There may be times when restrictive interventions are necessary, proportionate and genuinely in a person's best interests. We share concerns however, that such interventions continue to be used unnecessarily and excessively by some services and carers who could avoid these through better understanding the people they support and meeting their needs.

Maybo training starts with an understanding of human rights and recognising restrictive practices (it is surprising how many staff don’t have a full understanding). We then develop practical skills for building positive relationships and reducing and managing behaviours of concern.

Training is important but we need to remember that 'culture eats policy and training for breakfast', so clear leadership and active supervision is essential. Greater focus on supervisory skills and accountability is needed to deliver and maintain healthy cultures.