CAMHS Staff Safety Alarm

Standard Operating Procedure 1 (SOP 1) Why we have a procedure? CAMHS Staff Safety Alarm The CAMHS Staff Safety Alarm Standard Operating Procedure (SOP) has been written as guidance for all staff when an unsafe situation occurs within operational hours at the CAMHS premises 48 Lodge Road. This SOP has been developed to ensure personal and clinical safety at all times and to form best practice guidelines for the CAMHS service. What overarching policy the procedure links to? Child and Adolescent Mental Health Services (CAMHS) Operational Policy (Sandwell) Which services of the trust does this apply to? Where is it in operation? Group Inpatients Community Locations Mental Health Services Learning Disabilities Services Children and Young People Services CAMHS Who does the procedure apply to? All members of BCPFT CAMHS staff working at 48 Lodge Road, West Bromwich. Special exemptions in relation to the rota protocol for Qualified Response Clinician will only will be granted to those members of CAMHS staff who: I. Have a medical condition whereby responding to raised alarm calls would be difficult II. Are clinical trainees working in the Lodge Road premises III. Are administrative staff This procedure applies to Administrative staff in the capacity of Response Call Facilitator (one nominated member of staff based in Reception). No members of staff will be exempt from this SOP in relation to raising an alarm call or reporting an incident. When should the procedure be applied? The rota protocol as mentioned in this SOP should be practiced daily and should cover a ½ day period at a time. It is the responsibility of all identified qualified staff to follow the rota protocol and to respond to any raised alarm calls. A weekly Response Rota will CAMHS Staff Safety Alarm Page 1 of 5 Version 1.0 March 2017

be agreed within CAMHS Business Meeting. Alarm calls should be raised on a reactive basis when necessary. How to carry out this procedure A rota is in place to ensure that whilst the building (48 Lodge Road) is open a designated qualified member of staff is available to respond to any calls for help. This rota is in place to identify one member of staff for immediate response and will cover half a day at a time. It is the responsibility of the Qualified Response Clinician on the rota to ensure that Reception staff are aware they are on call for their allotted time at the start of each response shift. At the start of each response shift the Qualified Response Clinician should nominate one colleague as Back Up Support and should inform Reception of the named back up support at that time. Should the Qualified Response Clinician not be available to cover their shift on the rota, they must ensure they have nominated another qualified member of staff to fulfil this role. All qualified members of clinical staff should ensure they have nominated a suitable Back Up Support. The Qualified Response Clinician must ensure that they are available (i.e. not in any appointments) for the duration of their shift. They must ensure that they have access to a Response Panel (located in the corridor of 2 nd floor, and in Reception) and must respond to any alarm calls raised. One member of reception staff will be nominated as Response Call Facilitator, who will deal with the Alarm Panel in Reception. This will entail reading the alarm panel to see where the alarm call/call for help has been raised and using appropriate action as required. It is the responsibility of clinicians utilising clinical rooms to ensure that the alarm box is not in reach of the Child/Young Person present, but that it is accessible to the clinician themselves should a call for help be required. Where working with a Child/Young Person of high risk, it is the responsibility of the clinician to plan the session appropriately according to the level of need i.e. a second clinician may be required in the room. In this situation, advance warning should be given to the qualified response clinician on the rota for that time period and Line Manager (as per Lone Working Policy should the employee feel at risk). The rota d response (qualified) clinician should respond to any raised alarm call/call for help as an urgent priority and should ensure that safety is adhered to at all times. It is the responsibility of the Qualified Response Clinician to nominate a qualified colleague as Back Up Staff should the need for additional help be required. Following a response visit to the clinical room in question, it is the responsibility of the response clinician to update Reception staff at Lodge Road in either of the following situations: I. Alarm panel can be reset response dealt with and all parties safe II. Back up required from additional members of qualified clinical staff III. Emergency Services required such as Police/Ambulance presence In the event of a false alarm, or successful de-escalation without additional back up, the Response Call Facilitator based in Reception will reset the alarm panel. CAMHS Staff Safety Alarm Page 2 of 5 Version 1.0 March 2017

In the event of additional Back Up being required, the Response Call Facilitator will contact a Back Up member of staff via Trust Mobile for immediate assistance. In the event of Emergency Services being required, the Response Call Facilitator will contact Police/Ambulance Service and will radio through to Qualified Response Clinician to update them of estimated arrival time of emergency services. Following an alarm call/call for help being raised, it is the responsibility of the clinician (who raised the alarm) to report and record the incident as appropriate via the Trusts DATIX system. De-briefing and Staff Support Services will be offered/discussed with clinicians affected by any incident. This will be facilitated by your Line Manager. CAMHS Staff Safety Alarm Page 3 of 5 Version 1.0 March 2017

CAMHS STAFF SAFETY ALARM PROTOCOL Call for Help raised by clinician at 48 Lodge Road Response Call Facilitator reads Alarm Panel and contacts Qualified Response Clinician Qualified Response Clinician to respond to call for help Qualified Response Clinician to assess situation and update Response Call Facilitator with appropriate action Update to Response Call Facilitator: BACK UP REQUIRED Emergency Services also required Qualified Response Clinician to inform Response Call Facilitator who they have nominated for Back Up Support. Response Call Facilitator to contact Police/Ambulance Service as urgent Response Facilitator to call STAFF MOBILE PHONE of nominated Back Up Support Nominated back up staff to respond to call for help immediately Response Call Facilitator to update Qualified Response Clinician with estimated time of arrival of Police/Ambulance Update to Response Call Facilitator: ALARM PANEL TO BE RESET False Alarm or successful de-escalation Response Call Facilitator to action request and reset Alarm Panel Clinician who raised call for help to report/record incident on Trusts DATIX System as appropriate and to follow Clinical Risk Management Policy CAMHS De-briefing Staff Safety and Alarm Staff Support Service to be offered Page to 4 clinicians of 5 affected by Version incident 1.0 by March Line 2017 Manager

Where do I go for further advice or information? You may seek further advice from the Service Manager or your Team Leader. Training Staff may receive training in relation to this procedure, where it is identified in their appraisal as part of the specific development needs for their role and responsibilities. Please refer to the Trust s Mandatory & Risk Management Training Needs Analysis for further details on training requirements, target audiences and update frequencies Monitoring / Review of this Procedure In the event of planned change in the process(es) described within this document or an incident involving the described process(es) within the review cycle, this SOP will be reviewed and revised as necessary to maintain its accuracy and effectiveness. Equality Impact Assessment Please refer to overarching policy Data Protection Act and Freedom of Information Act Please refer to overarching policy Standard Operating Procedure Details Unique Identifier for this SOP is State if SOP is New or Revised BCPFT-CYPF-SOP-OP-18 New Policy Category Executive Director whose portfolio this SOP comes under Policy Lead/Author Job titles only Committee/Group Responsible for Approval of this SOP Month/year consultation process completed Children s Services Executive Director of Nursing, AHPs, Quality and Pschology Interim Service Manager CAMHS CYPF Clinical Effectiveness Group February 2017 Month/year SOP was approved March 2017 Next review due March 2020 Disclosure Status B can be disclosed to patients and the public Review and Amendment History Version Date Description of Change 1.0 March 2017 New SOP for BCPFT CAMHS Staff Safety Alarm Page 5 of 5 Version 1.0 March 2017