Understanding Absconding Risks in Care Homes: Prevention and Safety Measures

In care homes or residential settings, the term absconding refers to a situation where a resident leaves the premises unexpectedly, without the knowledge of staff. This can pose serious risks, especially if the individual is vulnerable, as they may experience harm through neglect or intentional harm, either to themselves or others. Preventing absconding and managing its risks are vital parts of ensuring a resident’s safety and well-being.

Risk Factors for Absconding

Certain individuals are at a higher risk of absconding, often due to factors such as mobility, previous behaviour, or specific mental or physical health conditions. It’s crucial to recognise these risks early and implement strategies to prevent absconding. Common risk factors include:

• History of absconding: Residents who have previously left the premises without authorisation may be more likely to do so again.
• Physical mobility: A resident who is highly mobile or capable of moving quickly may find it easier to leave unnoticed.
• Cognitive impairments: Individuals with conditions such as dementia or Alzheimer’s may wander off unintentionally without awareness of the dangers.

Measures to Reduce the Risk of Absconding

A proactive approach can significantly reduce the risk of absconding. Here are some essential measures that care facilities should consider:

1. Coded Doors on Corridors

Access to certain areas, especially exits, should be restricted. Using coded doors ensures that only staff can unlock them. The code should be kept confidential and the keypad should be placed in a location not easily visible or accessible to residents.

2. Alarm Systems on Doors

Both internal and external doors should have alarms in place. These alarms will alert staff immediately when a resident attempts to leave the premises, allowing for a quick response to prevent any potential risk.

3. Risk Assessment

Identifying residents at a higher risk of absconding is crucial. This should be based on factors such as:

• Previous instances of absconding.
• The individual’s physical and mental state.
• Their mobility and awareness levels.

4. Frequent Check-ins for High-Risk Residents

For residents identified as high-risk, more frequent monitoring and check-ins should be implemented. This can include hourly or even more frequent visits to ensure their safety.

5. Use of Aids and Equipment

For residents who are at high risk, consider using additional safety measures, such as:

• GPS bracelets: These devices can help staff track the whereabouts of residents in real-time.
• Lifeline systems: This emergency communication system can alert staff if a resident is in distress.
• Crash mats: These can be placed around the bed to alert staff when a resident attempts to leave their room or bed.

6. Risk Assessing the Environment

Care facilities should assess the premises regularly to identify areas where absconding could occur, such as:

• Fencing and walls: Ensure that all outdoor areas are secure and not easily accessible to residents.
• Proximity to busy roads: Facilities located near dual carriage ways, motorways or busy roads should take extra precautions to prevent residents from wandering into traffic.

7. Staff Training

A key measure in preventing absconding is ensuring that all staff are well-trained in recognising early warning signs of absconding behaviours and in understanding how to respond effectively.

Consequences of Absconding

The consequences of absconding can be severe, including:

• Falling: Vulnerable individuals may trip or fall while attempting to leave the premises or while out of the home.
• Injury or Fatality: Residents may be hit by a vehicle if the facility is near a busy road or they may be exposed to other dangers.
• Becoming Lost: In unfamiliar environments, residents could easily get lost, causing distress and anxiety for both the resident and their family.
• Health Issues: Exposure to harsh weather conditions, such as extreme cold or heat, can lead to serious health complications, including hypothermia or heatstroke.

Conclusion

The safety of residents should always be a top priority for any care facility. Preventing absconding requires a combination of effective monitoring, secure premises, and thorough risk assessments. By implementing strategies like alarm systems, staff training, and ensuring proper supervision, care homes can significantly reduce the likelihood of absconding and mitigate the risks associated with it. Ultimately, these measures help maintain a safe environment for both residents and staff.

Have an enquiry?

Irvings Law are specialists in handling claims involving care home neglect and injury. We are committed to fighting neglect in care homes, and securing financial compensation for victims of home care injuries.

We act on a “no win – no fee” basis. If your claim is successful, the costs are paid by the Defendant. If the claim is not successful, you do not pay our costs.

Has your loved one been injuries as a result of neglect or injury in a care home?

Contact us for a no obligation confidential chat by telephone on 0151 475 1999 or use our free phone number 0800 954 0243 and talk to our specialist care home injury team. Alternatively you can submit your enquiry to us by email to info@irvingslaw.com.