Catering Health and Safety Plan Prepared By: Merzougui Sofien Reviewed By: Chouaieb Fahd
Catering Health and Safety Plan Prepared By: Merzougui Sofien Reviewed By: Chouaieb Fahd
2019-2020                                    Page 2 of 34
                   ASSURED SAFE CATERING PROCEDURE
    Part 1
    Operational Requirements
      Part 2
      Personal Responsibilities
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      Part 3
      Food Safety - Hazard Analysis & Critical Control Point (HACCP)
      3.1         Introduction
      3.2         System Flow Chart
      3.3         System Pre-Requisites
      3.4         Hazards
      3.5         System Critical Control Points (CCP)
      Part 4
      Non-Food Safety - Health & Safety Details
      4.1         Introduction
      4.2         Risk Table
      Part 5
      Appendices - Operational Support Documents – Monitoring Documentation & Forms
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    LOUATI Catering is committed to ensuring effective standards are in place so as to be
    able to provide safe and hygienic food services.
    The Trust takes all reasonable precautions and exercises due diligence to ensure that its
    products are free from harmful microbiological, chemical and physical contamination and
    are fit for human consumption, meeting its obligations in relation to food hygiene.
   1.0INTRODUCTION
   This procedure sets out information for staff to follow to ensure every person who has
   responsibility for, or undertakes food and drink handling in service environments,
   understands their individual responsibility to prevent and control infection.
    This procedure and associated documents apply to all food handling staff and appropriate
    line management, responsibilities are as follows:
    The Head of Estates and Facilities is responsible for the following members of staff:-Estates
    & Facilities Managers
               Assistant Estates & Facilities Managers
               Estates & Facilities Officers
               FM Supervisors
               FM Senior Assistants
               FM Assistants
    Each separate method of catering, i.e. Cook Chill and traditional catering must follow the
    relevant guidelines and instructions as laid down in this procedure.
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                     PART 1- OPERATIONAL REQUIREMENTS
    1.1.1   To be truly effective, the majority of operations are reliant on staff working to set
            processes in conjunction with any relevant training undertaken. This is so that safe
            systems of work are completed and lead to the provision of safe in-patient services.
            To give additional clarity this part of the operational handbook has been divided
            into sections with Part 2 outlining individual responsibilities.
    1.2.1 The following training requirements is required for all staff groups:
            New starters – Training to be given by delegated person in team.
               Persons with special responsibility (e.g. Estates and Facilities staff) – As above
                but extra training should be accessed with regard to hazard analysis.
               The latter stipulates that the Hospital/Trust includes specific guidance on food
                services and nutritional care in its clinical governance arrangements. It also
                states all staff have the skills and competences needed to ensure that patients‟
                nutritional needs area met. All staff should receive regular training on
                nutritional care and management.
    1.2.2   Before undertaking any duties new food handling members of staff are required
            to undertake a local induction so that they are familiar with the layout of the
            facility, meet work colleagues and are made aware of all risks and rules
            associated with their new place of work. The induction will be fully documented,
            signed off by both parties and a copy held in the member of staffs personnel file
            for future reference.
    1.2.3   All food handling staff are also required to understand the contents of this procedure
            and know where it is located for reference purposes. It is the line manager's
            responsibility to ensure that this is completed.
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    1.2.4   In addition to the local induction, the Trust aims to ensure all food handling staff
            have completed a minimum Level 2 Award in Food Safety in Catering within 3
            months of starting work, with renewals taking place every 3 years. Supervisor or
            above will be required to complete a higher level of training. It is the line
            manager's responsibility to ensure that these requirements are met and evidence
            retained for verification purposes.
    1.2.5   Additional specialist training such as nutrition, higher food hygiene levels,
            HACCP, etc. will be reviewed on an ad-hoc basis with individuals being
            nominated as appropriate.
    1.2.6   Trust mandatory training will be completed by all appropriate staff and scheduled
            by the relevant line manager. Records will be maintained to demonstrate
            compliance and become part of the performance management system.
    1.2.7   All external support and contract staff working in a food environment are also
            required to complete a local induction & complete the Trusts Level 2 Award in Food
            Safety in Catering so that they are aware of the layout of the facility, are aware of all
            the risks and follow the rules associated with each area.
    1.2.8 Environmental Health Officers often ask to see basic food hygiene certificates
          as proof that food handlers training is up to date and that they are competent to
          undertake food-handling duties. This information can be found of the Training
          Tracker on the Intranet.
    1.3.1   Each Trust food area will have a cleaning regime in place that is effective and
            covers all aspects of the location/operation. It is the line manager’s responsibility
            to ensure that the regime is followed and that the areas are cleaned to the
            required standard.
    1.3.2   Where at all possible staff should not be involved in both the care of service
            users/ward cleaning and food preparation/service. When it is not possible to
            have designated food handlers it is essential that strict hygiene controls are
            observed with appropriate hand washing and the wearing of colour coded plastic
            aprons at appropriate times.
    1.3.3   Where possible each food area will be provided with a dishwashing machine to
            enable effective cleaning of crockery, cutlery, water jugs and other ward utensils. If
            a machine is not available, or is out of action, hot water and general purpose
            detergent must be used for hand washing. Disposable paper towels should be
            used to dry items as a preference. Alternatively, disposable plates, crockery, etc.
            can be used.
    1.3.4   High level cleaning should be periodically organised to ensure that walls, ceilings,
            extraction, fly screens, pipework, etc. are cleaned as required and be arranged
            via Estates & Facilities Department.
