Auditing Restrictive Practice: Are You Asking the Right Questions?

It’s easy to say you audit restrictive practice β€” but what are you really checking? Commissioners increasingly want providers to move beyond incident logs and demonstrate a genuine commitment to rights-based care.


πŸ“‹ What Are You Auditing β€” and Why?

An effective restrictive practice audit should explore:

  • Is this restriction still necessary?
  • Has the person been involved in the review?
  • Are there less restrictive options available?

If your audits only focus on frequency or staff compliance, you're missing the point.


πŸ”„ Turning Audits into Action

To show impact, your service should:

  • Hold multi-disciplinary reviews of restrictions
  • Link audits to PBS training refreshers
  • Track reductions over time, with real examples

Good audit tools create meaningful conversations β€” not just paperwork.


πŸ“‘ What to Say in Tenders

In learning disability tenders, commissioners want to see how you:

  • Review every restriction regularly and with purpose
  • Involve people and families in decision-making
  • Use audit results to change practice β€” not just record it

Show your process, your values, and your results. That’s what earns trust.


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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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