PSS Breakaway Secure & Specialist Learning Disability Division

· Understand experiences of people who use services.

· Understand the momentum for positive change in strategies to support people who may present with behaviours of concern and the importance of adopting of a person centred approach.

· Understand and appreciate the negative impact of physical intervention on service users.

· Awareness of relevant legislation and guidance.

· Understand the principle and functions of restraint reduction theory and Mersey Care’s Restrictive Practice Reduction Programme (No Force First).

· Awareness of core skills in building therapeutic relationships.

· Understand the idea of positive, recovery focussed language in the relation to the description of behaviours of concern in clinical environments.

· Objectively explore staff experiences of aggressive behaviour and the use of physical intervention and how it can be shaped by various experiences and beliefs.

· Understand the principles of Positive Behavioural Support.

· Show awareness of the assault cycle and the ways in which staff can positively intervene to prevent an escalation towards conflict.

· Demonstrate knowledge of the key elements of verbal and non-verbal de-escalation – as well as the key human quality of compassion.

· Understand and explore the concept of ‘trauma informed care’ and appreciate the how it can develop a more positive and compassionate view of behaviours of concern.

· Understand the concept of ‘reasonable force’ and a wider consideration of reasonableness in relation to the human rights act.

· Understand the legal and ethical issues in relation to restraint.

· Understand issues in relation to race, gender and cultural issues.

· Demonstrate knowledge of the aggression coercion cycle.

· Demonstrate knowledge of the boundary seesaw model.

· Understand the importance of reporting and escalation.

· Demonstrate knowledge of post incident support, review and learning. 

· Awareness of CQC regulation 20 on duty of candour of openness, transparency and candour.

· Awareness of the signs and symptoms of positional asphyxia and actions to take in such an event.

· Awareness of the 5 ways of wellbeing to improve the mental health and wellbeing of staff at work.

· Ligature knife awareness / training

· Awareness of trust policies SD18 Policy for the Support of Service Users who many present with behaviours of concern  (NB: formally. Policy for the Support of Service Users who many present with challenging behaviours.

· Implement the use of approved breakaway techniques by which to engage from grabs and holds.