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{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Moving and Handling Policy
1. Introduction
At {{org_field_name}}, we are committed to providing high-quality, safe and dignified support to people who use our supported living service. A crucial part of this commitment is ensuring that all moving and handling activities are carried out safely for the people we support, our staff, and anyone else involved in delivering care and support.
This Moving and Handling Policy sets out our approach to assisting individuals with mobility needs in a way that promotes their dignity, independence, and comfort, while also minimising the risk of injury to our support workers. Our aim is to ensure that every movement is performed safely, correctly, and with the utmost respect for the person receiving care.
Moving and handling tasks are a routine part of supported living, whether it involves assisting someone to sit, stand, walk, transfer between a bed and a chair, or use mobility aids such as hoists and slide sheets. However, if these tasks are not carried out properly, they can lead to serious injuries—not just for our staff but also for the people we care for.
To protect people who use the service, staff and others, {{org_field_name}} will comply with all relevant legislation and guidance relating to moving and handling, including:
- Health and Safety at Work etc. Act 1974 – to ensure, so far as is reasonably practicable, the health, safety and welfare of employees and others affected by our activities.
- Manual Handling Operations Regulations 1992 (as amended) – to avoid hazardous manual handling where possible, assess any manual handling that cannot be avoided, and reduce the risk of injury so far as is reasonably practicable.
- Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) – where lifting equipment is used by people at work, to ensure lifting operations are properly planned, equipment is safe to use, and thorough examination requirements are met.
- Provision and Use of Work Equipment Regulations 1998 (PUWER) – to ensure equipment used at work is suitable, maintained, and used only by staff who have received appropriate information, instruction and training.
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 – in particular Regulation 9 (person-centred care), Regulation 10 (dignity and respect), Regulation 11 (need for consent), Regulation 12 (safe care and treatment), Regulation 13 (safeguarding service users from abuse and improper treatment), Regulation 15 (premises and equipment), Regulation 17 (good governance), Regulation 18 (staffing), and Regulation 20 (duty of candour).
- Care Quality Commission (Registration) Regulations 2009 – including Regulation 18 on notifications of other incidents.
- Mental Capacity Act 2005 – where people may need support to make decisions, or where best-interest decisions may be required in relation to moving and handling, equipment use or risk reduction measures.
- Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR) – where a work-related accident, staff injury or dangerous occurrence meets the reporting threshold.
At {{org_field_name}}, we take these responsibilities seriously. By following best practices and ensuring ongoing staff training, we can create a safe, supportive environment where both our team and service users feel confident in the care being provided.
This policy applies to all employees, agency staff, and volunteers involved in moving and handling activities within our supported living service. We expect everyone to comply fully and to always seek guidance if unsure about the safest approach to a moving and handling task.
2. Scope of the Policy
At {{org_field_name}}, we believe that safe and effective moving and handling is everyone’s responsibility. This policy applies to all staff members involved in providing care and support, including:
- Care staff – Our frontline carers who assist service users with everyday mobility and personal care needs.
- Management – Ensuring that all care practices follow best-practice guidelines, conducting risk assessments, and supporting staff with training.
- Agency staff and temporary workers – Expected to adhere to our moving and handling standards just as our permanent employees do.
- Volunteers – Volunteers must not undertake moving and handling of people unless this has been formally risk assessed, expressly authorised by management, and the volunteer has completed the same role-specific training, competency checks and supervision as paid staff. In most cases, volunteers will only be expected to understand basic safety principles, report concerns and seek staff assistance.
We recognise that moving and handling is a core aspect of supported living, and it involves much more than simply helping someone move from one position to another. Our policy covers a wide range of activities, including:
Supporting Individuals with Mobility Difficulties
Many of the people we support experience limited mobility due to age, disability, illness, or injury. Our role is to enable them to move as safely and comfortably as possible while promoting their independence. This may include:
- Assisting someone to stand, sit, or reposition in a chair or bed.
- Supporting individuals to walk safely, either independently, with a walking aid, or with staff assistance.
- Helping service users move up or down stairs where necessary and safe to do so.
Assisting with Personal Care
Providing personal care often involves moving and handling tasks. We are committed to ensuring that these are carried out safely, professionally, and with respect for the individual’s privacy and dignity. This includes:
- Helping service users in and out of bed, whether manually or using a hoist.
- Assisting with bathing, showering, or using the toilet, ensuring safe transfers between mobility aids, beds, and bathing facilities.
- Ensuring that individuals who require assistance with dressing or grooming receive support that is both safe and considerate of their preferences.
Moving Equipment and Supplies
In addition to handling individuals, our support team may need to move medical equipment, mobility aids, and other essential supplies. This includes:
- Setting up and adjusting hoists, slings, transfer boards, and slide sheets correctly.
