Governance and Oversight of Least Restrictive Practice
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Applying just enough support consistently across services requires more than good intentions. Without strong governance, least restrictive practice becomes dependent on individual staff judgement rather than organisational standards.
This article complements related governance frameworks within Quality Assurance and Management Oversight.
Why Governance Matters
Governance ensures that restrictive practices are identified, justified, reviewed and reduced wherever possible. It provides a defensible framework for decision-making and protects both individuals and providers.
Operational Example: Restrictive Practice Audits
A provider introduced quarterly audits reviewing all restrictions across supported living services. These audits identified unnecessary overnight observations and led to revised risk assessments.
Findings were reported to senior leadership and informed staff training priorities.
Leadership Accountability
Senior leaders and Registered Managers must be able to explain how least restrictive practice is implemented in day-to-day delivery. This includes understanding where restrictions exist and why.
Effective oversight includes:
- Clear escalation pathways
- Manager sign-off for restrictive measures
- Time-limited approvals
Operational Example: Manager Review of Community Restrictions
A Registered Manager required formal review of any restriction impacting community access beyond six weeks. This prevented long-term restrictions becoming normalised.
Commissioner and Inspector Expectations
Commissioners increasingly expect evidence of governance over restrictive practices. Inspectors assess whether providers can demonstrate learning, challenge and reduction over time.
Embedding a Culture of Enablement
Strong governance supports a culture where enablement is expected, supported and reviewed. This shifts practice from risk avoidance to proportionate risk management.
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