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Restrictive Practice and Restraint

Written by Orianne Collins

At edyn.care, restraint should only ever be used as a last resort to prevent immediate harm. Our priority is always to prevent situations from escalating by using calm communication, reassurance and person-centred care.

What is restraint?

Restraint means using force, or restricting someone's movement, to stop them doing something they are resisting.

This could include:

  • Physically holding someone.

  • Blocking someone's movement.

  • Restricting where someone can go.

  • Using threats or coercion to make someone comply.

Preventing restraint

Always try to prevent situations from escalating by:

  • Remaining calm.

  • Speaking respectfully.

  • Listening to the care recipient.

  • Offering reassurance.

  • Giving the person time and space where safe.

  • Redirecting attention.

  • Following the care plan.

  • Understanding the person's preferences and triggers.

When might restraint be necessary?

Restraint should only be considered if:

  • There is an immediate risk of harm.

  • Other options have not worked or are not appropriate.

  • The action is necessary and proportionate.

  • It lasts only for the time needed to keep everyone safe.

Never

  • Use restraint as punishment.

  • Use more force than is necessary.

  • Restrict someone's breathing.

  • Hold someone face-down.

  • Threaten restraint.

  • Leave someone restrained and unattended.

After any restraint

You must:

  • Ensure the care recipient is safe.

  • Contact the Care Management Team immediately.

  • Record the incident as an Event.

  • Complete all required care records.

  • Report any injuries or safeguarding concerns.

Remember the 5 Ds

When a situation begins to escalate, think:

  • De-escalate – Stay calm and speak respectfully.

  • Discuss – Listen and reassure.

  • Distract – Redirect attention where appropriate.

  • Distance – Give the person space if it is safe to do so.

  • Document – Report and record what happened.

If you are ever unsure how to manage a situation safely, contact the Care Management Team immediately for guidance.

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