    1.3.5   Food contact and work surfaces should be washed down using hot water
            containing a sanitising agent
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with surfaces being finished off using paper towels or a damp cloth and left to air dry, in line with
manufacturers guidance
    1.4.1    Probe thermometers are used to measure the temperature of food, air and water
             to verify specific control measures that have been put into place to aid food safety
             for service users, staff & visitors.
    1.4.2    To avoid cross contamination probes must be cleaned before, in between each dish
             and after each use.
    1.4.3    In general, digital probe thermometers are accurate to within 0.5ºc and can give a
             very clear indication of the temperature of food. The ‘needle’ portion of the probe
             should be pushed into the centre (core), or densest part of the food being
             checked and should be left in place until the digital reading stabilizes is the
             temperature of the food.
    1.4.4    The same procedure should be used for checking chilled and hot foods. When
             checking frozen food the probe should be sandwiched between two packs/pieces
             of frozen food and left switched on until the digital readout has stabilised. Generally
             this takes longer for frozen food and it should be noted that readings can be
             approximately 2ºc above product core temperature.
    1.4.5    Due to temperature achievement being a critical control point within the
             food/catering procedure, additional probes must be kept at strategic points
             as contingency arrangements in case one was to break down.
                 Agitate the probe in a mixture of ice and a small amount of water until a
                  steady reading is achieved. This should be -1ºc to +1ºc. If outside this range,
                  the unit should be taken out of use and dispose of.
                 A replacement probe can be obtained from Estates & Facilities Department.
                 Replacements for damaged/inaccurate probes are to be charged to
                  the appropriate ward.
                 Probe calibration details are to be recorded on the Probe Checking Form -
                  Appendix 4 and retained for 3 months.
    1.4.8   The Trust recommends keeping two on site, one as a backup in case
            it breaks down.
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    1.4.9 Target Food Temperatures
    1.4.10 Each unit manager is responsible for funding the replacement – via the Estates &
           Facilities helpdesk.
    1.5.1 Pests, in the form of insects, rodents, birds, foxes, etc. constitute a serious food
          safety risk if they are able to gain access to food sites. Kitchens and food stores
          provide ideal conditions for pests and organisms which can lead to illness. Not only
          do they eat the food but also they contaminate and spoil a lot more. Maintenance
          of high standards of housekeeping to reduce attraction for pests, e.g. cleaning of
          spillages, cleaning beneath and behind equipment, tidy and covered storage of
          waste in the catering area and covered storage of refuse outside the building with
          regular removal off site.
                Stop pests getting in with fly screens, well-fitting doors, covered drains and bird
                 netting. Insector machines should also be installed in kitchens.
                Look out for droppings, nests, chew marks on wood or cables. Discard
                 any foodstuffs or other articles affected by pests.
                Clean up any spillage and decaying food immediately. Carry out regular
                 inspection and rotate any stock. Use rodent-proof containers with well- fitting
                 lids. Store food off the ground.
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               All staff, service users and visitors must be discouraged from feeding birds
                and stray animals.
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    1.5.3 Never attempt to treat pest problems; bait boxes must be left alone. If any sign of
           pests are found it must be reported through the Estates & Facilities helpdesk.
    1.6.1   Health and Safety risk assessment table has been completed and is summarised
            in Part 4 of this procedure.
1.6.2 Health & Safety training is completed as part of the Trust’s mandatory training.
    1.6.3   Each location will maintain a Dangerous Machine register and a record of all
            staff who have been trained in its use.
    1.6.4   Personal Protective Equipment is worn by staff mainly as a food safety measure.
            It is issued to staff when starting work and changed when required; it is cleaned
            and maintained by the individual member of staff.
    1.6.5   If an accident or near miss does occur then it should be reported through the Datix
            accident/incident reporting system. Assistance should be provided by Estates &
            Facilities Officers/Supervisors or, as a last resort, ward based staff.
    1.7.1   Health and Safety First Aid Regulations require that there is first aid equipment
            available to all staff working in a kitchen area.
    1.7.2   First Aid Boxes are located in or near the kitchen and all staff must be aware of its
            location. The Ward/Unit Manager responsible for the area must ensure first aid
            boxes are checked on a regular basis to refill, clean or dispose of used or out of
            date items. The box should contain: -
1.7.3 Contents for First Aid Boxes can be sourced through NHS Supply Chain.
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    1.7.4   The first aid box must be green with a white cross and all staff must be aware of
            its whereabouts. Managers must ensure first aid boxes are checked regularly to
            refill, clean or dispose of used or out of date items.
    1.8.1   All cleaning materials and non-food liquids are subject to the Control of
            Substances Hazardous to Health regulations and shall be stored, maintained and
            used in accordance with these regulations and the individual manufacturer’s
            instructions included with the items.
    1.8.2   A separate secure storage area must be used to store cleaning implements and
            materials which may otherwise cause contamination to foodstuffs. These products
            must be clearly labelled and not be stored in any type of food container.
    1.8.3   Cleaning agents must only be made up using the manufacturer’s instructions
            as there can be various serious risks if different agents are mixed together. -
            Explosion, toxic gas formation, etc.
    1.8.4   A register and information sheet for all substances must be held in each
            location and should include actions to take in the event of an emergency. -
            Spillage, ingestion, etc
1.9 Menus
    1.9.1   All menus are created following a set of predetermined criteria. The core menu
            cycle for service users is developed in conjunction with the main food
            contractor .
    1.9.2   When menus are being developed there will be multi-disciplinary team
            involvement and group approval/sign-off before being put into practice. Notes on
            actions and decisions will be kept to act as evidence of compliance with the
            various standards.
