Human Services Quality Framework Standard 4 (Safety, Wellbeing & Rights) GUIDE TO HARM PREVENTION POLICY TEMPLATE ABOUT THIS POLICY AREA This policy guides how the organisation protects the safety and wellbeing of clients. A written harm prevention policy is required as part of meeting Standard 4 (Safety, Wellbeing and Rights) Standard 4 —Safety, Wellbeing and Rights The safety, well being and human and legal rights of people using services are protected and promoted. Indicator 2: The organisation proactively prevents, identifies and responds to risks to the safety and well being of people using services. Policy checklist The following checklist will help you check that an existing policy covers this area adequately. The policy should: - describe the way you assess risk of harm and take into account risks from: other clients actions (or inaction) of staff in the organisation physical surrounds the nature of the service the clients themselves, to themselves and to other clients, and to people beyond the organisation explain how clients are informed about the ways their safety and wellbeing will be protected and any actions they are required to take or not take while using the service describe the way the organisation is equipped to minimise and promptly respond to aggressive behaviour or physical threat outline other strategies to respond to risk, including: - prominent listing of emergency numbers ensuring first aid kits are available and staff are trained in first aid how health issues such as hygiene and infectious illness are dealt with providing safe environments for children contain clear procedures and actions indicate the timing of any actions show when it was approved show when it was last reviewed. COMPLETING YOUR HARM PREVENTION POLICY Using the policy template The template provides some example statements. You can adapt these statements and include them in your policy or write your own statements to better suit the operations and services of your organisation. The policy templates include red text prompts to insert information that is specific to your organisation. There are also instruction sections, in blue italics, such as: Refer to the induction of governing body policy template guide for questions and/or examples to consider when customising this section. When you have completed the policy template, delete all the coloured text. For further information on using the policy guides, refer to the information in Using the policy templates and guides. Guidelines for each section of your policy 1. Purpose When identifying the purpose of the policy, consider how it might apply to your client group/s and others using the organisation’s services, premises or other facilities, including staff, volunteers and board or management committee members. Consider also the widest possible range of situations that might cause harm and where the organisation could minimise harm and/or the impact of harm. Do you need to make specific statements to ensure you are inclusive of particular groups, such as Aboriginal and Torres Strait Islander peoples, Australian South Sea Islanders, people from culturally and linguistically diverse backgrounds and people with a disability? 2. Scope To determine the scope of the policy, consider the following questions: • • • Does this policy apply to all your organisation’s services and to all clients and agencies? Are the risks of harm for staff, volunteers, board or management committee members and other stakeholders also taken into account? Does your organisation’s responsibility for harm minimisation extend beyond harm resulting from the provision of services and the use of premises, vehicles and other facilities within the organisation’s direct control? Are you concerned also with minimising harm and/or the impact of harm that has occurred elsewhere? Where do you draw the line on this responsibility? An example of a Scoping statement for an organisation that provides multiple services may read as follows: This policy will apply to all staff overseeing the clients in all of the programs and services auspiced by the Insert organisation name. In some programs such as those dealing directly with children, the aged and people with disabilities, specialized harm prevention policy may exist that is specific to that service. Specific detailed procedures dealing with speciality needs may be described within the service specific policy and procedures manual for that service. An example of a Scoping statement for an organisation that provides a single service type may read as follows: This policy will apply to all staff overseeing the clients in the services provided by the Insert organisation name. 3. Policy statement If you are adopting the policy statement in the template, consider whether there are any additional commitments your organisation wants to make. In identifying the actions your organisation will take to implement this policy, you should include the following: assessing the risk of harm and taking into account all potential risks in the service environment identifying and documenting the range of circumstances within and outside the service where the safety or wellbeing of clients may be compromised • • taking action to reduce the potential for harm to clients and to ensure their safety within the service informing clients about the ways their safety and wellbeing will be protected, and any actions they are required to take or not take while using the service minimising the risk of