Managing Critical Client Incidents Policy [Insert] Your organisation here Table of Contents 1. Introduction ................................. 2 2. Directive Policy ........................... 2 3. Scope ........................................... 2 4. Definition and Terminology ........ 2 5. Procedure .................................... 4 5.1 Process Steps 5.2 Follow-up Action 5.3 5.4 4 7 5.2.1 Record details of Critical Client Incident ................................................................. 7 5.2.2 Counselling and Debrief Sessions ......................................................................... 7 5.2.3 Role of the Critical Client Incident Manager ........................................................... 8 Reporting 9 5.3.1 Weekly reports to the Chief Executive.................................................................... 9 5.3.2 Monthly Reporting [or as determined by your organisation] ................................... 9 5.3.3 Governance or Board Reports [as determined by your organisation]) ................... 9 Review 9 5.4.1 Analysis of the Critical Client Incident ........................................................................ 9 6. Related Documents .................... 9 7. Key Contacts ............................... 10 8. Policy Approval ........................... 10 Managing Critical Client Incidents ([insert] Your organisation here 1 1. Introduction The purpose of this policy is to provide staff with instructions on how to manage a critical client incident. It should be read in conjunction with [Insert] your Government funders Managing Critical Client Incident Policy. 2. Directive Policy [Insert] your Government funder’s Managing Critical Client Incidents Policy [Insert] other relevant documents 3. Scope [NOTE] Provide detail on what, when, where and to whom the policy applies. Also, document any items, groups or circumstances the policy excludes or does not apply to. Included: This policy applies to: [As per note above] Excluded: (delete if not necessary) This policy does not apply to: [Insert] 4. Definition and Terminology Client: is a person who receives, relies on or benefits from services delivered by [Insert] your organisation. Interchangeable terms used are consumer and customer. Some organisations or areas use specific descriptions for clients depending on the service setting, for example person we support, resident or tenant. Critical Client Incident: A critical client incident is an event (or alleged event) that occurs as a result of, or during the delivery of services directly provided or funded by [Insert] your organisation, and has caused or is likely to cause significant negative impact to the health, safety or wellbeing of a client or service recipient. Critical client incidents will usually require a crisis response, incident management, coordination and consideration of a range of risks and sensitivities. Critical client incidents may include (but are not necessarily limited to): Managing Critical Client Incidents ([insert] Your organisation here 2 The unexpected death, serious injury or alleged assault (including physical, sexual abuse, sexual assault and indecent assault) of a client, that occurs as a result, or during the delivery, of services Allegations of serious unlawful or criminal activity or conduct involving an employee, a subcontractor or volunteer that has caused, or has the potential to cause, serious harm to clients An incident where a client assaults or causes serious harm to others (including employees, volunteers or contractors), as a result, or during the delivery, of services A serious fire, natural disaster, accident or other incident which will, or is likely to prevent, service provision, or which results in closure or significant damage to premises or property, or which poses a significant threat to the health and safety of clients. The assessment of whether an incident should be treated as a critical client incident should take into account the following: The standard of services provided may have been a contributing factor or may be perceived as a factor The extent of harm that resulted, or may result The likelihood that others may be affected The death, serious injury or harm has an obvious and direct correlation to the services the person was receiving The death, serious injury or harm is due to unusual circumstances The duty of care that may be expected of the department and/or the funded service provider in relation to the incident. The Chief Executive Officer or Critical Client Incident Manager is responsible for determining if a specific incident is to be classified as a critical client incident. Critical Client Incident Manager: an officer, generally at manager or senior level, appointed by the Chief Executive, and responsible for managing incidents until conclusion. The Critical Client Incident Manager (or their delegate) is the lead contact in relation to the incident. Disclosure: providing information about a critical client incident to others not directly involved in the incident, but who may be affected, either directly or indirectly (for example, family members of the affected client, other clients who may have been harmed and/or their families). Please note that meeting reporting requirements (for example, mandatory notification, reporting to SAPOL) does not constitute disclosure. Disclosure decisions must take into account the potential for others to have been affected or harmed, the potential for others still to Managing Critical Client Incidents ([insert] Your organisation here 3 be at risk of harm or require assistance to alleviate the effects of harm; and risks in disclosing or not disclosing information. They must also take into account what information will be provided, to whom, for what purpose and with what justification, in what format and appropriate approval mechanisms, and will be made in accordance with the Information Sharing Guidelines (ISG) and [Insert] your Government funder’s and or your organisation’s Disclosure Policy. Funded organisation: organisations funded by a Government department that provide direct client services on the Department’s behalf. Worker: as per the Work Health and Safety Act 2012, a worker includes anyone who works for [Insert] your organisation as an employee, employee of a labour hire company placed with [Insert] your organisation, contractor, sub-contractor, trainee, work experience student or volunteer. A worker includes anyone employed or those engaged in a voluntary capacity by the [Insert] your organisation. [NOTE] Provide explanation of other key definitions and terms specific to your area’s policies and explanations of any abbreviations or acronyms used. 5. Procedure The text below provides a guide for your organisation when developing procedures. Instructions should be tailored to suit your organisation and its relationship to the client and service but must reflect the broad framework below and align with your organisation’s policy. 