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Care homes briefing 189 – CQC announces review of restraint, seclusion and segregation

Commissioned by the Secretary of State for Health, the CQC has announced that it will be reviewing the use of physical restraint, prolonged seclusion and segregation in wards for those with a learning disability (including autism) and in secure and rehabilitation mental health wards. The review will include residential services for young people with complex needs and secure children’s homes.

The review apparently reflects public concern about the use of restraint, seclusion and segregation. It will review the range of factors that lead to these interventions being used and the extent to which best practice is followed. The perspective of service users will be a central aspect of the review, and there will be a focus on ensuring that the least restrictive approaches are adopted.

The Mental Health Act Code of Practice provides guidance on these issues and providers would be well advised to ensure that their staff are aware of the provisions, and that their training is up-to-date. Clearly these issues will be the focus of inspections in 2019 prior to the publication of the interim findings in May 2019.[1]

Providers may also wish to consider holding supervision sessions with staff to ensure that they are aware of the issues and able to respond appropriately to any CQC questions.[2]

[1] The full report is due to be published in March 2020
[2] Training on these issues is available from RadcliffesLeBrasseur


This briefing is for guidance purposes only. RadcliffesLeBrasseur LLP accepts no responsibility or liability whatsoever for any action taken or not taken in relation to this note and recommends that appropriate legal advice be taken having regard to a client's own particular circumstances.

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