Ethical Care Control and Restraint Ethos

Minimising opportunities for conflict whilst reacting with care and control

Our Ethical Approach

ECC&R (UK) Ltd. | Ethical Care Control & Restraint methods and variations are a broad strategy employed when addressing challenging behaviour and having to use physical intervention against minor, moderate or extreme aggression. The professional needs to be able to address the different challenges with different gradients of control which are at all times ethical, dignified & legal.
 

Our 'Golden Rules'

These are the foundation rules that we believe form the core of an ethical approach to physical intervention:

     All clients will, where possible, have a thorough medical assessment upon admission.

          Should abnormalities be detected, these will be communicated to all staff and considered

          when restraint becomes necessary.
 

     Medical advice may be sought from a member of the medical staff as to what equates to the

          safest means by which to manage an individual's aggression, medication, restraint or, where

          necessary, seclusion etc. This must then be placed in the care plan.
 

     All physical interventions carry a level of risk and hence should be used as a last resort,

          prioritising therapeutic relationship building, de-escalation and other options as initial approaches

          to conflict management.
 

     All episodes of restraint must be for the shortest time possible.
 

     One member of the team, no. 1, takes responsibility for the coordination of the restraint team.
 

     All members of the restraint team, including the no. 1, take responsibility for observing safe

          airway, facial colouring, state of consciousness and breathing.
 

     Never place pressure on or around the back, chest, stomach, face, neck, shoulders,

          major joints or the fingers.
 

     Prone restraint (face down) should, where possible, be avoided and where someone is in

          a prone position they should be moved to a sitting, kneeling or supine (face up) position

          within 3 minutes or let go.
 

     Care must be taken that the face remains free from soft materials, such as blankets,

          pillows etc, which could hinder breathing.
 

     No holds will ever be used which will compress the chest, i.e. bear hugs, basket holds

          or direct pressure through joints.

     Where rapid tranquilisation is to be used, this should, where possible, take place after

          any struggle and it must follow the organisation's rapid tranquilisation policy.
 

     Where a restraint has taken place staff must make a judgement as to whether a medical

          examination or other actions may be required. The end of physical interventions may not

          be the end of the emergency.
 

Our Aims

To personally train students to our own high standards.

To teach aspects of current legislation and guidelines appropriate to the students and their working environment.

To train anyone who’s working environment may involve confronting violence or aggression or challenging behaviour from people of all ages.

To train in a manner that attempts to reduce rather than provoke violent or aggressive behaviour.

To teach how to manage violence and physical aggression with the absolute minimum of force necessary and reasonable in the circumstances.