managerOrganisational managers influence the way an organisation does things from the top down, and at the same time lead, inspire and direct the people working under them. Organisational managers include the chief executive, directors and other senior managers. They have responsibility to:

    • ratify and monitor the effectiveness of policies, systems and procedures to prevent challenging behaviour
    • ensure the safety of staff, patients and service users in compliance with legal and regulatory requirements
    • ensure the delivery of high quality, compassionate, personalised care
    • demonstrate a commitment to the reduction of physical interventions
    • take swift, decisive action if suboptimal care is being delivered
    • make available resources, training and a highly skilled workforce
    • ensure strong organisational and clinical leadership
    • develop a positive culture which enables high quality care to flourish, and encourages staff to report concerns about poor practice
    • seek assurance that these priorities are being met through regular feedback, outcomes and incident analysis.

Clinical managers supervise staff and oversee the daily operations of a healthcare facility. They have responsibility to:

    • provide leadership and foster a culture in which compassionate, personalised care is delivered and where physical interventions are only ever used as a last resort
    • help formulate policies, systems and procedures to ensure an awareness and understanding of challenging behaviour to help prevent it
    • support, instruct and advise on long-term strategies to deliver personalised care consistently
    • provide good role modelling and clinical supervision for positive engagement and communication
    • support, instruct and advise on escalating and emergency situations
    • encourage reporting of all incidents of challenging behaviour through the incident reporting system
    • manage post incident reviews, debriefs and the implementation of lessons learnt
    • release staff for targeted training commensurate to the risks faced
    • ensure information sharing with clinical colleagues, security staff, training staff, the police and appropriate external agencies.

Managers may wish to look at the sections listed below for further information.

Managing risk
Organisational responsibilities
Information sharing
Training videos
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