1. Standards

2. Why?
“The Transforming Care programme must consider the accreditation of training in Positive Behavioural Support with a view to establishing an appropriate body to manage the design of a PBS Standard and tiered accreditation systems for individuals and organisations delivering and receiving PBS.”
The final report of the post Winterbourne consultation examining services in the UK for people with learning disabilities and/or autism published in February 2016, Time for change: The challenge ahead acknowledges PBS as the recommended framework for working with people with learning disabilities at risk of behaviour that challenges; and cites as one of its main recommendations:
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3. Phase IV - Standards
Improving the quality of Positive Behavioural Support (PBS): The standards for service providers and teams
Improving the quality of Positive Behavioural Support (PBS): The standards for training

4. Improving the quality of Positive Behavioural Support (PBS): The standards for service providers and teams

5. Structure
5 Domains:
The experience of the person, including children and young people, and those involved in their lives
Assessment: Functional, contextual, and skills based assessments
Intervention: Developing and implementing a Function based Behaviour Support Plan
Facilities, resources, and workforce
Keeping all people safe: least restrictive practice and maximising quality of life

6. Structure
Domain heading short description of domain Standards associated with domain Criteria for each standard
Each domain is has an associated set of standards
Each standard has an associated set of criteria
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7. Domain 5
Keeping all people safe: least restrictive practice and maximising quality of life The purpose of the safety domain is to ensure there are systems and processes that create and maintain safe, predictable and stable environments that maximise quality of life. Services commit to least restrictive practice and support is delivered within the relevant legal and ethical framework. Most people (with and without learning disabilities) want to live and work in safe, attractive environments where they have a sense of purpose and feel at home.

8. Standards The service evidences … S2 S3
The service and all staff evidence …. S4
The service … S5
The service evidences a commitment to using least restrictive practices and monitoring and reducing the use of restrictive supports

9. Criteria S5
The service evidences a commitment to using least restrictive practices and monitoring and reducing the use of restrictive supports
S5 C1
The service’s statement of values includes a commitment to using least restrictive practices in their support.
S5 C2
The service has a clearly outlined process around the use of restrictive practices including observation / supervision, environmental restrictions, physical interventions, mechanical restraint, use of emergency medication etc., and an identified team/manager to coordinate governance, oversight and use of restrictive practices.
S5 C3
S5 C4
S5 C5
S5 C6

10. Improving the quality of Positive Behavioural Support (PBS): The standards for training

11. Structure 7 Domains: Training course development and content
Personnel delivering training
Resources and facilities
Delivery of training
Assessment
Evaluation
Records

12. Structure Each domain has list of standards : 4 Delivery of training
4.a
Where training includes classroom based delivery methods it should also include:
Opportunities for discussion, debate, reflection and small group exercises to maintain participants’ attention and interest, and to support consolidation of learning
Opportunities for participants to reflect on their learning and role, and to explore the attitudes, values, and beliefs that influence their practice

13. Our dilemma
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14. Your thoughts
How will you decide where you are in relation to the standard? i.e how do you assess that/identify what needs to happen?
What resources do you need to meet the standard? internal/external
Where will these resources come from?
What are the barriers/facilitators to making it happen
How will you know when you have achieved it?