Safe Caring Practice
Caring Approaches for Working Safely with Unpredictable clients.
We have specialist experience in dealing with risk in the care of older people.
We have been working in the care of older people sector since 2007, helping care homes, nursing homes, home care and community-based teams. Over that time we have developed specific topics for the care of older people within our training which you may find nowhere else in our sector:
Understanding and Preventing Distressed Behaviours of Older People in Care:
- Non-Escalation: how to initiate contact with an older person in care
- Bathing without the Battle: for older people who resist personal hygiene tasks
- Redirection and Deflectors: to deal with verbal abuse and aggression
- Safe Physical Approaches: which reduce the risk of sudden, unanticipated incidents
- Non-physical options: when a distressed older person becomes agitated
- Special Needs Strategies: for communicating when communication is difficult
Safe Approaches for Dealing with Distressed Behaviours:
- The 10-5-2 rule for how to begin any interaction
- Gestures and Barrier Signals and how to use them for safety
- Broadcasting the appropriate body-language signals
- The principles of the Five Safe Positions for interaction in close proximity
- Maintaining a professional, comfortable physical attitude under pressure
Your staff will meet these Safe Caring Learning Outcomes-
- Be Alert & Decisive / Respond, Don’t React – How to maintain awareness and improve safety
- Showtime Mindset – How to develop and maintain your professional emotional equilibrium in difficult situations
- Universal Greeting – How to make the best initial contact, fostering non-escalation that will reduce the need for de-escalation.
- Beyond Active Listening – How to see through eyes of the other person in order to find out how to best manage them
- Redirection – How to manage questions, anger, and abusive language and keep our goals and values in mind
- When Words Alone Fail – When and how to take appropriate action when words alone fail
- Review & Report – How to debrief incidents to improve future performance and explain your response
- “Bathing without the Battle” person-directed bathing ideas to better match our residents’ preferences.
- Understanding life with dementia and the stress-related behaviours which arise when living in care.
When: Over 1 Day on a date scheduled for your convenience
Who: Normally up to 12 care staff are led by one Dynamis Safe Caring trainer
Where: at your venue
How: Our trainers deliver this Safe Caring course using a mix of lecture/presentation, Q&A, physical practice and scenario rehearsal.
Why: ✓ Matched to your needs ✓ Led by Professional Safe Caring Trainers ✓ Legally Audited ✓ Fully Risk-Assessed ✓ Values Dignity and Respect ✓ Safeguards Client rights ✓ Offers Staff Practical Options for Safe Caring ✓ Compliant with Government Regulations about Safe Caring ✓ Value for Your Investment
I hate all aspects of Role Play and hardly slept the night before, worrying about it. Gerard put me at ease and all training was tastefully done. Gerard performed in a friendly professional manner. I found the course informative and hopefully will be able to put some of the techniques into practice. I would certainly recommend it, and think all staff should have the opportunity to do it. I have also ordered the book on Bathing without Battle, which hopefully will take the stress out of these tasks and make it more enjoyable for our residents. My thanks to Gerard for making it an enjoyable and most informative day.
“A great insight through theory and practice which was executed brilliantly. The delivery of the program, the trainer and group leaders were professional, informative, made good sense and the whole course was beneficial to my role. Thank You!”
Course Feedback from attendees on Dynamis training courses for January-December 2016
Were your expectations about the course met?
- Exceeded 52.28%
- Fulfilled 47.45%
Did the trainer observe good Health and Safety practices?
Yes (Y) 98.93%
Were exercises on your training course conducted safely?
Yes (Y) 368 98.66%
How did you rate the Dynamis instructor’s knowledge and competence?
- Excellent 75.87%
- Very Good 21.98%
- Good 2.68%
Were all your questions answered comprehensively by your trainer?
Yes (Y) 98.39%
Was the training delivered using a mix of delivery styles which enabled you to learn effectively?
Yes (Y) 99.46%
Was the course of the right duration for you to gain the skills and knowledge you needed?
- Slightly too long 10.99%
- Just the right duration 72.12%
- Slightly too short 13.40%
Were the techniques and tactics you learned appropriate to the real scenarios you will – or might forseeably – face in your work?
