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INSERT OWN LOGO

INSERT OWN PRACTICE NAME

Risk Assessment – Date 2020 : version 1.0

Staying COVID-19 Secure in 2020

Staying COVID-19 Secure in 2020 : Risk Assessment – Aug 20 : version 1.0

‘INSERT PRACTICE NAME’ has completed the following risk assessment to ensure compliance with Government guidance on managing the risk of COVID-19 spread during face to face consultations

This Risk Assessment will be under continual review

Location: ‘INSERT PRACTICE NAME’ Premises is a self-contained room with separate entrance, accessed directly from driveway. Toilet facilities are within the self-contained unit (door within consultation room direct to toilet).

Risk Rating: Likelihood (of risk occurring) may reduce depending on mitigation action / Severity weighted - deemed highest level (1 – 5)

Risk Controls Required Uncontrolled Risk

MitigationAction

Activity Actioned by Controlled risk

1. Client unaware of expectations or new changes for F2F attendance –Communication and confirmation required prior to client attending

Likelihood 4 Severity 5

‘INSERT PRACTICE NAME’ client guidance

F2F consent form

Sanitisation before arrival

Details of Practice changes and attendance requirements emailed to each client(Appendix A)

Issue and receipt of forms before attendance to reduce handling(Appendix B)

Checklist of cleaning protocol to take place(appendix C)

INSERT ACTUAL NAME OF PERSON(before first client appointment following lockdown)


INSERT ACTUAL NAME OF PERSON(ongoing daily basis)

Likelihood 1Severity 5

Provided for The Complementary Medical Association by Laureen FinneyCopyright Laureen Finney and The CMA

2. Social distancing Likelihood 4 Severity 5

Timing of clients

Minimising contact

1 hour between sessions to complete sanitisation protocol(appendix C)

Client advised prior to attendance(appendix A)

Forms completed & received via email PRIOR to attendance (apart from personal details – DOB, address for security etc)

Signage on glass entrance door and throughout treatment room and toilet facilitiesAppendix E)

Mobile perspex screens erected

Visor face shield worn by practitioner if 2m cannot be adhered to (close proximity contact)









3.

4.

Handwashing

Cleaning(in addition to standard pre-lockdown practise)



Hand washing facilities

Enhanced sanitisation regime

Extension of 1 hour scheduled between each client(business is already by appointment only)

Soap and water handwashing facility available. in addition to gel sanitiser

Client notified of hand sanitisation required on arrival(appendix A)

Hand drying with disposable paper towels (including safe bin disposal)

Enhanced cleaning protocol before and after client attendance(appendix C)

Note taken of any surface touched in room (particularly if client is child) (appendix D)







Likelihood 2Severity 5(awareness of inability to control client touching face)



5. PPE(in addition to standard pre-lockdown practise)

Likelihood 4 Severity 5 Face shield

Perspex screen

Wearing of disposable gloves

Double bagged disposal of single use paper towels or tissues

Face shield visor to be worn for each session under 2m

Client advised practitioner will wear a face shield visor or screen

Client to bring own PPE as this will not be provided.Clients over 70 or advised to shield during lockdown, specifically recommended to attend with own PPE

Two mobile screens in place(F2F seating area for consultation & reflexology table)

Single use disposable gloves to be used to package prescription for collection / postage(in addition to usual hygiene)







Likelihood 2Severity 5(greater likelihood with prolonged under 2m proximity contact)


6.

7.

Air quality

Premises Changes



Ventilation

Furniture placement

Soft furnishing

Large window to be open (tilted) during session

Hepa ‘UV sanitising light’ air purifier (on high setting before & after session, low during session)

Additional space added between chair and sofa (2m) with perspex screen between. Bespoke mobile screen used for treatment table.

Reduction in furniture and accessory decoration

Towel, pillows, blanket etc removed from usual treatment room storage area.

