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Anne McKenzie, National Training Manager, Care Training Providers Ltd.
As dedicated Health & Social Care training providers Care Training Providers Ltd is often asked to define the mandatory training courses for our clients. Unfortunately this is not a totally straightforward question to answer, but below we have offered some guidance.
Here is quote is from the Nursing Times:
‘There are no government guidelines that state what comprises mandatory training for all nurses. It’s up to employers. But, broadly speaking, it refers to resuscitation, fire safety and moving and handling.’
Regulation 23 of the Health and Social Care Act 2008 states:
The registered person must have suitable arrangements in place in order to ensure that persons employed for the purposes of carrying on the regulated activity are appropriately supported in relation to their responsibilities, to enable them to deliver care and treatment to service users safely and to an appropriate standard, including by—
(a) receiving appropriate training, professional development, supervision and appraisal; and
(b) being enabled, from time to time, to obtain further qualifications appropriate to the work they perform.
Outcome 14 is the outcome that CQC uses to ensure a service meets the requirements stipulated in regulation 23 and this states:
People who use services:
Are safe and their health and welfare needs are met by competent staff.
This is because providers who comply with the regulations will:
Ensure that staff are properly supported to provide care and treatment to people who use services.
Ensure that staff are properly trained, supervised and appraised.
Enable staff to acquire further skills and qualifications that are relevant to the work they undertake.
These then are ‘less prescriptive’ than the minimum standards and set out ways that this outcome could be achieved.
The learning and development needs of staff are identified based on the needs of people who use services and the skills needed from staff to ensure that the service meets essential standards of quality and safety.
This suggests that the list of mandatory courses will differ from client group to client group although there are a core group of training courses which are common to all areas.
Staff have a learning and development plan in place from the point of induction based upon the needs identified and how those needs will be met. This takes account of recognised standards in the sector.
The service has a learning and development plan which leads to the development of a programme of activity that meets mandatory, sector body and professional requirements for the designated roles and enables staff to meet their professional registration and development requirements.
The common mandatory courses are Health and Safety, Food Hygiene, Manual or People Handling, Safeguarding Vulnerable Adults or Safeguarding Children, Infection Control and Basic Life Support (Emergency First Aid). This list could also include Mental Capacity Act training. Fire Safety training is not mentioned within this list as this would result, where required, from the organisations statutory Fire Risk Assessment.
These courses also reflect and address many of the Common Induction Framework objectives.
This list is then extended to include Medication Awareness, Challenging Behaviour, Dementia Care and many more that are service specific.
Sector body requirements may be such courses as Medication Awareness or Care of the Dying patient. Also again this includes sector specific training. A hospice will require End of Life Planning training.
Professional registration and development requirements relates to Medicines Administration for Qualified Nurses and Supervision, Care Planning and Report Writing training.
The key is to enable staff to take part in learning and development that is relevant and appropriate so that they can carry out their role effectively.
It seems that the absolute answer is that mandatory training is the training that the management of any particular service feel is needed to comply with the Health and Social Care Act and Minimum Standards / Skills for Care requirements.The common mandatory courses have been defined within this article however services are likely to find that they need to augment these with additional subjects that are, in effect then, mandatory for their service.
A final point here is that this article primarily covers mandatory training. Statutory training can overlap this but is somewhat different. A topic for another day perhaps!
The line halfway down the page that reads, “These courses also reflect and address many of the Common Induction Framework objectives”
This line should now read, “These courses also reflect and address the Care Certificate objectives.
Common Induction Framework
An article for KiCA
One of the questions we have been asked many times is which staff in the care home need food hygiene training, too what level and does the training received need to be accredited or not.
To answer this question the first place to look for an answer is the Food Standards Agency’s (FSA) own advice.
The FSA states quite clearly that all staff involved in food handling have to be trained in food hygiene.
However it does say that most staff only need an awareness of food hygiene, and indeed only those involved directly in food preparation need a recognised qualification.
Edify training reflect this by offering a ½ day Food Hygiene Awareness Training which is adequate for all staff that handle food.
Perhaps the next question is who handles food? Is it the person that assists a resident to eat? Is it the person that waits on the residents, that brings their meals to the table? Is it the person that cleans the dining room? It certainly is the person that prepares the food, but they need to be dealt with separately. All the staff need, as a minimum, awareness training in food hygiene.
