risk management plan website/about... · produced by aged and community services assoc of nsw &...

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Produced by Aged and Community Services Assoc of NSW & ACT : Nov 2012 Page 1 of 22 RISK MANAGEMENT PLAN FOR AGED AND COMMUNITY CARE Aged and Community Services of NSW and ACT (ACS) have identified a need to support members in strengthening risk management in the Aged and Community Care sector. In response, ACS Consultancy offer services to members in developing and implementing risk management policies and processes. The attached tool is a sample template that is used during consultation with an organisation to create an organisational risk management plan. Gow-Gates also offer an obligation free insurance program audit and gap analysis to all ACS members. Whilst risk management is recognised as an essential component of good corporate governance, a number of recent changes in the industry have highlighted the need to ensure risk management is part of an organisation’s culture, its philosophy, practices and business processes. These include: The introduction of the Community Care Common Standards and expected outcome 1.6 Risk Management Australian Charities and Not for Profits Commission requirement for a risk management plan (planned implementation July 2014) Increasing focus on disaster management and emergency response A requirement for overnight respite services (NRCP) to develop and implement a risk management plan Risk management may be defined as the process of identifying, assessing and judging risks, assigning ownership, taking actions to mitigate or anticipate them, and monitoring and reviewing progress. The Australian Standard defines risk as the chance of something happening that will have an impact on [an organisation’s] objectives. It is measured in terms of consequences [the outcome] and likelihood [the rate of occurrence] and if the risk will have a positive or negative impact. A risk rating scale is used to identify risk management priorities. Likelihood The likelihood is related to the potential for risk events to arise. Rating Likelihood A Almost certain: will probably occur, could occur several times per year B Likely: high probability, likely to arise once per year C Possible: reasonable likelihood that it may arise over a five-year period D Unlikely: plausible, could occur over a five to ten year period E Rare: very unlikely but not impossible, unlikely over a ten year period

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Page 1: RISK MANAGEMENT PLAN Website/About... · Produced by Aged and Community Services Assoc of NSW & ACT : Nov 2012 Page 1 of 22 RISK MANAGEMENT PLAN FOR AGED AND COMMUNITY CARE Aged and

Produced by Aged and Community Services Assoc of NSW & ACT : Nov 2012 Page 1 of 22

RISK MANAGEMENT PLAN FOR

AGED AND COMMUNITY CARE Aged and Community Services of NSW and ACT (ACS) have identified a need to support members in

strengthening risk management in the Aged and Community Care sector. In response, ACS

Consultancy offer services to members in developing and implementing risk management policies

and processes. The attached tool is a sample template that is used during consultation with an

organisation to create an organisational risk management plan. Gow-Gates also offer an obligation

free insurance program audit and gap analysis to all ACS members.

Whilst risk management is recognised as an essential component of good corporate governance, a

number of recent changes in the industry have highlighted the need to ensure risk management is

part of an organisation’s culture, its philosophy, practices and business processes. These include:

The introduction of the Community Care Common Standards and expected outcome 1.6 Risk

Management

Australian Charities and Not for Profits Commission requirement for a risk management plan

(planned implementation July 2014)

Increasing focus on disaster management and emergency response

A requirement for overnight respite services (NRCP) to develop and implement a risk

management plan

Risk management may be defined as the process of identifying, assessing and judging risks, assigning

ownership, taking actions to mitigate or anticipate them, and monitoring and reviewing progress.

The Australian Standard defines risk as the chance of something happening that will have an impact

on [an organisation’s] objectives. It is measured in terms of consequences [the outcome] and

likelihood [the rate of occurrence] and if the risk will have a positive or negative impact. A risk rating

scale is used to identify risk management priorities.

Likelihood

The likelihood is related to the potential for risk events to arise.