- Safely handling wheelchairs and walking frames, ensuring they are used appropriately.
- Carrying, lifting, and repositioning household items, care supplies, and specialist equipment to facilitate safe care delivery.
Emergency Handling Situations
Despite our best efforts, emergencies can happen, and our staff must be prepared to respond quickly and safely. This policy outlines the procedures for:
- Handling falls – If a service user falls, we follow safe lifting techniques or seek appropriate assistance to prevent further injury.
- Evacuating individuals in emergencies – In case of a fire, power outage, or another emergency, we ensure safe relocation or evacuation of service users, following their personal support plans.
- Medical emergencies – Supporting individuals who experience sudden illness or distress, ensuring they are moved safely while awaiting professional medical help.
3. Principles of Safe Moving and Handling
We believe that how we move and handle the people we care for is just as important as the care we provide. Safe moving and handling is not just about following a set of rules—it’s about treating every individual with dignity, respect, and compassion, ensuring their comfort and safety while also protecting our staff from injury. Our approach is built on the following core principles:
Promoting Dignity and Respect During Handling
We recognise that being moved by someone else can feel unsettling or even distressing for some of our service users, particularly those who are frail, have mobility challenges, or live with cognitive impairments such as dementia. That’s why we always prioritise dignity and respect in every moving and handling task we carry out.
- We always explain what we are doing before assisting someone with movement. A simple, reassuring conversation can help build trust and make them feel more in control.
- We listen to our service users, ensuring they feel comfortable and involved in decisions about how they are moved. If they express discomfort or concern, we adjust our approach accordingly.
- We maintain privacy at all times, ensuring that any repositioning, transfers, or mobility assistance are conducted in a discreet and respectful manner.
- We never rush a transfer or movement. Taking our time ensures safety, comfort, and reassurance for both the service user and our staff.
We treat each individual as a person, not just a task—because how we assist them matters just as much as the outcome.
Consent, Mental Capacity and Best-Interest Decision-Making
Before any moving and handling activity, staff must seek and record the person’s consent where they have capacity to make the relevant decision. Staff must presume capacity unless there is a proper reason to doubt it. Where there are concerns that a person may lack capacity to consent to a particular transfer, repositioning technique, use of a hoist, sling, bedrail or other safety-related intervention, staff must follow the Mental Capacity Act 2005 and the organisation’s Mental Capacity Policy. Any decision made on behalf of a person who lacks capacity must be decision-specific, clearly recorded, made in the person’s best interests, and use the least restrictive option. Staff must not rely on family consent in place of the person’s own consent where the person has capacity.
Encouraging Independence While Providing Necessary Support
One of our key goals in supported living is to enable people to do as much for themselves as possible while offering the support they need. We understand that maintaining independence is vital for a person’s self-esteem, confidence, and overall well-being.
- Instead of doing everything for someone, we encourage and empower them to participate in their movements where possible.
- We adapt our approach to the individual’s capabilities, offering just the right amount of support—whether it’s a steadying hand, a mobility aid, or full assistance.
- We ensure that mobility aids (e.g., walking frames, grab rails, hoists) are properly used so that individuals can remain as mobile and self-sufficient as possible.
- We always respect an individual’s pace—we never rush them, and we allow them to move in a way that feels natural and safe.
Even small actions, such as holding onto a rail to support themselves while transferring from a chair to a bed, can help maintain independence and prevent a decline in mobility.
Avoiding Unnecessary Lifting Where Possible
We follow the principle of avoiding hazardous manual lifting wherever possible. Staff must first consider whether the task can be avoided, whether the person can move independently or with prompting, and whether equipment or environmental adjustments can reduce the risk. Where manual handling cannot be avoided, staff must follow the person’s moving and handling plan, use the safest method identified in the risk assessment, and reduce risk so far as is reasonably practicable. This approach protects both service users and our staff from unnecessary strain, discomfort, and potential injury.
- Wherever possible, we help individuals move themselves using verbal prompts, encouragement, and suitable equipment rather than physically lifting them.
- We conduct thorough risk assessments to identify the safest methods for moving and handling each individual, reducing the need for unnecessary manual handling.
- We train our staff to use safe techniques such as pivoting, weight-shifting, and natural movement rather than lifting with force.
- We work in pairs when necessary, ensuring that no care worker has to handle a service user alone if additional support is needed.
By reducing manual lifting and using safer alternatives, we lower the risk of injury while making moving and handling a more comfortable experience for the people we support.
Using Approved Techniques and Equipment for Moving and Handling
We take great care to ensure that every movement is carried out correctly, using the right techniques and appropriate equipment. Safe moving and handling is not just about efficiency—it’s about ensuring that every movement protects the health and safety of our service users and staff.
- We train all staff members in proper moving and handling techniques, ensuring they know how to safely support service users without putting unnecessary strain on themselves.
