Embedding Positive Risk-Taking Into Day-to-Day ABI Support Practice
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Positive risk-taking in acquired brain injury services must extend beyond assessments and paperwork to influence day-to-day support practice. Commissioners and inspectors frequently find that risk enablement is well described in plans but inconsistently applied by staff. Embedding positive risk-taking into daily routines, supervision and team culture is essential to delivering safe, enabling support.
This article explores how ABI providers can embed positive risk-taking into everyday practice. It should be read alongside Person-Centred Planning & Strengths-Based Support and Positive Risk-Taking & Risk Enablement.
Why day-to-day practice matters
Risk enablement decisions are often made moment by moment by frontline staff. Without clarity and confidence, staff may default to restriction.
Commissioner and inspector expectations
Expectation 1: Consistent delivery. Inspectors expect risk enablement to be applied consistently across shifts.
Expectation 2: Leadership oversight. Commissioners expect managers to monitor how risk decisions are implemented.
Operational example 1: Risk-led shift handovers
An ABI service structured handovers around current risk enablement plans, ensuring all staff understood permitted activities and mitigation measures.
Using supervision to reinforce risk enablement
Supervision should explore how staff balance risk, respond to uncertainty and escalate concerns.
Operational example 2: Supervision prompts
A provider introduced supervision prompts focused on recent risk decisions, improving confidence and learning.
Supporting staff confidence
Clear escalation pathways and manager availability reduce defensive practice.
Operational example 3: On-call decision support
A service strengthened on-call support for complex risk decisions, reducing unnecessary restriction.
Evidencing embedded practice
Providers should evidence:
- Risk enablement referenced in daily records
- Supervision discussions on risk
- Clear escalation and review processes
Positive risk-taking as lived practice
In ABI services, embedding positive risk-taking into daily practice supports recovery, autonomy and consistent quality.
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