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Risk assessment - procedure

This section sets out the criteria to be considered in a risk assessment. It should be read in conjunction with the pages on Risk management - policy. Employers have a duty to identify risks in the workplace. Risk assessment should be a continuous process and part of the day-to-day running of the project. They will have to carry out a risk assessment on two levels - 1) The project in general and 2) An individual client. In this section we focus on individual client risk assessment.

When to do risk assessment

Staff, consciously or not, are continuously assessing risk as part of the day to day running of the project, when meeting clients at the office, or on visits, and when visiting the home. The risk assessment procedures provides a framework for making this assessment explicit.

The procedures should:

  • clearly set out when the formal client risk assessments should take place
  • when the assessment should be reviewed - regularly as a matter of course and on an ad-hoc basis when the circumstances change - meeting off site, in the home, increased use of substances, improved mood and communication etc, are all factors which affect levels of risk.
  • state if the risk assessment is to be carried out on every client at every stage.

The provider may decide to operate different levels of risk assessment depending on the client and the context of the project. The risk assessment may take place:

  • on referral
  • on acceptance to the programme
  • soon after acceptance (to check the decision of the initial opinions)
  • through out the resettlement process (when circumstances change and as a time fixed review)
  • At different stages of the journey - particularly during preparation for the move
  • After the move
  • on referral to other agency

When a provider accepts a self-referral or an agency referral with little background on the client, gathering information for an initial risk assessment should take place as part of the process of admission to the service. This may involve discussing with the client their accommodation history, and their involvement with, for example, mental health services. Staff will have to exercise great sensitivity and explain carefully why this information is required.

As resettlement workers have several goals, including making the prospective client feel welcome and optimistic about the future while assessing the risk they pose to themselves and to others. Providers should help staff to meet this challenge through adequate training and support as well as clear guidance and procedures. (See Supervision and risk management)

Follow-up on areas of doubt should be undertaken as quickly as possible afterwards. The organisation’s procedures should stipulate how quickly this should take place.

The referral and risk assessment will inform (i.e. form part of the background) the development of the needs assessment and resettlement plan. For example, a client’s referral form may indicate that they left previous accommodation after a violent incident, perpetrated by themselves. The risk assessment will gather more information about this, analyse the extent and severity of the risk and set out a plan as to how to reduce the likelihood of incidents reoccuring, what should staff be aware of as trigger factors? All staff will have to know about this and will play a role in ensuring the plan is carried out and monitored.

A history of domestic violence may also increase a person's risk to themselves, and their coping strategies, mental and physical health should be discussed to the extent that both parties feel comfortable at this stage. If it is not appropriate, the worker may wish to make notes later that this is an area for exploration with the client and that support and therapies exist.

Professional Development

Risk assessment and recording is an area of professional development and staff should seek to continually develop their skills in this area, supported through supervision and training.

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Stages of Risk Assessment

The main stages in risk assessment are:

  • gather information
  • assess information
  • identify risks and level of risk
  • action planning to minimise risks
  • recording decisions
  • communicate decisions
  • implementation of action plan
  • review
  • evaluation.

It is good practice for the risk assessment to be written up using a pro forma (see example in appendices REF p) The pro forma should include:

  • name of client
  • name of member of staff undertaking the assessment
  • dates of initial assessment and of subsequent reviews of assessment
  • who will be responsible for updating the assessment?
  • line manager review of assessment
  • who else was involved in the risk assessment?
  • what risk areas were considered?
  • assessment of risk, including likelihood.
  • action plan
  • risks remaining
  • communication
  • review and evaluation.

Client involvement and access

There are some difficult ethical and practical dilemmas facing providers in relation to involving clients in risk assessment. Some providers have a policy that allows for flexibility and some discretion depending on the individual. Some of the reported difficulties include:

  • clients overplaying incidents to intimidate staff
  • client underplaying risks through fear of exclusion
  • increased risk if the client knows they are ‘under observation’
  • problem of getting accurate information from other projects
  • an individual’s reputation can give an inaccurate or out-of-date picture.

