In the wake of the Department of Health’s Positive and Proactive guidance, which was published three years ago, the practice of physical intervention (or physical restraint) is now being actively scrutinised by the Care Quality Commission Inspectors. The onus is on providers to produce evidence of measures designed to reduce or eliminate restrictive practices.

Restraint reduction CQCThis is equally relevant to providers delivering services aimed at supporting individuals with Learning Disabilities as well as Mental Health difficulties. In a foreword to a review of mental health care, CQC deputy chief inspector Dr Paul Lelliott states that services where staff frequently resort to restrictive interventions will be subjected to much tougher scrutiny.

It seems that CQC inspectors are concerned that there is ‘great variation’ in how frequently staff physically restrain patients whose behaviour they find challenging. Variation has been found in comparisons of similar patient groups in wards at different trusts.

Dr Lelliott warned that providers and commissioners must learn from services that are getting it right, and said the CQC will play its part in highlighting good practice and supporting improvement.

Another area of concern identified by the CQC is the large number of patients who are cared for on locked rehabilitation wards, often far from friends and families.

The inspectors concluded that these are effectively long-stay wards and can institutionalise patients rather than returning them to a more independent life in their own community. Some lacked staff with the skills to deliver rehabilitation.

SecuriCare offer a range of courses designed to ensure that nominated trainers can help staff to respond safely and effectively to any ‘Challenging Behaviour’ that may occur, including the application of ‘Physical Interventions techniques’. All programmes are finalised after full training needs analysis and delivered by experienced frontline practitioners. Click to see our ‘Preventing & Managing Challenging Behaviour’ Course which includes ‘Positive Behaviour Management’ techniques designed to minimise the need for any kind of restrictive intervention. You can also take a look at our person centred Intervention Planning Service.

Contact us for more information and to discuss your needs: E: or T: 01904 492442

Source Wilmington Healthcare