Review of Incidents

14.1    An incident is when an event occurs that results in physical, emotional or psychological harm to an adult who is receiving an individual budget or to another person as a consequence of the actions of that adult.

14.4    When faced with the report of an incident, staff must take into account the likely outcomes of the alternatives open to them, and take the action that they consider to be the least damaging. The judgement should be based on professional judgement and common sense. An Accident, Incident or Near Miss reporting and investigation form Information and guidance  must be completed as soon as possible after the incident. 

Completed forms should be sent to remisesupplieshs@gloucestershire.gov.uk for input onto the database. A system for communicating the summary of incidents and an analysis of the information, including any learning and trends, should be communicated back to operational staff. Staff should also raise an Alert via the Safeguarding team if the incident was perpetrated by another person. 

14.5    In line with the corporate incident reporting policy all incidents must be investigated. 

14.6    In situations where incidents of serious concern occur that involve people or staff, the relevant Community Manager or Locality Manager should be alerted to the situation. They must decide who should be involved in any investigation e.g. SHE advisor, Safeguarding Adults, CQC, Trade unions etc. The investigation should start from a no-blame standpoint and the results of the enquiry should be communicated to all involved parties in writing as soon as possible. Consideration must be given to learning from the incident and changes made to any policies or procedures if necessary. 

14.7    Incidents involving providers need to be managed in line with the 
Interagency Raising Concerns and Sharing Related Information Policy.