- We use approved equipment such as hoists, slings, transfer belts, slide sheets, and standing aids whenever needed, ensuring that every transfer is as smooth and safe as possible.
- We regularly inspect and maintain all moving and handling equipment to ensure it remains in excellent working condition and is safe to use.
- We provide ongoing refresher training for our staff so that they remain confident and competent in using the latest moving and handling techniques.
Using the correct techniques and equipment is essential in preventing injuries, reducing discomfort, and making moving and handling a positive experience for everyone involved.
4. Risk Assessment and Planning
Safe and effective moving and handling starts with thorough risk assessment and careful planning. Every individual we support has unique needs, preferences, and physical abilities, which is why a one-size-fits-all approach simply doesn’t work. Instead, we take the time to understand each person’s situation, assess potential risks, and create personalised moving and handling plans that prioritise safety, comfort, and independence.
Individual Risk Assessment for Each Service User
Every service user in our care receives a detailed, person-centred risk assessment to determine the safest way to assist them with movement and mobility. We understand that each person’s needs can change over time, whether due to illness, injury, surgery, or changes in mobility, so we continually assess and adapt our approach to ensure their safety.
- We conduct a comprehensive risk assessment when a new service user joins our care. This involves understanding their current mobility levels, strength, coordination, medical conditions, pain levels, and personal preferences.
- We ask the right questions:
- Can they move independently, or do they require partial or full assistance?
- Do they experience dizziness, balance issues, or joint pain that might affect mobility?
- Are there any medical conditions, such as arthritis or neurological disorders, that impact their movement?
- If a person requires assistance from a hoist, wheelchair, or other mobility aids, we ensure our staff are trained in how to use them properly.
- We actively involve service users in their own risk assessments, ensuring that they feel empowered and that their comfort and dignity are always prioritised.
By carrying out thorough risk assessments, we can prevent injuries, avoid unnecessary discomfort, and promote safe mobility for everyone we support.
Minimum Content of a Moving and Handling Assessment and Plan
Each person’s moving and handling assessment and support plan must clearly record:
- the person’s usual level of mobility and any known fluctuation;
- diagnoses or health conditions affecting mobility, balance, pain, fatigue, behaviour, communication or comprehension;
- what the person can safely do independently;
- the exact level of assistance required;
- the number of staff required for each transfer or manoeuvre;
- the equipment to be used, including type and size of sling where applicable;
- any contraindications or unsafe techniques that must not be used;
- the environmental requirements, including space, flooring, lighting and layout;
- any risks linked to falls, seizures, pain, fractures, skin integrity, challenging behaviour or distress;
- the action to take if the planned method cannot be followed;
- arrangements for review after any fall, injury, hospital admission, discharge, change in condition, or change in equipment.
Assessment of Environmental Hazards
While we can train our staff and use the best techniques, we also need to ensure that the service user’s supported living setting is as safe as possible. Many moving and handling risks come from hazards within the home, such as:
- Narrow hallways or cluttered spaces that make safe movement difficult.
- Slippery floors, loose rugs, or uneven surfaces that increase the risk of falls.
- Poor lighting that makes it hard to navigate safely.
- Inadequate space around a bed, bathroom, or seating area, making transfers more difficult.
- Unstable furniture that could tip over if used for support.
As part of our risk assessment process, we inspect and evaluate the service user’s supported living setting to identify and eliminate hazards.
- We work with service users and their families to rearrange furniture or clear clutter if needed.
- We recommend simple safety improvements, such as non-slip mats, grab rails, or improved lighting.
- If additional specialist equipment (e.g., hoists, transfer aids) is needed, we liaise with occupational therapists and other healthcare professionals to arrange for its provision.
By proactively addressing environmental risks, we reduce the likelihood of falls, injuries, and unsafe movements.
Reviewing and Updating Care Plans Regularly
We know that a person’s mobility can change over time, which is why we don’t just complete a risk assessment once and forget about it. Instead, we take a dynamic approach, ensuring that support plans are reviewed and updated regularly to reflect any changes in a service user’s health, mobility, or personal preferences.
- Moving and handling assessments and support plans will be reviewed at planned intervals determined by the provider, and immediately following any significant change, including a fall, injury, hospital admission or discharge, deterioration in mobility, change in pain, change in behaviour, change in equipment, environmental change, or any incident or near miss.
- If a service user has fallen, been hospitalised, or undergone surgery, we immediately reassess their moving and handling needs upon their return home.
- We ensure that staff are kept informed about updates so that everyone involved in care delivery is on the same page.
By keeping our support plans up to date, we ensure that our moving and handling practices remain safe, appropriate, and tailored to the individual’s current needs.
