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{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Flood Risk Management, Emergency Response and Business Continuity Policy
1. Purpose
{{org_field_name}} will take all reasonably practicable steps to protect people receiving regulated care and support, staff, visitors and others who may be affected by flooding, floodwater, loss of utilities or related disruption.
This policy establishes arrangements for:
- identifying and reducing flood-related risks;
- involving people receiving support in emergency planning;
- making reasonable adjustments for disabled people;
- maintaining safe care, support, medicines, equipment, nutrition, hydration and communication during disruption;
- evacuating or relocating people safely where necessary;
- co-operating with landlords, housing providers, building managers, local authorities, emergency services, commissioners and health professionals;
- notifying relevant authorities where required;
- restoring services safely following an incident; and
- learning from emergencies, drills, near misses and service disruption.
The policy supports compliance with the Health and Social Care Act 2008 and the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, including:
- 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 14: Meeting nutritional and hydration needs, where applicable;
- Regulation 15: Premises and equipment;
- Regulation 17: Good governance;
- Regulation 18: Staffing; and
- Regulation 20: Duty of candour.
It also supports compliance, where relevant, with the Care Quality Commission (Registration) Regulations 2009, the Health and Safety at Work etc. Act 1974, the Management of Health and Safety at Work Regulations 1999, the Care Act 2014, the Mental Capacity Act 2005, the Equality Act 2010, the Data Protection Act 2018, the UK General Data Protection Regulation, the Environmental Protection Act 1990 and the Flood and Water Management Act 2010.
{{org_field_name}} will have regard to current Environment Agency, UK Health Security Agency, local authority and emergency-service guidance when preparing for, responding to and recovering from flooding.
The Civil Contingencies Act 2004 primarily places duties on specified emergency responders. Although {{org_field_name}} will not ordinarily be a Category 1 or Category 2 responder, it will co-operate with relevant responders, commissioners and local resilience arrangements when this is necessary to protect people and maintain essential care and support.
2. Scope
This policy applies to all employees, agency workers, bank workers, volunteers, managers and contractors working on behalf of {{org_field_name}}. It also applies to arrangements made to protect people receiving care and support and visitors at any supported living location from which the organisation provides a regulated activity.
The policy covers:
- river, coastal, surface-water, groundwater and sewer flooding;
- burst pipes, water-tank failures, blocked drains and internal water leaks;
- flood warnings and severe weather likely to cause flooding;
- loss or contamination of water supplies;
- loss of electricity, gas, heating, lighting, telecommunications or digital systems;
- unsafe access to or from a person’s home;
- disruption to staffing, transport, medicines, food, clinical supplies or equipment;
- evacuation, sheltering in place, temporary relocation and return to the property;
- continuity of regulated care and support; and
- recovery, reporting, investigation and organisational learning.
In supported living, a person’s accommodation will usually be their own home and may be controlled by a landlord, housing association, managing agent or building owner. This policy therefore distinguishes between:
- matters controlled by {{org_field_name}} as the care provider;
- matters controlled by the landlord, housing provider or building responsible person; and
- matters requiring joint action.
Nothing in this policy authorises staff to exercise powers belonging to a landlord, building owner, emergency service or utility provider. Staff must nevertheless take immediate, proportionate action where necessary to protect life or prevent serious harm.
3. Related Policies
- SL12 – Safe Care and Treatment Policy
- SL07 – Person-Centred Care Policy
- SL21 – Emergency Preparedness and Business Continuity Policy
- SL08 – Dignity and Respect Policy
- SL34 – Confidentiality and Data Protection (GDPR) Policy
- SL19 – Fire Safety Policy
- SL16 – Infection Prevention and Control Policy
- SL13 – Safeguarding Adults from Abuse and Improper Treatment Policy
- Mental Capacity Act 2005 and Best-Interests Decision-Making Policy
- Medicines Management Policy
- Accident, Incident and Near-Miss Reporting Policy
- Duty of Candour Policy
- CQC Statutory Notifications Policy
- Lone Working Policy
- Moving and Handling Policy
- Missing Person Policy
- Severe Weather Policy
- Utilities Failure Policy
- First Aid Policy
- Equality, Diversity, Inclusion and Reasonable Adjustments Policy
- Accessible Information and Communication Policy
- Contractors and Premises Maintenance Policy
- Emergency Staffing and On-Call Arrangements
- Individual Risk Assessment and Positive Risk-Taking Policy
- Insurance and Claims Procedure
- Waste Management and Hazardous Contamination Procedure
4. Definitions
For the purpose of this policy:
- Flood alert means that flooding is possible and the organisation should be prepared.