5.1 Process Steps The following outlines the process that must be followed in relation to all critical client incidents. See Flow Chart 1. Immediate response - safety: The safety of clients, workers and others is of the highest priority. Following any incident, workers must respond immediately and appropriately to ensure the safety and wellbeing of client(s) and/or others. This may involve calling for an ambulance or police or administering first aid. 2. Report - SAPOL: If the incident may constitute a criminal offence or if police attendance is necessary to ensure safety or restore order, the incident must immediately be reported to the South Australia Police (SAPOL). In the event of such reporting, workers must seek to preserve physical evidence (e.g., medical or scene examination, seizure of clothing). 3. Notifying: Employees must immediately advise their line manager and/or Chief Executive of an apparent critical client incident either in person or by phone. Important Managing Critical Client Incidents ([insert] Your organisation here 4 If the line manager is not available, it is the responsibility of the staff member aware of, or involved in, the critical client incident to ensure that the next most appropriate senior staff member is notified. [NOTE] Provide detail of any other instructions that staff may require in the immediate response, for example instructions on obtaining consent from the client or guardian to take action 4. Assessment: The Critical Client Incident Manager will assess and determine if the incident is to be classified as a critical client incident. 5. Incident Manager: If it is deemed that an incident is a critical client incident, the department will appoint a Critical Client Incident Manager. The role of the Critical Client Incident Manager is outlined in section 5.2.3. 6. Initial reporting: If an incident is deemed a critical client incident, the Incident Manager must initially report the incident to the following: Chief Executive of [Insert] your organisation Relevant authorities and organisations Client’s family, advocates and significant others Client’s other service providers [Insert] your organisation’s Government funder The initial notification may be via email and must include the words Critical Client Incident in the header, and provide the following information: Date and time of the critical incident Location of the critical incident Details of the funded organisation involved (if applicable) A succinct summary of what happened including, the relationship of any alleged perpetrator(s) to the alleged victim(s) The immediate steps that were taken to address the situation Current safety issues (i.e. is the client safe?) Coordination requirements (e.g. with other agencies, other areas of the department) Name of the appointed Critical Client Incident Manager. Managing Critical Client Incidents ([insert] Your organisation here 5 Critical Client Incident Managers may be required to advise other key stakeholders, on an as needs basis, after further assessment of the incident. 7. Reporting: Those involved in or aware of the incident must adhere to any mandatory or legislative reporting requirements within the appropriate timeframes, and any other statutory guidelines and procedures for incident management. In the case of a death, the Critical Client Incident Manager must refer to the [Insert] your Government funder Coronial Policy and Guidelines. [INSERT] Refer staff to the appropriate policies/procedures relevant to your organisation or program, for example: Responding to Child Protection Concerns Procedures 8. Disclosure: A disclosure assessment must be undertaken for all Critical Client Incidents. This assessment takes into account the potential for, and likelihood that, others (for example, other current or former clients) have been affected and/or experienced harm, or the potential for others to be still at risk of harm or require assistance to alleviate the effects of harm. Disclosure decisions must also take into account the risks in disclosing, or not disclosing, information; and the potential impacts of disclosure. If the assessment indicates disclosure may be warranted, consideration must also be given to any constraints or limitations on disclosure (for example, the timing of an investigation by SAPOL or another body); appropriate parties to receive a disclosure; and managing the disclosure process. The State’s Information Sharing Guidelines are a useful guide in the assessment process. 9. Critical Client Incident management: Critical client incidents will receive high level and high quality incident management, including regular update reports provided to the Chief Executive, [Insert] your Government funder/s and other relevant organisations or authorities. 10. Incident closure/downgrading: At the discretion of [Insert] your organisation’s Chief Executive and the Incident Manager, an incident may be downgraded or closed as a critical client incident (for example, when the initial crisis is passed and the situation has stabilised sufficiently to be managed with existing processes and procedures). The Critical Client Incident Manager will provide information to [Insert] your organisation Chief Executive and recommend that a matter be downgraded or closed The Critical Client Incident Manager, in consultation with [Insert] your organisation Chief Executive will make a decision and advise [Insert] your Government funder/s and relevant authorities where appropriate. 