Approved Providers of Residential Care EMERGENCY RISK MANAGEMENT PLANS 2014-15 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 residential aged care providers evacuating all or parts of their facilities for varying periods. Other residential aged care providers impacted by an event experience staff shortages, power failure 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 by providers and support from all levels of government. 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. 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 considerations. This list is not all inclusive; items on this list may be more or less relevant to your situation, and there may be other considerations relevant to your particular circumstances. State and territory health and emergency management agencies also publish emergency management planning information relevant to each jurisdiction. Testing key elements of your plans is highly recommended, for example running a practice emergency exercise ensures people understand their roles and responsibilities. Approved providers must also have systems in place to identify and ensure compliance with all relevant legislation, regulatory requirements, professional standards and guidelines. Accreditation Standard expected outcome 4.2: Regulatory Compliance includes consideration of any relevant state or local government regulations. Plans should be tailored to service locations and circumstances in consultation with local emergency response agencies. State and territory governments have primary responsibility for emergency management in their jurisdictions. Local governments also have an important role to play in planning, preparedness, response and recovery. It is important to engage and maintain communication with these governments in your area including participation in emergency management forums for community groups, including aged care providers. PO Box 7576 Canberra Business Centre ACT 2610 Email Facsimile Telephone 1300 653 227 National Relay Service: TTY: 133 677, Speak and listen: 1300 555 727, Internet relay: www.relayservice.com.au www.dss.gov.au Approved providers have an important role to play to ensure that aged care recipients continue to receive quality care during emergency events. I urge you to ensure you are well prepared for any events which may impact your service in the future. Yours sincerely Authorised for electronic transmission James Christian Group Manager Aged Care Quality and Compliance 08 October 2014 Preparation for an emergency event at an aged care residence Key considerations 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 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 recipient 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 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 that they are aware of your facility, its size and location, and the particular needs of the 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 management plans with staff, care recipients and their families. □ Develop a plan for recovering 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 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 management plan. □ Keep staff, family and care recipients well informed during any emergency situation. □ Provide advice to the Department of Social Services (DSS) about the impact of the event on your facility, when it is safe to do so. PO Box 7576 Canberra Business Centre ACT 2610 Email Facsimile Telephone 1300 653 227 National Relay Service: TTY: 133 677, Speak and listen: 1300 555 727, Internet relay: www.relayservice.com.au www.dss.gov.au Following the event □ Assess the impact 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 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 limited to, discussions about ongoing care of care recipients, staff requirements and associated costs. In an emergency DSS will assist approved providers to identify accommodation options for relocating or evacuating care recipients. For example, DSS will help you identify aged care services or other facilities in your area that have the capacity to accommodate care recipients. You need to give particular consideration to transport options for evacuations, recognising that ambulance services may be fully occupied responding to emergency calls, and alternate 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. Contact with the Department of Social Services In the circumstance of your facility being affected by an emergency event, it is expected that you will make contact with DSS, when it is safe to do so, to: provide notification of any internal or external emergency event; provide notification if an evacuation or relocation of care recipients is required in response to an emergency event; or seek assistance with identifying alternative accommodation. In Victoria, New South Wales and South Australia DSS has dedicated Emergency Response numbers: Victoria - 1800 078 709 New South Wales - 1800 852 649 South Australia – 1800 288 475 All other contacts should be directed to the Aged Care Complaints Scheme on 1800 550 552. 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 DSS 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/or ascertain the potential of your facility to provide emergency accommodation to relocating care recipients from at-risk facilities. The Department appreciates your support in responding to this contact, which will be kept to an essential minimum.