SAFETY | TRAINING | CONSULTANCY| STAFFING SOLUTIONS PRESENTED BY; Kieran Linehan SAFETY | TRAINING | CONSULTANCY| STAFFING SOLUTIONS Lo-call: 1890-600-666 www.Ayrton.ie

Registered Assessment Centre Welcome SOLAS & QQI Registered Assessment Centre

Nursing Homes + Disability Services SUBJECTS Nursing Homes + Disability Services Emergency Plans Escape Routes from all floors. Bariatric Clients & P.E.E.P.’s. Use of Emergency Keys in B.G.U.’s Intellectual/ Disability: Fire Evacuation

Fire Safety Requirements in Nursing Homes + Community Care Settings: The Regulations The Regulations : S.I. No. 415, 2013: Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013. Specifically Regulation 28 (Fire Precautions). Fire Precautions 28. (1) The registered provider shall: (a) Take adequate precautions against the risk of fire, and shall provide suitable fire fighting equipment, suitable building services, and suitable bedding & furnishings. Provide adequate means of escape, including emergency lighting.

Fire Safety Requirements in Nursing Homes + Community Care Settings: The Regulations Make adequate arrangements for: Maintaining of all fire equipment, means of escape, building fabric and building services; Reviewing fire precautions, and Testing fire equipment. Make arrangements for staff of the designated centre to receive suitable training in fire prevention and emergency procedures, including evacuation procedures, building layout and escape routes, location of fire alarm call points, first aid, fire fighting equipment, fire control techniques and the procedures to be followed should the clothes of a resident catch fire.

Fire Safety Requirements in Nursing Homes + Community; Care Settings: The Regulations (e) Ensure, by means of fire safety management and fire drills at suitable intervals, that the persons working at the designated centre and, in so far as is reasonably practicable, residents, are aware of the procedure to be followed in the case of fire. The registered provider shall make adequate arrangements for: Detecting, containing and extinguishing fires; Giving warning of fires; Calling the fire service; and Evacuating, where necessary in the event of fire, of all persons in the designated centre and safe placement of residents. (3) The person in charge shall ensure that the procedures to be followed in the event of fire are displayed in a prominent place in the designated centre. & 2005 Safety, Health + Welfare at Work Act – “Duty of Care” of registered provider.

But many of us have a false sense of security about surviving a fire.

The Guidance HIQA guidance on fire precautions in designated centres for older people (nursing homes). Currently being circulated as draft for comment. Contains practical information to aid providers and persons in charge in discharging their responsibilities under Regulation 28.

Emergency Plans Prevention Prepare + Practice Review

Emergency Plans - Prevention Storage of Combustibles, oxygen etc. Maintenance of laundry, cooking + other equipment, plant rooms, heating systems, gas + electrics. Disposal Practises Housekeeping + tidiness Bedding Materials ( Purchasing policies) Smoking policies (No Smoking!) Risk Assessments ( All Designated Centres)

Emergency Plans - Prevention Escape routes kept clear Fire Alarm, Emergency Lighting – passive. Fire fighting equipment – Active “Evac + chairs” Evacuation mat c- Active Maintenance: Fire Doors, Auto Closers, Lifts Building Inspections – “ Fire Register” (Daily, Weekly, Monthly)

Emergency Plans Regular Drills Must be location specific Based on Risk Assessment Short, Sharp, Specific (3 “S’s”) Must be floor (+ area) specific Displayed: 1 Page + “Map” of Area Phased Evacuation + Compartmentation External “holding” & safe areas Avoid Lifts

PICTURES

Are Fire Services Familiar With Our Premises? Our Locations: Assisted Living Nursing Homes Community Hospitals Community Housing Day Care Are Fire Services Familiar With Our Premises?

High Dependency Clients – Examples Less Ambulant Non Ambulant Bariatric Vision Stroke Poor/ No core body strength Hearing Dementia Alzheimer's Cognitive Impairment Downs Syndrome Other intellectual disability

Fire Safety – Emergency Egress Escape Route Doors – No Locking Device Kept Closed Auto/ Self Closers (or Integrated System) Push Bars or Push Pod – High Occupancy Thumb Turn – Low Occupancy Multi-floor – Where do we put the client?

Fire Safety – Places of High Dependency Higher Risk Clients (According to medical requirements). Key Operated Doors (+B.G.U. + Key) Staff Controlled Doors – on escape routes Staff- Highly Trained - Retrained- Regularly Clients/ Residents/ Patients: Familiarity – With sounds, routes, procedure of evacuation. High level of support required.

The P.E.E.P. Personal Emergency Evacuation Plan For high or higher risk + higher dependency clients Risk Assessment at moment of occupancy. P.E.E.P. frequently updated Are relevant staff aware, trained? Client familiarised (where possible). G.E.E.P. – “ Generic Emergency Evacuation Plan”

The Bariatric Client Risk assess upon admission Decide on Plan - Floor Level on Building - Equipment required - Staffing requirements - How many staff - Training required P.E.E.P. Updated Frequently: Consider additional medical issues Medication Diminishing/ improving mobility Retrain Staff Practice Evacuation

Prepare, Prevention, Practise, Procedure= Normal Central to all of this? Our Staff/ Team Training/ Awareness/ Alertness/ Knowledge Interested Regular + Repeated Actions= Normal Incident Commander – Person in Charge

Finally: Regular practise becomes normal actions/ activity. Select staff carefully Update emergency plans regularly Update P.E.E.P. All Risk Assessment Based Review

Conclusions Any Questions? Summary