A Multi-Disciplinary Approach to Safe Moving and Handling
We believe that good care is never delivered in isolation. To ensure the safest and most effective moving and handling, we take a collaborative, multi-disciplinary approach, working closely with:
- Service Users – After all, they know their bodies best. We involve them in every step of the process, ensuring their preferences, comfort, and concerns are always taken into account.
- Family Members and Carers – Many service users receive additional support from family members, so we work alongside them to provide guidance and ensure a consistent approach to moving and handling.
- Occupational Therapists – These specialists provide expert advice on mobility aids, adaptive equipment, and the safest techniques for each individual.
- Physiotherapists – For service users recovering from injury or surgery, physiotherapists can help us develop personalised mobility plans that align with their rehabilitation goals.
- GPs and Other Healthcare Professionals – In cases where mobility is impacted by medical conditions, we liaise with healthcare professionals to ensure that our approach aligns with the person’s overall health plan.
5. Safe Handling Techniques
Staff must only use techniques for which they have been trained, assessed as competent, and which are consistent with the individual’s current moving and handling assessment, care and support plan, and the manufacturer’s instructions for any equipment used. Generic techniques described in this policy do not replace person-specific risk assessment, practical training or professional advice from occupational therapy or physiotherapy.
At {{org_field_name}}, we believe that every movement matters. How we assist a service user with standing, sitting, or repositioning directly impacts their comfort, safety, and dignity, as well as the well-being of our support team. That’s why we prioritise safe, effective, and respectful moving and handling techniques.
We don’t just follow guidelines—we put people first, ensuring that every transfer or movement is done with care, confidence, and skill. Below are the key techniques we use to provide safe and compassionate handling for both our service users and staff.
Correct Posture and Positioning
We know that proper posture and body mechanics are essential for preventing injury and strain, not only for our service users but also for our support team. That’s why we train and remind our staff to:
- Keep a strong base of support – Standing with feet shoulder-width apart provides stability and balance when assisting someone.
- Bend at the knees, not the back – This reduces strain on the lower back and makes lifting safer.
- Engage core muscles – Keeping the core engaged protects the spine and improves stability.
- Stay close to the service user – The closer we are, the more control we have, reducing unnecessary strain on both parties.
- Avoid twisting – Instead, we pivot our whole body when turning, preventing unnecessary strain on the spine.
By following these simple but essential principles, we not only protect our own bodies but also ensure gentle, controlled, and safe movements for those in our care.
Use of Proper Manual Handling Aids and Equipment
We believe that the right tools make all the difference. That’s why we prioritise the correct use of manual handling aids to make transfers safer and more comfortable for everyone.
We use a range of equipment, including:
- Slide sheets – To help reposition service users in bed without excessive pulling or strain.
- Hoists and slings – For safe lifting and transfer of individuals who cannot move independently.
- Transfer belts – To provide support while assisting someone with standing or walking.
- Walking aids – Such as frames, sticks, and rollators, to support safe and independent mobility.
- Adjustable beds and chairs – To help with positioning and reduce the need for unnecessary lifting.
We train our staff thoroughly on how to use this equipment correctly. Every piece of equipment must be checked and maintained regularly to ensure it is safe and in good working order. If a piece of equipment feels unsafe, faulty, or inappropriate, we report and replace it immediately.
Our rule is simple: If an aid can make a transfer safer and more comfortable, we use it!
Techniques for Assisted Standing, Sitting, and Repositioning
Every service user is different—some need minimal support, while others require full assistance. Regardless of their needs, we ensure that every movement is safe, comfortable, and stress-free.
Assisting with Standing Up:
- We always check if the service user is ready to stand by asking how they feel before assisting.
- We encourage them to help as much as possible, using their legs and arms to push up if they are able.
- We use stable surfaces (such as a chair armrest or grab rail) to support safe standing.
- We avoid pulling on their arms—instead, we use a transfer belt or provide gentle guidance under their arms.
Helping Someone Sit Down:
- We guide them slowly into the seat, ensuring their movements are controlled rather than sudden.
- We make sure the chair or bed is stable and positioned correctly before they begin sitting.
- We encourage them to reach for the chair arms or bed edges to support themselves.
Repositioning in Bed or Chair:
- We use slide sheets or turning aids rather than pulling or lifting.
- We ensure the person’s limbs are supported, preventing strain or discomfort.
- We work as a team if the task requires two carers, ensuring a smooth and coordinated movement.
- We check for pressure areas, ensuring that the person’s position is comfortable and promotes circulation.
We always assess the individual’s mobility and ability before any movement—because the safest way to assist one person may not be suitable for another.
Avoiding Hazardous Lifts
At {{org_field_name}}, we have a strict no single-person lifting policy for individuals who cannot support themselves.
We avoid:
- Single-handed lifting of a service user without proper equipment.
- Lifting a person under their arms—this can cause serious injury.
