NHS Trust project: what changed when the team trained for the ‘first minute’
The referral to a London trust wasn’t about “delivering training” in the abstract. It was about a real ward with real risk, and a team carrying the weight of that risk every shift. A specialist rehabilitation unit sits in that difficult middle ground: frailty, dementia, delirium, neuro, stroke rehab, spinal injury pathways — patients who […]
Restraint Reduction Outcomes
Restraint Reduction OutcomesThe new trainer team for this service began rolling out their own programme (a four-day, full-spectrum course for their LD/MH setting) to their staff in October. By December, they had seen dramatic restraint reduction outcomes in key indicators such as time-in-restraint, floor-based-restraints and number-of-restraints for their high-frequency service users. “The amount of […]
Breakaway training in care
Breakaway training in care – an example of positive outcomes At one point early in the training programme it becomes important to look at physical self-protection training, especially if the service data shows that some service users, when distressed, target staff with violence by grabbing, hitting or throwing objects at them. In the past, the […]
Becoming an effective PMVA Trainer
Probably the most important decision a company makes when it wants to change the culture of their workplace is this: Which personalities will lead the training effort? In this case, the organisation chose three of their most senior carers, who had all been in the service for long enough to know the common flashpoints, […]
social contract in restraint reduction
The Social Contract in Restraint Reduction What happens when people can’t predict with any certainty how an organisation will respond to their transgression of an agreement? If a social contract is broken, and the consequences could slide on a scale from ‘nothing’ to ‘serious’ – how many people would take the chance to break the contract? […]
Training needs analysis for restraint reduction
This is an excerpt from our 18-page Case-Study about how we achieved significant Restraint Reduction outcomes with this training programme. To read the case study and learn about the project, please visit our Restraint Reduction page. continued… In line with our accredited quality assurance process with the Institute for Conflict Management, and with the cooperation of […]
Positive Behaviour Trainer Course for Services caring for People with Learning Disabilities and Complex Needs
Vulnerable Clients and Behaviours of Concern in Learning Disabilities Services The trainer programme for this learning disabilities service builds a process within which we can create a change of heart in your staff teams so that they can Keep Everyone Safe even as they encounter difficult, distressed or even dangerous behaviour in your service. Our […]
Secure Escort: Courses for Mental Health Escort Teams
Mental Health Escort Training A leading ambulance mental health escort services firm asked our team to devise and deliver a series of training workshops for their mental health escorts. The training was to focus on the main violence flashpoints which these teams meet during the course of their work for mental health services. The teams […]
£150,000 fine for Care Home Wheelchair Restraint Strap Death
A private healthcare company was fined £150,000 in January 2012 after admitting its part in the death of an elderly nursing home resident who was strangled by a wheelchair lap belt. Brigid O’Callaghan, known as Vera, was found dead on the morning of October 28, 2005 at Amberley Court Nursing Home in Edgbaston, Birmingham. […]
Case Study: Brain Injury Rehabilitation Centre
Brain Injury Staff Training in Dealing with Distressed or Challenging Behaviours Brain Injury Training Project Case: a brain-injury rehabilitation hospital, with a specific focus on short- to medium-term care and support for people with brain injuries. The hospital has a unit specifically for cases with challenging behaviour. Who engaged Dynamis: the hospital service manager, […]