    1.9.3   Special and cultural diet menu cycles/choices will be developed in line with
            appropriate suppliers and will take the form of frozen plated individual meals
            where they are not covered as part of the core menu.
    1.9.4   Where appropriate units will hold a small range of special meals in stock so that
            the needs of service users with these requirements can be met if admitted without
            notice.
    1.10.1 In addition to the moral obligation the Trust has to provide suitable and appropriate
           food to its service users, there is also a legal requirement to provide information on
           the products served in the form of allergen advice relating to the ingredients
           contained in the dishes. The allergen advice is provided in the ward handbooks
           and includes the relevant information and pertinent nutritional details for each dish.
           It is the responsibility of the appropriate Facilities Supervisor to ensure the Catering
           Handbooks are kept safe and up to date.
    1.10.2 Special diets are provided for using suitable dishes as identified through the
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            allergen and nutritional information found in the Catering Handbook and the menu
            cycle compilation as noted in 1.9.3/4.
    1.11.1 Effective food purchasing is an integral part of any food safety system and the
           Trust has decided that it will use third party accreditation for including suppliers on
           the approved suppliers list. In addition, if there is a very short notice need or special
           requirement, main brand local supermarkets/Cash & Carry’s can be used.
    1.11.2 A list of the approved food suppliers with contact details will be held centrally
           with abridged versions held locally to aid the ordering process at a local level.
    1.11.3 In units where a cook-chill food system operates, food orders will follow a standing
           order in line with the relevant agreed menu cycle with support items being
           delivered by the main contractor on a top-up basis. In self-sufficient units and
           where fresh food is produced, the onus is with the lead caterer, or contracted
           supplier, to place orders with all relevant paperwork & information retained for
           traceability purposes.
    1.11.4 In addition to the main contractor, NHS Supply Chain will be used to order
           grocery items to support the meal services in the form of Ward Stores. This is will
           be done following the allotted schedule alongside other non-food related items.
    1.11.5 Where a ward or unit decides they would like a takeaway meal the Trust
           advises wards to look on: http://www.ratings.food.gov.uk to find local options
           with good hygiene 5* rating.
    1.12.1 When the food delivery takes place there are a number of undertakings that must
           happen to ensure that the products being delivered are safe to use. These
           activities/checks are as follows: (All checks to be recorded and evidence retained
           for verification purposes)
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                All items are in good condition, cans not dented, etc.
                Chilled items are <5c
                Cook/chill meals are <3c (tolerance to 5c)
                Frozen items are <-22c (tolerance to -18c)
                Driver is clean & tidy.
                The delivery corresponds to the order placed and the details included on
                 the delivery note (Three way check: order matched against delivery
                 matched against invoice/delivery note)
                Foods above 5ºC on delivery must be rejected.
    1.12.2 Deliveries must be checked off by the driver and appropriate member of staff with
           the in-place recording system being completed when satisfied the delivery is
           correct. Any discrepancies found should be recorded for future reference and
           reported directly to the Estates & Facilities Officer/Supervisor as soon as
           possible.
    1.12.3 If the delivery cannot be checked off with the driver due to time constraints,
           emergencies, etc. then the delivery note should be marked ‘Received Unchecked’.
           The delivery must be checked as soon as possible with any shortages being
           reported as soon as possible.
    1.12.4 The contractor for the Cook-Chill meals will arrange for any shortages to be
           made good the following day.
    1.12.5 Following receipt of the delivery, all goods must be adequately stored in line
           with Section 1.13 below.
    1.12.6 Transporting food from shops to wards/units should be done in the quickest manner
           possible. Goods which are chilled/frozen should be packed together using iceboxes
           and lots of packaging if available. They should be the last things purchased and the
           first unpacked and put away. Chilled boxes are advisable for transporting food
           safely.
    1.13.1 Effective storage and management of food stocks is key to maintaining a safe food
           service. There are 3 main sections of food storage; ambient, chilled and frozen
           and the sections are as follows:
                Ensure all food items are stored correctly as soon as possible after delivery.
                Engage effective stock rotation by using old stock first.
                Items once opened should be stored following manufactures instructions and
                 be labelled with use by date and used within 3 days after opening.
                There should be no open items where product is exposed to the air; they
                 should be covered/sealed at all times.
                All food should be stored on shelves and never in direct contact with the floor.
                All spillages should be cleaned up as soon as possible.
                All storage areas must have an effective cleaning regime in place, which
                 includes defrosting equipment if appropriate.
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    1.13.3 Refrigeration - Poor temperature control of high-risk or perishable food items is
           the major contributing factor to most food poisoning cases or outbreaks. The
           establishment of a temperature control chain is essential to the safe production,
           handling and sale of perishable high-risk food. The law relating to temperature
           control is contained in the Food Safety & Hygiene Regulations . Whilst the legal
           temperatures apply generally to the Trust operation, the objective should be to
           maintain cold food at between 1°c- 5ºc, to further protect food safety standards.
           (But must be at 8°c or under) Rules to uphold are as follows:
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    1.13.6 De-frosting of Freezer – Defrost freezers on a monthly and the check should be
           included in the cleaning schedule mentioned above. This must be recorded
           onto the Refrigeration/Freezer/Chiller Temperature Monitoring Sheet.
    1.14    Food Handling, Preparation & Cooking – The main risks in this section are
            from cross contamination and inadequate cooking, both of which are addressed in
            the following sections
    1.14.1 Food Handling - Before handling and preparing food all staff should follow the
           instructions contained in Part 2 – Personal Responsibilities, of this procedure.