Rating Likelihood A Almost certain: will probably occur, could occur several times per year B Likely: high probability, likely to arise once per year C Possible: reasonable likelihood that it may arise over a five-year period D Unlikely: plausible, could occur over a five to ten year period E Rare: very unlikely but not impossible, unlikely over a ten year period

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Consequence

The consequence rating is based on the impact or degree of loss or damage.

Rating Potential impact 1 Catastrophic: most objectives may not be achieved, or several severely

affected 2 Major: most objectives threatened or one severely affected 3 Moderate: some objectives affected, considerable effort to rectify 4 Minor: easily remedied, with some effort the objectives can be achieved 5 Negligible: very small impact, rectified by normal processes

Risk priority

The risk priority scale determines the nature of the risk and the action required.

IMPACT A B C D E 1 Extreme

(1) Extreme (1)

Major (2)

Major (2)

Medium (3)

2 Extreme (1)

Extreme (1)

Major (2)

Medium (3)

Minor (4)

3 Extreme (1)

Major (2)

Major (2)

Medium (3)

Minor (4)

4 Major (2)

Major (2)

Medium (3)

Minor (4)

Minor (4)

5 Medium (3)

Medium (3)

Minor (4)

Minor (4)

Minor (4)

Key

1 Extreme risks that are likely to arise and have potentially serious consequences requiring urgent attention

2 Major risks that are likely to arise and have potentially serious consequences requiring urgent attention or investigation

3 Medium risks that are likely to arise or have serious consequences requiring attention

4 Minor risks and low consequences that may be managed by routine procedures (Reference: NSW Department of Ageing, Disability and Home Care. It’s Your Business Chapter 6: Risk Management and Australian Standard

AS/NZS 4360:2004 Risk Management)

For further information or support in developing a risk management plan please contact

ACS Consultancy, on 02 8754 0400 or for further information for an obligation free insurance

program audit contact Gow-Gates on 02 82679934.

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Risk Management Plan

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RISK MANAGEMENT PLAN FOR AGED AND COMMUNITY CARE

Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

ORGANISATION RISKS

Financial: Failure of financial performance

Failure to meet budget

Organisation not financially sustainability

Poor management of revenue & expenses and budget process

Failure to remain solvent

Inaccurate ACFI claiming

Budget process

Financial reporting

Monitoring financial performance monthly by Board / Senior Management

Review actuals vs budget, discussion of variances and strategies to meet shortfalls

Strategic Plan

Training

Insurance

Financial: Loss of income from investments

Volatility in investment markets

Conservative investment strategy

Liquidity management strategy

Financial: Theft, Fraud, Embezzlement of funds

Financial security at risk

Board and management reports

Annual external audit of funds

Recruitment process including mandatory police checks

Financial delegation and approval process

Policies and procedures, Code of Conduct

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Insurance

Financial: Poor cash flow management

Poor budget / management of cash flow

Inability to pay debts on time

Poor credit rating

Inability to pay salary & entitlements

Monthly monitoring of cash flow

Management approval of payment of creditors

Liquidity management strategy

Insurance

Financial: Loss of business / Competition

Lower occupancy, decreased referrals, decreased waiting list, unfilled packages.

Poor community reputation

Quality Management System

Evaluate effectiveness of programs / responsiveness

Strategic Plan

Community needs analysis and Service Planning

Marketing

Interagency networks

Financial: Failure to grow services / change in market conditions

Impact on financial sustainability

Inability to respond to community need

Strategic Plan

Board and Management monitoring of Strategic Plan

Community needs analysis and Service Planning

Interagency networks

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Legal & Regulatory Compliance: Prudential arrangements

Non Compliance with Prudential Arrangements

Potential cost implications

Department of Health action

Impact on reputation

Board Governance

Board training

Policies and procedures

Bond register

Board reports

Board compliance register

Risk Management

Insurance

Legal & Regulatory Compliance: Standards

Non Compliance with Community Care Common Standards / Aged Care Accreditation Standards.

Breach of Aged Care Act

Department of Health Action

Potential cost implications

Impact on reputation

Board compliance register

Access to Accreditation Standards, Community Care Common Standards, guidelines.