- Flood warning means that flooding is expected and immediate protective action may be required.
- Severe flood warning means that severe flooding may present a danger to life.
- Flood Emergency Plan means the location-specific plan setting out the actions, responsibilities, contacts and resources required before, during and after flooding.
- Individual Emergency Support Plan means the personalised record of the assistance, communication, medicines, equipment, transport and other arrangements a person may require during an emergency.
- Shelter in place means remaining in a designated safe part of the property when evacuation would be less safe or has not been directed.
- Evacuation means moving a person from an affected property or area to a place of safety.
- Temporary relocation means moving a person to alternative accommodation because their home cannot safely support their assessed care needs.
- Responsible housing person means the landlord, housing provider, managing agent, building owner or other person responsible for the structure, communal areas or building safety arrangements.
- Business continuity incident means any event that prevents or may prevent {{org_field_name}} from carrying on regulated activity safely and properly.
5. Flood Risk Assessment and Prevention
A documented, location-specific flood risk assessment must be completed:
- before care and support commence at a new location, where reasonably practicable;
- at least annually;
- following any flood, significant leak, near miss or evacuation;
- following changes to the building, drainage, occupancy, staffing or care arrangements;
- when a person’s mobility, cognition, communication, health or dependency changes;
- when new flood-risk information becomes available; and
- when directed by the Registered Manager.
The assessment must consider, as applicable:
- the property’s risk from rivers, the sea, surface water, groundwater, sewers, reservoirs and internal plumbing;
- the Environment Agency flood-risk information and available warning services;
- access and escape routes, including whether roads, lifts, ramps or entrances may become unusable;
- basement and ground-floor rooms;
- the location of electrical consumer units, gas controls, boilers, water stopcocks, medical equipment and communication systems;
- the risk of electrocution, fire, structural damage, sewage contamination, slips, falls, hypothermia, infection and carbon monoxide exposure;
- the number and needs of people receiving support;
- staffing levels required for sheltering, evacuation or relocation;
- transport availability and accessible vehicles;
- continuity of medicines, oxygen, enteral feeding, mobility equipment, continence products and other essential supplies;
- the effect of power, water, heating, telephone or internet failure;
- lone-working and out-of-hours arrangements;
- the responsibilities of the landlord, housing provider, building manager and care provider;
- safe alternative accommodation; and
- any foreseeable impact on staff travelling to or from the service.
The Registered Manager must ensure that identified actions are recorded, assigned to a named person and completed within a proportionate timescale.
Where a risk relates to the structure, drainage, communal areas, utilities or another matter controlled by the landlord or housing provider, the concern must be reported promptly in writing. The manager must retain evidence of the report, agreed action and follow-up. If a serious risk is not addressed, the matter must be escalated to senior management, the commissioner, local authority, environmental health, building regulator, emergency service or other appropriate body according to the nature and urgency of the risk.
Preventive measures may include:
- registering for Environment Agency flood warnings where the service location is eligible;
- identifying alternative warning arrangements where Environment Agency warnings are unavailable;
- maintaining drains, gutters and internal plumbing where these are the provider’s responsibility;
- requesting action from the landlord or housing provider where maintenance is not the provider’s responsibility;
- protecting or relocating essential records, medicines, equipment and supplies;
- raising vulnerable electrical or digital equipment where safe and appropriate;
- maintaining safe quantities of essential supplies;
- identifying temporary transport and accommodation arrangements;
- checking insurance arrangements; and
- ensuring that emergency information is available both electronically and in a secure, accessible offline format.
