• “The standards will support staff in health and social care services to understand and apply the principles of minimising the use of force with the aim of promoting human rights and person-centred care of the people they are caring for.”

      Dr Paul Lelliott, Deputy Chief Inspector at CQC 2019

    • "These Standards have been written to focus on ensuring training promotes human rights and supports cultural change necessary to reduce reliance on restrictive practices (rather than purely focus on technical skills)."

      Professor Tim Kendall, National Clinical Director for Mental Health, NHS England 2019

    Restraint Reduction Network Training Standards

    Maybo's training curricula for health, education and social care services supporting children, adults and older adults have been certified as complying with the RRN Training Standards. But, what are the RRN Training Standards?

    Accreditations

    • City & Guilds Accreditation

      Maybo training programmes have been accredited by City & Guilds since 2004

      Find out more

    • UKAS number: 10766

      Maybo Training Services can deliver training Certified by BILD ACT as complying with the Restraint Reduction Network Training Standards to Services that meet certification requirements.

      Find out more

    • BILD Association of Certified Training

      Maybo Training Services can deliver training Certified by BILD ACT as complying with the Restraint Reduction Network Training Standards to Services that meet certification requirements.

      Find out more

    What are the RRN Training Standards?

    Commissioned by NHS, the Restraint Reduction Network Training Standards provide a national and international benchmark for training in supporting people who are distressed in education, health and social care settings. The Standards aim to facilitate culture change, not just technical competence. They are designed to:

    • Protect people’s fundamental human rights and promote person-centred best interest and therapeutic approaches to supporting people when they are distressed
    • Improve the quality of life of those being restrained and those supporting them
    • Reduce reliance on restrictive practices by promoting positive culture and practice that focuses on prevention, de-escalation and reflective practice
    • Increase understanding of the root causes of behaviour and recognition that many behaviours are the result of distress due to unmet needs
    • Where required, focus on the safest and most dignified use of restrictive interventions

    • Certification of compliance with these Standards will be a requirement in NHS commissioned and CQC regulated services from April 2020

      Professor Tim Kendall, National Clinical Director for Mental Health, NHS England 2019

    • The Training Standards will provide a national and international benchmark for training in supporting people who are distressed in education, health and social care settings.

      RRN Training Standards

    What is the scope of the Standards?

    Who do they apply to and what to do they cover?

    What do the Standards cover?

    The Standards cover four key areas related to the provision of restrictive intervention training in health, education and or social care services:

    • Section 1, (Standards 1.1−1.8) cover the part of the process that needs to be completed before a curriculum is developed and authorised for each service.
    • Section 2 (Standards 2.1–2.15) cover what must be included in the curriculum.
    • Section 3 (Standards 3.1-3.6) relate to post-delivery processes. 
    • Section 4 (Standards 4.1-4.7) focus on trainer competence, development and quality assurance.
    • Appendicies 1-21 address specific considerations where particular populations are being supported (1-8), in particular settings (9-16), or in particular countries (17-20).

    What is being required from NHS and social care organisations? 

    From the 1st April 2020, it is a requirement of the NHS and Care Quality Commission (CQC), that health and social care services have certified restrictive intervention training, that complies with the Restraint Reduction Network Training Standards, first published in 2019.

    What are the RRN training standards?

    The NHS commissioned the Restraint Reduction Network (RRN) to develop the standards following the publication of several high-profile cases that exposed the shocking, unnecessary and inappropriate use of restrictive interventions in health and care settings. 

    As a result of the standards, every NHS and social care organisation in England that uses restrictive practices and supports people with mental health conditions, dementia, learning disabilities or autism, are expected to comply with the principles.

    This has been a long-held aim of the RRN, which is a national charity that was set up with the sole aim of reducing the use of restraint.

     

    What are the RRN Training Standards?

    • Staff must have face to face training in preventative/primary strategies and secondary strategies before they are taught to use restrictive interventions

      RRN Training Standards

    • The implementation, embedding and maintenance of the Training Standards will also be viewed by regulators and inspectors, as well as concerned family members, to be indicative of an organisation committed to best practice and characterised by therapeutic care and support.

      RRN Training Standards

    What do I need to do?

    The steps that organisations and individuals need to take to be compliant

    How will the regulations be enforced and measured?

    The regulations mean that health and social care providers are expected to demonstrate that they are compliant with the training standards when they are inspected by the CQC.

    In order to do this, they need to obtain certification that they comply with the RRN Training Standards 2019.

    Certification can be granted directly from third party regulator The BILD Association of Certified Training (BILD ACT), or from a BILD ACT approved training service. 

    What is a certified training service?