Policies and Procedures

Residential and Community Care self assessment

Audit Program

Management training

Insurance

Legal & Regulatory Compliance

Non compliance with Aged Care Act / Retirement Villages Act / Other

Access to legislation, funding agreements, contracts, program guidelines

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Legislation

Breach in Act / legislation

Policies and Procedures

Communication through committee structure

Member ACS / ANSTAT

Board compliance register

Audit program

Board, Management & Staff training

Insurance

Legal & Regulatory Compliance: Inability to provide a safe work environment

Injury or harm to staff, volunteers, contractors, visitors.

Policies and Procedures

Management and staff training

Induction program

WHS inspections to identify and manage risks / Annual Safety Inspections

Hazard management system to identify and manage risks

Security systems

Smoke free environment: documented policies and procedures

Purchase of appropriate equipment and equipment maintenance

Insurance

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Legal & Regulatory Compliance: Industrial relations issues

Industrial disputes interrupt / delay work force

Access to ACS industrial relations team for advice

Human resource policies and procedures

Induction program

Maintain supportive work environment to maintain staff morale

Insurance

Legal & Regulatory Compliance: inadequate or inappropriate insurance

Inability to pay compensation

Adequate insurance

Regular insurance review

Governance: Board Dysfunction

Board dysfunction or lack of systems / knowledge to Govern organisation impacting on all aspects of business

Constitution includes Governance Framework

Governance policies and procedures

Board training

Defined KPIs and Board reporting

Insurance

Information Technology:

Network problems/ All computers are linked to the

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

IT Malfunction

failures

Inability to access systems, loss of data or privacy breach

main server and backed up daily

Professional IT support services

Regular and planned IT hardware and software upgrade

Security systems in place

Insurance

Disaster Management: Fire, Flood, Natural disaster

Natural disaster resulting in destruction of building and equipment

Comply with building code: issued with Building certificate.

Insurance

Fire detection system

Fire safety equipment in place and inspected every 6 mths or as required.

Sprinkler system

Preventative maintenance program

Emergency response plan

Cleaning procedures and external environmental cleaning reduces risk of fire.

WHS inspections to identify environmental hazards.

Insurance

Significant grievance or

Significant disputes leading to high level

Grievance and complaints policy and procedure

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

disputes of dissatisfaction, impact on staff morale, impact on organisation reputation and costs

Access to external complaints process

Staff and Management training in Complaint Management

Engage key stakeholder input and feedback through committee structure, surveys and open door policy

Insurance

Management over commitment

Management over commit time and resources to individual process to the detriment of other processes

Defined accountability of Senior Management Team to monitor performance across entire organisation

Define key performance indicators monitored for key areas: Quality, workforce, financial, client.

Communication processes

Reporting processes

Workforce Risks

Staff skills Staff do not have the knowledge and/ or skills to provide for individual care recipient care needs

Recruitment procedures in place

Position descriptions define accountabilities, roles and responsibilities

All Care Staff have Cert III or

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

higher and appropriate experience.

Defined training requirements

Orientation & training program in place

Allied Health / Registered Nurse registration

Client assessment, care planning and evaluation process

Care recipient assessment and care plan process identify specific care needs requiring specific knowledge and skill – link to training program.

Access to Registered Nurse for clinical assessment and staff training

Referral process

Brokerage agreement

Insurance

Inadequate staff levels

Inadequate staff to fill the roster.

Staffing levels not adequate to meet care recipient care needs.

Recruitment procedures in place

Roster management process in place

Adequate staff pool to cover leave

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Access to Agency / Brokerage services

Care recipient assessment, monitor care needs and adjust staffing in line with care recipient acuity

Monitoring of care indicators to ensure adequate staffing eg Client, care recipient, staff feedback, incidents, clinical indicators, complaints.