6. Person-Centred Emergency Planning, Consent and Communication
Each person receiving support must be involved, as far as reasonably practicable, in planning how they will be supported during flooding or related disruption.
Emergency planning must reflect the person’s:
- wishes, preferences and usual routines;
- mobility and moving-and-handling needs;
- cognition, orientation and understanding of danger;
- sensory needs;
- communication method and accessible-information needs;
- anxiety, trauma, behavioural distress or sensory sensitivities;
- health conditions and clinical risks;
- medicines and medical equipment;
- cultural, religious and dietary requirements;
- assistance-animal or pet arrangements;
- preferred emergency contacts;
- transport requirements; and
- preference regarding temporary accommodation, where practicable.
Information must be provided in a format the person can understand. This may include Easy Read, pictures, large print, Braille, British Sign Language, audio, interpretation, objects of reference, communication passports or support from a person who knows them well.
Staff must seek the person’s valid consent to proposed emergency arrangements wherever the person has capacity to decide.
A person must not be assumed to lack capacity because they have a disability, make an unwise decision or disagree with staff. Where there is reason to doubt capacity for a specific emergency-related decision, staff must follow the Mental Capacity Act 2005 and the organisation’s Mental Capacity Act policy.
Where a person lacks capacity to make the relevant decision, any action must:
- be necessary;
- be taken in the person’s best interests;
- consider the person’s past and present wishes, feelings, values and beliefs;
- involve appropriate family members, advocates, attorneys or deputies where lawful and practicable;
- be the least restrictive available option; and
- be clearly recorded.
Immediate action may be taken without prior consent where this is necessary and proportionate to save life or prevent serious deterioration, but the reasons and actions must be documented as soon as practicable.
Restrictive measures must never be used for staff convenience or as a substitute for adequate emergency planning.
7. Emergency Preparedness and Planning
7.1 Location-Specific Flood Emergency Plan
A written Flood Emergency Plan must be maintained for each supported living location where flooding or related disruption is reasonably foreseeable.
The plan must include:
- the property address and precise location details;
- the flood risks affecting the location;
- warning and monitoring arrangements;
- trigger points for preparation, sheltering, evacuation and escalation;
- the names or roles of persons authorised to activate the plan;
- 24-hour management and on-call contact details;
- emergency-service, local-authority, utility-provider, landlord, housing-provider and commissioner contact details;
- the location of gas, electricity and water controls, where known;
- accessible primary and secondary escape routes;
- designated internal safe areas where sheltering may be required;
- assembly points;
- accessible transport arrangements;
- temporary accommodation arrangements;
- staffing and redeployment arrangements;
- arrangements for medicines, medical equipment, essential records, food, water and personal belongings;
- arrangements for people who are away from the property when the plan is activated;
- arrangements for communicating with people, relatives, representatives and professionals;
- the location of emergency equipment and supplies;
- arrangements for pets and assistance animals;
- media and confidentiality arrangements;
- criteria for notifying CQC and other bodies; and
- criteria and authority for returning to the property.
The plan must be readily accessible to staff, including agency and on-call staff, while being protected from unauthorised disclosure.
Emergency supplies must be proportionate to the assessed needs of the people supported and the likely duration of disruption. Where relevant, supplies must include:
- first-aid equipment;
- torches and spare batteries;
- charged power banks;
- battery-powered or wind-up radio;
- drinking water;
- food meeting assessed dietary, allergy, texture and cultural requirements;
- disposable cups, plates and utensils;
- blankets and warm clothing;
- waterproof clothing and footwear;
- personal protective equipment;
- hand hygiene and cleaning supplies;
- continence products;
- essential medicines and medicines-administration information;
- copies of health action plans and hospital passports;
- communication aids;
- spare spectacles, hearing-aid batteries and chargers;
- oxygen or other clinical supplies, where prescribed and safely managed;
- mobility and transfer equipment;
- identification and emergency-contact information;
- paper documentation for use during digital-system failure; and
- secure waterproof storage.
Emergency supplies must be checked at a documented frequency based on risk and at least quarterly. Checks must include expiry dates, integrity, accessibility, battery charge and suitability for current individual needs.
