FINAL POLICY DRAFT: MAY 2010 BLACKPOOL COUNCIL POLICY FOR SAFE PRACTICE IN RESTRICTIVE PHYSICAL INTERVENTION BETWEEN STAFF AND CHILDREN AND YOUNG PEOPLE IN SCHOOLS, CHILDREN’S HOMES AND ALL COUNCIL ESTABLISHMENTS AND SETTINGS FOR CHILDREN AND YOUNG PEOPLE 1 FINAL POLICY DRAFT: MAY 2010 Document Information Issue Date September 2010 Version/Issue Number 1 Effective From Date 20010 Scope of Blackpool Council Document Objective To provide guidance to all staff who are employed by Blackpool Council and who might have occasion to physically intervene in situations that could compromise the safety and well being of children and young people. Responsibility Executive Director, Children, Adult and Family Services Documentation Blackpool Children and Young People Plan Document Status DRAFT Draft/Final Document Sponsor Author Review Date Officer Responsible Approved by/ Unapproved & Date Name Job Title Division Name Job Title Team Contact Tel: Kathryn Boulton Head of Learning Learning & Schools Kathryn Boulton Head of Learning 01253 476681 Name Kathryn Boulton Job Title Team Contact Tel: Head of Learning 01253 476681 For the purposes of this document, children is intended to always refer to children and young people 2 FINAL POLICY DRAFT: MAY 2010 FOREWORD This draft policy has been developed in order to provide guidance to all staff who are employed by Blackpool Council and who might have occasion to physically intervene in situations that could compromise the safety and well being of children and young people. The policy is intended to support and assist all Local Authority establishments and settings to: review current policies and procedures regarding restrictive physical intervention in order to ensure that everyone, including parents / carers, are clear about their respective roles, duties and responsibilities; put in place effective management systems to help guide and support council employees; put in place reporting and monitoring systems to ensure that in all establishments and settings that restrictive physical interventions are handled responsibly and safely; ensure that all staff who may be required to physically intervene in situations with children, have access to appropriate training and are clear about what to do and how to respond safely. For the purposes of this document, children is intended to always refer to children and young people The term ‘staff’ is used to apply to any Council employee who in the normal course of their duties may be called upon to physically intervene in a situation with a child. The term ‘staff’ is also used to apply to Council approved Foster Carers and Volunteers. 3 FINAL POLICY DRAFT: MAY 2010 CONTENTS Page 1. Policy Statement 4 1.1 Purpose 4 1.2 Definitions 4 1.3 Values 6 1.4 Ethos 7 1.5 Principles 8 1.6 Key practice Points 8 1.7Post Incident Support and Management 11 1.8 Reporting and Recording 12 1.9 Management and Evaluation 13 1.10 Complaints 14 1.11 Staff Training and Development Strategy 15 2. Guidance: The Legal, Council and Departmental Context 15 Legal Terminology 15 Legislation for Duty of Care 16 Legislation for Use of Restrictive Physical Interventions 17 3. Appendix 1: Staff Conduct When Using Restrictive Physical Interventions 19 4. Appendix 2: Dos and Don’ts in Situations when using Restrictive Physical Interventions 19 4 FINAL POLICY DRAFT: MAY 2010 1. Policy Statement 1.1 Purpose 1.1.1 This policy applies to all Blackpool Council Children and Young People’s establishments or settings. It provides a supporting framework to inform the development of good practice guidance in different settings for different professional groups to promote positive behaviour and manage challenging behaviour presented by children. This includes schools, early years' settings, children’s homes, fostering placements, pupil referral units and other youth settings and centres. It is intended to result in the minimal use of restrictive physical intervention in all settings and to establish the use of restrictive physical intervention as a choice of last resort after all other preventative strategies have been attempted as appropriate. 1.1.2 Blackpool Local Authority (LA) is committed to protecting the health, welfare and safety of all staff in carrying out their duties and responsibilities. This policy aims to: i. Raise awareness of challenging behaviour and good practice interventions to manage challenging behaviour. ii. Promote working environments where the management of challenging behaviour is less likely to result in the use of restrictive physical interventions (see Ethos). iii. Clarify for staff and all other parties the legislative framework applying to different professional groups of staff. iv. Ensure that all staff, in the context of undertaking their duties and managing challenging behaviour, are fully aware of their duties of care and are provided with a practice framework that enables them to ensure that their actions will be defendable in law. 1.2 Definitions 1.2.1 Although labelling other people's behaviour can have a negative effect on their social and personal value, labels can sometimes help services to plan appropriate support. Often staff will describe an individual's behaviour as challenging because the impact of their behaviour often limits their life experiences or places them or others at risk of harm. There have been a number of definitions, but the one that is more widely accepted is that by Banks et al (2007) 'behaviour of such intensity, frequency or duration as to threaten the quality of life and/or the physical safety of the individual or others; and is likely to lead to responses that are restrictive, aversive or result in exclusion'. 1.2.2 Behaviour such as physical and verbal aggression, self-injury or which result in damage to property is commonly, but not exclusively, associated with the term “challenging behaviour”. To describe someone as presenting with challenging behaviour depends on the situation the person displaying the behaviour finds themselves in; also the perception of those observing or 5 FINAL POLICY DRAFT: MAY 2010 trying to manage the behaviour and the impact of the behaviour. Behaviours that may severely impair a person’s ability to interact with others, and limit community activity, will not be described as challenging if they do not challenge others apart from themselves. 