- Using outdated or unsafe techniques that could harm either the service user or the caregiver.
If two-person assistance or equipment is required, we use it—no exceptions.
Communication and Verbal Cues to Service Users
Moving and handling should never be something we do to a service user—it should be something we do with them. Clear communication is key to making the experience comfortable and reassuring.
- We always explain what we are about to do before moving a service user, allowing them to feel prepared and involved.
- We use simple, reassuring language—for example:
- “Let’s take this slowly—I’m going to help you stand up now.”
- “Can you place your hands on the armrest before you stand?”
- “I’m just adjusting your position so that you’re sitting more comfortably.”
- We give service users time to respond and move at their own pace—no rushing.
- We use non-verbal communication (such as smiling, nodding, and reassuring gestures) for those who may have difficulty understanding verbal instructions.
We also listen. If a service user expresses pain, discomfort, or fear, we pause, reassess, and adjust our approach to make them feel more at ease.
6. Equipment Use and Maintenance
At {{org_field_name}}, we recognise that moving and handling may involve equipment that is owned by the person, supplied by the local authority, NHS, landlord or private provider, or owned by {{org_field_name}} for work purposes. We will clearly identify who owns each item of equipment and who is responsible for servicing, maintenance, repair and replacement. Regardless of ownership, staff must complete a visual safety check before use, only use equipment they are trained and competent to use, follow the person’s support plan and the manufacturer’s instructions, and remove from use or report any item that appears unsafe, defective or unsuitable.
Our responsibility is to assess the need for mobility aids, support service users in using them correctly, and liaise with the relevant professionals to ensure equipment is available and maintained by the appropriate agencies.
Pre-Use Safety Checks and Fault Reporting
Before using any hoist, sling, transfer aid, bed, wheelchair or other moving and handling equipment, staff must carry out a visual check to confirm that the item appears safe, clean, appropriate for the person, within any inspection date, and free from obvious defects. Slings must be checked for correct size, compatibility, labelling, safe working load, wear and tear, and cleanliness before each use. Any defective or unsuitable equipment must be taken out of use where possible, reported immediately in line with the provider’s maintenance and incident reporting procedures, and escalated without delay to the responsible owner, supplier or manager.
Referral for Mobility Equipment
If a service user requires specialist mobility aids or lifting equipment, we will:
- Identify the need during risk assessments or support plan reviews.
- Refer the service user to an Occupational Therapist (OT) via the local authority or NHS for an assessment.
- Liaise with social services to ensure the necessary equipment is provided.
- Support the service user and their family in understanding the referral process.
For private clients, we can:
- Provide contact details for independent Occupational Therapists who can assess their needs.
- Offer recommendations for reputable mobility equipment suppliers who can advise on and provide appropriate solutions.
Supporting Safe Equipment Use
While we do not provide or maintain equipment, our role is to ensure that service users know how to use their mobility aids safely. This includes:
- Encouraging proper use of hoists, walking frames, transfer belts, and slide sheets (if provided by the relevant authority).
- Ensuring carers are trained to assist service users with their prescribed equipment safely and in line with best practices.
- Reporting any concerns if we notice that equipment is damaged, unsuitable, or no longer meets the service user’s needs.
Reporting Defective or Unsafe Equipment
If we encounter faulty or unsafe mobility equipment, we take immediate action by:
- Informing the service user and/or their family about the issue.
- Contacting the relevant OT or social services team to request repairs or a replacement.
- Advising private clients on who to contact for servicing or repairs.
We never attempt to repair or modify mobility equipment ourselves, as this falls under the responsibility of the supplier or relevant healthcare service.
Inspection, Examination and Maintenance Responsibilities
Where lifting equipment is used by staff at work, {{org_field_name}} will ensure that responsibilities for inspection, servicing, maintenance and thorough examination are clearly allocated and evidenced. The provider will not rely on assumptions that another organisation is managing this unless written confirmation and appropriate records are available. Staff must be able to identify whether equipment is safe to use and when it is due or overdue for examination, servicing or replacement.
7. Staff Training and Competency
Moving and handling is a crucial part of our work, and if not done correctly, it can lead to serious injuries for both service users and caregivers. That’s why we prioritise comprehensive training and ongoing competency assessments, ensuring that every member of our team feels confident, skilled, and fully equipped to carry out moving and handling tasks safely and professionally.
We don’t just meet the minimum training requirements—we go above and beyond to ensure our team has the knowledge, skills, and confidence to deliver exceptional care.
Mandatory Moving and Handling Training for All Care Staff
From day one, every member of our support team undergoes mandatory moving and handling training as part of their induction. We ensure that new staff understand not just the techniques, but also the importance of dignity, respect, and communication when assisting service users with mobility.
Our training covers:
- Safe manual handling techniques to prevent injury to both service users and staff.