Medicines must not be stockpiled outside lawful prescribing, dispensing and storage arrangements. Any emergency medicines provision must be agreed with the prescriber, supplying pharmacy and medicines lead.
The manager must identify which equipment and care activities depend on electricity and determine the safe contingency arrangements for power failure.
Portable generators must not be obtained, stored or used unless:
- their use has been risk assessed;
- the landlord or responsible housing person has agreed their use where required;
- they are suitable for the intended purpose;
- they are maintained and tested by a competent person;
- staff are trained and authorised to operate them; and
- arrangements prevent fire, electrocution and carbon monoxide poisoning.
Fuel-powered generators must never be used inside a dwelling, garage, enclosed space or close to doors, windows or ventilation inlets.
Where a person relies on electrically powered life-sustaining or safety-critical equipment, the person’s care plan must identify battery duration, charging arrangements, emergency clinical contacts and the point at which emergency services or alternative accommodation must be sought.
7.2 Roles and Responsibilities
The Registered Provider will:
- ensure adequate governance, resources, insurance and business-continuity arrangements;
- ensure that flood-related risks across the service are monitored;
- support escalation where landlords, commissioners or other partners do not address serious risks; and
- ensure compliance with regulatory reporting and duty of candour requirements.
The Registered Manager will:
- ensure that location-specific assessments and plans are completed and reviewed;
- ensure sufficient competent staff are available;
- allocate emergency roles;
- maintain emergency contacts, supplies and records;
- decide when senior management, commissioners, CQC or safeguarding authorities must be notified;
- liaise with emergency services and partner agencies;
- authorise return to normal service after appropriate safety confirmation; and
- lead post-incident review and improvement.
The Flood or Business Continuity Lead will:
- monitor warnings and emerging risks;
- maintain the Flood Emergency Plan;
- co-ordinate drills and checks;
- record actions and outstanding risks; and
- report concerns to the Registered Manager.
On-call managers will:
- provide out-of-hours decision-making and escalation;
- arrange additional staff, transport or alternative accommodation; and
- maintain a contemporaneous decision log.
Care and support staff will:
- know the relevant emergency plan and their assigned role;
- follow individual emergency arrangements;
- report warnings, leaks, damage, blocked routes or other concerns immediately;
- support people calmly and respectfully;
- account for people receiving support;
- maintain medicines and care records;
- follow emergency-service instructions; and
- record actions taken.
The landlord, housing provider or building manager should be contacted regarding matters within their control, including structural repairs, communal drainage, building services, lifts, communal alarms and access. The provider must not assume that reporting a concern transfers all responsibility. The manager must verify that proportionate protective action is being taken and escalate unresolved risks.
8. Flood Response and Evacuation Procedures
8.1 Response to Alerts and Warnings
On receiving information about possible flooding, the staff member or manager must verify the source where practicable and record:
- the date and time;
- the warning level;
- the expected area and timeframe;
- the source of the information; and
- the action taken.
At flood-alert stage, the manager must consider:
- checking the Flood Emergency Plan;
- confirming staffing and on-call availability;
- checking people’s whereabouts;
- checking medicines, food, water, equipment and communication aids;
- charging phones, batteries and essential equipment;
- contacting the landlord or housing provider;
- checking transport and alternative accommodation;
- moving essential items away from likely water ingress where safe;
- briefing people and staff in accessible formats; and
- increasing monitoring.
At flood-warning stage, the manager must:
- activate the relevant parts of the Flood Emergency Plan;
- contact emergency services or the local authority where required;
- decide whether sheltering or evacuation is safest, taking account of official advice and individual risk;
- deploy additional staff where required;
- secure essential medicines, records and equipment;
- maintain an incident and decision log;
- inform senior management and relevant partners; and
- prepare for immediate evacuation or relocation.
At severe-flood-warning stage, where there is danger to life, staff must call 999 where emergency assistance is required, follow emergency-service instructions and implement immediate life-safety arrangements.
Staff must not enter, walk through or drive through floodwater unless specifically directed by emergency services and it is necessary to protect life. Floodwater may be deeper, faster-moving or more contaminated than it appears.