1.2.3 Understanding behaviour provides the basis for deciding on the most effective ways of supporting the person (including changing our behaviour) and may help us support the person to improve their lifestyle. Even if we can do little to support the person to change their behaviour, the knowledge of why the behaviour occurs can often help those working or living with the person feel reassured that they are doing as much as possible. Knowledge allows those involved to consider ways of altering or improving the current situation, or simply help to identify and avoid certain situations that give rise to the behaviour. 1.2.4 There is the temptation that staff will try to find the ‘cause’ and thereby implement a ‘solution’. However, this is unlikely as the nature of people and their behaviour is so complex with many factors contributing (physiological, social, environmental and psychological). However, it is possible to discover enough to help us work more effectively, safely and supportively with the person. 1.2.5 A child may be believed to be carrying a knife or weapon or indicate their preparedness to use any implement as a weapon against themselves or others, A weapon can be described as any implement that has the potential to cause harm when not used for the purpose for which it was designed and intended to be used- Screening and searching of pupils for weapons: guidance for school staff Department for Education and Skills, 2007. 1.2.6 Restrictive Physical Interventions can be described in different ways. This policy is working towards the following: i. The BILD 2006: Good Practice in Physical Interventions: A Guide for Staff and Managers) ”any form of restrictive intervention, be it a physical, mechanical, chemical environmental or social/psychological intervention, which is designed and used (intentionally or unintentionally) to limit or restrict another persons liberty”. ii. Department of Health Guidance on permissible forms of control in children’s Residential Care, 1993 Paragraph 5.2), ”Physical restraint is the positive application of force with the intention of overpowering the child. That is, in order to protect the child from harming himself or others or seriously damaging property”. 6 FINAL POLICY DRAFT: MAY 2010 1.3 Values for working with children presenting challenging behaviour 1.3.1 Challenging behaviour is neither a new phenomenon nor restricted to a small minority of children and young people. It is a developmental rite of passage that impacts on individuals at different times and with differing levels of intensity. Testing boundaries should therefore be viewed as a natural part of overall development and responded to accordingly. 1.3.2 Every child needs security, achieved through stable and caring relationships and a dependable and predictable environment in order to develop selfdiscipline and control. Many children have this benefit from the support of those people close to them, family, friends, and professionals who work with them 1.3.3 Some children have less favourable experiences and as a result may challenge those around them, at times demonstrating behaviours that are unacceptable and, in some cases, harmful. Some children may have diagnosed conditions, such as autistic spectrum disorders, that may predispose them towards challenging behaviour. A number of reasons have been suggested for the cause of challenging behaviour, ranging from cognitive and behavioural causes to biological and environmental causes. It is important to remember that all human behaviour is very complex and is likely to have developed because of a number of different factors. Behaviour involves a complex process of actions and experiences which precede, interact and following another, all influenced by and dependent on some kind of internal, external or combined event. 1.3.4 It is not the intention of this policy to outline in detail, every possible cause for all possible behaviour. However, staff can be effective in helping to overcome challenging behaviour if they consider some of the main causative factors and should be aware of individual circumstances and understand the implications for behaviour. 1.3.5 Staff working with children need to have clear guidance, information and training available to them in order to adopt best practice in developing appropriate behaviour management procedures and strategies; and to enable them to feel confident in those situations that demand the use of physical intervention. 1.3.6 All individuals working within maintained schools and other Local Authority establishments have the right to live, learn and work in a safe environment. They have the right to be protected from harm, violence, assault and acts of verbal abuse. All people have the right to be treated with respect, care and dignity, especially when they are behaving in ways that may be harmful to themselves or others and, as a result, require physical interventions from staff. It is intended that this policy will assist staff to act appropriately in a safe manner, so ensuring effective responses in different situations. 1.3.7 Restrictive physical interventions should be used in a way that is sensitive to, and respectful of, the cultural expectations of children and their attitudes towards physical contact. 