The Chartered Society of Physiotherapy The Chartered Society of Physiotherapy

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Criteria: Delivering a safe and effective service

2.1 There is a planned orientation and induction programme for members working in new roles.

Criteria

2.1.1 There is an accessible and planned orientation and induction programme for all members working in new environments, e.g. returners and new starters and going to new sites etc

2.1.2 Members attend the programme and identify where components of it are omitted

2.1.3 Members provide feedback on the programme to ensure its continued relevance

2.1.4 There is a policy in place for the induction programme which includes:

  • A: content and structure of the programme
  • B: a named person responsible for planning and for implementation
  • C: a named person responsible for evaluation and review to ensure the programme continues to fulfil its intended purpose
  • D: completion of the programme within locally agreed time-scales
  • E: issue of the programme to each new member of the physiotherapy team

2.1.5 Mandatory training is completed within agreed timescales

2.1.6 Members receive training in:

  • A: fire procedures
  • B: life support
  • C: moving and handling
  • D: dealing with violence and aggression
  • E: control and prevention of infection
  • F: confidentiality
  • G: information governance
  • H: safeguarding children
  • I: safeguarding vulnerable adults
  • J: familiarisation with record keeping systems (paper storage or electronic access)
  • K: an approach to record keeping within the team (style/use of acronyms and short forms etc)

2.2 Physiotherapy staffing and skill mix is sufficient to support the services being provided

Criteria

2.2.1 There is a policy which includes;

2.2.1.1 an appropriate recruitment and selection procedure

2.2.1.2 staffing commensurate with delivering a safe and effective service which makes best use of existing resources in terms of:

  • grade
  • skill mix
  • experience
  • staff numbers

2.2.1.3 managing:

  • situations where staffing levels fall below locally agreed minimum levels
  • the regular review of staffing levels
  • the regular review of skill mix

2.2.1.4 prioritisation of workload if demand exceeds staffing levels

  • flexibility in both service provision and the needs of CSP members
  • a system to ensure all physiotherapy team members have skills and experience in the areas in which they are required to work
  • arrangements for identifying and addressing learning needs arising from changing service requirements
  • arrangements for the delegation of activities within teams
  • arrangements for clinical leadership  
  • arrangements for the clinical leadership of  services
  • a procedure to recognise and correct poor performance

2.3 Physiotherapy services are delivered in a safe environment

Criteria

2.3.1 The physiotherapy service acts on health and safety guidance

2.3.2 The physiotherapy service (where part of a larger organisation) is considered, and if appropriate included, in the wider organisational plans for emergency incidents which could affect provision of normal services

2.3.3 Physiotherapy services comply with policy on;

2.3.3.1 safeguarding children

2.3.3.2 safeguarding vulnerable adults

2.3.3.3 national child protection guidance

2.3.4 Service users receiving physiotherapy  are made aware of how to summon assistance

2.3.5 There are systems in place to identify, report and learn from service user safety incidents and other notifiable incidents, using appropriate local and/or national governance systems and to demonstrate resulting improvements in practice

2.3.6 There is a health and safety policy which includes procedures to manage;

2.3.6.1 fire

2.3.6.2 waste disposal

2.3.6.3 disposal of medical waste

2.3.6.4 resuscitation

2.3.6.5 first aid

2.3.6.6 control and prevention of infection

2.3.6.7 disposal of sharps

2.3.6.8 lone working

2.3.6.9 chaperoning arrangements

2.3.6.10 interpreters

2.3.6.11 working outside normal hours

2.3.6.12 control of substances hazardous to health

2.3.6.13 safe moving and handling of loads

2.3.6.14 reporting of industrial diseases and dangerous occurrences

2.3.6.15 planned maintenance

2.3.6.16 rehabilitation e.g. practising stairs policy

2.3.6.17 the summoning of urgent assistance when required

2.3.7   There are policies in place for the maintenance of:

2.3.7.1 temperature

2.3.7.2 humidity

2.3.7.3 lighting

2.3.7.4 ventilation

2.4 There is a systematic, proactive and responsive approach to risk management that follows the organisation's overall strategy

Criteria

2.4.1 Care is taken to minimise risks to physiotherapy team members and service users

2.4.2 Regular health and safety audits are undertaken in accordance with locally defined time-scales

2.4.3 Notices of hazards to service user are prominently displayed in areas of known risk

2.4.4 There are policies for risk management which includes:

  1. clearly defined procedures for the management of risks
  2. training in undertaking risk assessments which include identification and effective management of risks
  3. the indications for a documented risk assessment
  4. indications for a risk assessment carried out for every service user, prior to each procedure or treatment
  5. indications for a risk assessment carried out for every activity involving a physiotherapy team member
  6. the analysis of findings from risk assessments to make recommendations for changed work practices.
  7. action taken on the results of the risk assessment, to minimise any hazards identified

2.5 All medical devices are safe and fit for purpose, ensuring service user, carer and physiotherapy team safety

Criteria

2.5.1 There is a process in place for;

  1. registration to receive by email patient safety and MRHA (Medicines and Healthcare products Regulatory Agency) alerts
  2. cascading information on ‘Patient Safety Alert’ notices
  3. for acting upon Patient Safety Alerts and other communications that relate to the safe provision of physiotherapy
  4. ensuring that action is taken on new guidance about medical devices safety and on ‘Patient Safety Alert’ notices issued on treatments/ interventions that affect practice

2.5.2 There are policies in place which include;

  1. the use of medical devices according to manufacturer’s instructions
  2. regular servicing of medical devices is undertaken and action taken when indicated
  3. visual and physical safety checks of medical devices prior to use or issue to service users
  4. the identification, reporting and recording of action taken regarding faults of medical devices
  5. cleaning of medical devices according to manufacturer’s instructions and policies for control and prevention of infection
  6. removal of faulty medical devices  
  7. evaluation of new medical devices in the context of a clinical trial to meet the requirements of research governance
  8. safe equipment for the care of bariatric service users (to include visible maximum weight of furniture e.g. treatment couches, waiting room chairs, department toilets and upstairs flooring)
  9. weighing and recording of the weight of service users where indicated

2.5.3 There are polices in place which ensure;

  1. training is provided in issuing and maintaining medical devices
  2. a training record is kept
  3. a record is kept of medical devices and/ or products loaned to service users
  4. a record is kept of medical devices and/ or products purchased by the service user
  5. where medical devices and/ or products are loaned or sold to service users instructions on the safe use are provided

Standard 2.6 The risks of lone working are minimised

Criteria

2.6.1 There are policies in place for lone working which include:

  1. members working alone
  2. communication links between members working alone and their base
  3. the use of personal alarms
  4. home visiting
  5. home visiting where a known risk exists
  6. the indication and use of chaperones. 

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