8.2 Evacuation and Temporary Relocation
Evacuation must be initiated when:
- directed by emergency services or the local authority;
- the building or access route is unsafe;
- essential utilities or equipment have failed and assessed needs cannot be met safely;
- floodwater, sewage, contamination, fire, structural damage or electrical hazards present an unacceptable risk; or
- the Registered Manager or on-call manager determines that remaining would expose people to greater risk.
Staff must:
- call 999 where there is immediate danger to life;
- follow the location-specific evacuation plan;
- use the safest available route;
- take the attendance list or emergency resident information;
- check all accessible rooms without placing themselves at risk;
- account for each person, staff member and visitor;
- provide the assistance identified in each person’s Individual Emergency Support Plan;
- take essential medicines, records, communication aids, mobility equipment and clinical supplies where safe;
- ensure appropriate clothing, continence supplies, food and water are available;
- maintain dignity, privacy and respectful communication;
- record the destination and means of transport for each person;
- inform the receiving location of relevant needs and risks;
- notify family members or representatives in accordance with the person’s wishes, consent and lawful information-sharing arrangements; and
- inform commissioners and relevant professionals where care arrangements are materially affected.
Staff must not use lifts where flooding, power failure, fire precautions or emergency-service advice make their use unsafe.
No person may be physically carried, manually lifted or moved using improvised equipment unless this is necessary to prevent immediate serious harm and no safer option is available. Staff must follow assessed moving-and-handling arrangements wherever circumstances permit.
Alternative accommodation must be assessed as suitable for the person’s care, accessibility, privacy, dignity, medicines, equipment, communication and safeguarding needs.
The service must maintain a record of:
- who was evacuated;
- who authorised the evacuation;
- when each person left;
- their destination;
- medicines and equipment transferred;
- who was informed; and
- any outstanding risk or follow-up action.
8.3 Refusal to Evacuate
Where a person with capacity refuses to evacuate, staff must:
- explain the nature and seriousness of the risk in an accessible way;
- explain the available options and likely consequences;
- consider whether reasonable adjustments could address the person’s concerns;
- encourage the person to speak with emergency services, a trusted representative or health professional where practicable;
- avoid coercion or threats;
- immediately inform the manager and emergency services where there is a serious risk;
- record the discussion, decision and actions taken; and
- continue to offer proportionate support without placing staff or others at unreasonable risk.
Where there is reason to doubt the person’s capacity to decide about evacuation, a decision-specific capacity assessment and, where required, a best-interests decision must be undertaken in accordance with the Mental Capacity Act 2005.
Staff must not use force unless there is a clear lawful authority and the action is necessary and proportionate to prevent harm.
8.4 Emergency Staffing
The Registered Manager must ensure that sufficient numbers of suitably competent staff are available to meet people’s assessed needs throughout the incident.
The emergency staffing plan must address:
- staff unable to reach the location;
- staff required to remain beyond their scheduled shift;
- relief and rest arrangements;
- overnight support;
- additional one-to-one support;
- moving-and-handling competence;
- medicines competence;
- agency-worker briefing;
- lone-working risks;
- staff transport;
- staff welfare and exposure to contamination; and
- safe staffing at temporary locations.
Staffing decisions must be based on people’s needs and actual risk, not solely on usual rota numbers.
No member of staff may be instructed to enter floodwater, a structurally unsafe building or another area presenting an uncontrolled serious risk.
9. Post-Flood Recovery and Business Continuity
9.1 Safety Assessment Before Return
No person receiving support or member of staff may return to an affected property until the responsible authority or competent person has confirmed that it is safe for the intended use.
Depending on the circumstances, confirmation may be required from:
- emergency services;
- the local authority;
- the landlord or housing provider;
- a structural engineer;
- an electrician;
- a Gas Safe registered engineer;
- the water undertaker;
- environmental health;
- an infection prevention professional; or
- another appropriately competent specialist.