7 FINAL POLICY DRAFT: MAY 2010 1.4 1.4.1 Principles This policy is based on a set of principles that provides a foundation on which to develop appropriate strategies for physical interventions and builds on policy and practice for promoting positive behaviour. These are as follows: i. The policy has been comprehensively developed and consulted upon (especially including the involvement of children). ii. The behaviour management policy in all establishments promote positive behaviour and the principle of inclusion. iii. Staff are aware of the policy and any other policies relating to behaviour management and are competent to work with children who may present challenging behaviour. An understanding of the policy enables staff to act appropriately and in good faith in exercising their duty of care to the child, (i.e. their actions are defendable). In some circumstances specific training may be required. iv. Staff and children are supported through the process of restrictive physical intervention with systems in place for mediating and restoring and rebuilding relationships between child and staff member(s). v. Risks are foreseen, clearly assessed and management plans have been developed with the child and the child’s parent(s) and or carer(s). Thus, the possible use of restrictive physical interventions as a last resort has been communicated. vi. Restrictive physical interventions will be designed to achieve outcomes that reflect the best interests of the child whose behaviour is of immediate concern and others affected by the behaviour requiring intervention. vii. The use of restrictive physical intervention should, wherever possible, be avoided and on those occasions when appropriate, it must be used in ways that maintain the safety and dignity of all concerned. viii. Any restrictive physical intervention will only employ the minimum amount of force needed to avert injury, damage to property or (in schools) to prevent the breakdown of discipline and applied for the shortest period of time. At no time will physical contact be used deliberately, intended to punish, or which is primarily intended to cause pain, injury or humiliation. ix. The prosecution and criminalisation of children presenting challenging behaviour should be minimised and normally take place only after all reasonable steps have been taken to support the child to regain control and take responsibility or the extent of the behaviour is presenting a serious threat to the safety and well-being of others. 8 FINAL POLICY DRAFT: MAY 2010 1.5 Ethos 1.5.1 It is unlikely that staff will reach the point where they feel comfortable with using restrictive physical interventions on children. This is healthy. A culture where the use of physical intervention is seen as ‘no big deal’ is much more worrying than one where staff are concerned by its use and want to discuss what happened. Staff, are always in a privileged position and the use of ‘force’ must always be taken seriously and be open to question and informed by a risk assessment approach in line with Council and departmental procedures. 1.5.2 The openness of an establishment’s monitoring and evaluation of incidents of restrictive physical intervention indicates a commitment to keeping children and adults safe and ensuring that best practice principles are employed. It is not intended to be a means of pinning blame on people. 1.5.3 The ethos of the establishment is vital to the way in which young people perceive themselves as part of the community. It determines the extent to which they are able to identify with the community and develop a sense of belonging. As a result it will impact on all aspects of behaviour. The ethos also determines the extent to which staff feel safe and supported in carrying out their duties. 1.5.4 A positive, reward based rather than a punishment-orientated ethos is more likely to bring about desired behaviour, demonstrating that every child is valued equally with equal access to all services available. This should be clearly laid out in a Behaviour Policy. Similarly the use of any form of force as punishment, as well as being unlawful, is unlikely to induce positive attitudes and behaviour. Staff should develop relationships with children based on mutual trust and respect, providing a firm foundation for communicating expectations on individual targets as well as managing all behaviours. 1.5.5 All staff should be supported in adopting a positive approach to behaviour in order to build self-esteem and they should work in partnership others who know the child well to: understand why he or she behaves in a particular way; promote autonomous self-regulation; understand the factors that influence the behaviour; identify early warning signs that indicate negative behaviours are developing. 1.5.6 This approach will help to ensure that early and preventative intervention is part of the established culture. It should reduce the incidence of extreme behaviours and make sure that the use of physical intervention is rare. Behaviour management strategies should include diversion, de-escalation and negotiation to respond to difficult situations. 1.6 Key Practice points for Staff using Restrictive Physical Intervention 1.6.1 It is important that all staff are aware of this policy and how to ensure that actions are justified, reasonable and defendable under this policy when exercising their duty of care. This is to ensure that the use of restrictive 9 FINAL POLICY DRAFT: MAY 2010 physical intervention does not contravene the law or rights of the child, leaving individual members of staff open to criminal prosecution, civil law proceedings or proceedings under the Council’s Allegations Procedures or Disciplinary Code. 1.6.2 Staff should also be aware that restrictive interventions are only a small part of the management of an individual who presents challenging, aggressive or violent behaviour. The main principal is that all possible responses to challenging behaviour should be considered. Where restrictive interventions are used, they should be applied using the 'least restrictive and detrimental option', in other words: 'the least restrictive and detrimental intervention is used for the shortest period of time necessary to manage an incident or person'. 1.6.3 This policy cannot offer a comprehensive interpretation of the law in this respect but key references can be found in Section 2. Appendix 1 and 2 offer Advice on Staff Conduct When Using Positive Interventions and Dos and Don’ts in Restorative Practice Situations. 1.6.4 It is appropriate to use restrictive interventions in the following situations: If a person is engaging in behaviour which is (or is likely to) cause injury or harm to self or others – this may include significant damage to property If a person is committing or about to commit an offence If a person engages in behaviour which is significantly disruptive to good order or discipline 1.6.5 From a legal perspective it is clear, that staff may use reasonable force necessary in the circumstances (e.g. Criminal Law Act 1967, Section 550A Education Act 1996, Education and Inspections Act 2006) to manage aggressive or violent behaviour, regardless of consent issues. In any situation, staff must be able to demonstrate ‘substituted judgement’ whereby the use of any physical intervention is necessary to prevent harm and is in the best interest of the child. In some situations the use of physical interventions may represent the ‘least adverse outcome’; in other words the risks of using physical interventions are less than not using such approaches. 