           In summary the requirements are as follows:
    1.14.2 Preparation – Due to the nature of raw meats and other foods, it should be
           accepted that these items are contaminated with pathogenic bacteria. As such,
           the controls/instructions contained in this procedure must be adhered to so that
           safe food is provided in all areas.
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                      If multi-use is needed for the slicing machine it must always be cleaned and
                       sanitised in between slicing two types of food, especially between cooked
                       or raw meats.
                      Separate equipment and utensils to be used for raw and cooked/high
                       risk foods including chopping boards, knives, etc. as required.
Otherwise:
                    Temperatures should be taken from the centre (core) of the item being tested
                     to give a core temperature and this should be recorded on the appropriate
                     monitoring forms along with the relevant times. Records must be kept for 3
                     months.
                    Best practice dictates that foods should be served as soon as possible after
                     cooking so as to provide it at its optimum quality.
                    If the target temperature has not been achieved then cooking/regeneration
                     should continue until the target temperature has been reached. It should
                     be noted that there is no limit on the cooking time.
                    Microwaved meals should also follow the same format of reaching 75°c in
                     all parts of the meal – Appendix 11
                    Standard recipes, where available, should be followed to ensure nutrition
                     & allergen advice is accurate.
    1.14.4 Distribution of Prepared Food- The aim in the service of food which is distributed
          from a central point is that it should be the same standard and temperature as
          when first produced.
           Certain foods which have been cooked or partly cooked must be cooked above 63
          degrees centigrade until required for immediate consumption or if the temperature
          falls below 63 degrees centigrade, The food must be cooled to a temperature below
          3 degrees centigrade under hygienic conditions as quickly as reasonably possible
          and kept below 5 degrees centigrade until required for service, further cooking or re-
          heating). The food to which this regulation applies: meat, fish, gravy, imitation
          cream, any food containing egg or milk to include sauces with or without meat, rice
          and rice dishes.
           Bacteria will grow when warmth, moisture and time are present.
           When delivering food to any area other than the kitchen, the following rules must be
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            adhered to:
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                o Depending on the food, it must be transported from the kitchen to a service
                   point in clean covered vessel or wrapped in foil or cling film in order to
                   ensure correct temperature and prevent contamination en route.
                o Hot food must not be stored below 63 centigrade.
           Hot Counter - food must be kept covered as much as possible on serving.
           Cold Counter - potentially dangerous food, e.g. pork pies, must be brought out
            just before serving, kept covered and sold by sell by date.
           Unused cooked meats must not be re-used for hot dishes.
           Cooked meats must be kept separate from one another.
           Salads must be kept covered with lids or cling film wrap.
           Cream cakes and cream dishes of any kind must be kept in a lidded container or
            display cabinet.
           Sandwiches and rolls must be wrapped and refrigerated up to the point of
            service and what is not used be disposed of.
           Crockery and cutlery are to be kept covered until required.
           Milk to be served hot must be kept above 63 degrees centigrade and cold below
            5 degrees centigrade.
    1.14.4 Wash Up- This should be achieved as soon as practicably possible. Issues
            surrounding this topic can be found in task sheets:
             Cleaning of equipment and utensils
             Handling raw foods
    N.B. It is important to remember that wash-up cleaning agents must be stored away from
    food stuffs.
    1.15     Food Service – Following the cooking process the service element of the meals
             are pertinent to this section.
    1.15.1 Meal Service – Service should commence as quickly as possible after the cooking
           process has been completed, as extended hot holding has a detrimental effect on
           the quality of the meals. Good practice would be for service to commence within
           10 minutes of completion of cooking.
    1.15.2 Temperatures - Hot food should be kept above 63c for the duration of service.
           If cook/chill service operated then the service must be completed within 30
           minutes excess food must be disposed of, if it is a traditional cook system then
           the excess can be cooled rapidly in a safe area and placed in the fridge for re-
           use at a later time. These items should be clearly labeled with use by date and
           description if required.
    1.15.3 Reheating- Food must be reheated as near to the service time as possible and
           within the following criteria for multi-portion trays. Reheating is to commence within
           15 minutes of the food being removed from chilled storage Reheating is to be
           carried out as quickly as practical in the equipment provided e.g., regen trolley
           Regeneration temperatures must be recorded at 75ºC or above and retained for
           three months.
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    1.15.4 Cold Items - Food produced by the cook-chill system that is intended to be eaten
           cold must remain in refrigeration between 1-5°c up to as near the time of service
           as possible. Chilled foods can be kept out of a fridge for the duration of service but
           must be returned to a chilled area within 30 minutes.
    1.15.5 Service- Service must commence within 15 minutes of completion of reheating. Hot
            food must be maintained at a temperature of +63ºC or hotter during the period
            between reheating and service and throughout the service period. Food produced
            by the cook-chill system that is intended to be eaten cold must remain in
            refrigeration up to as near the time of service as possible and must be served
            within 30 minutes of removal from refrigerated storage.
    1.15.6 Unserved Cook Chill Food – Any left-over/unused cook/chill foods must be
           disposed of immediately after service, wastage must be recorded onto the
           Menu Temperature sheet.
1.16 Waste Management - This section refers to general waste and discarded food.
    1.16.1 General - Refuse and waste produced in a commercial kitchen comes under the
           definition 'Controlled Waste' in legislation. Within legislation there is a 'Duty of
           Care' responsibility placed on producers, collectors, carriers and disposers of
           refuse and waste to ensure that it is collected and disposed of correctly. Contracts
           are in place for the removal of the various types of waste generated across the
           Trust in each of the locations.
