Certification of Training in Restrictive Practices

Letter extract from the original letter from:

Debbie Ivanova, DCI ASC, CQC

Oonagh Smyth, CEO, Skills for Care

Mark Radford, Chief Nurse, HEE

From April 2021 CQC will expect all services across health and social care to only use training in restrictive practices that is certified as complying with the Restraint Reduction Network training standards. We are therefore writing to all relevant service providers (across health and social care) who commission training to check that their training is certified. This will be by one of the following three options (as outlined on Skills for Care website):

1. In house training: where service provider organisations develop, design and deliver their own training they will need to ensure their training has been certified as complying with the standards

2. Commercial training provider: Where service provider organisations commission training from a commercial training organisation they must ensure that the commercial training provider has been certified. There are two models for commercial training organisations to deliver training.

2a. the commercial training provider delivers the training using their own senior trainer directly to the service provider’s staff. This could be by the learning provider sending their trainers into the service, putting on a course for the service’s staff or the staff attending an open course organised by the commercial training provider. In these cases the service provider only needs to check that the training provider is certified.

2b. where the service provider uses their own staff as trainers to deliver a commercial training provider’s programme (e.g. through ‘train the trainer’) – in which case, the service provider does not need full certification, but training organisation must be certified and the service provider must be approved as an affiliate service provider in order for training to be certified and meet CQC expectations.

Positive Management of Violence and Aggression Course

All the training refers to those aspects of a person’s behaviour that can be attributed to the presence of a specific genetic or biological anomaly or condition. We can expect people with certain conditions to have a tendency towards certain types of behaviour. This might mean altering the way we do things to accommodate the types of behaviour.

This can also have an effect on the way in which we support the individual. The training addresses alternative approaches in positive behaviour support with physical intervention only as a last result if everything else has failed.

Settings:

• Healthcare
• Social care
• Education

Populations:

• Services supporting adults
• Services supporting children
• People with mental health conditions
• People with learning disabilities
• Autistic people
• People acquired brain injury
• People living with dementia

Deliver training into:

McCormack Training Ltd , and more specifically our training, is certificated using a selection of settings and populations set by UKAS with reference to the RRN Training Standards.

The training will be in modules. These can be taught on their own or consecutively as a block course.

Module 1

Understanding human rights approach to restrictive Intervention –
An awareness of the Human Rights Act 1998
An awareness of the Equality Act 2010
An awareness of the Mental Capacity Act 2005
An awareness of the Mental Health Act 1983 – If applicable
To show knowledge between legislative frameworks involved in restrictive interventions
Understanding the Restraint Reduction Network (RRN) Training Standards 2018

Module 2

Conflict Resolution Training

The course meets the (Nee) NHS Protect National Guidelines.
Learning outcomes, you will be able to:

• Describe the common causes of conflict including those faced by the elderly, people with dementia, delirium, learning difficulties, children, and those suffering from trauma or post experiences.
• Describe different forms of communication
• Give examples of communication breakdowns
• Explain different methods of communication models that can assist conflict resolution
• Describe patterns of behaviour you may encounter during different interactions
• Explain the warning and danger signs
• Give examples of distance when dealing with conflict
• Give examples of impact factors
• Describe different methods for dealing with possible conflict situations
• Explain the use of ‘reasonable force’ as it applies to conflict resolution

Module 3

Low Level Disengagement Techniques

Stance, Posture and Movement
Wrist Grabs

• Single
• Double

Body Holds

• Clothing

Strangle Holds

• Exit routes to the rear
• Exit route in front
• Held against a wall

Working with Other Colleagues

Module 4

Prompting, Guiding and Escort Holds

Nonrestrictive Guiding Techniques
Restrictive Holds
Relocation and Containment Holds (Non Pain Restraints).

• Seated
• Stairs

Module 5

Safe Guarding Techniques.

Relocation/Support to the Floor

Containment on the floor – Prone and Supine Position

Relocation to a Standing Position

Module 6

Seclusion

Rapid Tranquilisation

Long term Segregation

Clinical Holding

Module 7 and 8 are additional modules – these are not endorsed in the BILD Accredited PMVA course:

Module 7

The use of Pain Compliant Restraints

Module 8

Mechanical Restraints

To book a place on a course or for more information please contact us.