Outcomes
Taking the least restrictive approach, as described within this concordat, results in some clear outcomes for people and the system of care and support.
Components
Outcomes that should be evident when providing least restrictive care are:
Component 1
The individual’s preferences and voice should be clearly represented within their care and intervention plans.
Component 2
They should have a plan to reduce and monitor any restrictions currently in place.
Component 3
Their communication style, needs and preferences should be evident. Resources to support this should be available.
Component 4
The person's strengths, goals and talents should be known to support staff and clearly demonstrated in their plans.
Component 5
Proactive and preventative strategies should feature in an individual’s personalised plan, alongside the reactive strategies designed to keep them safe.
Component 6
Skills teaching programmes and progressive personalised goals should be evident in their care plan, alongside a clear functional assessment when required.
Component 7
Staff reflection, debriefs and evidence of organisational learning from incidents and successes should be evident.
Resources and tools
House of Commons Library – Support for people with a learning disability (research paper)
NICE – Arranging services for people with a learning disability and behaviour that challenges
Foundation for People with Learning Disabilities – Quality of life