    1.16.2 General Waste - Refuse and waste separation takes place where recycling points
           have been set up. Refuse is held locally and stored securely in readiness for
           collection. This includes the use of lidded bins, covered skips, foot operated lidded
           fire retardant solid body bins or, as a last resort, securely tied bags. The system
           has been set up to prevent spillage, leakage, blowing away or scavenging by
           persons, animals, birds or insects. In order to promote good pest control, external
           waste bins are placed away from kitchen areas and windows where possible.
    1.16.3 Waste Food - All waste food should be disposed of using the site
           macerator/waste disposal unit. However, if this is not possible then manual
           removal would be required and the following process must be adopted:
              Drain off excessive fluid from food
              Place in a bin liner and securely tie
              Place in an external “lid securing” bin for collection
              Refuse bags should not be over-filled, two thirds full leaving space at the top
               of the bag to tie.
              Waste food should be double bagged
    1.16.4 Cooking Oil – Waste oil is to be collected in the containers provided, which will
           be removed by the appointed contractor as required for re-cycling and disposal.
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    1.17    Food Complaints
    1.17.1 General - If there is a formal complaint over the quality of the food or service
           the following actions should be taken. (In addition to following the Trust
           Complaints Policy) The Estates & Facilities Officers should also be informed.
    1.17.2 Apologies to complainant and assure them that a full investigation will take
           place. After investigation and actions, complete a follow-up to the person.
    1.17.4 Retain Samples - Unit staff must NOT throw away the food item. Place it in fridge
           marked ‘Do not use – awaiting collection by delivery driver’ and inform all staff. This
           is vital as the food sample is needed by the supplier to aid their investigation.
    1.17.5 Summary Data - A summary of all complaints should be kept and used to
           monitor performance of internal service and also against suppliers/contractors.
    1.18.1 General - It is becoming increasingly recognised that there are limited resources
           available on the planet and that businesses and organisations must take positive
           steps to become more sustainable and lessen the impact their operations have
           on the Environment.
    1.18.2 Purchasing - The NHS has, as part of their on-going development initiatives,
           issued purchasing guidance provided by The Government Buying Agency on food
           purchasing and the trust is committed to meeting these targets.
    1.18.3 Action Plans – The Trust has also committed to developing waste reduction plans
           for food, water, recyclables, etc. and are included with the various dedicated
           review meetings.
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    1.19    Fitness to Work & Reporting Infections (In conjunction with 2.2)
    1.19.1 General – Many cases of food poisoning are caused by cross contamination
           from people/staff infected with any of the following:
                 Diarrhoea
                 Vomiting
                 Skin rash
                 Septic skin lesions (Boils, infected cuts, etc.)
                 Discharge from ears, nose or any other site
                 Any infectious or contagious disease
                 Food poisoning
                 Any close family member or social contact suffering from an infectious disease
    1.19.2 Recruitment – All staff employed in catering duties will undertake pre-employment
           screening to determine their suitability to work in a food environment. This function
           will be completed by Human Resources in conjunction with the Occupational
           Health Department.
    1.19.4 Cuts & Grazes – If an employee has a cut, graze or open sores/wounds then the
           affected area must be adequately covered with a brightly colour (non-food colour)
           waterproof plaster before handling food. Disposable colour coded gloves can be
           worn if necessary.
    1.19.5 Foreign Travel – If an employee develops any symptoms from the above
           conditions whilst on, or following foreign travel they must report it to their line
           manager who will advise on any work restrictions as appropriate. Appendix 5
           will need to be completed and signed by the supervisor.
    1.20.1 General – Legislation requires that all food must be appropriately labelled to
           some degree to aid food safety and control. Most items come in packaging that
           contains the required information and local caterers are then only required to label
           products when opened/decanted.
    1.20.2 Protocol – When labelling newly opened products staff are required to follow the
           manufactures instructions as to storage requirements and use by dates. If there
           are no instructions included then the protocol is to give the product a shelf life of
           opening date + 2 days. The use by date must be clearly marked.
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    1.21    Equipment
    1.21.1 General – Most catering areas have a variety of equipment in situ that is
           provided to help with efficiency and safety and staff become very reliant on their
           use.
    1.21.2 Dangerous Equipment (Also included at 1.6.3) – Some of the equipment in place
           such as slicing machines, processors, etc. are classed as Dangerous Machines
           and there is a requirement for each unit to maintain a dangerous machines register
           with a record of all staff who have been trained to use it.
    1.22.1 General - There is a potential danger posed if visitors/service users bring food to
           in- patient areas. When this happens Staff must be informed of any food brought in
           which must be appropriately covered and labelled with the name of the service user
           and an appropriate “Use by Date”. Such items should be appropriately stored and
           consumed within the recommended time.
    1.22.2 Inappropriate Foods – There are a number of food types that would not be
           appropriate to store on the ward and service users/visitors should be STRONGLY
           DISCOURAGED from bringing any of these items onto the Ward or Unit. The items
           are:
    1.22.3 Acceptable Foods - Providing that a service user is not on a therapeutic diet the
           following items would be wholly acceptable labeling instructions are followed and
           the items are from reputable shops/supermarkets:
                Yoghurts
                Chilled meals
                Pre Cooked meats and meat products as in sandwiches/salads
                Fresh or synthetic cream or cream products, trifles, cream cakes, etc.
                Takeaway Foods
                Wrapped biscuits/cakes/chocolate
                Fresh fruit.
