This policy is intended to set out the values, principles and policies underpinning this care service’s approach to aggression and violence towards staff.
This service considers that staff should be safe at work and should not be exposed to undue or unreasonable risk. It believes that staff must be able to work safely, free from the threat of injury or upset through acts of aggression and violence.
Attacks on staff at work are, fortunately, very rare and the agency does all it can to minimise this risk still further and ensure that staff are as safe as possible. However, the agency recognises that such events do unfortunately occur and where even a small risk exists then it understands that it has a duty to ensure that staff are properly trained and supported to deal with such incidents.
This policy should be read in conjunction with all policies and procedures relating to the safe use of restraint and to the safeguarding of service users from abuse. This agency will not tolerate abuse in any shape or form and will carefully monitor all incident reports relating to violence or the use of restraint to ensure that both staff and service users are being appropriately protected.
This policy applies to all staff without exception.
Responding to Violent Situations
In the event of a violent or aggressive incident, staff should adhere to the following procedure.
Where the “attacker” in a violent situation is a service user and the situation requires some form of restraint then action should be taken in line with the physical intervention by staffpolicy.
Reporting and Support
Where the original incident did not involve the police the management must make a decision in each case about whether or not to report the incident to the Care Quality Commission under its notification procedures and/or, where the protection of service users is involved, the local Safeguarding Adults Board. The nature and severity of the incident will be carefully considered along with any criminal intent and assessment of future threat.
The agency’s management will always seek the approval and consent of the member of staff attacked before making any decision about reporting the incident to the police or other authorities. However, it will report the matter without the victim’s consent where it deems this to be the correct action to take in the public interest or to protect other people from possible abuse.
The appropriate manager will review all reports of aggression and violence or potential aggression and violence and look for any trends or patterns or lessons to be learned. This is done with reference to the agency’ssecurity policy and might require a review of security procedures and precautions.
Managers will carefully monitor all incident reports relating to violence or the use of restraint to ensure that both staff and service users are being appropriately protected. Any suspicion of abuse by staff or by others, or any whistleblowing by other staff, will be investigated and acted upon in accordance with the agency’s safeguarding policies.
This policy, and policies on restraint and abuse, should be regularly reviewed. If its policies and procedures are working adequately and are being properly applied the agency would expect violent incidents to be rare and the appropriate use of restraint to be a last resort used only in exceptional circumstances. The agency at all times requires the regular and proactive review of service user care plans to ensure that the most appropriate level of care is being provided and the use of restraint avoided.
All staff are trained to recognise the early warning signs of potential aggression and in responding to panic alarms and pleas for assistance.
Dealing with aggressive or potentially violent service users is included in the induction training for all new staff.
In-house training sessions are conducted at least annually and all relevant staff will attend.
Care staff training includes guidance in the use of physical interventions and restraint in the care of service users.
Managers are trained in the management of violent or emergency situations and in appropriate post-incident follow-up.