{{org_field_logo}}

{{org_field_name}}

Registration Number: {{org_field_registration_no}}

---

Prevention of Falls and Injury Policy

1. Purpose

The purpose of this policy is to ensure a safe and secure environment for all residents at {{org_field_name}} by implementing effective fall prevention strategies. Falls are a significant risk for older adults and can result in serious injuries, reduced mobility, and a decline in independence. This policy outlines measures to reduce the likelihood of falls, manage risks, and provide an immediate response when falls occur. It aligns with the Regulation and Inspection of Social Care (Wales) Act 2016, safeguarding guidelines, and best practice in elderly care. This policy also serves to empower staff by providing clear procedures to identify risks, implement preventive measures, and respond to incidents effectively.

2. Scope

This policy applies to all staff members at {{org_field_name}}, including care workers, housekeeping, maintenance teams, and external healthcare professionals. It covers all areas within the care home, including resident rooms, communal spaces, bathrooms, and outdoor areas. This policy also applies to residents at risk of falls and provides guidance on how to support individuals with reduced mobility, cognitive impairment, or medical conditions that may increase fall risk. Additionally, it extends to family members and visitors who must be informed about fall prevention measures to ensure overall safety.

3. Principles of Fall Prevention

Risk Assessment and Individualised Care Planning:

• Each resident will undergo a comprehensive fall risk assessment upon admission and at regular intervals thereafter, considering medical conditions, medications, vision, footwear, and mobility issues.
• Individual care plans must outline specific risk factors (e.g., mobility limitations, medication side effects, dementia) and preventative strategies such as mobility aids, physiotherapy, and exercise programs.
• Changes in a resident’s condition must trigger a re-evaluation of fall risk and necessary adjustments to their care plan. Family members will be consulted where appropriate to support risk reduction efforts.

Safe Environment and Hazard Reduction:

• All areas must be well-lit, with clear pathways and minimal clutter to prevent accidental trips.
• Flooring should be non-slip and in good condition, with secure rugs and mats, and all spills must be cleaned immediately.
• Handrails and grab bars should be installed in hallways, bathrooms, and other high-risk areas to aid mobility and reduce fall risks.
• Regular safety audits must be conducted to identify and eliminate hazards, and staff must remain vigilant in maintaining a hazard-free environment.

Use of Assistive Equipment:

• Residents who require mobility aids (e.g., walkers, canes, wheelchairs) must receive proper assessment and training by occupational therapists or physiotherapists.
• Hoists and transfer equipment must be maintained and used correctly to prevent injuries. Staff must be trained in safe manual handling techniques to assist residents effectively.
• Bed and chair alarms may be utilised for high-risk residents to alert staff when assistance is needed, reducing unsupervised movement that could lead to falls.

Medication Management:

• Certain medications (e.g., sedatives, blood pressure drugs) may increase fall risk by causing dizziness or drowsiness.
• The care home must liaise with GPs and pharmacists to regularly review medications and minimise fall-related side effects.
• Staff must monitor for dizziness, drowsiness, or balance issues related to medications and report concerns to the healthcare team promptly.

Exercise and Strength-Building Programmes:

• Residents should be encouraged to participate in gentle exercise routines to enhance strength, balance, and flexibility.
• Physiotherapy referrals must be made when required to support mobility and fall prevention, ensuring residents receive individualised mobility plans.
• Staff should assist with safe walking practice and movement exercises to maintain independence, promoting confidence in daily activities.

Proper Footwear and Clothing:

• Residents must wear well-fitted, non-slip footwear to reduce fall risks, and inappropriate footwear (e.g., loose slippers, worn-out shoes) must be avoided.
• Loose or trailing clothing must be avoided to prevent tripping, and garments should be easy to manage to prevent dressing-related accidents.
• Staff should assist residents in choosing appropriate attire for safety and comfort while encouraging personal choice and dignity.

Emergency Response and Post-Fall Management:

• In the event of a fall, staff must follow established procedures to assess the resident for injuries before moving them, using approved lifting techniques where required.
• Immediate medical assistance should be sought if necessary, and all incidents must be recorded in an incident report with detailed analysis of contributing factors.
• A post-fall review must be conducted to determine the cause of the fall and implement corrective measures such as adjusting care plans, modifying environments, or reviewing medication.
• Family members and healthcare professionals must be informed in accordance with communication and safeguarding policies, ensuring transparency and collaborative problem-solving.

4. Staff Training and Responsibilities

• All staff must receive fall prevention training, including safe moving and handling techniques, hazard identification, and emergency response procedures.
• Regular refresher courses must be provided to ensure staff remain up to date with best practices, with additional training provided if new risks are identified.
• Staff must be vigilant and proactive in identifying residents at risk, reporting potential hazards, and taking necessary precautions to reduce fall risks.
• Care teams must communicate regularly about changes in mobility or health status that may affect fall risk, ensuring a team-based approach to fall prevention.

5. Related Policies

• CHW07 – Person-Centred Care Policy
• CHW08 – Dignity and Respect Policy
• CHW13 – Safeguarding Adults from Abuse and Improper Treatment Policy
• CHW16 – Health and Safety at Work Policy
• CHW17 – Infection Prevention and Control Policy
• CHW18 – Risk Management and Assessment Policy
• CHW37 – Moving and Handling Policy

6. Monitoring and Review

This policy will be reviewed annually or sooner if required due to changes in legislation, regulatory requirements, or organisational needs. Incident reports, resident feedback, and audit findings will be reviewed to continuously improve fall prevention strategies. Feedback from staff, residents, and their families will be used to enhance the policy where necessary.

---

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.