11. Review: [Insert] your organisation will review the information gathered as a result of the critical client incident with the aim of improving service quality and minimising risks. This should be documented and reviewed along with other . Managing Critical Client Incidents ([insert] Your organisation here 6 5.2 Follow-up Action 5.2.1 Record details of Critical Client Incident 1. The Critical Client Incident Manager and staff members involved in the incident must record all details related to the incident as it occurred, as soon as practical. The following information should be included in any notes made by staff (as relevant) [advise staff where and how to keep these notes). The information is the same as initial reporting. See S5.1.6. See reporting template provided. Date and time of the critical incident Location of the critical incident Details of the your organisation involved (if applicable) A succinct summary of what happened including, the relationship of any alleged perpetrator(s) to the alleged victim(s) The immediate steps that were taken to address the situation Current safety issues (i.e. is the client safe?) Coordination requirements (e.g. with other agencies, other areas of the department) Name of the appointed Critical Client Incident Manager. 2. Staff must ensure that they comply with any other external mandatory reporting requirements and record when this occurs. [INSERT] All external mandatory reporting requirements relevant to your organisation and to the nature of the incident 3. In the case of a reportable death or death in custody that is deemed a critical client incident staff must also refer to [Insert] your Government funder/s Coronial Policy. The death of a client does not in itself constitute a critical client incident. However, if the death involves circumstances that are out of the ordinary then it may constitute a critical client incident. 5.2.2 Counselling and Debrief Sessions 1. Staff and clients involved in the incident should be encouraged to seek counselling and support as appropriate. Confirm this suggestion in writing. Where appropriate a staff de-briefing should take place. Managing Critical Client Incidents ([insert] Your organisation here 7 5.2.3 Role of the Critical Client Incident Manager 1. A Critical Client Incident Manager must be appointed by [Insert] your organisation’s Chief Executive, to supervise and manage the incident to its conclusion and to provide a single point of contact and coordination, including for [Insert] your Government funder/s. 2. The Critical Client Incident Manager is responsible for: a) Overseeing the management of the incident, including cross-departmental and cross-agency coordination, and monitoring SAPOL investigations and court proceedings where required. b) Ensuring a report outlining the details of the incident and relevant background is provided to [Insert] your Government funder/s within five business days or as negotiated, of [Insert] your organisation becoming aware of the critical client incident. c) Ensuring that clients and staff involved in the incident have been encouraged to seek counselling and support. d) Ensuring compliance with [Insert] your organisation Disclosure Policy. e) Providing regular updates to Chief Executive and [Insert] your Government funder/s. f) Recommending to the Chief Executive when the matter can be downgraded or closed. [INSERT] Provide other relevant instructions to assist the incident manager in the critical client incident, including explaining their role and responsibility and what resolution means in your work area Managing Critical Client Incidents ([insert] Your organisation here 8 5.3 Reporting 5.3.1 Weekly reports to the Chief Executive 1. The Critical Client Incident Manager will provide the Chief Executive with status updates on new and existing critical incidents by close of business each [Insert day or frequency] 2. The Critical Client Incident Manager will maintain and regularly update the [Insert] your organisation Critical Client Incident Register based on these status updates and prepare a summary report as required by the Chief Executive and other relevant stakeholders. 5.3.2 Monthly Reporting [or as determined by your organisation] 1. The Critical Client Incident Manager is responsible for the coordination and preparation of the monthly Executive Summary Reports [as determined by your organisation] 2. The monthly Executive Summary Report will include information relating to new critical incidents; ongoing critical incidents; downgraded and closed incidents; the timeliness of briefings; and detail of risks identified and quality improvement strategies introduced as a result of a critical client incident. 5.3.3 Governance or Board Reports [as determined by your organisation]) 1. The Incident Manager is responsible for the coordination and preparation of the Governance and Board Reports [as determined by your organisation] 2. [INSERT] Provide other relevant instruction here on how this will be achieved. 5.4 Review 5.4.1 Analysis of the Critical Client Incident 1. [NOTE] Provide instruction here on how your organisation will have systems/processes in place for reviewing critical client incidents and making necessary improvements to service delivery. Provide instruction here on how this will be achieved. List the ways in which your organisation will prevent similar incidents 6. Related Documents [INSERT] List any existing documents associated with the Managing Critical Client Incidents Policy. Managing Critical Client Incidents ([insert] Your organisation here 9 7. Key Contacts Area Contact Details Contact Person [Insert] your Government funder/s. [Insert] your organisation insurer Coroner’s Office SAPOL [Insert] other organisations 8. Policy Approval Content Author: This person is responsible for getting the content written and reviewed, consultation, checking with subject experts and obtaining authorisation and maintaining adequate records. [Insert name and position] No signature required from the content author XX / XX / 20XX Policy Custodian: (Director or authorised delegate) This person is responsible for the integrity of the policy document and for checking to ensure that the content is up-to-date. ............................................ [Insert name and position] This person is responsible for providing final approval of the policy. A delegated authority needs to understand the business context for the policy, content, standards, sensitivity, confidentiality issues, access and use criteria and the risks associated with the policy not being accurate or up to date. ........................................... [Insert name and position] Signature required Signature required XX / XX Delegated Authority: (Chief Executive, Chairperson) / 20XX Managing Critical Client Incidents ([insert] Your organisation here XX / XX / 20 XX 10