                Non-alcoholic bottled or canned drinks
                Crisps
                Ambient desserts
    1.23.1 General – Due to food safety and other risks Trust staff are the only
           people authorised to enter ward kitchens, visitors, service users, etc. are
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            excluded.
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    1.23.2 Notices – The following notices are to be displayed in all ward kitchens/dining area:
                  Laminated Menu’s
                  Protected Meal Time
                  Nutrition Poster
                  Meeting Your Dietary Needs Poster
                  Breakfast Service Poster
                  Eatwell Plate Poster
                  Allergen Poster
                  Refrigeration/Freezer/Chiller Temperature Monitoring Sheet/s
                  Daily & Weekly Cleaning Checklist
                  Cook Chill Handling Guide
    1.24.1 General - Wherever a catering function is carried out by the Trust the working
           environment must be conducive to the type of work being carried out and
           registered with local authority as applicable. Because of the geography of the Trust,
           there are many local councils involved and it is the responsibility of the Head of
           Estates & Facilities to ensure all units/areas are registered.
    1.24.3 EHO Audit – At the end of the audit the Officer will feedback on their findings with
           the most senior person present giving information on whether any further action
           will be taken - such as Prohibition or Improvement Notice, Letter, Sample
           Collection, etc.
           Any documents left must be forwarded to the Estates & Facilities Officer.
    1.25.1 The Food Hygiene Policy and Procedure Guidelines will be monitored through the
           catering audits. Food Hygiene audits will be undertaken by the Estates and
           Facilities Manager Assistant Manager, Estates and Facilities Officers and
           Supervisors.
            An Environmental Health Officer or Trading Standards Officer has the legal right to
            enter the catering unit at all reasonable times; therefore visits can be expected at any
            time when the unit is operating.
            The Manager, if a manager is available will discuss any findings with the officer and
            ascertain what further action, if any, the officer intends to take. For example:
            The Manager will accept, but must not sign copies of any documents given by the
            officer. The Manager will inform the Estates and Facilities helpdesk. Copies of
            any documents left after the visit or letters/notices received from the
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            Environmental
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            Health Officer, must be forwarded to the Head of Estates and Facilities at Pride
            House, Laindon
            Copies of all Environmental Health Officer documentation reports must also be sent
            to the Trust Risk Management Department based in Essex.
    1.25.4 Record Keeping – Examples of all the operational monitoring forms are contained
           in Part 6 of this procedure and it is a compulsory requirement that they are
           completed as appropriate following the guidelines contained on each form. The
           entries must be clear, concise and completed in pen.
    2.1.1    Hygiene – Due to the food safety risk associated with poor personal hygiene and
             cross contamination all staff are required to maintain the highest possible
             standards of personal cleanliness. This includes regular washing,
             bathing/showering, etc.
    2.1.2    Clothing – Clothing must be clean and changed regularly (daily and/or as required)
             to maintain hygiene standards and protect food from contamination.
    2.1.3    Highly Scented Perfumes/After Shave – These items must not be worn in a food
             environment due to the risk of causing ‘taint’ to other food items.
    2.2.1    Pre-employment Health Screening - All Trust staff and contracted service
             employees who handle food must have a medical health screening prior to start
             of employment which is undertaken as part of the recruitment process.
    2.2.2    Agreement to Report Infection - There is a legal duty on all staff to inform their
             line manager if they are suffering from any of the symptoms listed, or any other
             condition likely to lead to food becoming contaminated. As such, all staff who are
             food handlers are required to read and sign an ‘Agreement to Report Infection’
             document when they commence their employment with the Trust – Appendix 14
             All skin, nose, throat and bowel infections and diseases listed on kitchen notice
             boards must be reported to the supervisor.
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    2.2.3   Working while infected – Cross contamination risks are greatly heightened if staff
            work whilst carrying an infection. The Trust, in conjunction with the Occupational
            Health Department, will deal in confidence with any medical problems its
            employees may have. Many cases of food poisoning are caused by cross
            contamination from people/staff infected with any of the following:
                Diarrhoea
                Vomiting
                Skin rash
                Septic skin lesions (Boils, infected cuts, etc.)
                Discharge from ears, nose or any other site
                Any infectious or contagious disease
                Food poisoning
                Any close family member or social contact suffering from an infectious disease
            Any employee suffering from the symptoms of any illness or condition likely to
            directly or indirectly be transmitted through food or to cause food poisoning or other
            food-borne infection will not be allowed to handle food in any Unit and will be
            excluded from work. His/her return to work will be governed by Occupational Health.
            It is important to make your GP aware that you are a food handler because in some
            instances, clearance to return to work may be needed from your GP and/or
            Occupational Health Department.
    2.2.4   Return to Work Health Questionnaire - Trust staff and contracted services
            employees who handle food, on return from sickness or have travelled outside of
            the United Kingdom and are feeling unwell, must complete the Review Health
            Questionnaire upon re-starting work (Appendix 5). Staff who have been sick must
            be symptom free before they return to work, meaning no vomiting and bowel
            habit has returned to normal for 48 hours.
    2.2.5   Infectious Diseases - If you have any of the following illnesses (even mildly)
            you must report it to your Manager even if you have not been absent from duty.
    2.3.1   General - Personal Protective Equipment (PPE) in the form of uniform is worn by
            staff mainly as a food safety measure. It is issued to staff when starting work and
            MUST be worn when carrying out food handling duties. It is replaced as and when
            required and staff are required to ensure that it is clean, in good state of repair and
            of a presentable nature. It must be cleaned and maintained by the individual
            member of staff. Staff will also ensure any additional personal clothing having to be
            worn is also clean and of an acceptable nature.