- Correct posture and positioning when lifting, transferring, and supporting individuals.
- How to use moving and handling aids such as hoists, transfer belts, and slide sheets.
- Understanding risk assessments and how to adapt techniques based on individual needs.
- How to communicate effectively with service users to ensure they feel comfortable and in control during any movement.
- What to do in emergency situations, including how to assist a service user safely after a fall.
Our goal is to ensure that every carer leaves their training fully prepared and confident in their ability to assist with mobility safely and respectfully.
Refresher Training at Least Annually
Moving and handling techniques evolve over time, and we want to ensure that our staff stay up to date with the latest best practices. That’s why we require annual refresher training for all support workers, even those who have years of experience.
We use these sessions to:
- Reinforce key techniques and correct any bad habits that may have developed.
- Update staff on any new equipment or methods we have introduced.
- Share real-life experiences and lessons learned from previous incidents or feedback.
- Ensure that staff remain fully compliant with CQC regulations and health and safety laws.
If a staff member feels they need additional support, we offer one-to-one coaching to help them feel more confident and competent. We never leave our staff to struggle alone—we support them every step of the way.
Role-Specific Competence, Supervision and Restriction of Practice
Staff must not undertake moving and handling tasks, use hoists, fit slings, use stand aids, or assist following a fall unless they have completed role-specific training and been assessed as competent. Competency must be reassessed after induction, after refresher training, after any incident or near miss, when new equipment is introduced, or where supervision identifies unsafe practice. Where competence is in doubt, the staff member must be restricted from undertaking the task until further training, supervision and reassessment have taken place.
Assessing Staff Competency Through Supervision and Observation
Training alone is not enough—we also need to see that staff are putting their skills into practice safely and effectively. That’s why we conduct regular competency assessments through:
- On-the-job supervision – Senior carers or managers observe staff in real care situations to ensure they are using correct techniques and following procedures.
- Practical assessments – We test staff on various moving and handling scenarios, ensuring they can apply their knowledge correctly.
- Feedback and coaching – If an issue is spotted, we provide constructive feedback and additional support to help staff improve.
- Service user feedback – We encourage service users to share their experiences, letting us know if they feel safe, comfortable, and respected during transfers and movements.
If a team member is struggling with a particular technique, we don’t criticise—we train, support, and guide them until they feel confident.
Training on Safe Use of Mechanical Aids
Many of our service users rely on mobility aids and lifting equipment to move safely and comfortably. It’s essential that our staff know how to use this equipment properly to prevent injuries and ensure a smooth, dignified experience for the person receiving care.
Our mechanical aids training includes:
- Hoist training – Staff learn how to safely operate ceiling track hoists, mobile hoists, and standing aids, ensuring smooth and comfortable transfers.
- Sling selection and fitting – Understanding how to choose the correct size and type of sling for each service user to prevent discomfort or injury.
- Slide sheets and transfer boards – Learning techniques to minimise strain and reduce friction when repositioning individuals.
- Handling belts and turntables – Practicing safe standing and pivoting movements to help service users transition between positions without unnecessary lifting.
- Wheelchair and walking aid support – Ensuring that service users are using their mobility aids correctly and safely.
We also cover what to do if equipment fails or malfunctions, ensuring staff know how to respond quickly and safely in unexpected situations.
Agency, bank and temporary staff must not undertake moving and handling tasks until the provider has checked that they have completed appropriate training, understood the person’s current support plan and risk assessment, and know how to access immediate managerial support if the planned method cannot be followed.
8. Safeguarding, Refusal, Distress and Restrictive Practice
Moving and handling must never amount to rough handling, coercion, punishment or unsafe restraint. Staff must recognise that forcing a transfer, ignoring distress, using unsafe force, or proceeding without consent may amount to improper treatment or abuse. If a person refuses assistance, becomes distressed, or the planned transfer cannot be completed safely, staff must stop, reassure the person, reassess the situation, and seek senior or clinical advice as needed. Any concern that a person has been harmed, roughly handled, inappropriately restrained, or placed at risk through unsafe moving and handling must be reported immediately through safeguarding and incident reporting procedures.
9. Emergency Situations
Emergencies can happen at any time, no matter how carefully we plan and assess risks. As a supported living provider, we are often the first point of contact when a service user experiences a fall or other emergency, so it is crucial that we remain calm, confident, and well-prepared to handle such situations safely and professionally.
Our top priorities in an emergency are to:
- Keep the service user safe and comfortable
- Avoid causing further harm or injury
- Seek the appropriate medical help when necessary
- Report and document the incident correctly
We understand that how we respond in the first moments of an emergency can make all the difference—not just in preventing harm, but also in reassuring and supporting the service user during a stressful situation.
