Personal Safety for Residential Care Staff

Recognising risk, staying safer, reporting incidents, and supporting safer systems in adult social care

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Lone working, night shifts, and isolated tasks

Small red figure standing alone on pale blue background

HSE defines lone workers as people who work by themselves without close or direct supervision. In care settings, staff may not be the only person in the building but can still be effectively lone working when on a different floor, inside a resident's room, in the laundry, in a garden, in a car park, during a night round, or while escorting someone away from the main team.

Lone working does not automatically make a task unsafe, but it increases the need to assess risk, maintain contact, know how to summon help, and decide when a task should not be done alone.

Lone Workers

Video: 2m 42s · Creator: Health and Safety Executive. YouTube Standard Licence.

This Health and Safety Executive video explains employer responsibilities for lone workers. Employers must assess and manage health and safety risks before lone work begins, covering employees, contractors and self-employed people. Lone workers are more vulnerable because others may not be present to help if something goes wrong.

The video lists examples of lone workers such as delivery drivers, health workers, security and cleaning staff, farmers, shop workers and people working at home. It advises employers to train lone workers to identify hazards, control risks, cope with unusual situations and know when to seek help. Higher-risk situations may require supervision, and employers should review control measures when workers are based at someone else's workplace.

Practical controls include monitoring lone workers, maintaining contact, explaining any monitoring systems, providing clear emergency procedures, and ensuring staff know how to raise an alarm. The video also covers new lone workers, home workers, violence risk, post-incident support, incident reporting, personal safety or violence-prevention training, and recognising stress or isolation caused by poor contact.

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Common lone or isolated moments

  • Night checks: entering bedrooms when residents may be confused, startled, in pain, or asleep.
  • Personal care: intimate care behind closed doors, especially where distress or previous incidents are known.
  • Domestic areas: laundry, sluice, stores, kitchens, waste areas, and plant rooms.
  • Outdoor areas: gardens, smoking areas, entrances, bins, car parks, and poorly lit routes.
  • Opening and closing: staff arriving or leaving alone, locking doors, or dealing with unexpected visitors.
  • One-to-one support: residents who may abscond, become distressed, or need close observation.

Safer lone-working habits

  • Tell someone where you are going: especially for isolated rooms, outdoor areas, or known higher-risk situations.
  • Carry the agreed alarm or communication device: check it works before relying on it.
  • Keep exits available: avoid letting doors close behind you if that could trap you.
  • Do not enter unsafe spaces alone: call for help if you hear shouting, see weapons or broken glass, smell smoke, or feel unsafe.
  • Use agreed check-ins: if a task should take five minutes and you are not back, someone should notice.
  • Escalate staffing concerns: repeated unsafe lone moments may indicate the rota or care plan is unsafe.

Scenario

A night worker is asked to check a resident who has been shouting. The resident has previously thrown objects when frightened. The other night worker is helping with continence care at the far end of the corridor, and the alarm handset has a low battery.

What should the night worker consider before entering?

 

Lone working is safe only when the task, environment, check-in system, alarm route, and escalation plan have all been considered.

Ask Dr. Aiden


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