Restrictive Practices in Care Homes

Restrictive practices are actions that limit a person’s movement, choice or freedom. They may include physical, environmental, medication or mechanical restraint and should only be used when necessary and lawful.

Examples include physical restraint, medication used to restrict behaviour, locked doors, limiting access to areas, or using equipment that restricts movement. Care staff should follow restrictive practice policies.

Restraint can cause physical injury, distress, loss of dignity, trauma and reduced independence. A restrictive practice risk assessment should consider whether safer alternatives are available.

Proactive approaches such as person-centred care, understanding triggers, positive behaviour support and environmental changes can help prevent behaviours of concern and reduce the need for restrictive practices.

Restrictive practices should only be used when necessary, proportionate and lawful, with the least restrictive option considered. Staff must follow care home policies, risk assessments and safeguarding procedures.