Restraint Reduction and Positive Behaviour Support Audit - Care Homes

Q1 | Unanswered

Is there a restraint reduction policy in place that reflects a commitment to least-restrictive, rights-based care?

Q2 | Unanswered

Are all staff trained in positive behaviour support (PBS), de-escalation, and alternatives to restraint?

Q3 | Unanswered

Are behaviour support plans in place for residents who display behaviours of distress, with proactive and preventative strategies clearly outlined?

Q4 | Unanswered

Are behaviour plans developed with input from residents, families, and professionals (e.g., mental health, SALT, psychology)?

Q5 | Unanswered

Are incidents of restraint or restrictive interventions recorded accurately, reviewed, and analysed for learning?

Q6 | Unanswered

Are physical interventions used only as a last resort, for the shortest duration, and by trained staff?

Q7 | Unanswered

Are residents regularly assessed for capacity and supported to make their own decisions wherever possible?

Q8 | Unanswered

Are all restrictive practices (e.g., bed rails, door sensors, 1:1 observations) justified, risk-assessed, and reviewed regularly?

Q9 | Unanswered

Are staff supported to reflect on and debrief after incidents involving restraint or distressed behaviour?

Q10 | Unanswered

Are incident records monitored to identify patterns or environmental factors that may be triggering behaviours?

Q11 | Unanswered

Is the use of PRN medication for behavioural control monitored and reviewed by appropriate clinical leads?

Q12 | Unanswered

Are there protocols in place for obtaining consent (or best interest decisions) before applying any restrictive measures?

Q13 | Unanswered

Is there a focus on understanding unmet needs, trauma, communication challenges, or medical issues behind behaviours?

Q14 | Unanswered

Are restrictive practices removed or reduced as soon as safe and appropriate, with evidence of review?

Q15 | Unanswered

Are environmental adjustments (e.g., lighting, noise reduction, activity adaptation) used to prevent escalation?

Q16 | Unanswered

Is feedback from residents involved in incidents used to inform future support strategies where possible?

Q17 | Unanswered

Are families and advocates kept informed of incidents involving restraint or interventions that limit liberty?

Q18 | Unanswered

Is PBS discussed regularly in team meetings and supervisions to build staff confidence and shared strategies?

Q19 | Unanswered

Are the use of restraint or restriction audited regularly and discussed at governance level?

Q20 | Unanswered

Is the care home engaged in sector-wide restraint reduction programmes or learning networks?

Q21 | Unanswered

Are outcomes from behaviour support plans tracked to ensure interventions are improving wellbeing and reducing risk?

Q22 | Unanswered

Is the language used in care plans, handovers, and reports respectful, non-blaming, and person-centred?

Q23 | Unanswered

Are staff able to challenge the unnecessary use of restrictions or escalate concerns appropriately?

Q24 | Unanswered

Is there evidence that restraint reduction has led to improvements in quality of life and satisfaction for residents?

Q25 | Unanswered

Are restrictive interventions subject to incident reporting and analysis even when planned or low-level (e.g., door alarms)?