulate policies that are based on the findings from the risk analysis. In the
case of fire as a risk, the facility will install fire alarms and extinguishers. Individuals can as
well decide to adopt measures, which promote and facilitate safety.A Care Plan from the
Risk AssessmentFacility name: DateAssessment data Risk
diagnosis Expected goal Intervention EvaluationPoor response to fire drills, un-
functional fire alarms, poor connections of electric wires in some places, history of fire
breaks in the neighborhood. Risk of fire related to poor connections of electric wires and a
history of fire in the neighborhood. Prevent any fire outbreak.To increase knowledge
levels of the members of the facility on how to respond to fire outbreaks Do a thorough
connection of electric wires.Educate all the members of the care facility. Frequent falls
of patients, and practitioners on wet floors, history of accidental needle pricks. Risk of
accidents related to unsafe injection practices and wet floors. Ensure that all floors
are dry after cleanliness.Train practitioners on how to inject and dispose of sharps safely.
Reports of frequent nosocomial infections in the patients. Risk of infection
related to infection transmission between patients and care providers. Eliminate
infections that are acquired from the care facility. Promoting aseptic
practicesPractitioners to wear protective, healthy clothes.Using clean and sterile
equipment. Impact of Health and Safety Policyreduced greatly. That is as a result of
employing measures to prevent transmission of infections between clients and the
practitioners and also among clients themselves. The policy aIDressed on the measures like

4. use of sterile equipment in the provision of care. More so, the adoption and promotion of
aseptic techniques by the practitioners have played a major role. With all this, the facility
has gained much reputation as most clients benefit by receiving quality care in aIDition to
minimal chances of getting hospital acquired infections. That has made the patients spent a
little cash for the payment of the bills because of spending few days in the facility before
recovery.Response to Dilemmas in Applying PoliciesIn the application and promotion of
policies concerning healthy and safety, there can be dilemmas, yet the major aim is to
ensure that patients are safe. A good example is when the policy demands patients to seek
for assistance when they want to move out of bed, especially when they are very sick. This
situation once happened in the facility when a patient decided not to seek for assistance.
That meant that his safety was compromised. The policy must be enforced yet it can’t force
Great Britain, (2010), all humans have the basic freedom of making their choice. That brings
a problem in such a scenario, in that you can’t force patients because of their rights despite
endangering their health and safety. However, the policy implementation cannot be
compromised. The facility ensured that the policy is a reality, but no one patient could be
victimized or punished due to failure to comply unless otherwise.Effects with
Noncompliance with Legislation in Safety and HealthyMonitoring Health and Safety in the
Care FacilityMonitoring and Review of Policies and PracticesThe practices that promote
health and safety in the care facility are monitored alongside with the policies. Monitoring is
mandated bys from all the care-providingision. In the workplace, the supervisors are
endowed with the responsibility of supervising safe practices when the care providers are
working. Monitoring by supervision is very important as any deviation from the standard
can be corrected (Department of Health 2003). That means that the supervisors can identify
unsafe practices and rectify them by involving all the stakeholders who may at one point or
the other do the same.care workers complain about policies, then they may be reviewed
after a careful examination has been done to see the validity of doing so. In the review,
various stakeholders are involved, including the patients’ representative and the staff.
Further ways of monitoring are from the routine reports and service records. A critical
analysis of the records can clearly give clarity on how the safety practices are being
employed (Health and Safety Executive 2014).Effectiveness of Health and Safety Policies
and PracticesThe policies that are in place for the care facility are effective in regard to the
health and safety of both the care providers and the receivers. For instance, the care
providers have ensured that they will practice safely for the good of the patients. According
to Scott (2009), safe practices are the only way to ensure that both the staff and service
users are healthy. With such practice, the number of cases that occur yearly is reducing
tremendously. The institution has also gone deep to have policies that will see it strive to
ensure health safety. That has been effective since there are installations of fire alarms and
fire extinguishers among others. In aIDition, there are departments created fro the aim of
ensuring the safety and health of its occupants. However, there is still more to do in order to
realize the most effectiveness of this policies and practices in the setting. A good example is
increasing the training sessions for the staff about safety and health while working in the
facility.Evaluation of Individual ContributionAs an individual, contribution to the health and
safety practice is key to the success of the policies of the care facility. The Committee on the

5. Robert Wood Johnson Foundation (2010) asserted that reflection and evaluation of have
educated both the patients and my colleagues about the safety measures that are good after
attending various learning sessions like the one organized by the Health and Safety
Executive (HSE). Similarly, I have had anHowever, the practice I had initially couldn’t have
aided in the safety of the patients and staff. That is because asepsis was compromisedought
a positive impact on my practice in regard to the safety of the
environment.ConclusionReferencesBarach, P. and Small, S. D. (2000). Reporting and
preventing medical mishaps: lessons from non-medical near miss reporting systems. British
Medical Journal, 320 (7237), 759-763.Cherney, K. (2013). Aseptic Technique, [online].
Retrieved 21 January, 2015. From:http://www.healthline.com/health/aseptic-
technique#Overview1Coiera, E. (2006). Communication Systems in Healthcare, Clin
Biochem Rev. 27(2): 89–98.Commission on Safety and Quality in Health Care [ACSQHC]
(2008). Australian Charter for Health Care Rights. Sydney: ACSQHC, 2008.Department of
Health (2003). Winning ways: working together to reduce healthcare associated infection in
England. Report from the Chief Medical Officer. London: DH.Field, M. Lohr, K. (1992).
Guidelines for clinical practice: from development to use.Washington DC.: National
Academy Press.Goldmann, D. A. (2000). Transmission of viral respiratory infections in the
home. Pediatr Infect Dis J, 19 (5), 97–102Great Britain (2010). Parliament – Equality Act
2010. London: Stationery Office.Health and Safety Authority (2012). Health and Safety at
Work in Residential Care Facilities.Dublin: Health and Safety Authority.Health and Safety
Executive [HSE] (2005). Alternative penalties for health and safety offenses, [online].
Retrieved 21 January, 2015.
From:http://www.hse.gov.uk/consult/condocs/penalties.htmHealth and Safety
Executive[HSE] (2014). Health and safety in care homes. The Stationery Office:
HSE.Imperial College of London (2015). Health and Safety Management System Overview –
Part 2, [online]. Retrieved 21 January, 2015. From:
http://www3.imperial.ac.uk/safety/policies/smsoverview/sms2National Patient Safety
Agency (2007). Healthcare risk assessment made easy. London: NPSA.Scott, I. (2009). What
are the most effective strategies for improving quality and safety of healthcare? Intern Med
J. 39 (6), 389-400.CLICK BUTTON TO ORDER NOW