    Certified training services have a BILD ACT approved training curriculum and authorised trainers, which means that they have gone through an extremely vigorous and independent assessment audit where 20% of their training is observed.

    Once training services are certified as complying with RRN training standards, they can authorise NHS and social care organisations to operate as affiliate organisations that can deliver their training programme in house. 

    This will mean that they have undertaken an evidence-based assessment of the organisation, which has been reviewed and approved by BILD ACT.

     

    What does the future look like?

    Achieving positive and safer outcomes for staff and service users

    Are we likely to see the regulations rolled out at scale?

    Organisations ranging from Ofsted to the Local Government Association have signed the RRN standards, demonstrating the wide-ranging support for the regulations.

    Currently, they are only mandatory for certain services in England, but they are likely to become compulsory for education, health and social care services across the UK, although this is likely to be incremental over several years.

    Having said this, while only a certain number of organisations need to prove compliance, everyone should be working to the standards of care that they advocate.

    Which Maybo courses are RRN approved?

    Maybo’s training programmes that have been approved by BILD ACT, include:

    • Promoting human rights and reducing restrictive practices
    • Understanding behaviour: a positive behaviour support approach
    • Observing Behaviour to Inform PBS Plans and Strategies
    • Implementing Person-Centred Active Support
    • Positive Approaches to Behaviour
    • Safer De‑escalation
    • Personal Safety and Disengagement
    • Redirection and Guiding
    • Safer Holding
    • Safety Pod™

    Learn more about our RRN approved training curriculum

    Accredited training that can be delivered by us or by you

    • Classroom

    • Train the Trainer

    • eLearning

    • Virtual Classroom

    • Implementing Person Centred Active Support

      This module is designed for people providing care and support to people with learning / intellectual disabilities or autism. It aims to develop their ability to implement person-centred active support and PBS values.

      • Observation, recording and reporting approaches
      • Actions to protect vulnerable people
      • Positive planning
      • Proactive and reactive strategies
      • Reinforcing behaviour in a PBS framework

      This module is normally combined with the following Maybo modules to form a two-day PBS training programme:

      1. Promoting Human Rights and Reducing Restrictive Practices
      2. Understanding Behaviour: A PBS Approach
      3. Observing Behaviour to Inform PBS Plans and Strategies
      4. Implementing Person-Centred Active Support (this module)

      This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • eLearning eLearning
      • Virtual Classroom Virtual Classroom

    • Observing Behaviour to Inform PBS Plans and Strategies

      This module is designed for people providing care and support to children or adults with learning disabilities or autism. It will develop their ability to contribute to behaviour-informed positive behavioural support plans and strategies.

      • Observation, recording and reporting approaches
      • Actions to protect vulnerable people
      • Positive planning
      • Proactive and reactive strategies
      • Reinforcing behaviour in a PBS framework

      This module is normally combined with the following Maybo modules to form a two-day PBS training programme:

      1. Promoting Human Rights and Reducing Restrictive Practices
      2. Understanding Behaviour: A PBS Approach
      3. Observing Behaviour to Inform PBS Plans and Strategies (this module)
      4. Implementing Person-Centred Active Support

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • Virtual Classroom Virtual Classroom

    • Personal Safety and Disengagement

      This module provides additional practical strategies for delivering safer care to older adults and people with dementia is relevant where behaviours can present risks of harm for people and/or those that support and care for them.

      Risks, Rights and Responsibilities

      • Defining defensive skills and interventions
      • Risks of using physical skills with older adults
      • Authority for the use of physical skills
      • Individual and team responsibilities
      • The importance of primary and secondary strategies to reduce the need for physical skills

      Defensive Personal Safety Skills to Avoid Assault and Disengage

      • Training and operational risks associated with the use of Maybo's physical skills for older adults
      • Low arousal positioning and defensive skills to avoid assault and reduce risk
      • Low arousal skills to release from wrist and clothing grips
      • Contextual applications of Maybo disengagement skills

      This module is RRN Approved when part of a BILD ACT Certified Curriculum. 

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Personal Safety and Guiding: Children

      This module provides practical strategies for reducing risk and maintaining safety. It can include low arousal guiding and re-direction skills and is relevant where behaviours can present risks of harm for a child and/or those that support and care for them.

      Risks, Rights and Responsibilities

      • Defining defensive skills and interventions
      • Risks of using physical skills
      • Authority for the use of physical skills
      • Individual and team responsibilities 
      • The importance of secondary strategies to reduce the need for physical skills

      Personal Safety Skills to Avoid Assault and Disengage

      • Training and operational risks associated with the use of Maybo physical skills
      • Low arousal positioning and defensive skills to avoid assault and reduce risk
      • Low arousal skills to release from wrist and clothing grips
      • Contextual applications of Maybo assault avoidance and disengagement skills

      Low Arousal Guiding and Redirecting Skills

      • Skills to prompt or guide a child
      • Skills to re-direct a child
      • Contextual applications of Maybo guiding and redirecting skills

      This module must be preceded by Maybo's Positive Approaches to Behaviour and Safer De-escalation modules. 

