In addition to key care courses which form the basis of induction and orientation for social care staff, and along with Positive behaviour support training and preventing and managing  challenging behaviour training  SecuriCare offer Physical Intervention training. It is on Physical Intervention training that we will focus today.

PI TrainingLee Hollins has been involved in Physical Intervention training for almost 26 years. He explains more, “Physical intervention or PI techniques sit at the very end of the range of options available to staff when they respond to episodes of serious challenging behaviour. They are a last resort and staff not only need to understand where and when they can be used but how to use them safely… SecuriCares job is to impart that knowledge and understanding as well as ensure staff develop the skill necessary to apply them is a sensitive and careful manner..”

At the training session the first thing that strikes you are the smiles and laughter evident in abundance as staff work through various drills and training exercises. Lee continues, “part of the job of a skilful trainer is to strip away any apprehension or anxiety that may block learning. You need to create a relaxed and open learning environment. Then you can set about the serious matter of looking more closely at physical interventions..” He returns to the class and starts asking questions designed to explore the ethical and moral intricacies of the subject at hand.

Its lunchtime and we catch up again. “The focus at present is very much on restraint reduction or prevention. It’s about preventing and managing challenging behaviour, which is absolutely as it should be. However there may still be occasions when some form of serious physically challenging behaviour may manifest itself. What staff need then is the ability to safely deal with the behaviour and prevent it causing harm as well as manage the various risks that the research tells us exist within the context of a PI application… the risks are very real and so need to be actively managed.. So in addition to building competence in specific techniques we make sure staff understand those positions that can compromise breathing, endanger joints and cause pain or distress.. On top of this we make sure staff are thinking about each service user as a unique individual with a unique history and a unique health profile…”

Back in the classroom Lee is staging some scenarios and inviting delegates to take turns in responding to events as they play out, “what you have to remember first and foremost is that you are accountable for your actions and so need to be sure they are justifiable.. Understand that the very first thing that going to happen after a PI application is you are going to be asked why. Why was that necessary? Another way of looking at it is to switch positions with your service user and ask yourself would I be happy if staff did that to me?...”

Physical Intervention TrainingSecuriCares Physical Intervention training sessions are aimed at staff working in care settings and who support individuals may exhibit behaviours that challenge, that include physically challenging, unsafe or dangerous behaviours which may require physical intervention. SecuriCare are an ICM Quality Award centre (as recognised by the Dept. of Health in 'Positive & Proactive Care').

SecuriCares Physical Intervention training sessions are bespoke and the content is finalised after consultation with your organisation. Topics that may be covered include an overview of relevant national guidance and legislation, staff accountability and decision making, understanding how age, gender and culture affects the use of physical contact or intervention, common contra-indications for use of physical interventions, understanding and applying the "gradient of control" concept, avoiding potentially dangerous postures and positions, known mechanisms for injury and fatality, active and reactive monitoring strategies and appropriate aftercare and support.

Check out our ‘Physical Intervention’ courses and our online ‘Restraint Risks’ course. In addition to ‘Physical Interventions techniques’ SecuriCare can provide ‘Preventing & Managing Challenging Behaviour’ training in both online and classroom formats. Both courses include ‘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 Behaviour Planning Service.

Contact us for more information and to discuss your needs: E: trainers@securicare.com or T: 01904 492442