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    2.3.2    Monitoring and Replacement - Line managers are responsible for ensuring that
             appropriate protective clothing is available to staff and is worn in the department as
             required. Employees are required to report to their manager any defective
             protective clothing so that replacements can be arranged.
    2.3.4    Footwear - Staff are required to wear low heeled, closed-in toed shoes with non-
             slip soles. Sandals, flip-flops and plimsolls etc., are not permitted as they increase
             the risk of slips and trips in the work area.
    2.3.5    Heat Resistant Protective Hand Covers – Rubberised mitts, oven gloves, cloths
             or other suitable protection is available and should be used when handling hot food,
             trays, equipment, etc.
    2.3.6    Heavy Duty Gloves & Eye Protection - Rubber gloves will be worn during heavy
             cleaning, particularly where the nature of cleaning chemicals require suitable hand
             protection. Goggles will be worn whilst using heavy duty degreasers for deep
             cleaning purposes, or as specified under the Health and Safety instructions for any
             cleaning chemicals. All disposable P.P.E. must be disposed of as domestic waste in
             receptacles provided.
    2.3.7    Disposable Gloves – It should be noted that disposable colour coded gloves are not
             a replacement for effective hand washing, which should be completed at appropriate
             times. However, disposable colour coded gloves should not be worn whilst removing
             the food from the regeneration unit.
                    During the receipt, preparation and handling of raw meat, fish and poultry.
                    For the handling of any product not intended for further cooking where the
                     use of hands is essential as opposed to utensils.
                    As protective cover if there are cuts, sores and/or grazes on the hands.
            Gloves must be changed between tasks and if they become damaged or excessively
            soiled.
    2.3.8   Disposable Aprons - Disposable colour coded aprons are provided on each ward
            and MUST be worn at the following times:
2.4 Jewellery
    2.4.1    Staff employed in food handling areas are required to remove all visible jewelry
             before undertaking their duties; this includes wrist bracelets, bangles, watches, rings,
             necklaces, etc. The only exceptions to this rule are plain banded wedding ring, one
             single band/chain necklace and stud/ sleeper earrings. Watches are not permitted
             in line with the Infection Control ‘bare below the elbow’ requirement. Body piercings
             should be covered at all times by either protective clothing or waterproof non-food
             colour plasters. Religious bracelets that cannot be removed must be fully covered by
             the uniform. Name badges and security passes are acceptable.
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    2.5     Hair
    2.5.2   Hair Restraint - Hair must be kept clean and manageable at all times a hair
            restraint must be used when handling food to restrict loose hair falling into food
            stuffs.
2.6 Hands
    2.6.1   General - Effective hand hygiene is essential to reducing the risk of causing
            cross contamination to food and food environments. All staff must exercise the
            habit of washing their hands thoroughly before/between such tasks/activities as:
    2.6.2   Hand Wash Facilities – Hand wash facilities will be provided in food handling
            areas and all staff toilets. The area will have a sink with hot water, soap,
            paper towels/roller towels. Food and equipment sinks must not be used for
            washing hands.
    2.6.3   Finger Nails – Nails are to be kept short, clean and unvarnished. Soiled finger nails
            should be thoroughly cleaned as part of the hand washing process. The wearing of
            false nails/extensions are not permitted.
    2.6.4   Method of Hand Washing - The following procedures for hand washing will be
            followed at all times:
                  Turn the water on and allow the water to run until it becomes warm.
                  Moisten the hands and apply liquid soap, lathering well beyond the wrists. Pay
                   particular attention to the area between the fingers and around the nails. Where
                   nails are soiled a nail brush should be used if available.
                  Rinse thoroughly under running water allowing water to run down the hands to
                   the fingertips.
                  Dry hands thoroughly with a disposable paper towel.
                  Turn water taps off using the controls and paper towels, before discarding in
                   the bin.
    2.7.1   General - Staff must refrain from eating and drinking when in a food handling
            area and smoking is not allowed on any of the Trust’s sites.
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    2.8     Cuts & Abrasions
    2.8.1   Wound Covering - Cuts, burns, and sores must be protected by a brightly non-
            food coloured waterproof plaster. Plasters to be changed when wet or soiled. In
            severe cases, do not handle food and report to your Line Manager.
    2.9.1   General – The Health & Safety at Work clearly shows that both employers and
            employees have undertaken separate responsibilities for ensuring that both the
            work environment and work practices are safe.
                  Following the training and instructions received when using work items
                   the employer has provided
                  Taking reasonable care of your own and other people’s health and safety
                  Reporting to line-management when the work, or inadequate precautions,
                   are putting anyone’s health and safety at serious risk
    2.9.3   Manual Handling - Lifting and handling - All staff must follow the correct and safe
            methods of manual handling as given in the training programme. (Individual and
            team lifting; type of protective clothing to be worn; underfoot conditions; position of
            back and head when lifting). Special approval must be gained if staff under 18
            years of age are required to use these machines.
    2.10.1 General – All staff are expected to maintain certain standards of conduct and
           the purpose of this section is to clearly communicate the requirements of all
           staff.
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    2.10.2 Trust Values – In addition to the above, all staff are required to uphold and
           follow the Trusts values which are as follows:
                  To be:
                        Open
                        Compassionate
                        Empowering
3.1 Introduction
    3.1.1 In all catering operations the usual emphasis of innocent until proven guilty is
          reversed in that providers must prove that they have done all that they can to
          provide a safe product/service if there is a breach of legislation.
