Single assessment framework

Quality statement

We expect providers, commissioners and system leaders live up to this statement:

We work with people to understand and manage risks by thinking holistically so that care meets their needs in a way that is safe and supportive and enables them to do the things that matter to them.

What this quality statement means

• People are informed about any risks and how to keep themselves safe.
• Risks are assessed, and people and staff understand them.
• There is a balanced and proportionate approach to risk that supports people and respects the choices they make about their care.
• Risk assessments about care are person-centred, proportionate, and regularly reviewed with the person, where possible.
• When people communicate their needs, emotions or distress, staff can manage this in a positive way that protects their rights and dignity and maximises learning for the future about the causes of their distress.
• Restraint is only ever used as a last resort. If staff use restraint, it is lawful, for a legitimate purpose, safe and necessary, and staff always follow best practice. Where relevant, equality and human rights legislation is considered. The service always takes a proportionate approach to imposing restrictions on people. People’s care plans reflect any foreseeable risks that may need restrictions.

I statements

I statements reflect what people have said matters to them.

• I feel safe and am supported to understand and manage any risks.
• I know what to do and who I can contact when I realise that things might be at risk of going wrong or my health condition may be worsening.
• If my treatment, including medication, has to change, I know why and am involved in the decision.
• When I move between services, settings or areas, there is a plan for what happens next and who will do what, and all the practical arrangements are in place.
• I have considerate support delivered by competent people.
• I can get information and advice about my health, care and support and how I can be as well as possible – physically, mentally and emotionally.

Subtopics this quality statement covers

• Behaviour that communicates
• Restrictive practice
• Clinical risk
• Managing risk/emergencies