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{{org_field_name}}

Registration Number: {{org_field_registration_no}}

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Oxygen Storage, Use, and Safety Policy

1. Purpose

This policy outlines the safe storage, handling, and use of medical oxygen within {{org_field_name}}. The purpose is to ensure that all staff members understand their responsibilities in managing oxygen safely while maintaining compliance with CQC Regulation 12: Safe Care and Treatment and Health and Safety Executive (HSE) regulations. It also aims to reduce risks associated with oxygen use, such as fire hazards, improper handling, and potential health risks to staff and the people we support.

2. Scope

This policy applies to:

• All staff involved in the storage, handling, or administration of oxygen.
• Healthcare professionals and care staff responsible for supporting people using oxygen therapy.
• Maintenance staff managing oxygen storage facilities.
• Visitors and external contractors present in areas where oxygen is used or stored.

3. Related Policies

This policy should be read alongside:

• CH11 – Safe Care and Treatment Policy
• CH16 – Health and Safety at Work Policy
• CH17 – Infection Prevention and Control Policy
• CH20 – Fire Safety and Evacuation Procedures
• CH42 – Communication and Engagement with Service Users and Families Policy

4. Safe Storage of Oxygen

Proper oxygen storage is essential for ensuring safety and regulatory compliance. {{org_field_name}} follows these measures:

• Dedicated Oxygen Storage Area: Oxygen cylinders must be stored in a well-ventilated, dry, and secure location, away from flammable materials.
• Signage and Labeling: Storage areas must have clear signage, including “Oxygen in Use” and “No Smoking” warnings.
• Temperature Control: Oxygen must be stored at recommended temperatures to prevent pressure buildup.
• Secure Positioning: Cylinders must be stored upright and secured with appropriate restraints to prevent tipping.
• Separation from Flammable Materials: Oxygen must be kept at least three metres away from combustible substances.
• Monitoring and Maintenance: Regular checks will be conducted to ensure cylinders are not leaking, damaged, or expired.

5. Safe Handling and Use of Oxygen

To prevent accidents and ensure safe oxygen use:

• Training: All relevant staff must complete oxygen safety training upon induction and annually thereafter.
• Handling Precautions: Cylinders must be moved with approved transport trolleys to prevent injury or leaks.
• Checking Flow Rates: Before use, staff must verify that the correct oxygen flow rate is set for the person receiving therapy.
• Avoiding Oil-Based Products: Staff must ensure that petroleum-based products (e.g., Vaseline, creams, lotions) are not used near oxygen, as they are flammable.
• Personal Protective Equipment (PPE): Staff handling oxygen must wear appropriate gloves and protective gear if required.
• Positioning: Oxygen delivery devices must be positioned away from open flames, radiators, or direct heat sources.
• Ventilation: Areas where oxygen is used should be well-ventilated to prevent oxygen buildup, which increases fire risks.

6. Fire Safety and Emergency Procedures

Given the fire risks associated with oxygen use, the following precautions are in place:

• No Smoking Policy: Smoking is strictly prohibited in all areas where oxygen is stored or used.
• Fire Extinguishers: Fire extinguishers suitable for oxygen-related fires must be available in all storage and usage areas.
• Evacuation Plans: Emergency evacuation procedures must include specific steps for people using oxygen therapy.
• Immediate Leak Response: Any suspected leaks must be reported immediately, and affected areas must be ventilated.
• Regular Fire Drills: Staff will participate in quarterly fire safety drills to reinforce response procedures.
• Fire Risk Assessments: Oxygen storage areas will be included in all fire risk assessments conducted at {{org_field_name}}.

7. Maintenance and Equipment Checks

Regular maintenance ensures that oxygen equipment remains safe for use:

• Daily Visual Inspections: Staff must check oxygen cylinders, tubing, and masks for damage or leaks before use.
• Routine Equipment Servicing: Oxygen concentrators and regulators will be inspected and maintained by qualified engineers.
• Expiration Date Monitoring: Expired oxygen cylinders must be immediately replaced and disposed of properly.
• Emergency Backup Oxygen: A reserve supply of oxygen must always be available for emergencies.

8. Training and Staff Competency

All staff handling or administering oxygen must receive training covering:

• Basic principles of oxygen therapy and safety precautions.
• How to properly store, handle, and dispose of oxygen cylinders.
• Recognising and responding to oxygen-related emergencies.
• Fire safety protocols and emergency response procedures.
• Compliance with national and local health and safety regulations.

Competency assessments will be conducted annually, with additional refresher training as required.

9. Responsibilities

9.1. Responsibilities of the Registered Manager

• Ensure full compliance with this policy and relevant safety regulations.
• Oversee staff training and ensure all personnel handling oxygen are appropriately trained.
• Maintain records of oxygen storage, maintenance, and risk assessments.
• Conduct regular audits and inspections to ensure oxygen safety standards are met.

9.2. Responsibilities of Care Staff

• Adhere to all storage, handling, and usage protocols outlined in this policy.
• Complete mandatory oxygen safety training and refresher courses.
• Report any faulty equipment, leaks, or safety concerns immediately.
• Follow emergency procedures in case of an oxygen-related incident.

9.3. Responsibilities of Maintenance and Fire Safety Personnel

• Ensure all oxygen storage areas meet regulatory safety standards.
• Perform routine checks and maintenance on oxygen-related equipment.
• Assist in conducting fire risk assessments and emergency planning.
• Ensure that fire extinguishers and emergency response tools are in place and operational.

10. Compliance with CQC Regulations

This policy aligns with:

• Regulation 12: Safe Care and Treatment – Ensuring the safe management of oxygen therapy.
• Regulation 15: Premises and Equipment – Ensuring oxygen equipment is safely stored and maintained.
• Health and Safety at Work Act 1974 – Protecting staff and people we support from oxygen-related risks.
• Control of Substances Hazardous to Health (COSHH) Regulations 2002 – Ensuring safe handling of hazardous substances.

CQC inspectors will evaluate compliance by:

• Reviewing oxygen safety training records.
• Inspecting storage facilities for compliance with best practices.
• Assessing fire safety measures and emergency preparedness.
• Checking that staff understand and follow oxygen use protocols.

11. Policy Review

This policy will be reviewed annually or sooner if legislation changes or business needs evolve. Updates will be communicated to all staff, and additional training will be provided if necessary.

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Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
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