Handling Falls and Assisting Without Causing Harm
Falls are one of the most common emergencies in supported living, particularly for our elderly and mobility-impaired service users. We never rush to lift someone up immediately after a fall, as this could cause further injury. Instead, we follow a step-by-step approach to assess and assist safely:
If a service user falls, we will:
- Stay calm and offer reassurance – We let the person know that we are there to help and that they should try to stay still until we assess the situation.
- Check for injuries – We ask if they feel pain, dizziness, or discomfort and visually check for bruises, swelling, or bleeding.
- Encourage slow movements – If they are alert and not seriously injured, we guide them to move slowly, ensuring they don’t rush to get up.
- Use the correct technique for assistance – If the person can get up safely and independently, we support them using their own strength and mobility aids where possible. We never lift them manually without proper support equipment.
- Seek medical attention if needed – If there is any sign of serious injury, dizziness, or confusion, we will call 999 or 112 and keep the service user as comfortable as possible while waiting for help.
If a service user cannot get up on their own, we will:
- Make them comfortable by placing a pillow under their head and covering them with a blanket.
- Encourage them to stay still while waiting for professional assistance.
- Contact emergency services if required and notify family members.
We always document any falls in the service user’s records and inform their family, social worker, or GP as necessary.
Emergency Lifting Procedures
As a supported living provider, we do not perform manual lifting of fallen service users unless we are using appropriate equipment and techniques.
If a service user has fallen but is alert and uninjured, we may assist them in getting up gradually using a safe method such as:
- The “rock and roll” technique, where they roll onto their side, then push themselves up into a sitting position before standing with support.
- The use of furniture or mobility aids to support them in rising safely.
- Guided standing techniques if they are able to bear weight.
We will never attempt to lift a person from the floor alone, as this poses a serious risk to both the service user and ourselves. Instead, we will:
- Encourage the use of a falls lifting aid (if provided by an OT).
- Seek additional support from trained staff, emergency services, or an approved falls response service in line with the person’s plan and local arrangements.
If an emergency lifting aid (such as a Raizer chair or inflatable lifting cushion) is available, we ensure that:
- The service user is medically stable before attempting to use it.
- Two carers are present if required for safe operation.
- We follow the manufacturer’s instructions carefully.
When to Seek Emergency Medical Assistance
We are not medical professionals, but we are trained to recognise signs that indicate the need for emergency medical attention.
We will call 999 immediately if a service user:
- Has suffered a serious fall with a suspected fracture or head injury.
- Is experiencing severe chest pain, difficulty breathing, or sudden weakness (possible stroke or heart attack).
- Has lost consciousness, is disoriented, or showing signs of a seizure.
- Has uncontrolled bleeding that we cannot stop with pressure.
- Has a severe allergic reaction (anaphylaxis) with swelling or difficulty breathing.
- Has a suspected infection with signs of confusion, high fever, or extreme drowsiness (possible sepsis).
If we are unsure but concerned, we will call NHS 111 for advice or seek guidance from the service user’s GP or next of kin.
We will always stay with the service user until help arrives and provide updates to their family as necessary.
Reporting and Recording Incidents and Near Misses
Every emergency situation must be properly documented, even if no injury occurred. This helps us to:
- Identify patterns or recurring risks.
- Improve support plans and risk assessments.
- Demonstrate compliance with CQC regulations.
- Provide accurate information to healthcare professionals and family members.
For any falls, medical emergencies, or other incidents, we will:
- Complete an incident report detailing what happened, how we responded, and any follow-up actions required.
- Inform the appropriate parties, including social services, OTs, GPs, and family members if necessary.
- Review the service user’s support plan to see if adjustments are needed (e.g., additional mobility aids, supervision, or environmental changes).
- Report any near misses—situations where an accident almost happened—so that preventative action can be taken.
By maintaining accurate and transparent records, we ensure that service users receive the best possible care and that our team continuously improves safety standards.
10. Reporting and Record-Keeping
At {{org_field_name}}, we understand that accurate and detailed reporting is the backbone of safe, high-quality, and person-centred care. Keeping clear records allows us to track changes in a service user’s needs, identify risks early, and provide the best possible support.
We don’t just record information because it’s required—we do it because it keeps people safe. Every piece of documentation, whether it’s a risk assessment, an incident report, or a support plan update, helps us deliver the high standard of care we are committed to providing.
Beyond just meeting legal and regulatory obligations, good record-keeping protects our service users, our support team, and our business by ensuring that every action taken is transparent, accountable, and well-documented.
Documenting Risk Assessments and Care Plans
Each service user is unique, and their needs can change over time. This is why we ensure that risk assessments and support plans are always up to date and reflect the most current information about their mobility, health, and support needs.
Risk Assessments:
- Completed before care begins to assess potential hazards and mobility risks.
- Include details about physical limitations, supported living setting, and any necessary equipment.
