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Registration Number: {{org_field_registration_no}}

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Oxygen Storage, Use, and Safety Policy

1. Purpose

The purpose of this policy is to ensure that {{org_field_name}} maintains safe and effective procedures for the storage, handling, and use of oxygen in compliance with Care Inspectorate Wales (CIW) regulations and national health and safety legislation. Oxygen therapy is essential for certain service users, and its storage and use must be carefully managed to prevent risks such as fire hazards, leaks, and improper administration.

This policy ensures:

• Safe storage, handling, and administration of oxygen.
• Compliance with regulatory and legal requirements.
• Risk management to prevent fire hazards and oxygen leaks.
• Proper staff training in the use of oxygen therapy and emergency response.

This policy aligns with:

• The Health and Safety at Work Act 1974, requiring employers to ensure a safe working environment.
• The Control of Substances Hazardous to Health (COSHH) Regulations 2002, which regulate exposure to hazardous substances, including oxygen.
• The Regulatory Reform (Fire Safety) Order 2005, which requires measures to reduce the risk of fire associated with oxygen use.
• The Medical Device Regulations 2002, which cover the use and maintenance of oxygen equipment.
• The Regulation and Inspection of Social Care (Wales) Act 2016, which mandates care providers to ensure safe healthcare practices.
• Care Inspectorate Wales (CIW) guidance, ensuring the safe handling of medical gases.

2. Scope

This policy applies to:

• All employees, including care staff, nurses, and maintenance personnel.
• Service users who require oxygen therapy, ensuring their safety and dignity.
• Visitors and contractors, ensuring they follow oxygen safety protocols.
• Suppliers and external medical professionals, ensuring compliance with safe oxygen delivery and maintenance.

The policy covers:

• Oxygen storage requirements.
• Safe administration and handling procedures.
• Emergency procedures in case of oxygen leaks or fire.
• Staff training and competency requirements.

3. Safe Storage of Oxygen

3.1. General Storage Guidelines

To minimise risks, all oxygen cylinders and equipment must be stored:

• In a designated oxygen storage area, which is well-ventilated and free from ignition sources.
• Upright and secured, preventing cylinders from falling or being knocked over.
• Away from combustible materials, such as paper, fabric, or cleaning products.
• In a dry, cool location, away from direct sunlight and heat sources.
• With clear warning signs, indicating the presence of oxygen and fire risks.

A monthly safety inspection of the oxygen storage area is conducted to ensure compliance.

3.2. Storage of Oxygen Cylinders in Service User Rooms

If service users require oxygen cylinders in their rooms, we ensure:

• Cylinders are placed on a stable stand or trolley to prevent tipping.
• Rooms are well-ventilated to prevent oxygen build-up.
• Smoking and open flames are strictly prohibited in the vicinity.
• Staff regularly check oxygen levels and replace cylinders when necessary.

Staff must not move or adjust oxygen cylinders without appropriate training.

4. Safe Handling and Administration of Oxygen

4.1. Staff Responsibilities

• Only trained and authorised staff are permitted to handle and administer oxygen.
• Staff must always check prescription details before administering oxygen therapy.
• Oxygen equipment must be inspected before each use to ensure it is functioning correctly.

4.2. Safe Administration Procedures

When administering oxygen therapy:

1. Verify the prescription – Ensure the correct flow rate and delivery method are used.
2. Check the equipment – Inspect for leaks, damage, or incorrect fittings.
3. Ensure proper positioning – Masks or nasal cannulas must be applied securely and comfortably.
4. Monitor service users – Regularly check for shortness of breath, dizziness, or irritation.
5. Document oxygen use – Record flow rate, duration, and any observations in care plans.

If a service user experiences discomfort or adverse reactions, staff must seek medical advice immediately.

4.3. Use of Oxygen Concentrators

Oxygen concentrators are used for long-term oxygen therapy and must:

• Be placed at least 3 feet away from walls and furniture to allow proper ventilation.
• Be connected to an uninterrupted power source, with backup arrangements in case of power failure.
• Have filters cleaned and maintained regularly by trained staff.

5. Fire Safety Precautions and Emergency Response

5.1. Fire Safety Measures

Oxygen-enriched environments can increase the risk of fire. To prevent this:

• Smoking is strictly prohibited in all areas where oxygen is stored or used.
• All electrical equipment near oxygen must be properly maintained to prevent sparks.
• Oxygen storage areas must have fire-resistant signage and accessible fire extinguishers.
• A fire risk assessment is conducted annually, considering oxygen use within the care home.

All staff are trained in fire safety measures related to oxygen use, including how to turn off oxygen supply in case of emergency.

5.2. Emergency Procedures for Oxygen Leaks

If an oxygen leak is detected:

1. Turn off the oxygen supply, if safe to do so.
2. Evacuate the area and ensure good ventilation.
3. Remove any ignition sources from the affected area.
4. Inform the Fire Safety Lead: {{org_field_the_fire_safety_lead_name}}.
5. Call emergency services if necessary.

If a fire occurs, staff must follow the Fire Safety and Evacuation Procedures policy.

6. Staff Training and Competency

6.1. Mandatory Oxygen Safety Training

All relevant staff receive mandatory training in:

• Oxygen therapy and equipment use.
• Storage, handling, and fire safety protocols.
• Recognising and responding to oxygen-related medical emergencies.

Training is provided at induction and refreshed annually.

6.2. Competency Assessments

• Staff administering oxygen must complete a competency assessment before independently managing oxygen therapy.
• Supervisors regularly observe and review staff competency in handling and storing oxygen.

7. Monitoring and Compliance

7.1. Leadership and Accountability

• The Registered Manager oversees compliance with oxygen safety regulations.
• The Fire Safety Lead: {{org_field_the_fire_safety_lead_name}} ensures fire risks are assessed and mitigated.
• The Health and Safety Team conducts regular audits and inspections of oxygen storage and use.

7.2. Audits and Inspections

• Monthly audits assess compliance with oxygen storage and handling requirements.
• Incident reports are reviewed to identify areas for improvement.
• CIW inspections ensure compliance with legal and regulatory requirements.

8. Related Policies

This policy works alongside:

• CHW11 – Safe Care and Treatment Policy
• CHW16 – Health and Safety at Work Policy
• CHW17 – Infection Prevention and Control Policy
• CHW18 – Risk Management and Assessment Policy
• CHW20 – Fire Safety and Evacuation Procedures

9. Policy Review

This policy is reviewed annually, or sooner if required due to regulatory updates, CIW guidance, or safety concerns.

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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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