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Inappropriate use of restrictive practices

Was a restrictive practice used or applied to a consumer (or was this alleged or suspected)?

Restrictive practices are defined as ‘any practice or intervention that has the effect of restricting the rights or freedom of movement of a residential care recipient’, including:

  • Chemical restraint
  • Environmental restraint
  • Mechanical restraint
  • Physical restraint, and 
  • Seclusion. 

For more information about each type of restrictive practice, refer to the ‘Regulation of restrictive practices’ Regulatory Bulletin.

Did the use of the restrictive practice comply with:
  • the requirements (if any) of the law of the state or territory in which it was used?  
  • the Aged Care Quality Standards?
  • the Charter of Aged Care Rights?
Was the restrictive practice necessary to use in an emergency situation to prevent harm to the consumer or others?
Was the restrictive practice used in response to the consumer’s documented behaviour changes or behaviours of concern?
Was a behaviour support plan in place?
Did an approved health practitioner, who has day-to-day knowledge of the consumer assess and document that there is a risk of harm to the consumer or another person, and that the use of a restrictive practice was necessary?
For chemical restraint the assessment and prescription must be made by a medical practitioner or nurse practitioner with day to day knowledge of the consumer.
Were all alternative best practice strategies exhausted prior to the use of restrictive practice, and were these strategies documented (including the reasons why the strategies were not successful)?
Was the restrictive practice used in the least restrictive form, and for the shortest time necessary, to prevent harm to the care recipient or other persons?
Was the likely impact of the restrictive practice on the consumer considered before the restrictive practice was used?
Was the use of the restrictive practice proportionate to the emergency situation?
Was the consumer’s restrictive practices substitute decision maker informed about the restrictive practice as soon as practical after the restrictive practice was applied in the emergency situation, and was this documented?
Did you revert to usual policies and practices regarding restrictive practices use as soon as the emergency was over, including:
  • removing or reducing the restrictive practice,
  • assessment,
  • consideration of alternative strategies, and
  • updating the consumer’s behaviour support plan and care and services plan? 
While the restrictive practice was being used, was the consumer regularly monitored for:
  • signs of distress or harm,
  • side effects and adverse events, 
  • changes in wellbeing,
  • independent functions, and 
  • ability to undertake activities of daily living?
While the restrictive practice was being used was it regularly reviewed with a view to removing it as soon as possible?
Did the incident cause (or could it reasonably have been expected to have caused) a consumer physical or psychological injury or discomfort that requires medical treatment to resolve?
Did the incident cause (or could it reasonably have been expected to have caused) a consumer physical or psychological injury or discomfort that requires psychological treatment to resolve?
Are there reasonable grounds to report the incident to the police?

Not reportable

Based on the information you have provided it appears that your incident is not a reportable incident under the SIRS.

However this incident, like all incidents, should be managed using your service’s Incident Management System, or IMS.

It is important that your IMS is able to record incidents in a way that allows you to identify patterns of incidents that may reflect an ongoing risk or systemic issue.

For more information, please refer to the Effective incident management systems: Best practice Guidance.


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Priority 1 reportable incident

Based on the information you have provided it appears that this incident is an Inappropriate use of restrictive practices – Priority 1 reportable incident.

Priority 1 reportable incidents must be reported to the Aged Care Quality and Safety Commission within 24 hours of you becoming aware of the incident.

You must report the incident through the My Aged Care Provider Portal.

Go to My Aged Care Provider Portal


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Priority 2 reportable incident

Based on the information you have provided it appears that this incident is an Inappropriate use of restrictive practices – Priority 2 reportable incident.

Priority 2 reportable incidents that occurred on or after 1 October 2021 must be reported to the Aged Care Quality and Safety Commission within 30 days of you becoming aware of the incident.

You must report the incident through the My Aged Care Provider Portal.

Go to My Aged Care Provider Portal


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Changed
Friday, 1 October 2021 - 8:32am