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Safe Moving and Handling of Bariatric Service Users Policy

1. Purpose

The purpose of this policy is to ensure the safe and dignified moving and handling of bariatric individuals within {{org_field_name}}. This policy aims to protect the health, safety, and dignity of both bariatric service users and the staff responsible for their care. The safe movement of individuals with bariatric needs requires specialised equipment, training, and risk management strategies to reduce the likelihood of injury and ensure compliance with CQC regulations and health and safety laws.

This policy is written in line with:

• The Health and Safety at Work Act 1974 – Protecting both service users and employees.
• The Manual Handling Operations Regulations 1992 (MHOR) – Reducing risks related to manual handling.
• The Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) – Ensuring the safe use of equipment.
• Regulation 12 (Safe Care and Treatment) and Regulation 15 (Premises and Equipment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – Ensuring the safety and suitability of equipment.
• The Equality Act 2010 – Ensuring dignity and equal access to care.

2. Scope

This policy applies to all staff responsible for the moving and handling of bariatric service users within {{org_field_name}}, including:

• Care staff and support workers assisting bariatric individuals.
• Nurses and therapists involved in rehabilitation or ongoing care.
• Managers and supervisors ensuring compliance with safety policies.
• Health and safety officers overseeing risk assessments and training.
• External contractors providing and maintaining bariatric equipment.

3. Related Policies

This policy should be read alongside:

• SL11 – Safe Care and Treatment Policy – Ensuring overall safety in service delivery.
• SL18 – Risk Management and Assessment Policy – Addressing specific risks for bariatric service users.
• SL27 – Staff Supervision, Training, and Development Policy – Ensuring staff competency.
• SL29 – Health and Safety Policy – Implementing workplace safety measures.
• SL32 – Equipment Maintenance and Inspection Policy – Ensuring regular servicing of bariatric care equipment.

4. Definition of Bariatric Service Users

A bariatric service user is defined as an individual who weighs over 25 stone (158kg) or whose body mass index (BMI) exceeds 40, requiring specialised equipment and techniques for safe moving and handling.

Service users who fall into this category may experience:

• Reduced mobility requiring hoists or slide sheets.
• Skin integrity issues, increasing pressure ulcer risk.
• Respiratory difficulties, requiring adjusted positioning.
• Additional care support needs due to increased weight.

5. Risk Assessment and Planning

5.1 Initial Assessment

• A comprehensive risk assessment must be carried out before providing care to a bariatric service user.
• The assessment should include:
  • Weight, mobility, and physical condition.
  • Environmental suitability (door widths, floor support, lift capacities).
  • Need for specialist equipment (bariatric beds, hoists, chairs, etc.).
  • Staffing levels required to safely assist with movements.
  • Individual preferences and dignity considerations.

5.2 Ongoing Risk Assessments

• Risk assessments should be reviewed every three months or sooner if the service user’s condition changes.
• Any changes in weight, mobility, or health status should trigger a reassessment.
• Risk assessment forms must be stored securely and accessible to all relevant staff.

6. Safe Moving and Handling Procedures

6.1 General Principles

• Always use equipment designed for bariatric individuals.
• Avoid manual lifting without assistance or equipment.
• Maintain good posture and use correct handling techniques.
• Use communication and reassurance to support the service user during movement.
• Ensure privacy and dignity are maintained at all times.

6.2 Hoisting and Transfers

• Hoists used for bariatric individuals must have a weight capacity of at least 250kg.
• Two or more trained staff must always operate hoists.
• Before hoisting, check:
  • The integrity of the sling and attachments.
  • That the service user is comfortable and supported.
  • That there are no obstructions in the moving area.
• If using standing aids, assess whether the service user can support their own weight safely.

6.3 Use of Slide Sheets and Transfer Boards

• Slide sheets should be used for repositioning individuals in bed.
• A minimum of two staff members should assist with slide sheet use.
• Transfer boards can be used for wheelchair-to-bed transfers where appropriate.
• Ensure the service user’s clothing does not cause friction or discomfort during movement.

6.4 Bed and Chair Positioning

• Bariatric beds should be adjustable in height and width to provide adequate space.
• Pressure-relieving mattresses should be used to prevent pressure ulcers.
• Seating should support the spine and weight evenly.
• Staff must regularly check for signs of discomfort or pressure areas.

7. Equipment and Environment Safety

7.1 Equipment Requirements

All bariatric moving and handling equipment must be:

• Tested and serviced every six months.
• Clearly labelled with weight capacities.
• Kept clean and stored safely.
• Checked for wear and tear before every use.

Essential equipment includes:

• Bariatric beds with reinforced frames.
• Hoists and slings for heavy-duty lifting.
• Extra-wide wheelchairs and commodes.
• Adjustable shower chairs and toilet supports.

7.2 Environmental Considerations

• Doorways and corridors must be wide enough for safe movement.
• Floors should be non-slip and free of trip hazards.
• Bathrooms should have grab rails and reinforced fixtures.
• Emergency evacuation plans must consider additional time and assistance required for bariatric individuals.

8. Training and Staff Responsibilities

8.1 Staff Training

• All staff must undergo mandatory bariatric moving and handling training.
• Training should cover:
  • Risk assessment procedures.
  • Use of specialist equipment.
  • Safe positioning techniques.
  • Emergency evacuation protocols.
• Refresher training should be completed annually.

8.2 Staff Responsibilities

• Managers must ensure that risk assessments are completed and reviewed.
• Support staff must follow correct procedures for lifting and repositioning.
• Health and safety officers must maintain and inspect equipment regularly.
• All staff must report any concerns related to safety or service user discomfort.

9. Emergency Situations and Evacuation

• Emergency evacuation plans must consider specialist evacuation aids.
• Staff should be trained to use bariatric evacuation sleds and wheelchairs.
• If an emergency occurs, prioritise the safety and dignity of the service user.
• Keep a clear record of all incidents and ensure debriefing sessions are held.

10. Monitoring and Compliance

• Quarterly audits of moving and handling procedures must be conducted.
• Incident reports should be reviewed to identify trends and improve safety.
• CQC inspections may include a review of bariatric moving and handling practices.
• Feedback from service users and staff should be used to refine best practices.

11. Policy Review

This policy will be reviewed annually, or sooner if legislative changes occur. Staff will be informed of updates through internal communications and training sessions.

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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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