The return assessment must consider:
- structural stability;
- electrical and gas safety;
- safe water supply;
- sewage contamination;
- mould and damp;
- heating, lighting and ventilation;
- fire-safety systems;
- lifts and accessibility equipment;
- safe access and escape routes;
- cleanliness and decontamination;
- food safety;
- pest risks;
- medicines and equipment;
- telecommunications and alarm systems; and
- whether the environment can safely meet each person’s assessed care and support needs.
Staff must not reconnect gas or electricity, use wet electrical equipment or restart boilers, lifts or other systems unless authorised by a competent person.
A documented management decision must be made before services resume. The decision must identify who provided safety assurance, any restrictions, outstanding work and additional monitoring required.
9.2 Restoring Care and Support
Following evacuation or significant disruption, the manager must review each affected person’s care and support arrangements.
The review must consider:
- changes in physical or mental health;
- trauma, anxiety, sleep disturbance or distress;
- medicines omissions or changes;
- nutrition and hydration;
- skin integrity;
- infection symptoms;
- loss or damage to mobility, sensory or communication equipment;
- disruption to health appointments or treatment;
- safeguarding concerns;
- financial loss or loss of personal possessions;
- temporary accommodation suitability; and
- whether additional professional support is required.
The manager must ensure that relevant professionals, commissioners, relatives or representatives are informed where lawful, necessary and consistent with the person’s wishes.
Care records and risk assessments must be updated promptly.
The provider must maintain continuity of regulated care even where the person’s home is temporarily unavailable. Where {{org_field_name}} cannot safely meet assessed needs, the manager must escalate immediately to the commissioner, local authority and relevant health professionals and document the interim safeguarding arrangements.
10. Infection Prevention, Contamination and Public Health
Floodwater must be treated as potentially contaminated with sewage, chemicals, oils, sharps, animal waste or other hazardous material.
People receiving support must be prevented from entering contaminated areas unless emergency circumstances make this unavoidable.
Staff involved in an immediate response or clean-up must:
- complete a dynamic risk assessment;
- wear task-appropriate personal protective equipment;
- cover cuts and abrasions with waterproof dressings;
- avoid hand-to-mouth contact;
- wash hands thoroughly after exposure;
- remove and safely contain contaminated clothing;
- avoid using pressure washers where they may aerosolise contamination;
- follow safe waste-disposal arrangements; and
- report exposure, injury or illness promptly.
Clean-up and decontamination must be carried out by competent persons. Specialist contractors must be used where sewage, chemicals, asbestos, structural damage, extensive mould or other hazardous contamination is present.
Food, drinking water, medicines, dressings, continence products and other absorbent items that have contacted floodwater must be discarded unless a competent professional confirms that they are safe.
Tap water must not be used for drinking, preparing food, oral hygiene or medicines where the water undertaker or public-health authority has advised that it may be unsafe.
The manager must seek advice from NHS 111, the person’s GP, the UK Health Security Agency, environmental health or emergency services where there is suspected exposure to contaminated water or a risk of infection.
Staff must monitor affected people for symptoms including:
- diarrhoea or vomiting;
- fever;
- skin infection;
- wound infection;
- breathing difficulties;
- worsening asthma;
- eye irritation; and
- significant psychological distress.
Urgent medical advice must be obtained where symptoms are severe, persistent or affect a person at increased clinical risk.
The UK Health Security Agency’s flood-health guidance for health and social care providers must be considered when plans are reviewed and during an incident.
11. Safeguarding
Flooding, evacuation and temporary relocation may increase the risk of abuse, neglect, exploitation, missing-person incidents, financial loss, medication errors and organisational neglect.
Staff must remain alert to:
- people being left without essential care or supervision;
- inappropriate or inaccessible temporary accommodation;
- loss of privacy or dignity;
- financial exploitation;
- theft or loss of possessions;
- unauthorised access to personal information;
- discriminatory treatment;
- unexplained injury;
- inappropriate restraint;
- people becoming missing during evacuation;
- disruption to essential medicines or treatment; and
- failures by organisations to act on known serious risks.
Any safeguarding concern must be reported immediately under the Safeguarding Adults Policy. The manager must make or support a referral to the local authority safeguarding team and notify CQC where the notification criteria are met.
