1. SAFETY | TRAINING | CONSULTANCY| STAFFING SOLUTIONS
PRESENTED BY; Kieran Linehan
SAFETY | TRAINING | CONSULTANCY| STAFFING SOLUTIONS
Lo-call:

2. Registered Assessment Centre
Welcome
SOLAS & QQI
Registered Assessment Centre

3. 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

4. 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.

5. 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.

6. 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.

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

8. 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.

9. Emergency Plans
Prevention
Prepare +
Practice
Review

10. 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)

11. 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)

12. 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

13. PICTURES

15. 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?

16. 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

17. 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?

18. 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.

19. 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”

20. 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

21. 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

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

23. Conclusions
Any Questions?
Summary