Risk Management for Dementia Patient

Company name: SMART CARE Client Name: Mrs Susan Smith Date of risk assessment: 22/2/17

What are the hazards?	Who might be harmed and how?	What are you already doing?	Do you need to do anything else to control this risk?	Action by whom?	Action by when?	Review date
Spillages Leaving objects in the walk ways	The Dementia clients have mobility problems and may be injured if they trip over objects or slip on spillages.	General good housekeeping is carried out. All areas well lit, including stairs. No trailing leads or cables. Staff keeps work areas clear, eg no boxes left in walkways, deliveries stored immediately.	Better housekeeping in staff kitchen Needed, e.g. on spills. Arrange for loose carpet tile on second floor to be repaired /replaced.	All staff, supervisor to monitor Manager	22/2/17	24/7/17
Impaired mobility	Clients with mobility problems need assistance to go to and from treatments, if they don`t get assistance they will be stuck and would not benefit from treatment. Workers that assist clients risk back injuries if they don`t have aids helping them to carry out appropriate lifting and moving the clients. Clients with Dementia and mobility problems can face difficulties in getting in and out from the bed without help and this can make them feel isolated and powerless.	Provide step free access like ramps and lifts. Beds that have remote control assistance which helps clients and workers to ensure safe transfers. Have two staff to lift someone from the bed to avoid back strains. Walking sticks and wheelchairs are provided. All beds have bed rails. Maintenance is carried out every three months to ensure rails are properly fitted.	Magnetic (automatic) doors for easy access. Clean and smooth flooring. Keep hallways clear without obstructions. Hoists for safe and effective handling and movements of clients Grab rails in bathrooms and corridors Non slip carpets and tiles Report any malfunction in the beds straight away and remove that bed from use.	Managers All staff Cleaners Visitors Contractors Maintenance	31/03/2017	30/06/2017
Memory loss and confusion	Clients with Dementia and Parkinson should be kept in safe and familiar environment because if they are in a crowed environment it causes them anxiety, distress and vulnerability. They may wander off and forget how to get back and may be subject to physical and emotional abuse. They may not be able to manage their finance and are subject to financial abuse They may not remember their relatives what means imposters may take advantage of that.	Key workers are provided for a sense of familiarity. Maintain the same routine and avoid unnecessary changes. Doors have safety locks. Reception and corridors have CCTV cameras which is accessible to the receptionist.	Offering outside activities with the key person. Offer assisting aid device in case of emergencies. Use facial and fingerprint recognition system for close relatives. Offer the assistance of a lawyer to help with advice in regards to finance. Keep pictures of the family members to avoid strangers take advantage of them.	All staff Managers Participating organizations	15/03/2017	15/06/2017
Medication	All clients in the care home that are on medication, nurses and doctors. If the wrong medication is prescribed than the client can die. The professionals can lose their rights to practice or be sanctioned. Clients with dementia may forget to take their medication or overdose themselves.	All clients have medical files checked at admission. All medication is given only according to doctor’s recommendation. Control medication is signed by two nurses to avoid mistakes.	Have a doctor available in the care home. Keep medication in a restricted area. Use of automated medication dispensers will help avoid overdose.	Managers Nurses Cares	01/08/2017	01/02/2018
Nutrition	All clients in the care home need to be provided with proper food and drinks. If they do not get the proper nutrition they can become sick or even die of starvation and dehydration.	Provide a variety of food that are health and nutritious three times a day + two snacks. Water is available all the time.	Allow certain clients chose their meal times and arrange for someone to be available to cater for them.	Managers All staff	01/03/2017	01/06/2017
Personal Hygiene	All clients, staff and visitors are affected if personal hygiene is not maintained because diseases can spread and a lot of people can get sick. Clients with dementia may neglect their personal hygiene because of the confusion and memory loss.	Provide cleaning facilities like shower rooms, cleaning products like soap, shampoo and sterilizer gel. Provide PPE equipment for staff like gloves. Change bed linen every day.	Provide better quality cleaning products. Ensure more checks on clients are done trough out the day.	Managers All staff Clients	31/03/2017	01/07/2017
Violence/Aggression	Clients, family and staff could face serious injures if they come in contact with a very aggressive client.	Keep clients that have aggressive behavior separated from the rest of the clients and we offer them treatment and a key person that looks after them. Report and record changes on a daily basis to avoid separation on long term.	Increase level of support, by employing more staff that can help the aggressive clients. Increasing the activities to stimulate changes in their behavior.	All staff Managers Professionals	01/07/2017	01/02/2018
Laundry services	The service user and care staff. If the service user`s beds and clothes are not being changed often enough because of incontinence clients can develop rashes and different kinds of illnesses. Staff can be contaminated with diseases if they do not manipulate the soiled laundry in a proper manner.	Staff is provided with the correct PPE when providing care for the service user. Bedding is changed as soon as they are soiled and washed as soon as possible at a high temperature to avoid contamination. Water proof sheets are placed under the client to prevent linen getting soiled.	Purchase of industrial washing machines would ensure the bedding is washed faster and the cleanliness would be better.	All Staff Clients Managers	31/12/17	01/06/18

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