- Reviewed regularly—at least every six months, or sooner if the service user’s condition changes.
Care Plans:
- Created in partnership with the service user and their family, ensuring their preferences and personal choices are respected.
- Outline the exact level of support needed, whether it’s assistance with mobility, transfers, or the use of specific equipment.
- Updated promptly if there are new health concerns, changes in medication, or updates from healthcare professionals.
We take the time to ensure that support plans are not just written documents—they are working tools that guide our team in providing safe, effective, and personalised care every day.
Recording Incidents, Injuries, or Equipment Failures
We know that even with the best precautions, incidents can still happen. Whether it’s a fall, a minor injury, or an issue with a mobility aid, how we respond and document the event can make a big difference in preventing further harm.
When We Record an Incident:
- Any fall or accident, whether or not an injury occurs.
- Any injury sustained by a service user during care.
- Any near-miss—situations where something could have gone wrong but didn’t.
- Any concerns about faulty or inappropriate equipment that could pose a risk.
How We Document It:
- We record what happened and when, step by step, ensuring the information is factual and objective.
- We include actions taken, such as providing first aid, notifying a family member, or contacting a healthcare professional.
- We follow up, ensuring that any necessary adjustments are made to support plans or risk assessments to prevent a recurrence.
Reporting Equipment Issues:
- If we identify that a hoist, wheelchair, or any other mobility aid is damaged or unsuitable, we report it immediately to the service user’s social worker, OT, or private provider.
- For private clients, we provide reliable contacts for mobility aid suppliers or repair services.
- We never attempt to fix mobility equipment ourselves, as this falls under the responsibility of the supplier or local authority.
By keeping accurate records, we ensure that our service users receive the safest possible care and that our team has the information they need to prevent future risks.
Compliance with Regulation 17 – Good Governance
Under Regulation 17, we must have effective systems in place to:
- Monitor and continuously improve the quality of care.
- Identify, assess, and mitigate risks that may affect service users.
- Maintain secure, accurate, and up-to-date records.
- Act on feedback and incidents to improve our services.
To ensure compliance, we:
- Ensure all care staff are trained in proper documentation procedures.
- Regularly review and audit records to check for gaps or inaccuracies.
- Analyse trends from incident reports to identify areas for improvement.
- Encourage open communication—if a team member is unsure about documentation, we provide support and training.
Good governance is about more than just meeting CQC requirements—it’s about making sure our service users receive the best possible care, backed by clear and accountable record-keeping.
The provider will operate governance systems to monitor compliance with this policy, including audits of moving and handling assessments and care plans, training and competency records, incident and near-miss trends, equipment checks, and action plans arising from audits, complaints, safeguarding concerns and investigations. Findings must be reviewed by management and used to improve practice.
Reporting Serious Injuries and Other Notifiable Incidents to CQC
Certain incidents must be notified to the Care Quality Commission without delay under Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. This sits alongside, but is separate from, the fundamental standards in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We must notify CQC without delay if a service user experiences:
- A serious injury, such as a fracture, loss of consciousness, severe burns, or significant head trauma.
- An incident requiring urgent medical treatment to prevent life-threatening consequences.
- An unexpected deterioration in health that results in emergency intervention.
- An allegation of abuse, neglect, or improper treatment requiring investigation.
How We Handle CQC Notifications:
- We complete an internal incident report first, ensuring all details are recorded correctly.
- We notify CQC as soon as possible, following their reporting procedures.
- We inform the service user’s family and any relevant professionals, such as GPs or social workers.
- We review and update the service user’s support plan, ensuring that any necessary changes are made to prevent similar incidents in the future.
By ensuring that serious incidents are reported and investigated properly, we demonstrate our commitment to transparency, accountability, and continuous improvement.
Duty of Candour
Where a moving and handling incident results in, or appears to result in, unintended or unexpected harm that meets the threshold for a notifiable safety incident, {{org_field_name}} will act in an open and transparent way in line with Regulation 20 Duty of Candour. This includes informing the person affected, or the relevant person acting lawfully on their behalf, providing a truthful account of what is known, giving an apology where appropriate, keeping a written record of the discussion and actions taken, and reviewing the incident to reduce the risk of recurrence.
11. Monitoring and Policy Review
Updating the Policy Annually or as Regulations Change
Policies are not set in stone. As regulations evolve, so do we. That’s why we review and update our Moving and Handling Policy at least once a year—or sooner if there are significant changes in CQC regulations, best practices, or industry guidance.
When We Update Our Policy:
- If new legislation or CQC guidelines require changes to our procedures.
- If audits, incidents, or feedback highlight areas for improvement.
- If new equipment or technology becomes available that enhances moving and handling safety.
- If service user needs change, requiring us to adapt our approach.
Every update is clearly communicated to our support team, ensuring that everyone understands and follows the latest best practices.
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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