Normally and whenever safe, staff should carry out the risk assessment with the client’s involvement, explaining carefully the reasons for the procedure. Accurate recording of information is crucial. Clients have a right under the Data Protection Act to see information recorded about them and correct any erroneous information about them, including in risk assessments (Client’s Records_ REF p71).

If providers allow discretion around access to risk assessment information, guidelines should set out when staff are authorised to do this. In this situation risk assessment information should be kept in a secure place and removed from files if the client requests access. Providers should ensure that their action is defensible under the provisions of the Data Protection Act.

If staff have such strong concerns about revealing the risk assessment to a particular client, this would be an indicator that perhaps the project is not able to manage the risk that that client poses. This should lead to consideration about what steps might be taken to address this.

“There should be no ethical objection to recording factual information about the need for particular precautions in patient records, care plans and other information systems.”
(Violence and Aggression to staff in health services, HSC)

Clients will themselves provide valuable information for risk assessment and, generally, should be gently probed about the information provided by others. With sensitive interviewing, a client may offer their own insight, for example, on situations in which they have become violent in the past and even suggest how staff might respond to defuse such a situation. Of course, prospective clients may play down previous incidents and careful probing and follow-up of clues is essential. However, getting issues out in the open with the client – also helps staff with fear and concerns.

Involving clients and allowing access to risk assessment pro formas will demand that staff are very careful about how they record information. It should not lead to information not being recorded but working and clarifying opinion and fact will be crucial. Great care will be needed in recording input from third parties. (See `Client’s Records`_ )

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Other sources of information

The risk management policy should include guidelines on sources of information upon which they will base their risk assessment. Flexibility and creativity is important, and staff should be expected and empowered to investigate further when there are gaps in information.

Effective liaison and partnership working with other agencies (mental health services, probation services etc) helps to ensure that information is not withheld regarding clients who are known to those services. Inter-agency information sharing was one of the areas highlighted in the Newby Report as needing special consideration (Davies, Lingham, Prior and Sims, 1995). For clients already plugged into external services, the risk assessment may discuessed at the regular multi-agency care planning meeting.

Referring agencies can often provide critical information for risk assessment purposes and may have carried out a risk assessment. Where staff feel an agency withholds risk information during referrals, management level liaison may be necessary.

“It is worth reminding some referral agencies that we want to identify risk, not for the purposes of saying "no" but to see how best we can manage it.” Hostel Manager, Manchester

Finally, where no other information is available, the only source of information for risk assessment may be observation. Providers should help staff in developing their skills in observation and recording observation through training and support.

Risk areas

The risk assessment pro forma may be divided into “risk areas”, or provide a checklist reminder of the main groupings of risk. Risk areas are only a guide and staff need to be able to look beyond these where appropriate.

Under each risk area the relevant evidence that a risk exists should be recorded along with the source of that evidence. Wherever possible, it should include details of what, how, when, why, to whom, where, and any outcomes or consequences of the incident. The information should be assessed both for its reliability and for gaps in knowledge. It will sometimes be necessary to get an expert opinion from, for example, the local mental health team or GP.

Any factors affecting the risk should be recorded, along with any known "triggers" (events that might lead to incidents), factors that increase the likelihood of the risk and those that decrease the likelihood of the risk.

The assessment should consider the factors that might have an impact on the likelihood of an incident arising from the risk, such as:

For all these areas see the section on specific risks

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Risk to whom?

The assessment should consider who is at risk.

Risk to the client:

  • self-harming
  • accident, e.g. falling
  • drug overdose
  • bullying or exploitation from others
  • reaction from others to their difficult behaviour
  • risk of eviction

Risk to other clients:

  • violence
  • harassment

Risk to staff:

  • consider if risk may be to particular staff e.g. through racism/gender
  • is the risk of violence or threat increased when meeting in the office/off-site/in pairs?