      This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Personal Safety and Guiding: Children and Young People

      This module provides practical strategies for reducing risk and maintaining safety. It can include low arousal guiding and re-direction skills and is relevant where behaviours can present risks of harm for a child and/or those that support and care for them.

      Risks, Rights and Responsibilities

      • Defining defensive skills and interventions
      • Risks of using physical skills
      • Authority for the use of physical skills
      • Individual and team responsibilities 
      • The importance of secondary strategies to reduce the need for physical skills

      Personal Safety Skills to Avoid Assault and Disengage

      • Training and operational risks associated with the use of Maybo physical skills
      • Low arousal positioning and defensive skills to avoid assault and reduce risk
      • Low arousal skills to release from wrist and clothing grips
      • Contextual applications of Maybo assault avoidance and disengagement skills

      Low Arousal Guiding and Redirecting Skills

      • Skills to prompt or guide a child or young person
      • Skills to re-direct a child or young person
      • Contextual applications of Maybo guiding and redirecting skills

      This module must be preceded by Maybo's Positive Approaches to Behaviour and Safer De-escalation modules.

      This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Positive Approaches to Behaviour

      Risks, Rights and Responsibilities

      • Behaviours of concern
      • Rights and responsibilities
      • Planning to reduce risks and vulnerabilities 

      Factors That Influence Behaviour

      • Common functions of behaviours of concern
      • Instinctive reactions to emotional or threatening situations
      • Potential triggers in self and others
      • Levels of escalation

      Positive Interactions and Choices

      • People's needs and expectations
      • Influencing positive outcomes
      • Overcoming barriers to communication

        This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • Virtual Classroom Virtual Classroom

    • Promoting Human Rights & Reducing Restrictive Practices

      This module explores the principles of supporting a person's needs through a human rights approach. It develops learners' ability to take effective, person-centred measures to reduce restrictive practices that might be used intentionally or in some cases without realising they are restricting the person's liberty or autonomy.

      • Underpinning legislation, principles and definitions
      • Strategies to improve quality of life and reduce risk
      • Recognising restrictive practices
      • Ethical decision making

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • Virtual Classroom Virtual Classroom

    • Redirection and Guiding

      This module provides additional low arousal redirection and guiding skills. 

      • Training and operational risks
      • Low arousal physical intervention skills to prompt or guide an individual
      • Low arousal physical intervention skills to re-direct an individual

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Safer De‑escalation

      This module covers de-escalation strategies to alleviate a situation and achieve a positive and safer outcome.

      Dynamic Risk Assessment

      • Maybo SAFER model
      • Risk identification
      • Informed decision-making

      De-escalation Skills

      • Positive, non-aggressive approaches
      • Safer positioning and teamworking skills
      • Strategies to defuse, calm and resolve

      Personal Safety and Post-incident

      • Confronting behaviour
      • Heightened risk indicators
      • Exit strategies in higher-risk situations
      • Post-event impact and responsibilities

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • Virtual Classroom Virtual Classroom

    • Safer Holding

      This module provides non-aggressive physical intervention skills for use as a last resort to prevent people coming to harm. It is relevant for employees whose roles require them to engage with people whose behaviour can be unpredictable and may need to be held.

      Recognising and Reducing Risk

      • Key risk factors of restrictive physical interventions
      • Individual and team responsibilities to reduce risk and respond to medical emergencies

      Holding and Escorting

      • Training and operational risks associated with non-pain compliant restrictive skills
      • Non-aggressive restrictive holding and escorting skills 
      • Structured exercises
      • Positioning and teamwork in transitions between skills

      Containing and Supporting

      • Reduce risk whilst containing a seated person
      • Teamwork skills to support a person to a seated position on the floor
      • De-escalation and re-engagement skills
      • Applications relevant to the role

      Some services and roles may require training in higher levels of intervention and equipment, which Maybo can provide subject to controls.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Safer Holding: Children

      This module provides non-aggressive physical intervention skills for use as a last resort to prevent harm. 

      Building on the skills and approaches in earlier modules, this module develops restrictive intervention skills for containing and holding children in both standing and seated scenarios when required as a last resort.