Emergency circumstances do not remove the organisation’s safeguarding duties.
12. Training, Competence and Exercises
All staff must receive flood and emergency-response information during induction and refresher training at a frequency determined by risk.
Training must cover, according to role:
- recognising flood alerts, warnings and signs of internal flooding;
- accessing the location-specific Flood Emergency Plan;
- individual emergency support arrangements;
- person-centred communication and reasonable adjustments;
- consent, mental capacity and least-restrictive practice;
- safe evacuation and sheltering;
- moving and handling during emergencies;
- medicines continuity;
- use of emergency equipment;
- electrical, gas and carbon monoxide risks;
- infection and contamination risks;
- safeguarding;
- incident escalation;
- CQC and other notifications;
- duty of candour;
- record keeping; and
- post-incident support.
Staff must not be allocated specialist duties, including generator operation, electrical isolation, use of evacuation equipment or contaminated-water clean-up, unless they have been assessed as competent and authorised.
Location-based exercises must be completed at least annually and more frequently where indicated by risk.
Exercises may include:
- discussion-based scenarios;
- communication tests;
- out-of-hours call-tree tests;
- emergency-supply checks;
- simulated evacuation;
- loss-of-power scenarios; and
- relocation exercises.
Exercises must not expose people to avoidable distress or unsafe moving-and-handling practices. Participation must be person-centred, and reasonable adjustments must be made.
The manager must document attendance, outcomes, identified learning, responsible persons and completion dates for corrective actions.
13. Monitoring, Audit and Continuous Improvement
The Registered Manager must maintain an assurance system covering:
- annual location-specific flood risk assessments;
- review of individual emergency support arrangements;
- quarterly emergency-supply checks;
- testing of emergency contact details;
- completion of drills and exercises;
- staff training and competency;
- landlord or housing-provider actions;
- outstanding maintenance or environmental risks;
- incident, near-miss and service-disruption records;
- medicines and equipment continuity;
- statutory notifications;
- feedback from people receiving support; and
- completion of improvement actions.
A post-incident review must be completed after:
- any actual flooding;
- evacuation or temporary relocation;
- significant internal leak;
- utility failure affecting safe care;
- activation of business-continuity arrangements;
- a near miss with potential for significant harm; or
- an exercise identifying material weaknesses.
The review must examine:
- what happened;
- the effect on each person;
- whether warning and escalation arrangements worked;
- whether staffing was sufficient;
- whether partner organisations responded effectively;
- medicines, equipment and records continuity;
- safeguarding and equality issues;
- communication with people and families;
- whether regulatory notifications were made;
- whether duty of candour applied;
- lessons learned; and
- actions required to prevent recurrence.
Improvement actions must identify a responsible person and completion date. Senior management must monitor overdue or high-risk actions.
People receiving support and staff must be given an opportunity to contribute to the review in a format accessible to them.
Learning must be shared across relevant supported living locations.
14. Records, Confidentiality and Information Sharing
Emergency information must be accurate, current, accessible to authorised staff and protected against loss, water damage and unauthorised access.
The service must maintain secure backup arrangements for essential electronic records and a proportionate offline contingency for digital-system or power failure.
During evacuation or relocation, only the minimum personal information necessary to protect the person and maintain safe care should be shared.
Relevant information may be shared without consent where this is necessary and lawful to:
- protect life;
- prevent serious harm;
- provide emergency care;
- meet a legal obligation;
- support safeguarding; or
- assist emergency responders.
The reason, recipient and information shared must be recorded as soon as practicable.
Emergency grab files, printed summaries and contact lists must:
- contain only necessary information;
- be stored securely;
- remain under the control of an authorised member of staff;
- be returned or securely destroyed after use; and
- be reviewed regularly for accuracy.
Loss, unauthorised disclosure or destruction of personal information must be reported immediately under the organisation’s data-breach procedure. The Data Protection Officer must determine whether the Information Commissioner’s Office or affected individuals must be notified.