Inability to recruit staff / High staff turnover

Inability to provide adequate staffing

Increased workload for existing staff

Staff burnout

Loss of productivity

Absenteeism

Flexible and supportive work environment to encourage staff to remain

Codes of behaviour / conduct

Career development opportunities

Recruitment procedures

Community public relations

Insurance

Fire / Emergency

Numerous causes of house/ facility fires.

Injury or death as a result of fire.

Emergency response policy & procedure

Emergency response and fire safety training for staff

Evacuation drills

Adequate staff levels in event of

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

an emergency, including on call roster

Smoke free environment: documented policies and procedures

Insurance

Transport Motor vehicle accidents including injury or harm to care recipient or staff

Vehicle damage

All staff require current NSW / ACT Drivers Licence

Register maintained with staff drivers license

Motor vehicle insurance

Purchase of appropriate vehicles in accordance with care recipient care needs eg. Wheelchair locks

Regular service of vehicles

Hazardous Chemicals

Spills, consumption by clients

Staff, visitor, client injury

Current Material Data Sheets (MDS)

Secured storage

Staff training

Chemical spill kit

Approved list of chemicals for use in Community Care

Insurance

Staff Injury Work related WHS policies & procedures

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

injuries Care recipient assessment and care plan including behaviour management

Staff pre-employment medical assessment

Employment checklist includes immunization status

Staff wellness program

Staff immunization program

Safe Work Method statements

WHS, IC & MH training

Injury Register

Worker Compensation Insurance

Incident management system

Hazard management system

WHS inspection to identify hazards

Home safety inspection

Pets in clients home

Staff injury from pets

Policies and procedures

Home safety inspection identifies risk associated with client pets

Staff working alone

Staff on own at night, risk of security breaches

Policy and procedure

Emergency procedures

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Community staff travelling on own to remote areas

Staff entering clients home on own risk of personal injury associated with aggression

Staff working alone have access to portable phone / mobile phone if required to ring in an emergency

Personal security alarm if appropriate

Regular vehicle service

Home safety inspection

Client assessment identifies at risk behaviours

SERVICE USER RISKS

Care recipient care needs not met

Care not delivered in accordance with care recipient needs leading to neglect, harm or illness

Policies and procedures for assessment and care planning

Assessment and care planning tools in place

Staff training in assessment and care plan process

Care review process

Access to Registered Nurse for clinical support

Case conference

Staff have knowledge and skill to provide the care

Training & competency program

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Access to external services

Referral process

Monitoring of care indicators

Audit program

Clinical governance procedures

Insurance

Increasing complex care needs

Service not able to meet increasing care needs

Security of tenure policy and procedure

Entry / exit criteria

Care recipient

Assessment, care planning process and evaluation of care delivery

Case conference process

Policies and procedures for complex care needs

Staff training and competency program

Access to Registered Nurse, Allied Health and Other Specialist eg DBMAS / Palliative Care

Audit program covers complex health care needs

Monitoring of clinical indicators eg. Wounds, pressure areas,

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

unmanageable pain, unintentional weight loss, S8 medication management, restraint, behaviours of concern.

Referral / transitional process

Abandonment of the client

Family/carer refuse to return to collect the care recipient at end of respite period

Referral and assessment processes

Majority of carers and care recipients known to service

Emergency contact details

Elder Abuse Residents / Clients physically, emotionally, socially or sexually abused

Policies and procedures

Assessment and ongoing care recipient monitoring

All staff / volunteers with unsupervised access have current criminal record check

Incident reporting system

Mandatory reporting register (Residential)

Staff orientation and training program

Employee and Care Recipient manuals

Insurance

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Falls

Client / resident falls, stumble, trips in facility or at home. Risk of injury.

Client / resident does not use appropriate equipment when mobile.