1.6.6 Duty of Care requires reasonable measures to be taken to prevent harm to children. In some circumstances it may be appropriate to employ certain kinds of physical intervention to prevent a significant risk of harm. For example preventing a child running into a busy road, self-injuring, injuring another person or causing serious damage to property. Wherever practicable, managers should not require staff to work in isolated situations with children whose behaviour is such that the likelihood of confrontation is increased. All staff have a responsibility for the safety of themselves, their colleagues, and children. 1.6.7 Any restrictive intervention must be reasonable in the circumstances, using the least restrictive option, i.e. the minimum amount of force for the minimum amount of time necessary to manage the incident safely. 10 FINAL POLICY DRAFT: MAY 2010 1.6.8 With regard to the level of restriction applied, any intervention should match the level of risk and behaviour displayed by the individual. Interventions should be used in a ‘hierarchical’ manner, starting at a low level restriction working up to a higher level of restriction as the individual’s behaviour, and the risks of injury, escalates. Once the risk of harm has dissipated, any restriction must reduce until such time that the intervention can end. 1.6.9 It is not a requirement that a child has to return to a point of calm before physical intervention can cease. Using a risk analysis approach, staff should continually assess the risks associated with continuing any application of restriction against the risks of ending the intervention. In so doing, it may be reasonable to remove any physical restriction whilst a child remains angry or agitated where the risks can be managed by non-restrictive means. Continuing to hold a child until they reach a point of calm may in fact lengthen the period of time the child is held to an unreasonable level or agitate the child and therefore prevent the child from regaining self control. 1.6.10 Any form of restrictive intervention involves a degree of risk. However, it is essential that all staff discharge their duty of care in that no action or omission on their behalf knowingly or negligently causes harm to others, and that so far as reasonably practicable, the safety of everyone involved is maintained. Where injury does occur, it is important that appropriate medical attention is sought immediately and that the nature and cause of the injury is clearly documented. 1.6.11 From a risk perspective staff should endeavour to minimise adverse outcomes and injuries. As such any injuries sustained as a result of restrictive interventions do not mean that staff have been negligent or have ill treated or abused a child. In reviewing incidents it is important the whole context of the event is considered as the level of injury may be commensurate with the activity undertaken and represent a lesser adverse outcome than if the intervention had not been carried out. 1.6.12 Careful consideration needs to be given to the use of restrictive physical interventions when a child is using objects or materials as a weapon and/or are believed to be (where staff have reasonable suspicion) carrying a knife or other weapon. (Powers to search for schools are detailed in Section 2 – 2.16). Staff should always make visual checks for anything a child may be holding that has the potential to cause harm prior to making a physical intervention. 1.6.13 If a child uses a weapon in an attempt to harm themselves or others, the organisation recognises that staff have a legal right and responsibility to use reasonable force to protect themselves and others. In some situations, a child may use implements (such as broken glass or tin) to cut and harm themselves. Staff must be aware of the risks of injury and cross infection if attempting to remove such objects and, unless equipped with the appropriate safety gloves and specific training, should avoid any attempt to pull or prize the implement from the individual’s hand. 1.6.14 Since the nature of aggression and violence can be so unpredictable, there is a risk of contamination from body fluids because of injury. These risks may be as a result of biting, scratching, self-harm such as head banging where damage has caused bleeding, as well as cuts/lacerations. As such, all staff should be familiar with the guidance on Infection Control contained in the 11 FINAL POLICY DRAFT: MAY 2010 Premises, Health and Safety Guidance Handbooks. In order to minimise risks staff should routinely check themselves for any skin lesions and where necessary ensure that an appropriate adhesive cover is applied to minimise the equal risk to the child if they have open cuts or wounds. Staff should be aware of any jewellery or accessories that could cause harm/bleeding and take reasonable steps to avoid potential injury where restrictive physical intervention may be required. 1.7 Post Incident Support and Management 1.7.1 All those parties involved in, or affected by, an incident involving the use of restrictive physical intervention should be debriefed about the incident. This allows children, staff and any others involved to tell their account of the incident and to share their feelings with a person, not directly involved in the incident, in a safe environment. The record of the debriefing will be used by an authorised person to review the incident to ensure that relevant people are supported and enabled to reflect on the situation and any actions required as a result are carried out. 1.7.2 Following an incident it is important to ensure that all parties are checked for any injury and given first aid treatment and if necessary medical treatment. The first priority is for any first aid or health issues to be addressed and to ensure the child and staff member(s) have access to a calming environment. The incident must be recorded and reported according to procedures and except in cases where emergency medical treatment is required; the recording must be completed before leaving the workplace. If the staff member or other adult is distressed, a third party should write down the staff member’s statement of events. 