      Recognising and Reducing Risk

      • Key risk factors of restrictive physical interventions
      • Individual and team responsibilities to reduce risk and respond to medical emergencies

      Holding and Escorting

      • Training and operational risks associated with restrictive skills
      • Non-aggressive restrictive holding and escorting skills 
      • Structured exercises
      • Positioning and teamwork in transitions between skills

      Containment and Support

      • Reduce risk whilst containing a seated child
      • Teamwork skills to support a child to a seated position
      • De-escalation and re-engagement skills
      • Contextual applications of Maybo skills

      Training in the use of restrictive interventions must only be provided within the context of a commitment to the reduction of the use of all restrictive interventions and the provision of person-centred support.

      Some services and roles may require training in higher levels of intervention, which Maybo can provide subject to controls.

      This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Safer Holding: Children and Young People

      This module provides non-aggressive physical intervention skills for use as a last resort to prevent people from coming to harm.

      Building on the skills and approaches in earlier modules, this module develops restrictive intervention skills for containing and holding children and young people in both standing and seated scenarios when required as a last resort.

      Recognising and Reducing Risk

      • Key risk factors of restrictive physical interventions
      • Individual and team responsibilities to reduce risk and respond to medical emergencies

      Holding and Escorting

      • Training and operational risks associated with restrictive skills
      • Non-aggressive restrictive holding and escorting skills 
      • Structured exercises
      • Positioning and teamwork in transitions between skills

      Containing and Supporting

      • Reduce risk whilst containing someone who is seated
      • Teamwork skills to support a child or young person to a seated position on the floor
      • De-escalation and re-engagement skills
      • Applications relevant to the role

      Training in the use of restrictive interventions must only be provided within the context of a commitment to the reduction of the use of all restrictive interventions and the provision of person-centred support.

      Some services and roles may require training in higher levels of intervention, which Maybo can provide subject to controls.

      This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Safety Pod™

      Holding skills for use with the Safety Pod™

      Preparation and Use

      • Features and benefits of the Safety Pod™
      • Health and safety precautions
      • Preparing, using and storing the Safety Pod™

      Seated Holding Skills

      • Using Maybo’s seated wrap skills with the Safety Pod™ 
      • Using Maybo’s wrap reverse skills with the Safety Pod™

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

    • Understanding Behaviour: A PBS Approach

      This module is designed for people providing care and support to people with learning disabilities or autism. It aims to develop their understanding of Positive Behaviour Support (PBS) and person-centred support.

      Principles of Positive Behaviour Support (PBS)

      • Understanding PBS
      • Principles of PBS
      • Three key areas of PBS

      Characteristics of Behaviour 

      • Behaviour considerations
      • Behaviours of concern
      • Effects of behaviours of concern

      Factors That Influence Behaviour

      • Factors that can influence behaviour
      • How inhibitors can influence behaviour

      Functions of a Person's Behaviour

      • Fast and slow triggers
      • Identifying the function of a person's behaviour

      This module is normally combined with the following Maybo modules to form a two-day PBS training programme:

      1. Promoting Human Rights and Reducing Restrictive Practices
      2. Understanding Behaviour: A PBS Approach (this module)
      3. Observing Behaviour to Inform PBS Plans and Strategies
      4. Implementing Person-Centred Active Support

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the Trainer Train the Trainer
      • Virtual Classroom Virtual Classroom

    • Understanding Behaviour: Children and Young People

      Developed with our partners, Headsight Therapeutic Services, this programme provides an important foundation understanding of the developmental needs of children and yonug people. It is relevant to anyone providing care, education or support to children and young people with complex needs.

      We focus on the emotional and psychological development of the young mind:

      Developmental Needs of Children and Young people

      • Developmental needs of children and young people
      • Stages of child brain development
      • How adolescent brain development impacts behaviour

      Importance of Attachment Figures

      • Why attachment is central to healthy brain development
      • Role and importance of attachment figures
      • Attachment behaviours

      Impact of Trauma and Neglect

      • Defining trauma and neglect
      • Behaviours that may develop as a result of trauma/neglect

      Higher Risk Behaviours Common in Children and Young People

      • How and why children and young people may harm themselves
      • Why children and young people are at greater risk from drug and alcohol misuse
      • Risks associated with anti-social behaviour
      • Why children and young people may pose a risk to others

      Positive Approaches to Behaviours of Concern

      • Stages of a trauma-informed approach
      • Importance of and ways to create safety and consistency
      • Providing opportunities to access learning and development
      • Reconnecting to build positive and supportive relationships

       This module is RRN Approved when part of a BILD ACT Certified Curriculum.

      Delivery methods:

      • Classroom Classroom
      • Train the Trainer Train the Trainer

     View more

    Contact us

    Speak to one of our specialist advisors today to find out more about the RRN standards