for life skills (changing for PE, toileting, using cutlery etc) in an emergency to increase safety to the or young person and staff In an emergency incident staff may take into account the use of reasonable force and their responsibilities under duty of care. In all situations where physical contact between staff and children or young persons takes place, staff must consider the following: • the child or young person’s age and level of understanding • the child or young person’s individual characteristics and history • the location where the contact takes place (it should not take place in private without others present) If a child or young person requires physical support on a regular basis this information will be documented on an individual plan such as a handling plan, toileting plan or behaviour support plan. [*Schools may wish to add their own paragraph here, appropriate to their own situation.] Physical contact is never made as a punishment, or to inflict pain. All forms of corporal punishment are prohibited. Physical contact will not be made with the child or young person’s neck, breasts, abdomen, genital area, other sensitive body parts, or to put pressure on joints. It will not become a habit between a member of staff and a particular child or young person. Appendix B –School Level Restrictive Physical Intervention Policy Context Surrey schools and educational establishments are encouraged to use this framework, and to adapt it to their own situation. The Policy is best placed within the context of the school’s Touch Policy and referred to within the Behaviour Policy; it will be part of a graduated response, and needs to be agreed in consultation with staff, governors, parents/carers, and the child or young person. It also connects to, and should be consistent with, policies on Health and Safety,
Identified training needs Training provided to meet needs Date training complete Evaluation of plan and risk management strategy Measures set out Effectiveness in supporting the child Impact on risk Proactive interventions to prevent Early interventions to manage risks Reactive interventions to respond to adverse outcomes ACTIONS FOR THE FUTURE Plans and strategies evaluated by: Title: Date:
SIGNATURE OF HEADTEACHER: DATE: PARENTS INFORMED Yes No METHOD: DATE: EXCLUSION OF YOUNG PERSON DETAILS: Pupil Significant Incident Form For all incidents involving unsafe/risk or unacceptable behaviour where a physical intervention using force was not used. Pupil name: name/s:
HIGHER MEDIUM LOWER Continuous 1:1 care during the day and/or night Sedation/medication used frequently to control behaviour Physical restraint used regularly – equipment or persons Restrictions on family/friend contact (or other Article 8 issue) Objections from relevant person (verbal or physical) Objections from family/friends Attempts to leave Confinement to a particular part of the establishment for considerable period of time New or unstable placement Possible challenge to Court of Protection, or Complaint Already subject to DoL about to expire Asking to leave but not consistently Not making any active attempts to leave Appears to be unsettled some of the time Restraint or medication used infrequently Appears to meet some but not all aspects of the acid test Minimal evidence of control and supervision No specific restraints or restrictions being used e.g. in a care home not objecting, no additional restrictions in place Have been living in the care home for some time (at a year) Settled placement in care home/hospital placement, no evidence of objection etc. but may meet the requirements of the acid test End of life situations, intensive care situations which may meet the acid test but there will be no benefit to the person from the Safeguards. The criteria should be used as an indicative only as it will generally be based on information provided by the managing authority in the application and each case must be judged on its own facts Appendix K