Policy and procedure including falls prevention & management

Falls risk assessment on all care recipients on admission, annually or if significant change in care needs

Care recipient care plan includes falls prevention and management

Clients supervised when mobile and on slippery or uneven surfaces where required

Adequate staff levels to manage falls risk

Hazard system in place to identify environmental fall hazards

WHS inspections to identify environmental hazards

Care recipients / carers provided with falls prevention information

Home safety checklist completed and explained to community care clients

Falls/near misses reported by staff so that additional

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

preventive measures are put in the care plan for specific service users

Falls monitoring as a care indicator

Insurance

Care recipients with aggressive or wandering/ absconding behaviours

Staff or others injury or harm

Care recipient can wander / abscond from facility placing themselves in danger

Emergency procedures include aggression

Behaviour management policy and procedures

Missing persons policy and procedure (Residential)

Identification bands for people know to wander / abscond

Eligibility criteria appropriate for service

Assessment and care plan process with development of behaviour management plan if indicated

Access to expertise eg. Psychogeriatrician, DBMAS

Access to behaviour management resources

Referral process

Staff training

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

Incident management system, monitors trends in behaviours

Care recipient file audits to ensure assessments and care plans reflect care recipient needs

Insurance

Unsafe / incorrect administration of medication

Incorrect medication provided/given leading to side effects, illness, death.

Medication policy and procedure

Access to Best Practice resources for medication in Residential Aged Care and Community Care

Prescription medications are only administered to individuals from clearly marked dose administration aids prepared by the Pharmacist

Access to Registered Nurse for the administration of Schedule 8 medications

Access to Endorsed Enrolled Nurse for administration of Schedule 4 medication, enema, suppository, Intramuscular.

Safe storage of medications

Staff supported to attain unit of

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

competency Physically Assist With Medication Administration

Ongoing staff training & annual internal competency assessment

Medication incidents reported, monitored and actioned.

Insurance

Food Borne Illness

Food safety program not complied with

Spoilt food prepared for consumption, hygiene practices not adhered to.

Care recipient allergic reaction if served allergenic foods.

Food borne illness may result in illness or death.

Food safety program

Food safety policy & procedure

Access to food safety resources

Assessment and care plan process to identify allergies to food

Staff training

Audit program

NSW Food Authority Licence where required

NSW Food Authority audit / ACT Health inspections where required

Insurance

Transmission of infection

Transmission of Infection/s leading to illness of staff,

Infection control policies and procedures in place

Infection control resources

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

care recipients, others through poor infection control practices

available

Outbreak management packs (Flu & Gastro) available

Access to personal protective equipment

Access to hand washing / sanitiser

Sharps disposal containers

Care recipient assessment

Infection surveillance monitored and analysed

Staff orientation and training program

Audit program includes infection control audits

Insurance

Fire Numerous causes of house fires

Injury or death as a result of fire

Property damage as a result of fire

As per organisational / workforce risks

Evacuation kit

Smoke alarms mandatory in all client homes

Staff training

Insurance

Natural Disaster or

Not prepared, lack of procedure

Policies and procedures including emergency response

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Date Identified

Identified Risks

Impact/ What can go Wrong?

LIKELIHOOD A=Almost Certain B = Likely C = Possible D = Unlikely E = Rare

CONSEQUENCE 1= Negligible 2= Minor 3= Moderate 4= Major 5=Catastrophic

RISK RATING 1 = Minor 2 = Medium 3 =Major 4 = Extreme

Current Controls to Reduce, Mitigate or Transfer Risk

Residual Risk

Comment on Risk / Required Controls

Person Responsible

threat of natural disaster

Extreme weather Conditions

resulting in staff, client or resident injury.

Isolation, limited access to service

Limited access to community clients to provide service

Inadequate insurance

and Care for client in extreme weather conditions: Heat wave

Emergency Response Plan

Air conditioning, curtains etc (increase fluids), cold climate.

Links to Emergency Services, SES, Fire Brigade (alert system re; fire), Ambulance,

Access to emergency medical services and hospital services.

Access to police via phone or other system.

Care recipient individual emergency plan

Insurance