CH132-Restrictive Practices and Physical Interventions Policy
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Restrictive Practices and Physical Interventions Policy
1. Purpose The purpose of this policy is to ensure that {{org_field_name}} applies restrictive practices and physical interventions in a lawful, ethical, and person-centred manner. This policy aligns with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 13 – Safeguarding service users from abuse and improper treatment, the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS), the Human Rights Act 1998, the Equality Act 2010, Positive and Proactive Care: Reducing the Need for Restrictive Interventions (DHSC Guidance), and CQC Guidance on Restrictive Practices. This policy aims to ensure that restrictive interventions are only used as a last resort, proportionate to the risk posed, and applied with respect and dignity.
2. Scope This policy applies to all employees, including care staff, managers, and agency workers, people we support who may require interventions for their safety, external professionals such as healthcare providers and safeguarding teams, and family members and advocates involved in care planning.
3. Policy Statement {{org_field_name}} is committed to ensuring that the use of restrictive practices is minimised and only applied where absolutely necessary, all staff are trained in positive behaviour support (PBS) to prevent restrictive interventions, interventions are proportionate, lawful, and the least restrictive option available, any restrictive practice is recorded, reviewed, and monitored, people we support are involved in decisions regarding restrictive practices whenever possible, and compliance with CQC’s Fundamental Standards of Care is maintained.
4. Definitions Restrictive Practice refers to any intervention that limits a person’s movement, liberty, or freedom to act. Physical Intervention involves the use of force to prevent harm, including holds and guiding techniques. Mechanical Restraint includes the use of equipment to prevent movement, such as lap belts for safety. Seclusion is the removal of a person from an area against their will to reduce harm. Chemical Restraint is the use of medication to control behaviour, only permitted under medical supervision.
5. Decision-Making Process
5.1 Person-Centred Approach We apply a Positive Behaviour Support (PBS) framework to reduce distress and prevent restrictive interventions. People we support are encouraged to express their preferences and wishes regarding their care. If restrictive interventions are considered, a risk assessment and best interest decision must be completed.
5.2 Legal Considerations and Safeguards Interventions must comply with the Mental Capacity Act 2005 and be in the individual’s best interests. If restrictive practices amount to deprivation of liberty, a DoLS authorisation must be obtained. Families and advocates must be consulted where appropriate. A multi-disciplinary team meeting must be held for any long-term restrictive practice.
6. Prevention and Alternative Strategies Staff training in de-escalation techniques is conducted to prevent crises. Use of therapeutic activities and environmental adjustments are encouraged. Enhanced communication methods help to understand distress signals. Regular review of behaviour support plans is conducted to reduce restrictive interventions.
7. Implementing Restrictive Interventions
7.1 Physical Interventions Used only where there is an immediate risk to safety. Staff must use approved, low-impact holds. At least two staff members must be present during any physical intervention. The intervention must be proportionate to the level of risk and discontinued as soon as possible.
7.2 Chemical Restraint Prescribed by a qualified healthcare professional only. Used as part of a care plan, not for convenience or punishment. Regularly reviewed to ensure necessity.
7.3 Seclusion and Environmental Restrictions Used only in exceptional circumstances and must be time-limited. Continuous monitoring of the individual’s well-being during seclusion. CQC must be notified of any prolonged use of seclusion.
8. Recording and Reporting All incidents must be documented in an incident report. A debrief session must be conducted with the individual and staff involved. The Registered Manager must review all incidents to identify improvements. CQC notification is required for serious incidents involving restraint.
9. Staff Training and Competency All staff receive annual training in Positive Behaviour Support (PBS), de-escalation techniques, safe physical interventions (if required), and legal and ethical considerations in restrictive practices. Staff competency is assessed through regular refresher training.
10. Safeguarding and Ethical Considerations Restrictive practices must never be used as punishment or convenience. Safeguarding concerns must be reported immediately. DNAR and mental capacity considerations must be factored into decision-making.
11. Policy Review This policy will be reviewed annually or earlier if legislation or CQC guidance changes, significant concerns arise regarding restrictive practices, or audit findings indicate a need for improvement.
Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
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