CHW112-Safe Moving and Handling of Bariatric Service Users Policy

Registration Number: {{org_field_registration_no}}

Safe Moving and Handling of Bariatric Service Users Policy

1. Purpose

The purpose of this policy is to ensure the safe, dignified, and effective moving and handling of bariatric service users at {{org_field_name}}. Bariatric service users are individuals with severe obesity (typically defined as having a BMI of 40 or above or weighing over 25 stone/158kg).

This policy ensures that all staff, equipment, and procedures comply with the highest safety standards, promoting dignity, independence, and well-being while reducing the risk of injury to both staff and service users.

This policy aligns with:

The Regulation and Inspection of Social Care (Wales) Act 2016, ensuring that service users receive safe and effective care.
Care Inspectorate Wales (CIW) regulations, which require proper risk assessments, staff training, and suitable equipment.
The Manual Handling Operations Regulations 1992, which mandate safe lifting practices and risk reduction strategies.
The Health and Safety at Work Act 1974, which requires a safe working environment for staff and service users.
The Equality Act 2010, ensuring dignity and non-discrimination for bariatric individuals.
The Social Services and Well-being (Wales) Act 2014, promoting person-centred care and safety.

This policy aims to:

Ensure staff competence in safely moving and handling bariatric service users.
Provide appropriate equipment to support safe movement.
Protect the dignity and rights of bariatric individuals.
Prevent injury to both service users and staff.
Ensure risk assessments and care plans are specific to each individual’s needs.

2. Scope

This policy applies to:

All employees at {{org_field_name}}, including nurses, carers, therapists, and housekeeping staff.
All service users classified as bariatric, requiring specialist support for mobility and personal care.
Visitors, contractors, and emergency responders, who may need guidance when assisting bariatric individuals.

This policy covers:

Risk assessments and care planning for bariatric service users.
Specialist equipment and facilities for safe moving and handling.
Staff training and competency requirements.
Procedures for manual handling, transfers, and repositioning.
Emergency evacuation procedures for bariatric individuals.

3. Risk Assessment and Individual Care Planning

3.1 Initial Risk Assessment

Upon admission or change in condition, all service users undergo a manual handling risk assessment.
For bariatric service users, specific weight and size measurements are recorded to ensure correct equipment and care planning.
Risk assessments consider:
- Mobility level and weight-bearing capacity.
- Medical conditions affecting movement (e.g., respiratory issues, skin integrity).
- Space requirements for movement, transfers, and positioning.
- Potential risks to staff handling the service user.

3.2 Individual Moving and Handling Care Plan

A personalised care plan is developed based on the risk assessment.
The care plan includes:
- Preferred method of transfer (hoist, standing aid, wheelchair).
- Equipment needed (specialist slings, bariatric hoists, air-assisted mattresses).
- Staffing levels required for moving and handling safely.
- Positioning strategies to prevent pressure ulcers and discomfort.
- Specific communication and dignity considerations.
Care plans are reviewed regularly and updated following weight changes, mobility changes, or staff observations.

4. Specialist Equipment and Facilities

4.1 Essential Equipment for Safe Handling

To ensure safe and comfortable transfers, {{org_field_name}} provides:

Bariatric hoists – Mobile or ceiling-mounted hoists with higher weight limits.
Bariatric profiling beds – Wider, reinforced beds that support high weight capacity.
Reinforced wheelchairs and shower chairs – Ensuring safe seating and transfers.
Air-assisted lifting cushions – Reducing strain during lifting from the floor.
Adjustable commodes and toilet aids – Supporting hygiene and dignity.

4.2 Safe Use of Equipment

All equipment must be checked before each use to ensure proper function and weight capacity.
Only trained staff are permitted to use specialist lifting equipment.
Routine maintenance and servicing must be completed as per manufacturer guidelines.

5. Staff Training and Competency

5.1 Mandatory Training for Staff

All staff working with bariatric service users must complete specialist manual handling training, including:

Safe use of bariatric hoists and slings.
Techniques to reduce strain and prevent musculoskeletal injuries.
Dignity and communication techniques for bariatric care.
Emergency procedures for handling falls and evacuations.

5.2 Supervision and Assessment

New staff must shadow experienced colleagues before handling bariatric service users independently.
Competency assessments are carried out annually to ensure continued proficiency.

6. Safe Moving and Handling Procedures

6.1 Transfers and Repositioning

Always use appropriate equipment rather than attempting manual lifting.
Team communication is essential – Before any transfer, staff should discuss:
- Who is leading the manoeuvre.
- Steps to be taken and any potential challenges.
Service users should be involved in their transfers where possible, encouraging active participation.

6.2 Emergency Procedures for Falls

If a bariatric service user falls, do not attempt a manual lift.
Use air-assisted lifting devices or a bariatric hoist.
If emergency services are required, provide accurate weight and mobility information to responders.

6.3 Safe Evacuation in Emergencies

Bariatric service users should be included in the fire evacuation plan.
Use reinforced evacuation chairs or sleds.
Ensure wide doorways and accessible escape routes.

7. Dignity and Person-Centred Care

7.1 Respecting Privacy and Dignity

Ensure bariatric service users feel respected and supported in all aspects of their care.
Use appropriate terminology (avoid words like “heavy” or “difficult”).
Ensure privacy when assisting with personal care.

7.2 Communication and Emotional Wellbeing

Encourage open discussions about preferences for moving and handling.
Provide emotional and psychological support to help maintain confidence and self-esteem.

8. Monitoring and Reporting

Incident reporting: Any moving and handling accidents must be logged, including near misses.
Regular audits: Equipment, staff competency, and procedures are reviewed every six months.
Feedback system: Bariatric service users are encouraged to provide feedback on their care experience.

9. Related Policies

This policy should be read alongside:

Health and Safety at Work Policy.
Risk Management and Assessment Policy.
Infection Prevention and Control Policy.
Safeguarding Adults from Abuse and Improper Treatment Policy.
Fire Safety and Evacuation Procedures.

10. Policy Review

This policy will be reviewed annually or sooner if legislation, CIW regulations, or best practices change. Staff feedback and service user experiences will be considered in updates.

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}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.