Sofa, pillows, cushions etc covered in plastic. Clean sheet, pillow cases etc to cover plastic for each client. Removal and






INSERT ACTUAL NAME OF PERSON(before first client appointment

Likelihood 3Severity 5(note: deemed partial reduction only as difficult to confirm accuracy of mitigation)



8. Symptoms ofCOVID-19


Hard surfaces

Cessation of refreshments

Isolation / do not attend

Government / governing body procedures

sanitisation after each session.(Appendix C)

Bookcase, shelves, filing cabinet etc covered in plastic for ease of cleaning

Removal of tea / coffee etc provision.Client advised to bring own bottle of water.

Client advised to complete form prior to attending confirming no symptoms or contact with persons tested positive / symptoms - including morning of appointment.

Client recommended to follow stringent government guidelines(appendix A)

INSERT PRACTICE NAME to follow all Government, INSERT REGISTERED SOCIETY NAME, Insurance procedures

following lockdown)






Likelihood 2Severity 5(note: aspects partially out of practice control)


(appendix F – hard copy)

Risk assessment and COVID-19 mitigation action noted on Website



INSERT REGISTERED ASSOCIATION NAME Registered Member

Additional Risk Considerations Date: XX XXX 20

INSERT PRACTITIONER NAME Clinic Name: INSERT PRACTICE NAME

This is additional to completed Risk Assessment

Location – INSERT COUNTRY

Does current government advice allow sufficient access to clinic?

COVID-19 health concerns for you? If any, please follow government advice re not working/isolating

Does anyone in your contact ‘bubble’ have COVID-19 symptoms? Or is COVID-19 positive?

Are you shielding anyone who is COVID-19 vulnerable?

Does the patient or do any of their contacts have COVID-19 symptoms?

You are strongly advised to consult with them online or by phone and to remind them to seek medical help should they need to.

Working at a clinic:Is the clinic open? Are other practitioners/patients using the clinic – what are the risks from them to you, and you to them?

Working at home:You need to determine cleaning routine in writing.Is there anybody else at your home? Would patients put them at risk? Would anyone in your home put patients at risk in any way? Can you manage cleaning/hygiene routine?

Overall:


Can you maintain 2m distance?

Is your room well-ventilated?

Cleaning: Clean high touch areas – doorbells, doorknobs, bannisters, light switches for bathrooms/stairwells. Seating – where possible sit patient on chair that can be wiped – particularly the arms. Soft furnishings: remove as many as possible. Bathrooms: Wipe light switches, taps, sinks, toilet, and any other surface. Dispose of wipe/paper towel or wash cloth in soap and hot water. Wash your hands. Provide disposable paper towels/pedal bin (empty daily) or individual towels laundered daily.

Sharing towels is not acceptable.


Copy of guidance emailed to client in advance of appointment Appendix A

Temporary COVID-19 Arrangements for attending Consultations:

Apologies for the following list of guidelines - They are necessary changes to ensure your safety, and all who attend the premises

---------If you have any COVID-19 symptoms (high temperature, sore throat, loss of smell or taste, cough, shortness of breath etc), or have been in contact with anyone who has (within the previous 14 days before your appointment) please ring me – INSERT PHONE NUMBER and do not attend. Similarly if you are required to quarantined due to travel etc, or have been contacted via NHS Track & Trace.If you previously tested positive, please contact me and advise when and if you have been medically deemed ‘recovered’.This includes the morning of your appointment. Please do not attend, isolate as per Government procedures and arrange for a test. Note: skype session can be arranged at short notice for you.Link to INSERT ENGLAND, NORTHERN IRELAND, SCOTLAND, WALES governmental website with procedures e.g. https://www.nidirect.gov.uk/campaigns/coronavirus-COVID-19If subsequently you display COVID-19 symptoms within 14 days of attending, please ring me to ensure I can alert NHS Track & Trace as a matter of urgency.

