Resources
The practical resources below can help you to strengthen this area of CQC inspection.
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Resource creator: Care Quality Commission
The CQC published this blog to announce their updated policy position on restrictive practice. Using our existing legislation, the CQC will expect all providers of health and social care to know what restrictive practice looks like, and to actively work to reduce its use in health and care settings.
The CQC expect leaders of services, systems, and all those working in health and social care to take immediate steps to identify and reduce restrictive practices in their services, where possible. The new policy and inspector guidance will be incorporated into the CQC Single Assessment Framework for inspecting services.
Date published: August 2023
Resource creator: Social Care Institute of Excellence (scie)
Use this summary to strengthen understanding of the use of restraint in care homes. It examines:
- what restraint means
- whether it’s acceptable and in what circumstances
- approaches to minimise restraint
- what is good practice?
Date published: April 2021
Resource creator: Health and Safety Executive (HSE)
This website provides an overview of employer responsibilities in relation to health and safety at work. It includes:
- steps needed to manage risk
- risk assessment template and examples
- more detail on managing risk.
Date published: April 2021
Resource creator: Skills for Care
This checklist enables you to reflect on the strengths and areas for improvement of your risk assessments.
Date published: December 2020
Resource creator: Quality Compliance Systems (QCS)
Skills for Care has teamed up with QCS to provide a comprehensive document which includes some practical examples of risk assessments for the people you support and your staff, as well as how these can be reviewed.
It also includes a list of risk assessments available from QCS to help you to consider which risk assessments you may need.
Date published: December 2020
Resource creator: Skills for Care
This recorded webinar provides a summary of the key ways to build confidence in risk assessments and learn how to take positive risks, even during challenging times. It looks at:
- key principles for risk assessments
- different types of risk assessments
- developing your skills further
- practical examples.
Date published: December 2020
Resource creator: Skills for Care
This resource includes recommendations relating specifically to risk assessments that adult social care services are using in response to the pandemic. Useful templates and other relevant resources are also included.
Date published: December 2020
Resource creator: Skills for Care
This resource covers the key principles that can be applied to various types of risk assessments. This information may be particularly useful to newer frontline managers and other staff who have limited experience of undertaking risk assessments.
Date published: December 2020
Resource creator: Manor Community, University Hospitals Bristol and Weston
This process should be used to help managers and staff hold a constructive discussion to consider adjustments, or redeployment for any staff that are identified as being at greater risk.
The risk assessment helps providers to consider factors including:
- age
- underlying health issues
- ethnicity
- pregnancy.
It also includes a decision tree to help managers to support staff at increased risk of severe illness from COVID-19.
Date published: September 2020
Resource creator: Restraint Reduction Network
The CQC and Skills for Care expect all adult social care services to adopt the standards.
- If you're a learning provider, you can use this audit tool to compare your existing provision against the standards.
- If you're a provider or someone who needs care and support, you can use the audit tool to understand what training should be provided and ask the right questions to ensure that the training you commission meets these standards.
Date published: December 2019
Resource creator: National Institute of Health and Care Excellence (NICE)
This quality standard covers ways to reduce suicide and help people bereaved or affected by suicide. It describes high-quality care in priority areas for improvement.
The statements are specific and concise and focus on priorities for quality improvement. In particular, please see statement 4 and 5.
Date published: September 2019
Resource creator: National Institute of Health and Care Excellence (NICE)
NICE quality standard on the care of children, young people and adults with a learning disability and behaviour that challenges.
It includes statements and measures on:
- initial assessment of behaviour that challenges
- a designated coordinator for the behaviour support plan
- personalised daily activities- review of restrictive interventions
- the use of antipsychotic medication.
The statements are specific and concise and focus on priorities for quality improvement.
Date published: July 2019
Resource creator: National Institute of Health and Care Excellence (NICE)
This guideline covers services for children, young people and adults with a learning disability (or autism and a learning disability) and behaviour that challenges. It aims to promote a lifelong approach to supporting people and their families and carers, focusing on prevention and early intervention and minimising inpatient admissions.
This guideline should be read alongside the NICE guideline on challenging behaviour and learning disabilities: prevention and interventions.
Date published: March 2018
Resource creator: National Institute of Health and Care Excellence (NICE)
This is the NICE quality standard on the short-term prevention and management of violent and physically threatening behaviour among adults, children and young people with a mental health problem. It includes statements and measures on:
- identifying triggers and warning signs
- preventing and managing violent and aggressive behaviour.
The statements are specific and concise and focus on priorities for quality improvement. In particular, please see statement 1.
Date published: June 2017
Resource creator: National Institute of Health and Care Excellence (NICE)
This is the NICE quality standard on the prevention of falls and assessment after a fall in older people (aged 65 and over) who are living in the community or staying in hospital. It includes statements and measures on:
- identifying people at risk of falling
- risk assessment for older people at risk of falling
- strength and balance training
- home hazard assessment and interventions.
The statements are specific and concise and focus on priorities for quality improvement. In particular, please see statements 1, 2 and 3.
Date published: January 2017
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