Risk to fabric of project:

  • arson
  • other damage

Risk to the home when resettled:

  • arson
  • other damage

Risks to themselves when resettled

  • self harm, increased mental health/substance use issues
  • risk of neglect, health and safety issues in the new home

Risk to public standing of organisation

  • Behaviour of tenants when rehoused

Risk to general public

  • especially risk to children.

Risk to visitors or guests

  • client’s guests
  • official visitors
  • on-site agency staff.

To other agency or service

  • consider protocols on sharing risk assessment information (See REF p135).

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Level of risk

Some providers assess the level of risk using a points system to identify in a systematic way whether the risk is high, medium or low. Others prefer to keep the assessment qualitative. Either way, the assessment should consider both the severity and the likelihood of incident arising from the risk. The more recent an incident of harm or the more frequent, the more likely is the risk of another incident.

“Experienced staff can sense when something is building up – need to have a way this is recognised” Hostel worker, Newcastle

In assessing the level of risk staff should consider:

  • is it serious?
  • is it specific or general?
  • is it immediate?
  • is it stable or volatile?
  • identify factors that reduce / increase risk
  • is use of legal powers appropriate?
  • what level of support is appropriate?
  • clients own assessment of how they feel the level of their risk is.

If the risk is considered to be serious and imminent, review of the situation may be necessary during shifts and at each shift hand-over, until the status of the risk is reduced.

Information that might help assess the severity of the risk might include, for example, previous need to include the police in incidents.

Action planning

The next stage is to establish a plan on how to minimise the identified risks. The plan should be written and should set out what action will be taken, by whom, when and how the outcomes will be monitored and evaluated.

“Every identified risk should be matched with corresponding action to lessen or manage that risk.” Thames Reach

If there are no immediate ideas on dealing with the risk, the person carrying out the assessment should seek assistance from the team, manager or an appropriate outside agency.

The action plan should:

  • set specific, measurable, achievable objectives within realistic time scales
  • prioritise action to reduce the imminent and serious risks
  • identify tasks to be carried out immediately as well as over the medium and long term
  • identify who will carry out the tasks
  • specify if and how external agencies will be involved
  • include names and contact details of relevant contacts.

For example, if the client is a schedule 1 sex offender, the plan will need to include contact details of their probation officer, relevant police contact and child protection teams. These contacts should be aware of the assessed risks and should be involved in creating plans to reduce the likelihood of incidents.

“This is a plan on how staff would work with that assessed risk, monitor and evaluate change, intervene or summon additional interventions, recognise significant changes to the level of risk and contingency actions if things deteriorate beyond a manageable level” Rogers (1998)

Where the risk involves issues around anger management and aggression, the response might be through the keyworker challenging behaviour patterns and supporting the client in finding alternative ways of expressing and dealing with their emotions.

The action plan might involve:

  • gathering further information
  • observation and recording
  • discussion at each hand-over and team meetings until risk reduced
  • support through keyworking
  • contracts with the client to address specific issues
  • changing working patterns
  • involving other agencies – e.g. self-harm counsellor
  • referral to other organisation
  • putting a “who to contact in case of incident” list on file
  • warnings
  • exclusion / eviction.
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Resources to meet risks

An integral part of the risk planning process is the question:

  • can we bring sufficient resources together to reduce the risk to an acceptable level?

Changes may be possible in terms of:

  • working in pairs on visits
  • placing additional staff on shift
  • deployment of locum staff
  • increasing skills in the team

If there are patterns in risks, such as increase in aggressive behaviour through binge drinking on giro day, visits or meetings should not be arranged for this day.

In the medium term, a project may adjust its admissions criteria to ensure that there is a manageable mix of clients, so that staff can cope with those presenting higher risks more effectively.

The need for longer term changes may be identified through risk assessment, such as alterations to the physical environment, such as where interviews and meetings take place, and individuals personal safety on offsite and home visits.

If resources cannot be found to reduce the risk to an acceptable level, then the client may need to be excluded and referred to another agency.

