Demonstrate ways of minimising restrictive practices through person centred practice

For this assessment criterion, you will be required to demonstrate how person-centred practice can help to minimise the use of restrictive practices.

Restrictive interventions may be necessary if there are risks to an individual or others if the intervention is not used. However, if we are able to reduce these risks then restrictive interventions may not be needed at all. One way of reducing risks is to develop a culture of person-centred practice throughout the organisation where individuals are valued, respected and listened to. A behaviour that requires a restrictive intervention is very often a method of communication for an individual to express their dissatisfaction. By providing appropriate channels for individuals to express themselves and communicate, the use of restrictive practices may be minimised.

As a manager, you must be able to demonstrate and role model person-centred practice to your team members and others during your day-to-day role to promote and support others in using this approach.

Comply with legislative and organisational requirements at all times

It should go without saying that you must adhere to the legislation around the use of restrictive practices. In addition, you need to understand your own organisation’s policies and procedures that relate to restrictive practices and ensure that you work in line with these requirements.

Demonstrate and role model how an individual’s behaviour is understood and valued

Understanding and valuing an individual’s behaviour is part of showing empathy, compassion and respect for them. You may have worked with individuals that required restrictive interventions in the past but you were able to minimise the use of them by understanding the reasons for the behaviours that led to restraint. By demonstrating that you try to understand the reasons or triggers for a behaviour, you can support others to do the same. For example, you may discuss an individual’s behaviour with them during their care plan review or analyse previous incidents that led to a restrictive intervention being used to see if you are able to identify any patterns.

Demonstrate and role model how to value an individual’s unique needs, aspirations, and strengths to enhance their quality of life

Care planning involves building a rapport with an individual and creating bonds of mutual respect and trust so that the individual can be open about their needs, wishes and preferences as well as their aspirations and strengths. By understanding what is important to the individual, you can provide care that enhances their quality of life and well-being.

Demonstrate and role model how to effectively involve and enable active participation of individuals, their families, carers and advocates

Similarly, you must make efforts to ensure that an individual has as many opportunities as possible to be an active participant in their care planning and delivery, rather than simply a passive receiver. This may require a lot of work initially, especially if the individual is distrustful of health and care professionals but it will ensure that their care is tailored to their unique needs. Where applicable, the individual’s family, carers and advocate should be involved in an individual’s care planning and delivery because they will often have unique insights about what matters to the individual.

Demonstrate and role model how to treat individuals with compassion, dignity, and kindness

Compassion, dignity and kindness should be at the centre of all care provision because positive experiences lead to increased participation and involvement as well as more trust between care providers and recipients. These principles also contribute to an individual’s well-being because they will feel that they are being genuinely cared for and that they are valued.

Demonstrate and role model how to support and protect positive relationships between the people who deliver services and the individuals they support

The relationships between care providers and recipients are of the utmost importance when delivering effective care because it is a collaborative process that must be built on mutual trust and respect. Communication must be two-way and the recipient must believe that their views and opinions are valued.

Assessment criteria

Learners demonstrate how person-centred practice can help to minimise the use of restrictive practices.

• Learners comply with legislative and organisational requirements at all times
• Learners demonstrate and role model how an individual’s behaviour is understood and valued
• Learners demonstrate and role model how to value an individual’s unique needs, aspirations, and strengths to enhance their quality of life
• Learners demonstrate and role model how to effectively involve and enable active participation of individuals, their families, carers and advocates
• Learners demonstrate and role model how to treat individuals with compassion, dignity, and kindness
• Learners demonstrate and role model how to support and protect positive relationships between the people who deliver services and the individuals they support