1.7.3 Both staff and children should be given separate opportunities to talk about what happened in a calm and safe environment. This should not only be applied when an adverse outcome has occurred, it needs to follow all events. 1.7.4 The child may need to be accompanied by a supportive adult such as a parent. Careful consideration should be given to the timing of this meeting but it should happen relatively quickly following the incident. The purpose of this discussion is to reflect with the child on the process of events leading to the use of the physical intervention and to allow the exploration of alternative strategies where appropriate. The child may also need emotional support. The person offering this should preferably not have had any involvement in the incident but who knows the child reasonably well, has a working relationship with the child and who this child will perceive as holding some authority and as being fair. This discussion should not address any disciplinary matters that may have contributed to the incident and this should be made explicit. These should be dealt with separately. The content of the discussion should be recorded, jointly agreed and signed by the interviewer, the child and the child’s representative. 1.7.5 The child’s parents/carers should be informed of the incident at the earliest opportunity and be invited to support their child. 1.7.6 As soon as is practicable after the event staff should be debriefed about the incident. The debriefing's purpose is to provide an opportunity to discuss the process of the incident, the feelings evoked by the experience and 12 FINAL POLICY DRAFT: MAY 2010 subsequent reaction to the incident and to reflect on practice. The meeting is intended to be supportive and contribute to staff coming to terms with the experience and also to consider any issues that may contribute to any future planning for the child involved. 1.7.7 If an incident of restrictive positive handling results in a complaint it is essential that the members of staff involved are properly supported along with any witnesses. The investigation of a complaint should be separate from the support provided to staff and witnesses involved. 1.7.8 If an incident occurs whilst working in a community setting, staff should ensure that any members of the public witnessing the incident are reassured and are given a contact number for the establishment so that they may make any comment and address any concerns. 1.8 Reporting and Recording 1.8.1 There is a clear distinction between reporting and recording. 1.8.2 Reporting. Following any use of restrictive physical intervention the incident must be reported immediately by the person responsible for the intervention to their on-site line manager. Other people that will need to receive a report of the incident; i. ii. iii. iv. v. vi. 1.8.3 those people who hold parental responsibility for the child; the carers of the child (may be the same as for i); senior managers of the establishment; those responsible for the safe operation of the establishment, e.g. school governors; in cases where there is any adverse outcome from the event (complaints and injuries to children, staff or others) or there has been the possibility of injury (near miss), the Occupational Health and Safety Unit require the appropriate documentation in line with departmental accident reporting and RIDDOR procedures. the Local Authority designated Officer (LADO) and the Senior QA Officer (Allegations) As based on the Children’s Homes Regulations 2001, it will be the responsibility of the manager of a children’s home to ensure that within 24 hours of the use of any form of physical restrictive intervention a written record is made and retained by the establishment that shall include: i. ii. iii. iv. v. vi. the name of the child concerned; details of the child’s behaviour leading to the use of the measure a description of the measure used; the date, time and location of, the use of the measure and the duration of the restraint; the name of the person using the measure and any other person present; the effectiveness and any consequences of the use of the measure; the signature of a person authorised by the registered provider to make the record. 13 FINAL POLICY DRAFT: MAY 2010 1.8.4 Recording. It is important that all establishments follow best practice guidance in respect of recording and in monitoring restrictive physical interventions and are able to fully contribute to monitoring by the LA. Following the use of any restrictive physical intervention a full record of the incident should be completed as soon as possible and within 24 hours of the incident ( example of a pro-forma in Appendix 3) 1.8.5 In order to comply with regulatory requirements, incident forms should be individually numbered and bound within an incident book which should be stored in a secure location. A copy of each incident form should be retained within the incident book, with a further copy entered into the child’s personal records 1.8.6 Each establishment or setting will produce and submit a termly report to the LA including a nil return that identifies: - the number of restrictive physical interventions - the number of children involved - the number of staff members involved - the number of injuries requiring medical treatment or time off work - the number of complaints or allegations received 1.8.7 Regular reporting will enable the LA to monitor trends and patterns over time and identify any specific training or support interventions that may be required. 