15. Incident Reporting and Notifications
All floods, significant leaks, evacuations, temporary relocations, injuries, medicines disruptions, utility failures, contamination events, near misses and failures of emergency arrangements must be reported through the organisation’s incident-reporting system.
The Registered Manager must determine without delay whether notification or referral is required to:
- the Care Quality Commission;
- the local authority safeguarding team;
- the placing authority or commissioner;
- the Health and Safety Executive;
- the Information Commissioner’s Office;
- environmental health;
- the Environment Agency;
- the landlord, housing provider or insurer;
- the police;
- the fire and rescue service; or
- another relevant body.
CQC must be notified where flooding or related infrastructure, equipment, premises or staffing problems stop or may stop the provider carrying on the regulated activity safely and properly, or where another statutory notification criterion is met.
Notifications must be made without delay and within the timescale required by the relevant regulation.
The manager must retain:
- a copy of the notification;
- confirmation of submission;
- supporting records;
- follow-up correspondence; and
- evidence of actions taken.
A flood does not automatically require notification to CQC. The decision depends on its effect on the regulated activity and on the health, safety and welfare of people receiving support. However, an event that stops or may stop the service running safely and properly falls within CQC’s notification framework.
16. Openness and Duty of Candour
{{org_field_name}} will act openly and transparently with people receiving support and, where applicable, their lawful representatives following flood-related incidents.
Where an incident meets the statutory definition of a notifiable safety incident, the Registered Manager must ensure that the duty of candour procedure is followed. This includes:
- notifying the relevant person as soon as reasonably practicable;
- giving a truthful account of the known facts;
- explaining what further enquiries will be undertaken;
- providing a sincere apology;
- offering reasonable support; and
- confirming the notification in writing and retaining a secure record.
Even where the statutory threshold is not met, staff must communicate honestly about significant disruption, errors, delays or changes affecting a person’s care.
The duty of candour is distinct from notifying CQC. Both requirements must be considered separately. CQC describes the duty as a general requirement for registered providers and managers to be open and transparent with people receiving care.
17. Emergency Communication
The manager must establish and maintain clear arrangements for communicating with:
- people receiving support;
- staff and on-call managers;
- relatives, advocates and representatives;
- emergency services;
- landlords and housing providers;
- commissioners;
- health professionals;
- transport providers; and
- temporary accommodation providers.
Communication must be:
- timely;
- accurate;
- accessible;
- proportionate;
- respectful; and
- consistent with confidentiality requirements.
Only an authorised manager may communicate with the media or publish information on behalf of {{org_field_name}}.
Staff must not post photographs, personal details, locations or commentary about the incident on personal social-media accounts.
A communication log must be maintained during significant incidents.
18. Insurance, Property and Personal Belongings
The provider must maintain appropriate insurance for risks within its responsibility and understand the boundaries between the provider’s insurance, the landlord’s insurance and the individual tenant’s contents insurance.
Staff must take reasonable steps to protect people’s belongings where this can be done safely, but protection of property must never take priority over life or health.
Any handling, movement, damage, loss or disposal of a person’s possessions must be documented.
Contaminated possessions must not be discarded without:
- consulting the person where practicable;
- obtaining lawful authority where the person lacks capacity;
- taking photographs or an inventory where appropriate;
- considering sentimental or cultural significance; and
- following insurer and contamination guidance.
The organisation must not accept liability or promise reimbursement unless authorised under its claims procedure.
19. Policy Review
This policy will be reviewed at least annually and sooner where:
- relevant legislation or regulatory guidance changes;
- CQC publishes material new guidance;
- Environment Agency, UK Health Security Agency or local-authority guidance changes;
- a flood, evacuation, significant leak or related business-continuity incident occurs;
- an exercise identifies a material weakness;
- a safeguarding concern, complaint or whistleblowing concern identifies a gap;
- the organisation begins operating from a location with a materially different flood risk;
- people’s needs or service-delivery arrangements change significantly; or
- an inspection, audit or investigation requires amendment.
The review must consider feedback from people receiving support and staff.
Changes must be approved through the organisation’s governance process, communicated to relevant staff and incorporated into training and location-specific plans.
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.