Positive Behaviour Support and Restrictive Practices Audit - Supported Living

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  • Is there a positive behaviour support (PBS) policy that prioritises proactive and least-restrictive approaches?
  • Are staff trained in PBS principles, de-escalation techniques, and recognising triggers and early warning signs?
  • Are behaviour support plans developed collaboratively with the tenant and relevant professionals?
  • Do behaviour plans include clear strategies for prevention, early intervention, and recovery—not just response?
  • Are behaviour incidents recorded in detail, including triggers, actions, and outcomes?
  • Are restrictive practices (e.g., door sensors, medication, withholding access) only used where legally justified and risk assessed?
  • Are all restrictive interventions recorded, reviewed, and reduced over time as part of a clear strategy?
  • Is consent obtained where appropriate for the use of monitoring tools (e.g., alarms, location tracking)?
  • Are behaviour plans person-centred, strengths-based, and focused on improving quality of life—not control?
  • Are reviews of behaviour plans carried out regularly with involvement from relevant external specialists (e.g., PBS advisors, psychologists)?
  • Are staff supported to reflect on behaviour incidents and their responses as part of continuous learning?
  • Are physical interventions only used in line with the law and only when staff are trained and certified to do so?
  • Are tenants’ rights and dignity preserved at all times during behavioural support, even in moments of crisis?
  • Are any use of seclusion, withdrawal, or consequence-based strategies formally risk assessed and authorised?
  • Are incidents analysed for trends or patterns to inform proactive support planning?
  • Is there a focus on understanding communication needs or underlying trauma behind behaviours of concern?
  • Are restrictive practices regularly reviewed for legal and ethical justification, and formally authorised if ongoing?
  • Are family members or advocates involved in developing or reviewing behaviour plans where appropriate and with consent?
  • Are positive outcomes (e.g., reduction in incidents, increase in choice and control) tracked and celebrated?
  • Are safeguarding principles applied when restrictive practices may impact rights, dignity, or wellbeing?
  • Is there clear leadership accountability for reviewing and reducing restrictions across the service?
  • Are staff debriefed and supported emotionally after serious incidents?
  • Is feedback from tenants on their behavioural support plan included wherever possible?
  • Are PBS plans stored securely but accessible to staff working with the individual?
  • Are behaviour support themes and restrictive practice usage monitored at governance level?