winterbourne view local update debbie endersby –head of ld commissioning and sue culling strategic...
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Winterbourne View local update
Debbie Endersby –Head of LD commissioning And
Sue Culling Strategic Commissioning manager –LD June 18th 2014
Aims of the program of work • To understand the range and context of Restrictive
Interventions (RI) that are being used by LD providers in East Sussex
• To have systems in place to assure stakeholders that where RI are used that they undertaken in a safe and ethical way for example are individualised , based on positive behavioural support and recovery models and are recorded
• To ensure a focus on reducing the use of all RI • To ensure that services and staff are supported • To ensure best practice is promoted and shared
Purpose of the focus group June 2nd • to co produce/assist with the development of
East Sussex service specifications for people with a learning disability who may challenge services and where RI is in use
• to assist with a notification process to record where RI is in use particularly for physical restraint
• to share approaches and good practice around RI
Positive and proactive care (DH 2014) indicates 4 overarching themes
• Improving care
• Leadership , assurance and accountability
• Transparency
• Monitoring and oversight
What needs to be in place • Use of positive behavioural support approaches and individual
behavioural support plans • Service Providers to have RI Reduction programs in place • Service Providers to have Board level accountability for RI • Service Providers to have audits of quality of practice
including post incident analysis• Service Providers to have skilled staff trained by accredited
trainers if using physical restraint • Good record keeping
Where we are now
• We shared the draft specification with the focus group
• We proposed a notification process for providers to inform commissioners that RI is being used
• Discussion about approaches as to defining what good looks like
• Discussion around current LD Provider training to support continuous improvement in services and promotion of best practice
Key themes and issues (1)
• Some providers indicated that they were already doing what the guidance required but that policies and procedures would need updating to reflect the new guidance requirements
• Some providers had already started to look at the implications of the guidance for their organisation for example Restrictive Intervention reduction programs
• Main issue was the new language and consistency of use of definitions to describe key elements
Key themes and issues (2)
• In addition to training -there was a recognition that some of the practical issues were about recruiting the right staff to work with the client group
• Needed to consider how best to share information and involve service users and carers
Some suggested areas for ongoing work • To circulate examples and exemplars of good
practice • Involvement of people with learning disability
and their carers in reviewing process and procedures
• An East Sussex network to share good practice and ideas
We would like to know …
• What works in practice ? • What needs to be avoided? • Are there quality measures that you use that
would be useful to share?
• Please contact me suzanne.culling@eastsussex.gov.uk
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