HCS150-Safe Moving and Handling of Bariatric Service Users Policy
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Safe Moving and Handling of Bariatric Service Users Policy
1. Purpose
The purpose of this policy is to establish clear guidelines on the safe moving and handling of bariatric service users within {{org_field_name}}. This policy ensures compliance with the latest Care Inspectorate Scotland regulations, Health and Safety Executive (HSE) guidelines, and Manual Handling Operations Regulations (1992). The safe movement of bariatric individuals requires specialist equipment, tailored risk assessments, and trained staff to ensure the dignity, comfort, and safety of service users while protecting staff from injury. This policy outlines how {{org_field_name}} effectively manages moving and handling procedures for bariatric individuals while ensuring person-centred care.
2. Scope
This policy applies to all employees, agency staff, and contractors responsible for the moving and handling of bariatric service users receiving home care support from {{org_field_name}}. It covers all settings where care is provided, including private residences and community-based care environments. It ensures that all moving and handling procedures are safe, dignified, and compliant with health and safety regulations. The policy includes the assessment, planning, equipment provision, staff training, and emergency response procedures associated with the safe moving and handling of bariatric service users.
3. Related Policies
This policy should be read alongside:
- Health and Safety Policy, which ensures a safe working environment for staff and service users
- Risk Assessment and Management Policy, detailing risk assessments for handling bariatric individuals
- Dignity and Respect Policy, ensuring that all service users are treated with dignity during handling procedures
- Infection Prevention and Control Policy, covering hygiene measures when handling service users
- Equipment and Assistive Technology Policy, detailing the provision and maintenance of moving and handling equipment
4. Legal and Regulatory Requirements
This policy aligns with the following legal and regulatory requirements:
- Manual Handling Operations Regulations (1992), requiring employers to avoid, assess, and reduce risks related to manual handling
- Health and Safety at Work Act (1974), ensuring a safe working environment for employees
- Lifting Operations and Lifting Equipment Regulations (LOLER) (1998), governing the inspection, maintenance, and safe use of lifting equipment
- Care Inspectorate Scotland Guidelines, ensuring safe and dignified moving and handling practices for bariatric service users
- Equality Act (2010), ensuring fair treatment and non-discrimination for bariatric individuals receiving care
5. Definition of Bariatric Service Users
A bariatric service user is an individual with severe obesity requiring specialist equipment and support for safe movement and handling. Bariatric individuals are typically defined as having:
- A Body Mass Index (BMI) of 40 or above
- A weight exceeding 25 stone (159 kg)
- Limited mobility requiring assistance for transfers, repositioning, or transport
Bariatric service users may have additional health conditions such as diabetes, cardiovascular disease, respiratory conditions, or musculoskeletal issues, which impact their mobility and handling needs.
6. Risk Assessment and Care Planning
Each bariatric service user receives a comprehensive risk assessment before any moving and handling procedures take place. Risk assessments are conducted by trained assessors and reviewed regularly to ensure they remain up to date.
6.1 Initial Risk Assessment
- Assess the individual’s mobility, strength, and support needs
- Identify any pre-existing medical conditions that impact mobility
- Evaluate the home environment for space, flooring, and accessibility
- Determine the weight capacity and suitability of existing equipment
- Assess the risk of pressure sores, falls, or respiratory complications during movement
- Consider the need for additional staffing or specialist support
6.2 Individual Care and Handling Plans
A person-centred care and handling plan is developed, outlining:
- Safe and dignified movement techniques specific to the individual
- Required equipment (e.g., bariatric hoists, slings, beds, and chairs)
- Number of staff required for safe handling
- Step-by-step guidance on repositioning, transfers, and assisted mobility
- Emergency procedures for falls or unexpected handling issues
Each plan is reviewed regularly and updated if there are changes in mobility, equipment needs, or health status.
7. Specialist Equipment and Handling Aids
7.1 Bariatric Equipment Provision
All equipment used for bariatric service users is specifically designed to accommodate heavier weights and is inspected in compliance with LOLER regulations. Required equipment may include:
- Bariatric hoists and slings to assist with transfers
- Bariatric profiling beds with reinforced frames
- Wider wheelchairs and commodes for comfort and safety
- Extra-wide shower chairs and mobility aids
- Slide sheets and transfer boards to reduce manual handling strain
7.2 Equipment Maintenance and Safety Checks
- All equipment must be inspected before each use
- Regular LOLER inspections every 6 months for lifting equipment
- Any faulty or unsafe equipment must be removed from service immediately
- Staff must report equipment issues promptly to management
8. Safe Moving and Handling Techniques
8.1 General Handling Principles
- Always use the correct equipment rather than manually lifting bariatric service users
- Maintain clear communication with the service user, explaining each step of the movement
- Use proper body mechanics, keeping a neutral spine and bending at the knees
- Ensure sufficient staffing is available for all handling tasks
- Respect the privacy and dignity of the individual at all times
8.2 Safe Transfer Techniques
- Hoist transfers: Ensure the correct sling size and positioning
- Chair-to-bed transfers: Use a transfer belt, slide sheets, or hoist
- Bed repositioning: Use electric profiling beds and slide sheets
- Toileting support: Ensure the service user is supported securely on an appropriate commode or toilet aid
8.3 Preventing Staff Injuries
- No single employee should attempt to manually lift a bariatric service user
- Avoid awkward postures or twisting movements during transfers
- Take regular breaks to prevent fatigue
- Report any musculoskeletal pain or handling concerns immediately
9. Staff Training and Competency
All staff involved in handling bariatric service users must receive specialist moving and handling training. Training covers:
- Safe use of bariatric hoists, slings, and transfer aids
- Techniques for repositioning and supporting mobility
- How to reduce the risk of injury to staff and service users
- Emergency handling procedures for falls or equipment failure
Refresher training is provided annually or when there is a change in handling procedures or equipment.
10. Emergency Procedures
10.1 Falls and Recovery
If a bariatric service user experiences a fall:
- Do not manually lift the individual—use a bariatric lifting cushion or hoist
- Ensure the service user is comfortable and assess for injuries
- Contact emergency services if required
- Update the individual’s risk assessment and care plan
10.2 Equipment Failure
If bariatric equipment fails during use:
- Stop handling procedures immediately
- Ensure the service user is stable and comfortable
- Report the issue to management and request urgent maintenance
11. Monitoring and Compliance
To ensure compliance with this policy:
- Regular audits are conducted to assess safe handling practices
- Incident reports are reviewed to identify areas for improvement
- Feedback from staff and service users is collected to refine handling procedures
- Equipment checks are logged and monitored for compliance with LOLER regulations
12. Compliance & Policy Review
This policy is reviewed annually to ensure compliance with Care Inspectorate Scotland regulations, HSE guidelines, and industry best practices. Changes will be communicated to all staff and incorporated into training programmes.
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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