Slips, Trips, Falls, Ladders and Steps for Residential Care Staff

Preventing everyday floor, stair, access and low-height work injuries in adult social care

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Recognising floor and trip hazards

Elderly man sitting in a bedroom looking out window

Many slip and trip hazards in care homes are ordinary items placed in walking routes. A corridor can become unsafe after a delivery, during laundry collection, after personal care, while cleaning, when equipment is charging, or when staff move quickly between tasks.

Dealing with a hazards | Slips, Trips and Falls | iHASCO

Video: 1m 12s · Creator: iHasco. YouTube Standard Licence.

This iHASCO video shows how staff should respond when they find or create a slip, trip or fall hazard. It presents safety as a shared responsibility and explains the worker's duty to keep colleagues, residents and visitors safe.

The advice is to deal with a hazard if it can be made safe without risk. If a worker created or found the hazard, they are responsible to act at that point, even if it was not their fault.

If the hazard cannot be removed immediately, the worker should make it safer temporarily – for example by using warning signs or asking someone to stand watch – and then report it. Reporting may involve a manager, team leader, maintenance department or caretaker. Hazards should not be left for someone else to notice.

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Common hazards to notice

  • Wet or contaminated floors: water, urine, cleaning residue, food, drink, body fluids, mud, leaves, ice, grease or talcum powder.
  • Temporary obstructions: laundry bags, waste sacks, delivery boxes, hoists, wheelchairs, pressure cushions, activity equipment, cleaning trolleys or medicines trolleys.
  • Trailing items: charger leads, extension cables, vacuum cables, call-bell cables, oxygen tubing and wires from temporary equipment.
  • Floor defects: loose mats, curled carpet edges, damaged flooring, uneven thresholds, unmarked changes in level or loose outdoor paving.
  • Reduced visibility: poor lighting, glare, shadows, dark furniture against dark floors, or poor contrast around steps and doorways.

Trip hazards often blend into routine. A laundry bag by a bedroom door may seem normal because it is part of the job. A temporary cable across a corridor can be ignored because it is only expected to be there briefly. Small uneven edges are often stepped over without thought. These hazards become dangerous when someone is tired, distracted, frail, hurrying, using a walking aid or carrying items.

Scenario

After the morning medicines round, a trolley is left near a corridor bend. A laundry sack is beside it, and a charger cable from a pressure-relieving cushion runs across the edge of the route. Staff are busy and say they will tidy it after breakfast.

Why is this more than ordinary clutter?

 

If a route is used for walking, it should not become casual storage. Temporary hazards still count as hazards.

Ask Dr. Aiden


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