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The brief abstract below is a direct extract from the UK HSL (A branch of the UK HSE) and is included in this website to assist in users selecting floors and floor tests in Care Homes.


Our thanks to the HSE, HSL and the author Rob Shaw for this useful information


The full article on preventing Slips and Trips in Care Homes is available at:-

https://research.shu.ac.uk/design4health/wp-content/uploads/2015/07/D4H_Shaw.pdf


Abstract (from the article)

Falls are a major health and safety issue, disproportionately affecting older people. Hospital inpatients are a vulnerable group, with over 200,000 reports of inpatient falls in hospitals in England and Wales each year. In the UK, costs for hospital and social care subsequent to hip fracture are estimated at £2 billion. In care home environments there are many hazards that can give rise to a risk of falling. Some hazards are shared with hospital environments and some are more specific to care homes.

This paper explores fall hazards and risk factors at care homes for both residents and staff and considers how good design can reduce fall risk. It presents anonymised evidence on design related issues based on physical assessments of fall risk conducted in 11 different care homes on behalf of Health and Safety Executive and Local Authority inspectors. At least seven of these assessments were requested following a fall, including two falls that resulted in fatalities. Fall risk is explored in common areas, bathrooms and showers, kitchens, stairs, dining rooms and outdoor spaces. Topics considered include:selecting an appropriate floor for the environment, safe stair design and preventing trips. Measurement techniques used during the assessments include floor friction measurements using the pendulum test, measurements of stair dimensions made in accordance with the method described by Johnson, as well as an assessment of the suitability of handrails and measurements of Light Reflectance Values of important stair features. The paper concludes by describing a range of design factors that can be considered in order to reduce fall risks.


Keywords: slip, trip, fall, slip resistance, stair, care home


References


UKSRG. 2011. The Measurement of Floor Slip Resistance - Guidelines Recommended by the UK Slip Resistance Group. Issue 4.0. (Now available at Issue 5.0)


BRE. 2003. Information Paper IP 15/03 Proprietary nosings for non-domestic stairs. Available fromBREbookshop.com, last accessed 16 March 2015 at: http://www.brebookshop.com/


BSI. 2010. BS 5395-1:2010. Stairs – Part 1: Code of practice for the design of stairs with straight flights and winders. Available from BSI online, last accessed 16 March 2015 at: http://shop.bsigroup.com/


BSI. 2010. BS 8300:2009+A1:2010. Design of buildings and their approaches to meet the needs of disabled people – Code of practice. Available from BSI online, last accessed 16 March 2015 at: http://shop.bsigroup.com/


BSI. 2013. BS 7976-2:2002+A1:2013. Pendulum testers Part 2: Method of operation. Available from BSI online, last accessed 16 March 2015 at: http://shop.bsigroup.com/

DIN. 2014. DIN 51130:2014-02. Available online, last accessed 16 March 2015 at:

http://www.beuth.de/en/standard/din-51130/196898059


HEALEY, F and SCOBIE, S. 2007. Slips trips and falls in hospital NPSA: London. For the National Patient Safety Agency.


HSE. 2012. Assessing the slip resistance of flooring. A technical information sheet. Available online, last accessed 20th March 2015 at: http://www.hse.gov.uk/pubns/geis2.htm


JOHNSON, D. A. 2006. An improved method for measuring stairways. Proceedings of IEA2006, 16th World Congress on Ergonomics, Maastricht.


LOO-MORREY, M. 2003. Trip Feasibility Study. Report HSL/2006/77. Available online, last accessed 16 March 2015 at: http://www.hse.gov.uk/research/hsl_pdf/2006/hsl0677.pdf


PYE, P.W. and HARRISON, H.W. 2003. BRE Building Elements: Floors and flooring - performance, diagnosis, maintenance, repair and the avoidance of defects. BRE Report 460, 2003. Available from


BREbookshop.com, last accessed 16 March 2015 at: http://www.brebookshop.com/

The Building Regulations. 2013. Approved Document K – Protection from falling, collision and impact (2013 edition). Available online, last accessed 16 March 2015 at:

http://www.planningportal.gov.uk/buildingregulations/approveddocuments/partk/approved


TORGERSON, D.J., IGLESIAS, C.P. and REID, D.M. 2001. The economics of fracture prevention. In: The Effective Management of Osteoporosis. London: Aesculapius Medical Press, P. 111–21.



Article on Floor Care and Preventing Slip sand Trip in Care Homes