1.9 Management and Evaluation 1.9.1 This Policy aims to be consistent with Blackpool Council’s overall approach to equality and diversity as set out in their comprehensive equality policy – “All Different, All Equal”. This means it will be impact assessed and involve the consultation of children in its development. It also takes into account Blackpool’s Local Area Agreement and the priorities of the Children and young People’s Plan. 1.9.2 All establishments and settings must draft and implement specific guidance to staff consistent with this policy and guidance. An authorised and designated person, governing body or management group, must oversee the implementation of this policy and subsequent specific guidance. Managers must ensure that all employees understand their obligations and liabilities in using restrictive physical intervention to ensure that their actions are defendable. 1.9.3 It is essential that managers, who are responsible for services to children, monitor incidents of restrictive physical intervention to ensure that children are protected from any risk of abuse through the improper use of force by staff. (Also see Guidance). 1.9.4 Managers responsible for establishments must undertake an assessment of the safety and effectiveness of the use of restrictive physical intervention, as part of the incident report, after each episode and evaluate data on an annual basis to consider any emerging patterns of such interventions relating to individual children, combinations of children, staff members and/or specific times and/or locations. 14 FINAL POLICY DRAFT: MAY 2010 1.9.5 This policy will be evaluated specifically against the following objectives and know it is successful when there is: i. ii. iii. iv. v. 1.9.6 To achieve this all establishments and settings should have well thought out policy and procedural guidance sufficient and adequate to ensure that: i. ii. iii. iv. v. 1.10 a reduction in the use of restrictive physical intervention as indicated by reporting levels; a reduction in the number of exclusions of children from school; a reduction in the amount of staff time lost due to involvement in restrictive physical interventions; improved levels of parental and children’s satisfaction in services offered; a reduction in the number of complaints or allegations attributable to restrictive physical intervention not being resolved at an early stage. health and safety at work is maintained duty of care is being fulfilled the approach is legal the approach is consistent with the LA policy the approach is consistent with best practice guidance. Complaints and Allegations 1.10.1 Managers must adopt a pro-active approach to complaints and allegations to prevent situations escalating. In all instances of a child, parent or other person wishing to make a complaint or allegation the establishment’s policy in line with the Council’s Complaints and Allegations procedure should be followed. 1.10.2 Restrictive physical interventions can be of significant concern to different parties. Complaints or allegations about the use of restrictive physical interventions may come from the child subject to the intervention, the family, the staff involved, (depending on the nature of the incident, subsequent follow-up, degree of support, adequacy of training etc.), others regarding the nature (or lack of) post-incident debriefing of staff and children directly/indirectly involved. 1.10.3 There will be less likelihood of complaints or allegations of this nature if an understanding of practice has been developed, the policy on intervention is clear and that those involved are fully aware of the policy prior to engaging in restrictive physical interventions. Where there are complaints the outcome may depend on demonstrating that the principles, as outlined in 1.13, have been followed. 1.10.4 In some cases, staff or others may feel that a restrictive physical intervention has not been appropriate but also feel unable to make representations by the usual routes. In such cases, the LA will respond to its Disciplinary Code on ‘Whistle-blowing”, where the observer of an incident feels that: the use of restrictive physical intervention was inappropriate (considering the risk involved); it was used inappropriately (considering the concept of reasonable force), or 15 FINAL POLICY DRAFT: MAY 2010 1.11 the motives of the staff using restrictive physical intervention could be open to question. Staff Training and Development Strategy 1.11.1 It is the purpose of this policy to provide a background of common values and principles and a framework for good practice to ensure that managers and all employees understand their obligations to use positive behaviour management and restrictive interventions in an appropriate manner. 1.11.2 A training programme and strategy will be put in place to meet these requirements that addresses the different levels of training needed. Briefing sessions for service managers, Head Teachers, Governors, Union staff and other key staff will outline the legal framework, the policy and the best practice principles and guidance. 1.11.3 Regular courses for staff who require additional training will be provided that combines positive behaviour management and physical intervention techniques. 1.11.4 Training providers approved by the LA, will be accredited by the British Institute of Learning Disabilities (BILD), to comply with, DOH/DfES joint guidance 2002. This is to ensure that over time the LA can be assured that staff are managing challenging behaviour and where necessary engaging in restrictive physical interventions from a common framework and with a common set of practice ‘tools’. 2 Guidance: The Legal, Council and Departmental Context Legal Terminology 2.1 Staff could find themselves the subject of either civil or criminal proceedings if they do not follow policy and procedures correctly. Currently the law views the use of physical intervention as a trespass against a person on the basis of assault and battery or false imprisonment. 2.2 An “assault” takes place when a person is in reasonable fear of the use of force. No physical contact is necessary for an assault to have been deemed to have taken place. “Battery” takes place where the direct and intentional use of force is used on another without legal justification. The above are contrary to section 38 of the Offences Against the Person Act 1861. or contrary to section 39 of the Criminal Justice Act 1988. “False imprisonment” occurs when a person is either compelled to move or prevented from moving without lawful justification. It is a common law offence involving the unlawful and intentional or reckless detention of the victim. 