Quality Risk and Safety Policies – Extreme Heat and Bushfire Issued: Replaces: First Issued: 13/11/2014 17/12/2013 27/07/2012 Extreme Heat and Bushfire Policy For the purpose of this policy and procedure an extreme heat event is defined as three or more consecutive days when local or regional temperatures are forecast 39.0 degrees Celsius. Bushfire is a fire event declared as such by the SA Country Fire Service. Many older people living in the community are at increased risk of harm from heat-related distress or illness and/or bushfire. Country Home Services policy and procedure outlines the required response to ensure an appropriate response to support those older people at increased risk: We support our clients at increased risk and their carers/families to minimise the effects of extreme heat and/or bushfire on their health and wellbeing. We support our clients at increased risk and their carer/family to have plans and arrangements in place to assist the person, their pets and property during extreme heat conditions or bushfire. Country Home Services staff and contractors have guidelines, information and strategy options to deliver the best possible services to clients in extreme heat conditions or bushfire. The following principles will guide our response in circumstances of extreme heat or bushfire: Services will continue normally unless information is received that initiates an alternative response to the delivery of service provision. Services may be modified to assist the safety of clients, staff and contractors. However; during SA Country Fire Services catastrophic declared days, some clients may be notified that their services will be rescheduled or cancelled. Country Home Services will provide information about the signs of heat stress and indicators of health deterioration and appropriate response. Managing the effects of extreme heat or bushfire on a client is a shared responsibility with the person, their carer/family/GP/health and care providers. ‘At Risk’ Clients Country Home Services recognise that certain clients are particularly ‘at risk’ in extreme heat or bushfire events due to their personal circumstance e.g. location, impaired mobility, absence of local support persons, impaired mental state. Country Home Services will by assessment identify these clients who are ‘at risk’ and record them in CIM on either the Bushfire Register or as an alert dependant on assessment e.g. Alert recorded in CIM as Extreme Heat Risk. Country Home Services will pay particular attention to these clients by: 1. Assisting them to register with Telecross REDi. 2. Phoning them in advance of an extreme heat event or when their place of residence is threatened by a bushfire, if that forms part of their bushfire response plan. In the case of threat by bushfire, we will also phone their emergency contact person, if that forms part of their bushfire response plan or the SA Police if emergency contact person is not contactable. 3. Contacting the client’s contractor to inform them of the potential issues and strategies for managing the situation. 1 Quality Risk and Safety Policies – Extreme Heat and Bushfire Other Clients Our obligation to clients not identified as ‘at risk’ is met by the provision of appropriate information about how to keep themselves safe. e.g information on strategies to keep cool, how to prepare a bushfire plan . Extreme Heat Procedure Advisors are required to put in place individual strategies to support ‘at risk’ clients to manage heat. Please note that the following is a guide to actions that may be appropriate depending on individual circumstances, including but not limited to: 1. Review regularly and undertake check visits and monitoring of ‘at risk’ clients. This may be done by phone as it may be unsafe to travel. 2. If an Advisor has concerns for a client’s wellbeing over a weekend, negotiations may be needed with the rostered On Call Team Leader Manager to make additional phone calls to that person (Home Care Package clients only). For HACC clients, plans would need to be made with family, friends or carers. 3. For all clients, negotiate any changes to their current Service Plan or Plan for Care that may result due to extreme weather conditions (e.g. renegotiating domestic assistance, providing more social support visits, personal care, essential shopping) 4. Check the cooling arrangements that are in place. 5. Remind the client to keep their home cool by closing blinds and curtains during the day. 6. If required, electricity black outs can be monitored during extreme weather conditions on the SA Power Networks website–www.sapowernetworks.com.au/centric/home.jsp 7. Assist the client to register with SA Power Networks if they have any life supports in place i.e. oxygen compressor, this will help to ensure power is returned to the home as soon as possible. 8. Where long outages are anticipated, further contact with the client may be required. A report of clients by postcode can be generated which may make it easier to track the effect of the black out (some areas have the same postcode for a vast area). 9. Cordless landline telephones do not work during power outages and the client should be made aware of the need for alternative means of communication. Assist client to have a back up plan if phone lines are down. 10. The need for extended services may be required where the client does not have family or other supports to assist in extreme weather conditions; this must be negotiated with the Program Manager. 11. Advisors may be required to assist with access to social support or respite services e.g. heat wave relief centres. Information on local heatwave relief centres is available from local councils. All local hospitals are relief centres. 