MANCHESTER SPECIFIC INFORMATION
This chapter is adapted from the above HSE guidance.
Moving and handling people, property and equipment is a common feature of daily working practices for many members of staff. Poor moving and handling practice can result in:
Employers must reduce the risk of injury to staff and adults using care services by:
The Manual Handling Operations Regulations 1992 (MHOR) state that staff must avoid manual handling if possible, and if not possible, they must assess risks and having identified the risks they must reduce them to an acceptable level, as far as is reasonably practicable. It also says that they must document and review risk assessments when appropriate
Moving and handling risk assessments help identify hazards and risks where injuries and problems could potentially occur and how to prevent them. The person carrying out the assessments must be trained and competent to identify and address the risks from moving and handling activities.
A moving and handling risk assessment should include:
The assessment should be person centred and involve the adult, their advocate or their family in decisions about how their needs are to be met, utilising a balanced approach to decision making.
Activities that may increase risk may include assisting with:
Stresses and strains arising from adopting awkward or static postures when caring for and treating people should be addressed during the risk assessment.
Risk assessment should be part of a wider needs assessment process to achieve the best outcome. Health and safety issues will then be identified and built into the complete care package.
The assessment should be person-centred and involve the service user where possible, or their family, in decisions about how their needs are to be met. This can reassure the adult about the safety and comfort of any equipment to be provided, and how it will help to ensure their safety and that of the staff who work with them.
The outcomes of the risk assessment and the inclusion of the findings in the adult’s care and support plan (see Care and Support Plans) should be documented in their case records (see Case Recording).
The risk assessment should include information about the adult’s moving and handling needs detailing whether the requirements are during the day, at night, or both specifying:
Some adults may become upset or agitated when being moved, particularly if they do not feel safe or reassured. Others, though willing to assist at the start, may become frightened during the manoeuvre and are unable to continue. These are situations where injury to the adult, staff or both parties may be more likely to arise. Training may prevent injury occurring in such circumstances.
Risk assessments should be reviewed periodically and whenever circumstances change to ensure they remain current. This should also form part of the adult’s care and support plan review (see Review of Care and Support Plans).
There should also be arrangements in place to ensure that moving and handling activities are monitored to ensure that correct procedures, techniques and equipment are being used.