Organisation Pledge
Organisation:
Restraint Reduction Lead:
Date:
Priority 1:
We have big plans for the future in regards to patient involvement. For instance we are going to incorporate service users who have had experience of using the trust, involving them wherever possible in the development of future course materials. We also are going to explore (from first hand experiences), trauma and what effect this can have on a staff member, the service user and family members of those in care.
Measure of Success:
We believe that the only way to find out if we are making a patient’s life better is to liaise wherever possible with the individuals who use our services. In order to do this we are going to liaise with service users, their families and their carers in order to implement future changes in the reducing restrictive interventions programme (RRI) that are both relevant and meaningful to the local population. To measure the level of success that we are going to have in this area we are going to actively get involved with service users and service user steering groups both in the trust and the local community. Throughout our co-production we are going to adopt a "no red tape" approach. This means we are going to make sure those with lived experiences of restrictive practices will have their voices heard and that any potential barriers to this success are overcome. We are already well underway to been a service user focused course. One initiative is that in the very near future we will be employing a person who as used the impatient services at our trust. This expert by experience will be supported fully to talk about his journey to participants on the Reducing Restrictive Interventions (RRI) Course.
Priority 2:
We want our RRI course to be thought provoking, unique and revolutionary. Thought provoking in a way that the participants even in the training room are constantly thinking "why are we been restrictive? What is the least restrictive option? and is the technique we are doing reasonable, justified and proportionate? Unique and revolutionary in the respect that we want all of our course participants to be intrinsically linked to the service users they maybe caring for right from the start of our course. To achieve this we have included activities that will enable our course participants to physically feel what it would be like to be new to a ward and to be subjected to restrictive interventions.
Measure of Success:
Throughout our RRI course we already provide many tools and restraint reduction strategies such as SAFEWARDS, positive behavioural support (PBS) and disengagement techniques. We are constantly looking for new ways to develop and to improve on what we already offer. In terms of measuring our success in this field, we are developing our course to not only to align with the Restraint Reduction Network (RRN) standards but to exceed them. We are committed to doing this by developing our course to provide the participants with other strategies such as; how Trauma Informed Care can help both a service users healing process and in turn lead to reduced numbers of restrictive interventions.
Priority 3:
Our shared goal both as a trust and as the RRI team is to reduce restrictive interventions. Our priority in this area as the RRI team, is to use the information and data gathered through the trusts local reporting systems to improve both the focus and delivery of our training. This will allow us to gain a measure and understanding of how and when the physical techniques that are taught in the training room are implemented on the ward. The data, that will be collated through our reporting systems will be reviewed monthly or more often if required. This data will also highlight to us what techniques are been used on what ward.
Measure of Success:
We are currently working with the relevant team within the trust so that the trusts' staff will be able to record accurately in what instances verbal de-escalation was successfully used or not. We believe that it important to measure this outcome as it builds a clearer picture both of what is happening on the wards, and how successful the de-escalation techniques are been transferred from the classroom to the ward environment. Through stringent data analysis we are also going to be able to identify what physical techniques are used where , when and for how long. This will enable the RRI team to focus on specific wards/areas within the trust where the use of physical techniques maybe deemed high. Our measure of success in this area will be seeing the statistics decrease for the amount physical interventions used in such areas. This may mean providing extra or bespoke training for such areas.
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