Statement of Intent

ECC&R (UK) Ltd has it's own Statement of Intent
To personally train all staff and assistant instructors to our own high standard.

To train any staff who work with elderly, young people, adults, people with mental illness, learning disabilities and challenging behaviours.

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

To train in a manner that attempts to reduce rather than provoke further violent and aggressive reaction.

We endorse the code of practice in the use of physical Interventions.

The Department of Health's guidance on the use of physical interventions.

The Department for Education and Employment promoting positive handling for pupils with severe behavioural difficulties.

NMC Nursing and Midwifery Council.

The values base set out in the British Institute of Learning Disabilities National Autistic Society Policy Framework:-

On the use of gradients of control and support to implement the principles of minimum force and minimum duration.

Consideration of age, gender and ethnic origin of those needing physical intervention.

Clear guidance on the importance of using each technique as taught and not attempting unsupervised modifications.

All Ethical Care Trainers be it Ethical Care(UK)Ltd or "In House Trainers" to have PTLLS or equivalent or be working towards it.

Follow all recommendations of the Bennett Enquiry 2003.

Have an annual Refresher and Update.

Have a Full FAW Certificate or Equivalent.

Have annual De-Fibrillator, Basic Life Support and CPR Training.
Ethical Care promotes a duty of care and responsibility and makes several observations and recommendations within our practical system for trainers
1. All patients and service users should have a thorough medical assessment upon any admission in any care environment. Should any abnormalities be detected, these will be communicated to all staff, and considered when restraint becomes necessary.

2. Any medical advice must be sought from a member of medical staff as to what equates to the safest means by which to manage an individual's aggression, medication, restraint or where necessary seclusion/segregation. This must be placed into the individuals care plan.

3. All physical interventions carry a level of risk and hence should be used as an absolute last resort, prioritising therapeutic relationship building, De-escalation and other options as initial approaches to conflict management.

4. NEVER place any pressure on or around the neck, throat, upper back, lower back, chest or abdomen, sexual areas, joints of the body or negative effect of bending back the fingers. H/C 1976.

5. All members of a restraint team take responsibility for observing the patient/service users, safe airway, facial colouring, state of conscious and breathing.

6. One member of the team (person holding and supporting the head) takes responsibility for the co-ordination of the restraint team.

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

8. The prone restraint (face down) should be where possible be avoided, and where someone is in a prone position they should be held no longer than 3 minutes. If someone is held in the prone position they should be moved into a kneeling position, turned over into a supine (face up) position, sat up or if impossible to turn over leave go and monitor-do not continue restraint. Figure of 4 leg hold should be only used in seclusion/segregation as a method of disengagement and the hold applied for no longer than 45 seconds. The above hold is not to be done on young people or Elderly Patients/service users.

9. When in restraint care must be taken that the face and airway remains free from obstruction, such as pillows, covers and blankets etc.

10. No holds will ever be used which compress the chest or diaphragm i.e. Bear hugs, Basket holds. No placing of direct or in-direct pressure through joints and No laying on patients/service user's limbs or body.

11. Where rapid tranquillisation is to be used, where possible this should take place before a violent episode or after any struggle, it must follow the commissioning organisations rapid tranquillisation policy.

12. 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 a physical intervention may not be the end of the emergency. Where any of the issues mentioned risk factors are present a medical review is advised.