2.3 Whilst assault and battery and false imprisonment can be seen as a trespass against the person, the use of physical intervention (including restraint) can be lawful where the circumstances allow for ‘reasonable defence’. 2.4 Reasonable defence would include Necessity, in certain circumstances, such as the prevention of significant harm to the individual, others or property, a duty of care may mean touching a person without their consent. This may 16 FINAL POLICY DRAFT: MAY 2010 extend to the use of reasonable force in Self Defence or the Prevention of Crime. 2.5 The basic principles of self defence and the prevention of crime are set out in; (Palmer v R [1971] A.c814; see also (Archbold 19-41 & 19-39); “It is good law and good sense that a man who is attacked may defend himself. It is both good law and good sense that he may do, but only do, what is reasonably necessary.” ‘ A person may use such force as is reasonable in the circumstances in the prevention of crime, or in effecting or assisting in the lawful arrest of offenders or suspected offenders or of persons unlawfully at large.” 2.6 Self-Defence can be used to prevent the unlawful use of force, to rescue another from attack, or to escape from unlawful detention. However staff are seen to be in a privileged position and are expected to anticipate and plan for events, and to retreat at the earliest possibility. 2.7 There is no legal definition of ‘reasonable force’ hence it is not possible to clearly set out when it is reasonable to use force, or the degree of force that may be reasonably used. Reasonable force can be used in the prevention of a crime, or the prevention of a breach of the peace. The physical intervention must be relative to the actual or perceived harm and must cease as soon as possible. However, the summary of Circular 10/98 (Dept of Education and Employment Circular) gives some guidance and there are two relevant considerations. ‘The use of force can be regarded as reasonable only if the circumstances or the particular incident warrant it. The use of any degree of force is unlawful if the particular circumstances do not warrant the use of physical force. Therefore the use of physical force could not be justified to prevent a child from committing a trivial misdemeanour or in a situation that could clearly be resolved without the use of force’. i. ii. 2.8 ‘The degree of force employed must be in proportion to the circumstances of the incident and the seriousness of the behaviour or the consequences it is intended to prevent. Any force should always be the minimum needed to achieve the desired result over the shortest possible time. The reasonable use of force, and the degree of force that should reasonably be employed, might also depend on the age, understanding and intent and potential impact of the child’. Staff must be aware of specific legislative, governmental and council / departmental guidance when deciding whether physical intervention is appropriate. The following is a key selection but is not exhaustive and managers need to be cognisant of developments to ensure that staff practice is up to date. Legislation for Duty of Care 2.9 United Nations Convention on the Rights of the Child The following articles are of particular relevance: Article 3 - All organisations concerned with children should work towards what is best for each child. 17 FINAL POLICY DRAFT: MAY 2010 Article 12 - Children have the right to say what they think should happen when adults are making decisions that affect them and to have their opinions taken into account. Article 28 - Discipline in schools should respect children’s human dignity. Article 39 - Children who have been neglected or abused should receive special help to restore their self-respect. 2.10 Children and Young Persons Act, 1993 The responsibility to ensure that children in the care of staff employed by the local Authority are not neglected or exposed to the risk of unnecessary suffering or injury to health. 2.11 Children Act 1989, 22 (3) Places a duty of care on all local authorities and governing bodies of schools to consider pupils’ needs as a priority in all their dealings with children and young people and their families and to safeguard and promote the child’s welfare. 2.12 Blackpool Children and Young People’s Plan / Local Area Agreement Cognisance needs to taken of these priorities with particular attention to ensuring that children and young people are cared for in secure and stable homes and environments Legislation for Use of Restrictive Physical Interventions 2.13 Education and Inspections Act 2006 (section 93) A person may use such force as is reasonable in the circumstances for the purpose of preventing a pupil from doing (or continuing to do) any of the following, namely— committing any offence; causing personal injury to, or damage to the property of, any person (including the pupil himself), or prejudicing the maintenance of good order and discipline at the school or among any pupils receiving education at the school, whether during a teaching session or otherwise. This applies to a person who is, in relation to a pupil, a member of the staff of any school at which education is provided for the pupil and may be exercised only where the member of the staff and the pupil are on the premises of the school in question or they are elsewhere and the member of the staff has lawful control or charge of the pupil concerned. It does not authorise anything to be done in relation to a pupil which constitutes the giving of corporal punishment within the meaning of section 548 of the Education Act 1996. 2.14 Apprenticeships, Skills and Children and Learning Act 2009 (Section 246) Governing bodies must ensure that a procedure is in place for recording each significant incident in which a member of staff uses force in a pupil; and reporting each such incident to each parent of the pupil as soon as is praticable after the incident. 