aggressive behaviour or physical threat minimising the range of other health and safety risks that could arise in the service environment reviewing your approach to harm prevention regularly, and particularly after any critical incident within your service. • • • • • An example of specific statements in a Policy statement for an organisation that provides multiple services may read as follows: Specifically, we will: Be vigilant for signs of harm in our vulnerable clients Train our staff, and where appropriate, our volunteers to be aware of our procedures for dealing with cases of actual or suspected harm Follow set procedures that are in accordance with the law and our Duty of Care to our clients. Assess the risk of harm and taking into account all potential risks in the service environment Identify and document the range of circumstances within and outside the service where the safety or wellbeing of clients may be compromised Take action to reduce the potential for harm to clients and to ensure their safety within the service Inform clients about the ways their safety and wellbeing will be protected, and any actions they are required to take or not take while using the service Minimise the risk of aggressive behaviour or physical threat Minimise the range of other health and safety risks that could arise in the service environment Review our approach to harm prevention regularly, and particularly after any critical incident within our service. 4. Procedures The procedures describe how your organisation achieves the aims and goals you have outlined in your purpose, scope and policy statement. These procedures relate to how you will prevent harm to clients where this is directly related to the delivery of your services. You have an obligation to minimise the risk, reduce the effect, and prevent future incidents occurring. Many procedures applying to the safety of clients will also apply to employees, volunteers and management. They should therefore be part of any workplace health and safety policy, and can be recorded as part of that policy or as a separate set of procedures related to risk assessment and critical incident responses. a. Assessing and reviewing the risk of harm The first step in protecting the safety and wellbeing of your clients is to understand how, where and when they may be at risk of harm. Take into account risks from: • other clients • actions (or inaction) of staff in the organisation • physical surrounds • the nature of the service • the clients themselves, to themselves and to other clients, and to people beyond the organisation. Describe your procedure for identifying and assessing risks of harm and list any checklists that you use. How often do you do this risk assessment? For example: • • • • following a critical incident annually when you start a new project when there is new intake of volunteers or clients. An example of template table that may assist organisations with multiple services to record this information is below. List and describe how each service deals with key Harm prevention procedures: Name of Service How the Service Identifies and Assesses Risk of Harm Eg: Staff training in Workplace hazards, Client safety and Food safety. What Checklists are Used to Assess Risk & who is Responsible How often and how is Risk Reviewed for a Client &/or the Service Eg: Monthly Checklist; Service Co-ordinator Eg. During volunteer interviews/intake; During each client home visit using template file notes Identify the range of circumstances within and outside your service where the safety or wellbeing of your clients may be compromised (potential and actual risks of harm) and also the range of actions you have agreed to take to reduce the incidence of actual harm occurring. List the potential and actual risks of harm to clients, and the range of actions you can take to reduce the incidence of each, particularly to the target group for your service and for the nature of the service you provide. It may be useful to think through these under types of incidents that could cause harm: • • • • • • • • threat to personal safety or wellbeing (including from accidents, assault, harassment) threat to psychological health threat to physical health inadequate policy guidelines lack of adequate supervision lack of adequate support loss of confidence in the service inability to access a needed service. List these here, or reference where these are documented in a related risk assessment or workplace health and safety policy. An example of template table that may assist organisations with multiple services to record this information is below. List and describe how each service deals with potential and actual risks and what procedures exist to reduce the incidence: Potential and Actual Risks of Harm Eg:ther clients Actions available to Reduce the Incidence of Harm Eg: Ensuring staff supervision and volunteer numbers are adequate when Clients visit centre Supporting Documentation and other Policy & Procedures that may assist Eg: WPH&S Policy, Safety Procedures Manual, Emergency Procedures Manual, Code of Ethics, Code of Conduct, Offensive Behaviour Policy, Safety Policy, Smoking Policy, Risk Management Policy, Incident Report Policy When Review of Harm Prevention Actions may occur Eg: 1. following a critical incident 2. annually 3. when a new project is commenced 4. when there is new intake of volunteers or clients b. Informing clients about harm prevention rights and responsibilities Clients have a right to