Security
Progress and problems Although this new technology represents a step forward, a recent audit by the Care Quality Commission has highlighted an issue that some providers may not have considered. The typical card access type of lock that is found in many hotels is not designed to prevent the attachment of ligatures. Where self-harm is a risk, providers should take the time to review their decision. When choosing an access control
system that operates using radio frequency identification (RFID) technology, it is essential to check for features designed to protect the vulnerable and that help maintain independence. As well as the all- important anti-ligature design, the locksets need to cater for users with differing needs, including those with physical disabilities, dementia, Parkinson’s disease or learning difficulties. Even where facilities are purpose-
built, over time the nature of provision can change. A unit that once provided care for the physically frail could easily find itself shifting towards offering the typically longer-term care needed by people with dementia, or move towards the provision of care for those who may have compromised mobility and motor skills following a stroke. By choosing a lockset that is
adaptable and suitable for retrofitting, changes can be accomplished without major disruption to existing doors. Similarly, a lockset that offers different modes of operation, for example, one that can be opened using cards, fobs or wristbands, and with multiple handle options, will offer the flexibility needed to support a range of user needs including impaired cognitive function and reduced manual dexterity. In addition, locksets that may be coloured can provide important markers for the visually impaired or be useful as part of a way finding scheme.
Access control Software for access control has been used in the commercial arena for many years. It is commonly found in hotels, in student accommodation and in sectors of industry and commerce. It is ideal where multiple locks need to be controlled, but it is critical that any such system chosen for care home use is tailored to the needs of the sector. There are obvious benefits. Where
there are many doors, differing levels of user capability and multiple room functions, programming conventional
Service providers have turned to card reading technology to control access January 2017 •
www.thecarehomeenvi ronment .com 33
In any care facility, it makes sense to avoid any fixtures or fittings that could provide an attachment point for a ligature or that are easy to damage or disable
access control systems can be very time consuming. Every door may need individual attention with a master card and normally staff must be on site to make any amendments. The latest software controlled
systems offer effective, practical control, flexibility and responsiveness. Importantly, their operation can be programmed quickly and simply via a central computer. With an internet connection,
programming can be carried out from any remote location and can be accessed via a secure connection from a smartphone or tablet at any time of the day or night, and virtual keys can be issued from just about anywhere. Whereas conventional access systems can require overnight updates, with the best systems, access changes can be made almost immediately as the locks are continually polling for updates from a networked system. The immediate advantages of
simplified and remote programming are obvious, but behind the scenes these advanced systems have some very smart features that are particularly
useful in a care home environment. They can track the movements of
any number of card or fob holders. The software can be set to record the dates, the times and who is moving. What’s more, they can work across an entire unit, providing time and attendance data for staff as well as recording service user activity. These systems can highlight issues
and raise alarms, alerting staff to residents ‘wandering off’ or accessing other residents’ rooms or areas that are off limits to them such as offices and dispensaries. They also show that a door hasn’t been opened for some time, alerting staff to the fact that someone is unwell or isolating themselves in a room. The potential is enormous.
Wireless systems Any form of electrical wiring carries a degree of risk. Under normal circumstances, these risks are deemed acceptable, but where individuals may be at risk self harm, any wired electrical fixtures can present a danger. Clearly, eliminating any unnecessary
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