“Managers who set staffing levels need to ensure that there are always enough suitably trained staff to cope with any foreseeable violence or incident” Health & Safety Executive Report

Physical environment

The physical environment can have a significant impact on ability to observe and respond to risks. When planning new projects or redesigning existing ones, providers should take into consideration design elements that can have a positive impact on risk including:

  • control over access to different areas
  • emergency retreat routes
  • panic alarm systems
  • 2-way radios
  • lighting
  • security glass in windows
  • noise
  • quiet areas
  • private office space
  • design of open areas e.g. reception
  • secure place of client’s belongings.

The English Churches Housing Association Vaughan House hostel in Guildford, which has won the ‘hostel of the year’ award, uses aromatherapy burners within light fittings. The lavender scent creates a calm atmosphere.

The Health and Safety Commission’s recommendations for health service premises could also be considered for emergency accommodation:

  • staff being able to see what is going on while ensuring privacy
  • enough space including space outdoors, help calm clients and reduce feelings of imprisonment
  • appropriate facilities for therapeutic activities
  • supervision and control of entrances and exits that have to remain unlocked
  • secure storage for potentially dangerous items such as kitchen equipment
  • need to reach and use staff facilities eg toilets
  • equipment eg radios, phones, alarm systems, CCTV, etc
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Remaining risk

It is unlikely that the risk can be eliminated completely. Staff should assess the likely risks remaining given the action plan and deployment of resources. The planning stage should be repeated until staff consider that the remaining risks are judged to be acceptable.

Communication

The results of the risk assessment and the subsequent plan must be properly communicated to all staff in the project and, where appropriate, to others outside the project. The limits of confidentiality in relation to risk management must be clearly set out in the organisation’s policy and procedures and understood by all staff

The risk assessment pro forma should indicate what information is to be communicated to whom, by whom and how. Special consideration must be given to ensure the risk assessment is communicated to staff returning from holiday, locum staff and staff from other agencies that may be working with the client.

The risk assessment plan may be communicated through discussing a particular client in hand-over meetings, team meetings or multi-agency case conferences.

Review

The risk management procedure should include guidelines on reviewing each risk assessment setting out:

  • when the reviews should take place
  • who is responsible.

The guidelines need to allow for some flexibility and judgement. Where there is a high or imminent risk, reviews may be carried out frequently. On the other hand, where no particular risk is identified, a review may only be necessary where a change in circumstances is observed.

The Management of Health and Safety at Work regulations require risk assessments to be reviewed:

  • when they may no longer be valid
  • when circumstances change significantly
  • when changes are planned.

Monitoring and evaluating

Providers should undertake regular evaluation of their risk management policy and procedures.

Two types of monitoring are relevant:

  • Active monitoring – checking systems are working without waiting for something to go wrong.
  • Reactive monitoring – after an incident, learning from what happened.

Evaluation should include:

  • reviewing a sample of risk assessment pro formas
  • interviews with staff and clients
  • examining records of incidents.

Due to the corporate responsibility to ensure safety, management committees should be involved in the evaluation.

Providers might like to use benchmarking exercises or external consultation to assist in the evaluation. Setting specific targets around reducing risk may help in subsequent evaluation of the effectiveness of the procedures. Avoid creating targets that reduce the likelihood of incidents being reported.

The Health & Safety Executive guidelines (1997) say that monitoring and evaluations should look at:

  • compliance with the risk management policy
  • achievement of objectives set out in plans
  • levels of staffing required
  • training of staff
  • analysis of records
  • whether accommodation design is appropriate
  • maintenance and performance of security systems
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Good Practice Checklist

  • Risk management policy and procedures in place
  • Staff trained in risk assessment
  • Client risk assessment consistently applied
  • Range of sources of information used
  • Plan to address each identified risk
  • Risk assessments reviewed according to procedure
  • Risk management policy, procedure and practice monitored and evaluated
  • Management committee agrees policy and reviews evaluations

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Created by beth.coyne
Last modified 2007-05-01 05:11 PM

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