The Kent Environmental Health Office quotes the 2006 European Food Hygiene legislation that states that ‘people working with food require training commensurate with their role’
The person that prepares food therefore requires a level 2 certificate in food hygiene. The easiest way to guarantee that they have been trained sufficiently is to use an accredited training course.
Edify Training is able to offer accredited courses at level 2.
All care homes are required to have a Food Safety Management System in place. This can be produced locally or ‘Safer food, better business’ from the FSA can be used.
A ‘Care Home Supplement’ to accompany this is available either from the FSA or it can be downloaded from their website at:
An article for KCHA
The importance of Safeguarding was raised at the end of May / beginning of June by the BBC program Panorama’s investigation into Winterbourne View Care Home near Bristol.
Thankfully residents have been re-housed, staff arrested and a large investigation started.
The old adage that prevention is better than cure is very relevant when we look at Safeguarding of Vulnerable Adults in respects of training.
This is a subject that we addressed a few months ago when we looked at Mandatory Training, but we have addressed this subject in more detail recently as it is a course that obviously is a requirement for all staff involved in care, but is also an element of the Common Induction Framework.
As with many subjects that Care Training Providers Ltd deliver there are certain levels to this course.
As a mandatory subject a Level 1 Awareness ½ day course is sufficient. There is also enough information in this course to enable the employer and the carer to meet the requirements of the Common Induction Framework. Though a better understanding for staff involved in care is obtained by completing a Level 2 full day course in of ‘Safeguarding of Vulnerable Adults’. Nursing staff also complete a Level 2 full day course which is the same in content as the carers course, but the workshops and discussions around “Is this situation abusive” and “What would you do?” are usually considerably more in depth.
Some companies then go on to offer higher levels of Safeguarding training at Levels 3 and 4, and specialist courses such as “How to chair a safeguarding meeting”.
As Reporting procedures vary from one part of the country to another we have felt that specialist courses and higher level courses are offered by local Safeguarding teams within Social Services Departments and the local reporting procedures need to be both learnt and practised.
The Kent Social Services Safeguarding team can be contacted on 01622 221094.
An Article for KiCA by Stuart Baker, National Training Manager – Edify Training
This course is one of the many courses offered by Edify training.
It is not thought of as a mandatory course and therefore is rarely considered by budget restricted managers.
This however is a subject that can enhance the care of residents and also the smooth running of a home. Staff that feel that their own training needs have been addressed and not only the training needs of the home. They feel acknowledged to be members of a staff team that feel respected and invested in, and as a result work more effectively and after a Time Management course, more efficiently too.
One of the tips that we give for Time Management is to prioritise your workload. It is always surprising how many people get priorities wrong on a frequent basis.
We can often feel that we have a mental list in our heads of ‘things’ that have to be done. Assistance with toileting for Resident A, assistance with hydration for Resident B while assisting Carer C to use the hoist and get Resident D from the bed into their chair. Then the Manager E asks us to complete an errand for them and our list can be confused.
Staff are urged to think about what is urgent and what is important. If we imagine a square divided into four with decreasing importance on the side and decreasing urgency on the top we have an image like this:
Area ‘1’ represents things which are both urgent and important. This is referred to as “firefighting”. These activities need to be dealt with immediately, and they’re important.
Area ‘2’ represents things which are important, but not urgent. This could be termed as “Quality Time”. Although the activities here are important, and contribute to achieving the goals and priorities – they don’t have to be done right now. As a result, they can be scheduled in when they can be give an appropriate amount of time.
Area 3 is known as the ‘distraction’ area. These must be dealt with right now, but frankly, are not important. For example, an unwanted phone call, – staff have to interrupt whatever they are doing to answer it.
The final area, 4, are things which are neither urgent nor important (but often the things we spend a lot of time doing).
This is just a taste of what is taught in a Time Management. Empowering staff is important to Edify Training, knowing that they can prioritise better and as a result work more effectively and efficiently enhancing the quality of care that they already deliver.
Hopefully training commissioners and home managers will also see the importance and benefits of this course and other non mandatory courses.