Providers of Residential and Flexible Aged Care EMERGENCY RISK MANAGEMENT PLANS 2015-16 As the high risk season for major Australian weather events and bushfires approaches it is vital that all aged care services are well prepared and able to respond to a range of emergency events that may impact delivery of care. Each high risk season results in a number of Commonwealth subsidised residential aged care providers needing to evacuate all or parts of their facilities for varying periods. Other impacts may include staff shortages, power failures and failure of electronic systems (including electronic records) and restricted access to water supplies, food, medications and linen. Maintaining quality care under these circumstances requires effective emergency risk management planning. Under Accreditation Standard Four, expected outcome 4.6: Fire, security and other emergencies, approved providers are required to have emergency plans and protocols in place to protect the health, safety and wellbeing of care recipients. Approved providers must also have systems in place to identify and ensure compliance with all relevant legislation, regulatory requirements, professional standards and guidelines. This includes consideration of any relevant state or local government regulations. I encourage you to review your risk management plans to ensure they are current and practical. To assist you with reviewing your plans, I have attached a list of activities for you to consider. This list is not all-inclusive and activities on this list may be more or less relevant to your situation. There may be other considerations relevant to your particular circumstances that you may need to undertake. State and Territory health and emergency management agencies also publish emergency management planning information Testing key elements of your emergency plans and procedures is highly recommended, for example running a practice emergency exercise ensures people understand their roles and responsibilities. Your emergency plans and response should be tailored to service locations and circumstances in consultation with local emergency services. State and Territory governments have primary responsibility for emergency management and local governments have an important role in planning, preparedness, response and recovery. It is important that you engage and maintain communication with relevant agencies in your area and participate in any emergency management forums for community groups. GPO Box 9848 Canberra ACT 2601 -2- In the circumstances of your service being affected by an emergency event, please contact 000 or your local emergency services. Contact the Department, when it is safe to do so to, to advise of an evacuation or relocation and if you require assistance to identify accommodation options for relocating or evacuating care recipients. The Department can be contacted on the following numbers: Victoria – 1800 078 709 New South Wales/ACT – 1800 852 649 South Australia – 1800 288 475 Tasmania – 1800 108 196 Queensland – 1800 300 125 Western Australia – 1800 733 923 Northern Territory – 1800 355 348 The Aged Care Complaints Scheme phone number should not be used for emergency purposes. Just to reiterate approved providers have an important role to ensure that care recipients continue to receive quality care during emergency events. It is vital that you are well prepared for any emergency events that might impact your service. Yours sincerely Authorised for electronic transmission Fiona Buffinton First Assistant Secretary Aged Care Access, Quality and Compliance Division November 2015 -3- Preparing for an emergency event at an aged care residence Key activities for residential aged care providers preparing for emergency events include: Before the event Consider the range of hazards that are most likely to affect your facility. Take all reasonable measures to ensure that your facility is able to withstand the most likely hazards. Ensure you are aware of any State/Territory or regional/local emergency management arrangements and requirements, including any changes from previous seasons and possible trigger points for evacuation. Develop an appropriate emergency risk management plan which considers the ongoing needs of vulnerable care recipients in the event that your facility becomes isolated (water, food, power, communication, medical supplies etc). Determine appropriate staffing levels to meet higher care recipients needs during periods of high risk, including heat waves and evacuations. Develop an evacuation plan that includes realistic arrangements for transportation and alternative accommodation relevant to different scenarios (eg. Only your facility is affected or all facilities in the region are affected) and includes provision for care recipient identification and care-plan documents. Liaise with your local hospital/s to ensure the integration of your emergency risk management plans with its plan (particularly important in rural or remote locations). *Develop agreements with other service providers for alternative accommodation in the instance that you or the other facility need to partially or wholly evacuate residents. Contact local emergency services to seek advice and ensure they are aware of your facility, its size and location, and the particular needs of residents. Provide contact details of your facility and key personnel to the emergency services, and ensure all key personnel have access to contact details for local emergency services. During any period of high risk, ensure that key personnel monitor emergency broadcasts and the media for localised warnings and advice. Discuss emergency risk management plans with staff, care recipients and their families. Develop a plan for recovery following an event including post trauma counselling for care recipients and staff. Undertake exercises to test key parts of your plan to ensure staff understand their specific responsibilities. This also allows you to determine whether there are any gaps or other areas you need to consider. During the event Liaise with local emergency services to determine the seriousness of any emergency situation and the level of risk posed to your facility and care recipients. Know when to activate emergency risk management plans, and make timely/informed decisions, which may culminate in a partial or complete evacuation of your facility. Continue to deliver appropriate care, which may require sourcing additional staff or volunteers, according to your emergency risk management plan. Keep staff, family and care recipients well informed during, and after if necessary, any emergency situation. When it is safe to do so, provide advice to the Department about any impacts of the event on your facility and care recipients. -4- Following the event Assess the impact of the event on your facility, staff and care recipients and take steps to return to business as usual. Liaise with and request assistance as required from local agencies providing recovery and other relevant services. Review and amend your emergency risk management plans, as needed. *As part of the emergency planning process, you are expected to explore and document alternative accommodation options and where possible, make arrangements at a local/regional level. These arrangements may include, but not be limited to, discussions about ongoing care of care recipients, staff requirements and associated costs. You need to give particular consideration to transport options for evacuations, recognising that ambulance services may be fully occupied responding to emergency calls, and alternative transport providers may also have arrangements with other facilities. Multiple alternate means of transport, suitable for frail, elderly residents, such as buses, vans or cars need to be considered alongside access to your site, availability at short notice and 24 hour contact details. In an emergency event, including an event that has impacted your facility or a situation where other facilities are relocating or evacuating residents, officers from Department of Health may contact you to: Determine the impact of the event on your facility, and whether or not any need for additional assistance is being met; and Ascertain the potential of your facility to provide emergency accommodation to relocating care recipients from at-risk facilities.