be protected from harm to their safety or wellbeing, and they have a responsibility to play an active role in protecting themselves and others from harm. Explain how clients are informed about the ways their safety and wellbeing will be protected, and any actions they are required to take or not take while using the service. There should also be a section in your client service charter addressing risk of harm, harm prevention, and response. An example of template table that may assist organisations with multiple services to record this information is below. List and describe how each service informs their clients about Harm Prevention, including the Client Service Charter: Service Name The ways we inform our clients about Harm Prevention, including our Client Service Charter Eg: Clients are informed of their rights and responsibilities when they join, including a copy of our Client Service Charter in their welcome pack, and are reminded through signs and newsletters. c. Minimising and responding to aggressive behaviour and physical threat Describe the way your organisation is equipped to minimise aggressive behaviour or physical threat, and promptly respond to aggression to prevent harm being caused. Specific circumstances in which there may be a greater risk of physical or emotional harm from aggression or physical threat should be identified and appropriate risk-minimisation responses implemented. Particular circumstances where a higher risk may occur include: • • • • service provision to clients affected by drugs, alcohol or mental illness youth services other clients with complex and multiple needs organisations with poor supervision, inadequate support or inadequate training of staff. d. Minimising and responding to other risks to safety and wellbeing Other strategies to prevent and/or minimise the risk of harm to clients and ensure their safety within your service should relate directly to the risks of harm you identified above. List your harm prevention and minimisation strategies (or, if appropriate, reference where these are documented in a related risk assessment or workplace health and safety policy). Be as specific as possible. For example: • • - for risk of physical injury to clients: adequate control of aggressive behaviour and physical threat (see above) building kept in good condition, with regular condition inspections ensuring first aid kits are available and all staff trained in basic first aid evacuation procedure provided in a prominent place prominent listing of emergency numbers providing safe environments for children. for risk to physical health: hygiene procedures preventing the spread of infectious illness health checks and vaccination programs health education nutritional advice and support no smoking policy policy on the monitoring, use and compliance of prescribed medications. An example of a template table that may assist organisations with multiple services to record the information for points d. and e. above is as follows: Service Name Special circumstances where risk of aggression may be high Eg: Where a client may become or enter the premises in an agitated state Harm prevention & minimization strategies in these circumstances Eg: Staff have training in handling aggressive behaviours Call for backup as necessary; Duress alarms have been installed in key locations and training in use provided to staff and volunteers. 5. Other related policies and documents List the other policies related to the harm prevention policy. The policy should be linked to: • • harm response policy client service charter. 6. Review processes Consider how often the policy should be reviewed and the process for doing this: • frequency of review: Most policies benefit from an annual review. The experience of implementing the policy is used to decide which changes are necessary. Consider reviewing your harm prevention policy as part of an annual review of your organisation’s client service related policies or, if your organisation is small, perhaps over a three-year period. Critical incidents may prompt you to review the policy ahead of schedule. • responsibility for the review: In most organisations, the person accountable for client service would be responsible for reviewing this policy. In small organisations, this may be the coordinator or manager. In larger organisations, this may be a client service manager or administration manager. • process for the review: Decide which particular staff, volunteers, external people and organisations will provide input to the policy review, and how clients will be involved. • decision-making process: Who will review draft changes to the policy and approve changes? What will be the timeframe for the review process? • documentation and communication: What records of the policy review process are needed? How will changes to the policy be communicated to staff implementing the policy? In a small organisation, this may be as simple as noting the changes at a staff meeting. In a larger organisation, an email memo may be needed. • key questions for the review: Is the policy being implemented? Are procedures being followed? Is the policy clear? What has changed that may prompt a change to the policy (for example, new client service procedures, expansion of services or activities, widening eligibility criteria)? Have particular stakeholders had difficulty with any aspect of the policy? Can their concerns be resolved? How does the policy compare with that of similar organisations?