Yes (Y) 95.98%
Were the theory and knowledge components of the course helpful for you professionally?
Yes (Y) 98.93%
Bathing without the Battle
Proxemics for working safely with a seated client who is unpredictable
The risks to staff who work in care homes for older people, whose residents sometimes have difficulty in controlling their behaviour and can become assaultive towards staff, have been highlighted in the news on numerous occasions. Two cases in particular come to light, won by employees who sued for damages because of injuries sustained in their work caring for these vulnerable people in sometimes dangerous circumstances.
1) Concerns ignored about violent resident and safe caring
A grandmother who was forced to quit her career as a care worker after an attack by an aggressive patient, has been awarded a £12,500 out of court payout. The UNISON member, identified as Mrs Hunt, was held in a headlock and punched by an elderly patient, Jack Tooby, in September 2005. The care home knew Mr Tooby had a history of violence, particularly towards women. Concerns had also been raised by staff, but bosses refused to transfer him to a secure home or hospital. Mrs Hunt had worked at Swan House care home, in Winslow, Buckinghamshire since 2002, but had never been given any training in dealing with aggressive patients. The 56-year-old had been alone in the home’s dementia unit, helping a patient go to the toilet, when Mr Tooby attacked her. She managed to reach the emergency alarm to call a colleague, but still suffered a trapped nerve and serious neck and shoulder problems.
2) Trauma prevents return to work after failure in Safe Caring
A care assistant has had to take medical retirement after being attacked by a resident at an old people’s home in Middlesbrough. The UNISON member, who was employed by Redcar and Cleveland Borough Council, has now received over £57,000 compensation after an eight year legal battle. Her job was looking after elderly male residents with difficult backgrounds, including alcoholism and sexual offences. The worker, whose name has not been released, was hit and kicked repeatedly by the man as she tried to attend to him in his room. She was unable to reach an alarm but eventually escaped into the dining room, during which time the attack continued. She suffered bruising and swelling to her legs and shoulder. But the care worker was so traumatised by the attack in 2002, she was unable to return to work and eventually accepted medical retirement.
3) Judge comments on Safe Caring in Dementia Home Assault Case
Detailed Course Arrangements
Training Area: The physical skills training will require an area large enough for the training group to move around in safely! It should have all obstructions and floor furniture removed so that we don’t bump into things – slips trips and falls account for the large proportion of injuries in the workplace. An area 6m x 9m (the dimensions of a squash court) is typically suitable for a group of up to 12 staff if it is completely clear of any hazards. Timing We normally suggest a start time of 0930, finishing at approximately 1600 on each day. Let us know if you need us to start or finish early. Display Equipment We request that you please provide a digital projector or flatscreen TV to assist your trainer to provide our customised presentations to your team. If necessary we can bring a projector – just let us know! Note-Taking and Assessment All staff are *strongly* recommended to bring note-taking materials – a notebook and pen – in order to take the full benefit of this course. All staff may be required to complete a student learning log during the course to facilitate assessment. Medical: All delegates will be required to complete a medical questionnaire prior to commencing the course. All injuries, past and present, must be disclosed, including any medication currently prescribed and / or being taken. Clothing: Delegates are asked to ensure that they bring and wear adequate training kit for the duration of the course including; long tracksuit bottoms, appropriate training shoes, etc. Examples of inappropriate clothing would include: any form of open-toed shoes / sandals, footwear with heels, skirts / dresses, shorts, low-cut tops, etc. Failure to attend training sessions in safe and appropriate clothing or footwear could result in being excluded from the training, due to risk. Jewellery: For personal safety reasons ALL jewellery must be removed prior to any training commencing. Where an item of jewellery cannot be removed (i.e. wedding rings) it may be required to be covered, dependent on its construction and style. Timekeeping: The course is a very intense course and time is of the essence. Therefore, delegates are asked to ensure that they are on time for each session so that others are not waiting unnecessarily and that the course finishing time can be adhered to. Certification: This is a practitioner-level course and attendees will only be certified based on the assessment of the trainer, therefore staff are encouraged to engage fully with the training as an occupational health and safety requirement.