12. Refer clients (with their consent) without effective supports who may require additional monitoring during a heatwave to Red Cross Telecross REDi Service. Please note that Telecross REDi is only activated if there are 3 consecutive days forecast for over 41 degrees with a minimum temperature of 24 degrees, these are metro temperatures. Country Home Services are not to be used as a contact with Telecross REDi. 13. Assist the client to receive information on a monitored personal alarm system. 14. Ensure all incidents relating to Heat Stress or other heat related concerns are reported to the Human Resource Manager and Health and Safety Representative on an Incident Form. 2 Quality Risk and Safety Policies – Extreme Heat and Bushfire 15. At the discretion of the Program Manager/delegate, SMS messages may be sent to Independent Contractors across their regions alerting them to extreme conditions and reminding them to report client issues to local offices. Contractors will be required to: 1. Observe for signs of heat stress, such as nausea and changes in appearance, such as red/pale or severely dry skin 2. Be aware that heat related illness is a medical emergency. If the client has any symptoms or appears unwell, call an ambulance 3. Contractors should contact Advisors (or the rostered On Call Manager – Home Care Package clients only after hours) at any time if they have any concerns about clients at risk of extreme temperatures. Bushfire Procedure Advisors are required to put in place individual strategies to support ‘at risk’ clients to manage bushfire risk. Country Home Services define an ‘at risk” client in a bushfire event as – “someone who has been assessed and identified as someone who is unable to receive and/or understand emergency services messages in an emergency event and cannot act independently on that advice due to social, physical, geographical and cognitive issues” Please note that the following is a guide to actions that may be appropriate depending on individual circumstances, including but not limited to: 1. All Country Home Services clients will be provided with information regarding bushfire safety at their initial assessment and as required at future reviews. 2. Country Home Services will support and promote annual CFS forums in our regions and will support ‘at risk’ clients to attend. 3. Advisors MUST keep current at all times the Contractor Availability Form for all Home Care Package clients. Bushfire season is from 15th November till 30th April. During Country Home Services business hours (Mon – Fri 8.30am – 4.30pm) the following will apply: 1. The Compliance and Quality Manager/or delegate will monitor the CFS website, CFS email notifications and CFS App daily. 2. If a “Watch and Act” notification is received within a Country Home Services region that directly impacts ‘at risk’ clients the Program Manager will be notified. If the Program Manager is not available the Compliance and Quality Manager/or delegate will initiate the response 3. A Bushfire Register Alert client report from CIM will be run by the Program Manager or the rostered On Call Manager. This is located in CIM, Reporting, Client Reports, Alerts, then select program, area and Bushfire Register report. 4. If required an SMS will be forwarded by the Contractor Recruitment and Support Officer to all Independent Contractors in the region alerting them to the “Watch & Act”. 5. The Program Manager will delegate to the Advisors to commence telephone contact with any person identified from the Bushfire Register Alert and their emergency contact person. 6. All contact will be documented in the client notes stating outcomes and actions. 3 Quality Risk and Safety Policies – Extreme Heat and Bushfire 7. The Compliance and Quality Manager/or delegate will continue to monitor and record the incident and notify DSS’s emergency response number on 1800 288 475 this may also include communicating with the CFS. 8. An Incident Report will be completed by the Compliance and Quality Manager/or Program Manager. 9. The Program Manager/or delegate will organise a debrief with the affected regional office and review outcomes and actions. This will include completing the Preparation for an emergency event for community care services document. Bushfire season after hours Home Care Package clients only (on call): 1. The rostered On Call Manager will run a Bushfire Register report and print off a hard copy prior to commencing On Call duties. 2. The rostered On Call Manager will monitor the CFS App/website. 3. Once a “Watch and Act” notification is received a Bushfire Register client report will be reviewed and any affected clients identified. . 4. An SMS will be sent to Independent contractors in the region notifying them of the “Watch & Act” – please note this will only occur if Server is functional and remote access available. If server is not functional contractors identified as working in affected areas will be contacted by phone. 5. The rostered On Call Manager will initiate the response and if required will enlist the assistance of the other Managers to make contact with the affected Bushfire Register clients, their emergency contact and Independent contractors. 6. All contact will be documented in the client notes stating outcomes and actions. 7. The rostered On Call Manager will continue to monitor and record the incident and notify DSS’s emergency response number on 1800 288 475, if required. The rostered On Call Manager may also be required to communicate with the CFS. 8. An Incident Report will be completed by the rostered On Call Manager and forwarded to the Human Resources Manager. 10. The Program Manager will organise a debrief with rostered On Call Manager and review outcomes and actions. This will include completing the Preparation for an emergency event for community care services document. During 1st May till 14th November: 1. CFS App and email alerts will be monitored by the Compliance and Quality Manager/or Program Manager. Signature: ________________________________________ Chief Executive Officer 4 Date: 27 / 07 / 2012