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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 29 › Standard operating procedures (SOPs)

Procedure · HC-SOP-009 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 29.31

At a glance

  • Each client with a single caregiver has a coverage plan for when that caregiver is unavailable (HC-PLN-001).
  • A named alternative is set for each client.
  • The client and family are told the alternative before the gap.
  • The plan is tested on each change of caregiver.
  • Stop and get help straight away if: a client is left without any care for two days when the only caregiver is sick.

1. Purpose

To make sure no client is left without care when their only caregiver is absent (29.31).

2. Scope

Applies to Clinical and support staff in the home care service
Locations All client homes and the service’s offices
When Whenever the activity described is carried out
Does not apply to Activities covered by another document listed in section 16

3. Definitions

Term Meaning
Solo-caregiver client A client who is served by one caregiver only.
Named alternative The caregiver named to cover the client when their only caregiver is absent.
Coverage plan The written plan (HC-PLN-001) that names the alternative caregiver for each solo-caregiver client.
Care coordinator The staff member who arranges the named alternative.
Client A person who receives care from the home care service.
Duty clinical lead The clinical lead on duty at the time, who receives serious problems first.
Escalation Passing a serious problem at once to the duty clinical lead, and to the clinical director the same day.

4. Background

A client served by one caregiver who falls sick or goes on leave is left with no care. A written cover plan keeps the client safe in the absence.

5. Responsibilities

Role Responsibility Competence
Home care service lead Owns the coverage plan Clinician or manager
Care coordinator Arranges the named alternative Staff

6. Materials and equipment

Item Requirement Condition
Records and forms named in this document Current version Checked before use

7. Safety

8. Before you start

9. Procedure

Step 1. Plan cover.

  • Name the alternative caregiver for each solo client on HC-PLN-001.

Key point: Planned.

Step 2. Inform.

  • Tell the client and family the alternative before any gap.

Key point: Informed.

Step 3. Test.

  • Test the plan on each change of caregiver.

Key point: Tested.

10. Decision points

11. Special situations

Situation Action
Out of hours Follow the same steps.

12. Escalation

13. Monitoring

Measure Target Frequency Owner If not met
Solo-caregiver clients with a named alternative 100% Quarterly Home care service lead Escalate to medical director

14. Records

Record Kept in Retention
Record named in this document Client record or the area file the period set by the facility’s records policy (in years)

15. Training

16. Related documents

ID Title Use
HC-PLN-001 Solo caregiver coverage plan Plan
MOB-REG-002 Coverage review register (existing, reused) Register

17. Evidence

Reference Note
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

18. Change history

Version Date What changed Approval
1.0 — Initial release Approved by the ASF Expert Committee

E-learning for this document

References

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