---------Following a mandatory business risk assessment, additional measures have been taken:- 2m distance will be maintained & large transparent perspex screens have been installed - Hand sanitiser is provided on arrival and / or handwashing facilities are available if preferred- Window will be open (tilted) to increase ventilation - Enhanced treatment room & toilet facility cleaning before and after attendance- Signage has been erected to highlight important precautions- Consultations are spaced out to allow extra time needed to clean premises - Client sofa is covered with a sheet for you to sit on, fresh for each consultation- hepa type air filtration with UV sanitisation (This is list not exhaustive)

Most grateful for your patience as I may be unable to admit you more than 5 minutes before appointment time due to cleaning.

INSERT TREATMENT NAME - it has always been standard hygiene practise for all towels / couch paper / mat etc to be fresh for each client. Due to closer proximity of certain treatments, I will wear a face shield (in addition to screen).

On arrival, please park directly outside glass treatment room door (left hand side of property). Please leave all unessential personal belongings in your car. Note: your car is parked on a private driveway and can be seen through glass door at all times. When you arrive and leave I will open and close the door, stepping back to ensure social distancing is maintained.


https://www.nidirect.gov.uk/campaigns/coronavirus-covid-19

Please feel free to attend with own PPE (clean mask, gloves etc – entirely your preference), these will not be provided. If you are over 70 or have been asked to shield I would recommend wearing PPE. If so, please contact me before attending and I will wear a face shield for your arrival.

Please restrict attendance to yourself as the client (or one adult with one child client). Understandably young children will be more inclined to touch surfaces. We can discuss possible strategies to minimise this in advance.

Again apologies, existing clients will know that I usually provided tea / coffee / water etc, but am temporarily unable to (to ensure adherence to essential hygiene procedures). Please do bring a bottle of water with you if you think you will feel thirsty (sessions are lengthy, with substantial talking). As mentioned, a window will be open during consultation for ventilation so please do consider wearing easily removable layers to ensure your comfort.

If this is your first appointment with me – please email the questionnaire / forms to me at least 24 hours before consultation, where possible. This will enable me to print and avoid unnecessary handling.

Please bring correct money with you to avoid need for handling change. If you prefer cheque payment: payee – ‘INSERT PAYEE’

INSERT FEES FOR EACH TREATMENT / SERVICE

Finally, if and when Government eases restrictions, I may not be able to relax these changes immediately. Please be patient as a full review of the risk assessment will be required first, therefore due diligence will be maintained. Please be assured this is to ensure all reasonable steps are taken to ensure you remain COVID-19 secure while attending INSERT PRACTICE NAME. Your health and well-being is my priority. Initiated 6th July 2020 (continual review)

Copy of F2F consent form issued and received from client prior to attendance Appendix B

Please complete and return prior to consultation

INSERT PRACTICE LOGO

INSERT NAME / PRACTICE


Face to face consultation CONSENT FORM(Temporary due to CoVid 19)

Your details

Name:

Email:

Telephone: Date of Birth: security

Address: Completed by me on arrival for security

Postcode: Completed by me on arrival for security

Consent statement

Please tick the boxes below to confirm information and show informed consent:

☐ I confirm that I require a face to face consultation OR INSERT TREATMENT TITLE. I am aware of the risks and confirm all precautions and safety measures are being taken.

☐ I confirm that neither I, nor any member of my household or personal contacts has any current symptoms of COVID-19.

☐ My practitioner has confirmed to me that neither they, nor any member of their household or personal contacts has any current symptoms of COVID-19.

☐ I confirm that I agree to the release of my contact details should it become necessary under government Track and Trace type of legislation.

Signature: Date:


INSERT PRACTICE NAME Enhanced Cleaning / Preparation Protocol Appendix CNote – this is in addition to standard hygiene followed prior to lockdown

Step by Step ChecklistNotice: Commitment to high standard of cleaning: PREPARE, CLEAN, SANITISE, CHECK, RESET 1 hour buffer between clients for cleaning / sanitisation / preparationNote – this is a small part-time business, due to the 1 hour buffer, it is unlikely that more than 2-3 client sessions will take place per day (interaction with small numbers of people therefore lower risk). Session with children (likely additional surface touching)

