Physical Security Workshop TRENDS ACROSS MEMBER UNITS Dave Hearn
Firstly: Thank You We asked all delegates to send in 3 examples of serious incidents in which physical security has played a part 10 units responded with examples From this we have been able to draw a list of problem areas:
Wiring Patients using wires in plugs to light cigarettes Also use of wiring in a light fitting as a ligature
Doors Exit doors that are outward opening being breached by patients kicking them open Too many doors in the unit, staff getting RSI
Locks Patients using their keys to jam a staff office lock Wrong type of lock (i.e. not self locking) Lack of an override lock so staff unable to lock patient(s) into an area to prevent an incident spreading Sabotage of locks eg using paper, mulch, paper clips, broken key etc
Mag Locks Magnetic locks being sabotaged by placing a magnetic strip (e.g. from a fridge magnet) over the magnet
Windows Medium secure spec but not strong enough to contain patient s aggression Using heavy furniture to breach windows Patient kicked out window Passing contraband between floors using lines
Seclusion Patient ripping up flooring in seclusion and self harming with the vinyl Screws removed from panelling for WC appliances and skirting Interconnecting door between seclusion and toilet/shower area
Anti-Barricade Devices (emergency door stops) Lack of anti-barricade devices on some doors within the ward Device is to complicated in an emergency and the keys bend out of shape too easily
Fixtures and Fittings Large units used to barricade (eg washing machine) Curtains and blinds preventing viewing in room where incident is occurring Bedrooms providing good hiding places
Fixtures and Fittings
Fixtures and Fittings
Fixtures and Fittings
Fixtures and Fittings The following have been used as weapons: Wooden shelving Plastic leaflet holder Panelling on walls Ceiling fixtures (e.g. alarm panels) Door stop
Ward Design Lines of site Open plan of ward prevents compartmentalisation to limit an incident to one area
Ward Layout ICA Bedroom Corridor Day Area Dining Area Bedroom Corridor Nursing Station Offices, Clinic Room, Interview and Group rooms Moonbase - Wooden desk outside of Nursing Station
Ward Layout ICA Bedroom Corridor Day Area Dining Area Bedroom Corridor Nursing Station Offices, Clinic Room, Interview and Group rooms Moonbase - Wooden desk outside of Nursing Station Airlock
Ward Layout Areas where staff were trapped: 1) Regen kitchen 2) Nursing Station Day area
Ward Layout: Proposal to improve safety of Nursing station: a) Incorporate Moonbase structure into office: Exterior Moonbase structure made out of steel construction, fabricated off site and fitted on ward to minimise disruption and speed up works Lines of site from Office are improved to cover the whole ward
Ward Layout: Proposal to improve safety of Nursing station: b) Cordon off airlock corridor with door onto ward Door operated from within office only by large red button on Moonbase to allow staff clear site either side of the door
Ward Layout: Proposal to improve safety of Nursing station: c) Locate nursing station doors within new exterior structure 1 into airlock corridor and 1 into ward:
Clinic Rooms Lack of stable door lead to incident
Gardens Unsecured garden bench used as a climbing aid to get onto the roof
Mixed security levels Patient breaching out of the Medium Secure area internally, getting into the Low secure area and out through the low secure fence
Physical Security Challenges WIRING SECLUSION WINDOWS LOCKS ANTI-BARRICADE DOORS FURNITURE AND FITTINGS WARD DESIGN CLINIC ROOMS GARDENS MIXED LEVELS OF SECURITY
Physical Security Challenges Any more? Have we missed something that you re struggling with and would appreciate a bit of support on? Have we missed anything that you have a solution to that you want to share?
Physical Security Workshop Examples of Best Practice
Sharing Best Practice Sharing best practice is really what the Quality Network is all about You re only as good as the ideas you ve pinched Can we put together a directory of must see units so that when we re struggling we know where to go?
Sharing Best Practice E.g.: Oxford Clinic for windows The Orchard (WEMSS) for key management Trevor Gibbens Unit for access control Farmfield for fences Brockfield House for the reception North London Clinic s seclusion room Camlet Lodge s Bee Hive!!
My personal favourite Shaftesbury Clinic following an investigation of a breach of security of the perimeter fence Identified a problem with observation in the garden: large L shaped garden with one access point at one end Staff sheltering by the door cannot view other end of the garden
Shaftesbury garden Door (single access point into garden) Site of Breach
My personal favourite The solution was to paint a white line across the garden
Shaftesbury garden
My personal favourite This was cheap, innovative and above all effective Patients naturally respect the line Staff are better able (and more confident to) enforce boundaries about no go areas Physical security enhanced both procedural and relational security
Groupwork We d like you to split into small groups of about 5 people in each Have a look at the list of physical security problems In your groups please discuss those places you have seen or worked in that have good solutions We aim to put together a directory of units to visit for each area