    3.1.2 To work within this concept organisations are required to undertake a risk
          assessment on their catering operation to identify Critical Control Points (CCP’s - a
          point where there will be no further stage in the process that will make the food safe)
          within the process and put controls in place to produce a safe product.
    3.1.3 Guidance has been issued accepting that certain practices would be in place to
          ensure the product is as safe as possible. These have been termed as ‘pre-
          requisites’ and should not be classed as Critical Control Points. The stages in
          the process under the pre-requisite definition should still be controlled for
          verification purposes but not classed as CCP’s.
    3.1.4 To this end the tables included in this section have been completed as summaries
          of the findings and clearly show the risks and levels of control put in place to
          manage the service.
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          General (Ambient) Storage      Separate storage areas               Recording sheets,
          Cross contamination            for high/low risk foods.             audits, guidance &
                                                                              plans
          Storage - Chilled/Frozen       Temperature monitoring
          Time/Temperature abuse                                              Recording sheets, audits
                                         and recording
          Storage - Hot Holding
                                         Speciality service trolleys          Temperature
          Time/Temperature abuse
                                         and restricted meal times.           records, audits
          Preparation                    Staff training, limiting time in
                                                                              Training records,
          Cross contamination,           the danger zone, colour
                                                                              observation,
          time/temperature               coded
                                                                              audits
          abuse                          equipment.
          Chilling/cooling - After       Training, limited ability to
          service Time/Temperature       use left-over food,                  Stock checks,
          abuse and time in the          controlled purchasing and            wastage records,
          danger                         production to                        audits
          zone                           reduce stock.
          Allergens - Inadvertent        Recipe information availability,
                                                                              Menu sheets,
          issue to user Inappropriate    training, special
                                                                              temperature checks,
          provision                      menus prepared.
                                                                              audits
          to service user
     Cooking                            Correct
                                                                                 Temperature
                                        cooking/regeneration
                                                                                 records retained
     Insufficient temperature           temperature reached -
                                                                                 and audits
     to make food safe                  82°c.
                                                                                 undertaken
                                        RA - continue cooking until
                                        temperature reached
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     (Sandwiches,
     salads)                     RA – Discard if outside of            Processes followed,
                                 Time/Temp guidelines.                 record keeping,
     Temperature abuse leading   (above 5°c for over 2 hours for one   audits
     to pathogenic growth        period of ‘service’ or ‘display for
                                 sale’)
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    3.4 Hazards- Within the definition provided by the Department of Health, a
    hazard can be broken down into three elements:
    Within the definition provided by the Department of Health, a hazard can be broken
    down into three elements:
                        a.     Biological      )
                        b.     Physical        )    Refer to HACCP Hazard Sheet 1
                        c.     Chemical )
    The identification of hazards form the basis of the risk assessments as identified in the task
    sheets
            Human Borne
                E. Coli
                Staphylococcus Aureus
                Typhoid
                Para Typhoid
             Viruses i.e
                 Norovirus
                 Hepatitis A +E
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    3.5     Process Flow Chart
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                      PART 4- HEALTH AND SAFETY AT WORK
4.1 Introduction
 4.1.1 Health & Safety (H&S) is an integral part of any business planning and this section of
       the operational manual covers risks and controls in a catering environment.
 4.1.2 It is the responsibility of line management/direct supervisor to ensure the controls listed
       are in place and used when required.
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               Prolonged contact with          Dishwasher used instead of washing by hand
               water and detergent can         All containers clearly labelled
  Contact      cause skin damage               Where possible ‘irritant’ chemicals not used
  with         Staff cleaning premises risk    Long handled mops and brushes, and
  cleaning     skin or eye damage from          strong rubber gloves provided and used
  and          contact with cleaning           Excess chemicals stored in secure location
  washing      products
  chemicals    Vapour may cause
               breathing problems
               Staff , service users &         Daily check gas appliance checks
  Gas          visitors could suffer           Inspection, service and test carried out by
  Applianc     serious/fatal                    Gas Safe registered engineer every 12
  es           injuries as a result of          months
               explosion/release of gas
                                               System inspection, service and test carried
                                                out by Estates & Facilities engineer every 1-5
                                                years
               Staff, service users
                                               Staff trained to check equipment before use
  Electrical   &visitors could suffer
                                                and to report defective plugs, discoloured
               serious/fatal injuries as a
                                                sockets, damaged leads, etc.
               result of electric shock
                                               Plugs, sockets, etc. are suitable for a
                                                kitchen environment
                                               Fire risk assessment completed as Trust Policy
               Staff, service users             & Procedures and any necessary action taken.
  Fire         &visitors could suffer
               serious/fatal injuries as a
               result of
               burns/smoke inhalation
                                               Staff trained in cleaning, assembly and
                                                operating procedures
                                               All dangerous parts on machine suitably
               Staff risk serious injury
                                                guarded
  Machinery    from contact with
               dangerous/moving parts          Daily checks of machines before use,
               on machinery                     including guards, plugs, discoloured sockets,
                                                PAT tested etc.
                                               Operating instructions easy to locate
                                               Suitable stepladder provided for taking
                                                items from shelves in stores, etc.
  Falls        Staff risk serious injury
  from         (e.g. fractures) from a fall    Facilities Staff trained in the use of
  Height       from any height                  the stepladder
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PART 5- OPERATIONAL SUPPORT DOCUMENTS- MONITORING DOCUMENTATION
                            AND FORMS
      Induction Check list Record (2 Sheets)            Appendix 1
2019-2020