Brîff 7 Munud Elïau Lleddfol ac Ysmygu Emollients and Smoking 7 Minute Briefing

1. BETH YDYW? 1. WHAT IS IT? Protection from fire and prevention of future deaths Several tragic deaths of residents within care homes have led to the Coroner making recommendations about the appropriate levels of fire safety within care facilities. Are these deaths avoidable? – Yes. The issues need urgent consideration and action by care home Registered Managers, nominated individuals and care teams, to identify critical risks associated with individuals The Fire Safety Order 2005 requires the identification of individuals at risk as part of the fire safety risk assessment for the premises and to take appropriate action to remove or reduce the risk. Amddiffyn rhag tân ac atal marwolaethau yn y dyfodol. Mae marwolaeth drasig sawl preswylydd mewn cartrefi gofal wedi arwain Crwner i wneud argymhellion am lefelau priodol o ddiogelwch o fewn cyfleusterau gofal. A oes modd osgoi’r marwolaethau hyn?– Oes. Mae angen rhoi ystyriaeth frys i'r materion hyn a chymryd camau gan Reolwyr Cofrestredig cartrefi gofal, unigolion penodol a thimau gofal, er mwyn adnabod risgiau critigol sy'n gysylltiedig ag unigolion Yn ôl Gorchymyn Diogelwch Tân 2005, mae’n ofynnol adnabod unigolion sydd mewn risg fel rhan o asesiad risg diogelwch tân yr eiddo a chymryd camau priodol i gael gwared neu leihau'r risg.

2. BETH YDYW ? 2. WHAT IS IT? A personal risk assessment for each resident is critical for their own safety and that of other residents and staff. This will assess the needs of the individual in conjunction with care workers and family and consider their habits, physical and mental capacity, and their environment. The risk assessment should be recorded and considered as part of their care and support plan, other assessments and personal evacuation plans, and kept under review. Mae asesiad risg personol ar gyfer pob preswylydd yn hanfodol ar gyfer eu diogelwch nhw a diogelwch preswylwyr eraill a staff. Bydd hyn yn asesu anghenion yr unigolyn ar y cyd â gweithwyr gofal a theulu ac yn ystyried eu harferion, gallu corfforol a meddyliol, a’u hamgylchedd. Dylid cofnodi’r asesiad risg a’i ystyried yn rhan o’u cynllun gofal a chymorth, asesiadau eraill a chynlluniau personol i adael yr adeilad mewn argyfwng, a dylid eu hadolygu'n rheolaidd.

3. BETH YDYW? 3. WHAT IS IT? Coroner's advice is that you must consider the risk posed by individuals smoking on your premises, particularly if the person at risk has limited mobility. This follows inquests into the deaths of high-risk smokers with mobility problems from burn injuries as a result of matches or cigarettes dropping on to clothing or bedding Cyngor y Crwner yw y dylech ystyried y risg gan unigolion sydd yn ysmygu yn eich eiddo, yn enwedig os oes gan yr unigolyn sydd mewn perygl anawsterau symud. Fe ddaw hyn yn dilyn cwestau i farwolaethau ysmygwyr risg uchel â phroblemau symud o ganlyniad i anafiadau llosg am eu bod wedi gollwng matsys neu sigaréts ar eu dillad neu ddillad gwely.

4. CYDNABYDDIAETH 4. RECOGNITION Emollient creams are used to treat dry skin conditions and some patients are often in bed for lengthy periods due to illness or impaired mobility. Certain creams can be highly flammable (e.g. those that are paraffin-based) and pose a significant risk in the event of a fire. The fire risk posed by the use of such emollient creams is significantly increased when the user is smoking. The individual's bedding and clothing can also become impregnated with cream, increasing flammability and their risk to the user. Defnyddir elïau lleddfol i drin cyflyrau croen sych ac mae rhai cleifion yn aml yn eu gwely am gyfnodau hir oherwydd salwch neu broblemau symud. Gall elïau penodol fod yn hynod fflamadwy (ee, y rhai sydd yn seiliedig ar baraffin) ac maent yn achosi risg sylweddol petai tân. Mae’r risg tân a achosir trwy ddefnyddio elïau lleddfol fel y rhain yn cynyddu’n sylweddol os ydi’r defnyddiwr yn ysmygu. Gall yr eli dreiddio mewn i ddillad gwely a dillad yr unigolyn, gan gynyddu hylosgedd a’r risg i’r defnyddiwr.

5. MATERION 5. KEY ISSUES ALLWEDDOL Following recent fire deaths the Coroner highlighted that the use of such creams should be risk assessed and action taken to reduce the harm. The use of emollient creams must be considered in your fire risk assessment to ensure that all reasonably practicable steps are taken to reduce the risk of a fire and its likelihood of occurring. http://www.nrls.npsa.nhs.uk/patient safety videos/paraffin-based- skinproducts Yn dilyn marwolaethau tân diweddar, fe dynnodd y Crwner sylw at y ffaith y dylid cynnal asesiad risg i ddefnyddio elïau o’r fath, ac y dylid cymryd camau i leihau’r niwed. Mae’n rhaid ystyried defnyddio elïau lleddfol yn eich asesiad risg tân i sicrhau y cymerir pob cam rhesymol ymarferol i leihau’r risg o dân a’r tebygolrwydd y bydd yn digwydd. http://www.nrls.npsa.nhs.uk/pati entsafety videos/paraffin- based-skinproducts

6. SUT I YMATEB 6. HOW TO RESPOND This increased risk of fire posed by smoking whilst using flammable emollient creams is so significant that it must be avoided. Fire retardant covers, bedding or clothing for smokers must always be provided. There must be sufficient numbers for items to be laundered at the correct temperature. This is the responsibility of the care home owing a duty of care for the health, safety and wellbeing of individuals who may be at heightened risk. Mae’r risg cynyddol o dân a achosir trwy ysmygu tra’n defnyddio elïau lleddfol fflamadwy mor sylweddol y dylid ei osgoi. Mae’n rhaid darparu gorchuddion, dillad gwely neu ddillad gwrthdan i ysmygwyr bob amser. Mae angen digon ohonynt i gael eu golchi ar y tymheredd cywir. Cyfrifoldeb y cartref gofal sydd â dyletswydd gofal am iechyd, diogelwch a lles unigolyn a allai fod mewn risg uwch yw hyn.

7. GWEITHREDU 7. ACTION Ydi’r unigolyn yn ysmygu? Ydi elïau lleddfol yn cael eu defnyddio? Ydi’r cynnyrch yn cynnwys paraffin? Os ydi? Rhannwch y risgiau gyda: Meddyg teulu'r unigolyn/ nyrs, rhagnodwr, aelod o’r teulu YSTYRIWCH GYNNYRCH ARALL Ffoniwch 0800 555 815 i gael rhagor o gyngor Is the person a smoker? Are emollients being applied? Does this product contain paraffin? If Yes? Share the risks with: Individuals GP/Nurse Prescriber Family member CONSIDER AN ALTERNATIVE PRODUCT Ring 0800 555 815 for further advice