The Restraint Reduction Network (RRN) has today (25.03.22) welcomed the Care Quality Commission (CQC) Restraint, segregation and seclusion review: Progress report (March 2020). The progress report found that many autistic people and people with a learning disability continue to experience inappropriate services within poor cultures that do not meet their individual needs.
The report describes progress made on the 17 recommendations published in CQC’s Out of Sight – who cares? report, published in October 2020.
Alexis Quinn, Manager of the Restraint Reduction Network, activist and Autism campaigner, said: “Today the Progress Report highlights the disparity between our health and social care systems aspirations and reality. We are sadly far from providing the kind of support people deserve, and need, to live ordinary lives in the community.
“The CQC report has found that community support is insufficient. There are not the right services, with the right expertise to work proactively and in an integrated way. It is also evident that there is the continued over-reliance on restrictive practices indicating that systems are reacting and responding to distress too late, rather than seeking to listen, connect and work with people before they reach a state of crisis.”
The CQC highlights the responsibility of the Building the Right Support plan in ensuring the timely development of a system that is integrated. This means that people should experience support that views them as a whole person and which doesn’t fragment them into different systems e.g. education, health and social care. The CQC also makes it clear that people with lived experience and their families must be fully involved, and their views responded to, so they receive the support they need, at the time they need it.
It is well known that inpatient settings by their very nature are highly restrictive environments and often exacerbate peoples’ difficulties, forcing them into a ‘one-size-fits-all’ mould. More than ever, the RRN wants to see a system that is integrated and where the person and their family can exercise agency and control; choosing what they need, when they need it.
The report highlights the importance of the HOPE(s) programme in helping reduce the number of people in long term segregation. This programme focuses on changing cultures that support people, rather than the person themselves. The report also highlights the need for certified training that complies with the RRN Training Standards.
The RRN strongly supports CQC’s recommendation that ‘The government should consider a cross-departmental review of restrictive practice for children with special educational needs and disabilities, including schools and anywhere children are living away from home’.
Alexis Quinn continues: “It is vital that children and young people are supported to achieve their potential in their homes, schools of their choice and in communities. We need to work proactively so that people do not experience crisis in the first place. More work needs to be done to rethink the system and how it functions if we are address the failures highlighted in this CQC Progress Report.”
To download the full press release, click here.
To view the Care Quality Commission (CQC) Restraint, segregation and seclusion review: Progress report (March 2020), visit: https://www.cqc.org.uk/sites/default/files/20220325_rssreview-progress-march_print.pdf