Safe Holding in the Care of Older People

Restraint Training appropriate to the Dementia Care Context

Your staff will meet these Safe Holding Learning Outcomes-

  • Appropriate Listening, Engagement and Influencing communication skills for working with people who are elderly
  • Conduct safe practices for approaching and interaction with older clients exhibiting distressed behaviours
  • Use Prompting, Guiding, Escorting and Holding Skills with older clients who present with distressed or violent behaviour.
  • Understand the Duty of Care requirements regarding Restraint and Protection for Older People in Care.
  • Understand staff rights and the limitations of those rights to use force for Restraint and Protection
  • Know the risks associated with physical intervention and specifically the risks of serious injury.

This course begins with a careful explanation of the triggers of stress-related behaviours in people with dementia.   Our focus here is to encourage staff to look carefully at how their actions and beliefs and values may be increasing the levels of stress which their clients experience.  We then discuss the actions of care staff which can be defined as restrictive practices or ‘restraint’ of older people and specifically the rules which govern the appropriateness of any intrusion into the liberty of an older person.

We explore with staff the different ways in which they might approach an older person in a non-escalatory manner.

If they meet an oder person in distress; how might staff interact with them in a way which encourages calm and comfort and security?

Where clients sometimes exhibit sudden, unexpected or unforeseen behaviours which might harm, we also enable staff with some insights into how they can work in close proximity with their clients in a way which also keeps them safe.  We explore body language and proxemics which promote dignity, safety and security for both carers and clients.


This is a popular course among staff and management, and anecdotal evidence suggests that it improves the lives of clients in the services we have delivered it.  It may be coupled with our less-restraint focussed Safe Caring course to create a comprehensive Dementia and Challenging/Distressed Behaviours programme.

When: Usually over 1 Day on a date scheduled for your convenience.   Can be coupled with our Safe Caring course for a comprehensive 2-day treatment of the issues relating to non-escalation, de-escalation, crisis communications and personal safety for staff.

Who:  up to 12 of your care staff are led through this Safe Holding training course by one qualified and experienced Dynamis trainer.

What Roles?  Care Home Manager, Deputy Manager, Charge Nurse, Team Leader, Senior Care Assistant, Care Assistant, Therapist, Activities Supervisor

Where:  at your venue

How:  Our trainers deliver this Safe Holding course using a mix of lecture/presentation, Q&A, physical practice and scenario rehearsal.

Why:    Matched to your needs     Led by Professional Trainers     Legally Compliant      Risk-Assessed     Values Dignity and Respect      Safeguards Client rights     Offers Staff Practical Options     Compliant with Government Regulations     Value for Your Investment

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Minimising the use of restraint in care homes for older people: creative approaches

This video argues that care homes should re-examine their customs and practices to find new and creative ways to support residents to achieve the lives of their choice and to minimise the use of restraint.

Making the Best Decisions Possible about the use of Restraint with Older People

Restraining someone can stop them living the life they would choose. But by getting to know a care home resident, staff can achieve that delicate balance between the duty to care with the need to protect. This video explores how staff can make decisions to minimise the use of restraint.

“Very interesting, engaging and fun – I found the theory and physical side equally interesting and both were essential.  Every aspect of this topic was covered.  I really enjoyed the training and it has helped my confidence”

Senior Carer, Care Home for Older People

Detailed Course Arrangements

Training Area:
The physical skills training will require an area large enough for the training group to move around in safely!  It should have all obstructions and floor furniture removed so that we don’t bump into things – slips trips and falls account for the large proportion of injuries in the workplace.  An area 6m x 9m (the dimensions of a squash court) is typically suitable for a group of up to 12 staff if it is completely clear of any hazards.

We normally suggest a start time of 0930, finishing at approximately 1600 on each day.   Let us know if you need us to start or finish early.

Display Equipment
We request that you please provide a digital projector or flatscreen TV to assist your trainer to provide our customised presentations to your team.  If necessary we can bring a projector – just let us know!

Note-Taking and Assessment
All staff are *strongly* recommended to bring note-taking materials – a notebook and pen – in order to take the full benefit of this course.  All staff may be required to complete a student learning log during the course to facilitate assessment.

All delegates will be required to complete a medical questionnaire prior to commencing the course. All injuries, past and present, must be disclosed, including any medication currently prescribed and / or being taken.

Delegates are asked to ensure that they bring and wear adequate training kit for the duration of the course including; long tracksuit bottoms, appropriate training shoes, etc.  Examples of inappropriate clothing would include: any form of open-toed shoes / sandals,
footwear with heels, skirts / dresses, shorts, low-cut tops, etc.

Failure to attend training sessions in safe and appropriate clothing or footwear could result in being excluded from the training, due to risk.

For personal safety reasons ALL jewellery must be removed prior to any training commencing. Where an item of jewellery cannot be removed (i.e. wedding rings) it may be required to be covered, dependent on its construction and style.

The course is a very intense course and time is of the essence. Therefore, delegates are asked to ensure that they are on time for each session so that others are not waiting unnecessarily and that the course finishing time can be adhered to.

This is a practitioner-level course and attendees will only be certified based on the assessment of the trainer, therefore staff are encouraged to engage fully with the training as an occupational health and safety requirement.

We are always disappointed for our clients when they need to cancel for reasons outwith their control.   However it can have serious effects on our business, too!  We think the fairest response for everyone is to invoice you for 50% of the training you originally booked, plus any travel expenses we had already incurred.    This applies to courses cancelled within 4 weeks of the start date.  Before then, we will just reschedule!

Call 0844 812 9795 or Send an Enquiry to our team here:

  • What kind of course are you interested in and why? What kind of time have you allocated for it and when are you thinking of holding the training? Thank you!
  • This field is for validation purposes and should be left unchanged.

Dynamis Training for Conflict Personal Safety and Restraint Interventions
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