1. Before client arrives: Face to face consent form received (appendix B) Client attendance guidelines emailed (appendix A) Ensure cleaning protocols completed Open window for ventilation (remain open during and after consultation – until cleaning completed) HEPA style filter on with internal UV light activated (tea tree oil added to droplet filter) Fresh sheet on plastic covered sofa and/or towels, pillow cases & couch roll (only place fresh linen

where needed immediately before clients arrival) Face Visor ready for client arrival, if needed Bins all lined with plastic bags for ease of bagging and disposal Place form on top of client record for completion by me during each session – note of any additional

surface touched by client (appendix D) Ensure stock of hygiene products in designated position: a. Entry sanitisation table: Notice displayed, 70% alcohol based sanitisation gel, paper towels,

bin underneath (lined with plastic bag) b. Treatment room: Posters in place, fresh sheet over plastic covered sofa and/or fresh towels,

linen on plastic covered treatment table, plastic in place on all hard surfaces, screens in place c. Toilet facilities: Notices displayed, 70% alcohol based sanitisation gel, paper towels,

bin beside sink (lined with plastic bag), adequately full pump soap d. Adjoining Utility room: cleaning products beside door (clean basin, cloths & sponges, dettox

(liquid / spray / wipes), multi-purpose cleaner, Hydrogen Peroxide 3%, tea tree oil), disposable gloves, emptied washing machine and tumble dryer awaiting sheets etc, container for clothes removal if required (spare casuals), bin bags, plastic bags, vacuum, steamer

2. Treatment Room Cleaning Protocol THREE STEP CLEANING:

Between clients -

a. Remove sheet / towels / linen / reflexology floor mat b. Dispose of couch roll c. Steam floor if previously session was reflexology d. Clean reflexology screen, if previous session was reflexology e. Clean additional surfaces touched - annotated on form (appendix D)


End of working day –

a. Remove sheet / towels / linen / reflexology floor mat b. Dispose of couch roll and paper towels (double bagging) c. Steam floor d. Clean reflexology screen, if used e. Clean additional surfaces touched annotated on form (appendix D) (extra to regularly touched

zones – door handles, light switches, pump of gel sanitiser, plastic cover on sofa - particularly arms of sofa, treatment bed…)

f. Sanitise face visor if used g. Clean cloths & sponges – dispose of one-use paper towels for drying surfaces, disposable gloves

End of working week –

a. Disinfectant wipe down of plastic which covers furniture, cupboard handles, drawer handles….. b. Steam screens c. Clean cloths & sponges – dispose of one-use paper towels for drying surfaces, wash basin,

disposable gloves

3. Toilet facilities Cleaning Protocol (historically, rarely used by more than one client weekly)

Assume full touching of toilet facilities – door closed therefore no knowledge of what has been touched

Wash and sanitise taps, sink, soap pump, gel pump, toilet door handle, toilet, toilet flush, toilet brush

Miscellaneous Remove rubbish first to avoid recontamination. Followed by sheets, towels, mat etc before cleaning Disinfecting mist left to air dry where possible (minimum 10 mins) Awareness on not mixing chemical cleaning agents Awareness of not to shake sheets, pillow cases, towels, reflexology mats. Place in washing machine /

tumble dryer immediately inside utility door Awareness to clean from the cleanest surfaces to the most touched surfaces (minimise transfer of

germs) and top down


Proforma used for each face to face consultation (OR INSERT TREATMENT TITLE) Appendix D– surfaces touched (in addition to cleaning regime)

In addition to INSERT PRACTICE NAME enhanced cleaning regime, record of additional surfaces touched by client

Client name: Consultation date:

Additional surfaces to be cleaned following consultation:

NOTE: HIGHER RISK WITH CHILDREN


INSERT PRACTICE NAME Premises Signage Appendix E

1. Glass Entrance Door

2. Immediately inside entrance 3. Sanitation Table

b. Against perspex screen

Provided for The Complementary Medical Association by Laureen Finney

Copyright Laureen Finney and The CMA

4. Within toilet facilities


your details€¦ · web viewif you have any covid-19 symptoms (high temperature, sore throat, loss...

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