18 FINAL POLICY DRAFT: MAY 2010 2.15 Screening and Searching of Pupils for Weapons: Guidance for School Staff - Department for Education and Skills, 2007 This advises schools in England on the power to screen pupils for weapons without suspicion and includes the statutory power, under the Violent Crime Reduction Act 2006, for head teachers, and staff they authorise, to search pupils without consent, when they have reasonable grounds for suspecting that a pupil has a knife or other weapon. They can search a pupil on school premises or anywhere else where pupils are under the charge of the member of staff conducting the search, such as during an off-site educational visit. When school staff decide to conduct a search under this power, they must comply with conditions specified in the statutory power. A school has power, without any new legislation, to require pupils to undergo screening, when the school does not have reasonable grounds for suspicion. It is not a duty for schools to use these powers and as with other situations it is advised to avoid physically intervening if possible. Pro-active engagement with the young person should be employed to place the weapon in the safe care of the Head Teacher and where this fails the police can be called to manage the situation. 2.16 Children Act 2004, Section 58. This removes the defence around reasonable chastisement. 19 FINAL POLICY DRAFT: MAY 2010 APPENDIX 1: Staff conduct when using Restrictive Physical Interventions Key tips for staff include: Avoid threatening body postures (such as standing in front or above the person) and what may be perceived as threatening gestures (such as pointing or waving, arms folded across the body) Avoid threatening facial expressions Avoid shouting, raising your voice or giving orders Avoid forcing compliance Avoid forceful and unnecessary physical contact Avoid making people wait Avoid humour (unless you know the person very well and have identified that this is a good distracter for the individual) since this can imply that you do not find the person’s feelings important Try to use neutral body language and postures. Approach from the side and try to be at the same level Try to speak in a clear and calm voice Try to provide a number of options or ‘opt outs’ so that the person feels they have more control over the situation Try to prepare in advance and have everything that you or the person needs ready to hand Try to remember any attempt to avoid a crisis is best for everyone – staff and children. APPENDIX 2: Some Dos and Don’ts in Situations when using Restrictive Physical Interventions De- escalating a situation. Do Focus on an outcome which will be safe for all. Talk calmly, quietly and assertively (if the child is angry, use “voice matching” to lead them to a calmer state). Appear confident. Express concern and offer help. Try to disperse any “audience”. Actively listen to what the child has to say. Advise the child that if you feel it necessary for safety, you will use restrictive positive handling. Respect the child and the child’s feelings. 20 FINAL POLICY DRAFT: MAY 2010 Be aware of your own body language and posture, use calming movements and consider adopting a posture which reduces your size i.e. sitting, crouching, and moving away. Reassure the child that your actions are intended to keep them and others safe. Summon assistance from colleagues. Be aware of possible implications of gender difference. Create alternative options “escape routes” for the child. Accept support from colleagues. Praise and encourage the child as they calm down. Don’t Shout. Appear threatening or intimidating. Judge the child, their behaviour or the situation. “Corner” the child. Try to enforce compliance of “rules” or trivial matters. When Using Restrictive Positive Handling Do Monitor the child’s breathing. Talk calmly, quietly and assertively. Give the child clear, simple instructions, repeat and reinforce using “broken record” technique. Use the absolute minimum degree of force. Actively listen to what the child is saying and reflect back with options for the child to demonstrate to you that they are ready to respond to verbal instructions. Take account of a child who says ‘you are hurting me, please let go’. Find out what the child means and change what you are doing so that child feels less threatened and therefore safer. Avoid contact with the child’s face, neck, chest, abdomen groin and buttocks. 21 FINAL POLICY DRAFT: MAY 2010 Be aware of your own feelings and be prepared to relinquish management of the situation to a colleague. If this is happening, tell the child and gain their acknowledgement. State your expectations about the child’s behaviour if released from restrictive positive handling, gain the child’s acknowledgement. Use restrictive positive handling for the minimum period of time necessary. Do debrief following the incident, if possible with a person not involved in the incident. Report and record the use of restrictive positive handling immediately. Don’t Lose self-control. Use Restrictive Physical Intervention in a confined area unless risk assessment warrants it. Attempt physical intervention in a moving vehicle. Deliberately cause pain. Put a child face down on the floor. Sit on child or apply excess weight. Hold a child in any position where the child’s breathing or circulation is likely to be compromised. Apply neck holds; put pressure on joints or pressure points. Place unreasonable contingencies on the child, for example ‘I will let go of you when you are calm’. This is especially important if they are upset and angry and is not helpful or achievable for the child whilst still being held. Physical interventions should stop as soon as the risks associated with the child’s behaviour are manageable without the need for direct physical intervention. Under no circumstances make deliberate contact with any part of the child’s body that may be viewed as overtly sensitive, vulnerable or an area which is widely accepted as being associated with gender and sexual development. Under no circumstances apply direct contact or pressure to the child’s neck, chest or abdomen as this will significantly compromise the child’s ability to breathe. Force a child to move in a way that they do not want or are unable to comply and take account of their individual physical ability or disabilities. 22 FINAL POLICY DRAFT: MAY 2010 Apply movement or force across any part of the body in a manner in which the body is not designed to move (e.g. rotating or mobilising a joint through hyperflexion or hyper-extension). Ignore the psychological after effects of an incident. 23