Managing risk, minimising restraint

Author:
SOCIAL CARE INSTITUTE FOR EXCELLENCE
Publisher:
Social Care Institute for Excellence
Publication year:
2009
Pagination:
6
Place of publication:
London
Edition:
Updated 2021

This briefing examines the use of restraint in care homes and approaches to minimise its use. It presents some of the learning from a review of the literature on the use of restraint in care homes for older people and an exploration of practice. The briefing looks at what might constitute restraint, whether restraint is ever right, the links between risk and restraint and developing knowledge and skills. Key messages include: many different actions can constitute restraint, ranging from physically holding someone to unintentionally leaving their walking frame out of reach; understanding what restraint is, and the occasions on which it is acceptable, is the first step towards minimising its use – the Mental Capacity Act (2005) provides some clear guidance; using a five-step framework will help with making informed decisions in situations where the use of restraint is being considered – observe, do some detective work, consider the options, implement the plan, monitor and review the plan; supporting residents to take positive risks helps increase their wellbeing as well as reducing reliance on restraint to maintain their safety; talking openly about restraint with residents, relatives and staff will help promote good practice; using the physical environment to promote a sense of wellbeing can help avoid some of the situations that result in the use of restraint; care staff need opportunities to develop their skills and knowledge, and to share learning about how to respond to the challenges they face. [Published: October 2009; Updated April 2021] (Edited publisher abstract)

Subject terms:
older people, physical restraint, restraint, care homes;
Link:
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Series name:
At a glance
Series no:
16

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