Member organisations of The Kent Challenging Behaviour Network have worked together to develop a set of voluntary standards for supporting people who challenge services.  An Easy Read Version of the KCBN Standards is available here.  By helping service providers to meet these standards, the KCBN is working towards attaining and ensuring consistent good practice for people with learning disabilities and challenging behaviour throughout Kent.

The current standards are listed below, along with resources that members have shared in order to meet them.  If you would like to contribute to this project with a comment or to share relevant material, please get in touch by email at kentcbn@gmail.com.  Work to develop further resources is ongoing and these will be added here so keep an eye on this page…

1. Each individual has a Person Centred Plan, which aims to make improvements to their quality of life.

Person Centred Planning

– Department of Health guidance publications, March 2010:

Making it Personal: A Provider’s Journey From Tradition to Transformation – One organisation’s journey to change in order to deliver personalised services.

2. Each Individual has a comprehensive pre-placement assessment and transition plan.

New CB Referral Checklist – What needs to be considered when setting up new services for people with challenging behaviour.  Development of partnership agreements; defining roles and responsibilities; service design; staff skills; living environment; practice leadership.

3. Each Individual has a comprehensive functional assessment/analysis of Challenging Behaviour which is reviewed as needed.

How to Write a Behaviour Support Plan – East Kent Psychological and Behaviour Support Team has shared this guidance for behaviour support planning

Shared Responsibility – A Model for promoting collaboration between Service Providers and Community Learning Disability Teams

4. Each individual has a comprehensive Health Action Plan and a named Health Facilitator (as stipulated in Valuing People).

Valuing People Now section 3 is called ‘Having a Life’ and starts by reflecting on better health care for people with learning disabilities.

Valuing People says that personal health action plans would help people with learning disabilities to get their health needs met. It said that everyone with a learning disability would have a health action plan by June 2005. This target may be met on paper but the quality of the HAP’s may vary considerably. Guidance on Health Action Plans is available here.

Kent and Medway Partnership Trust (KMPT) have kindly made available templates they have produced to assist with development of person centred Health Action Plans:

Mencap has also designed a sample Health Action Plan which many services may find useful.

East Kent Hospitals NHS Trust has produced the My Healthcare Passport, designed for use by people with learning disabilities when they come into hospital. The Passport is completed by the patient and their carer, giving hospital staff the information they will need to deliver the best possible care.

5. Any use of restrictive physical interventions must comply with the Department of Health guidance.

Department of Health Guidance for Restrictive Physical Interventions

BILD Physical Intervention Accreditation Scheme

6. Each member of staff receives an appropriate training programme within 3 months of joining the service and reviewed within 6 months that is specific to individuals they support who present with challenging behaviour.

The KCBN offers subsidized training courses in challenging behaviour.

Some KCBN Member organisations have been piloting the BTEC Positive Behaviour Support e-learning course designed by Abertawe Bro Morgannwg University NHS Trust. This appears to provide staff with a good basis in the principles of Positive Behaviour Support. Further information is available here.

Many of the tools applicable to this standard incorporate practice leadership and managing service culture:

Positive Practice Tool – a simple way for teams to review basic practice

Positive Culture Tool – tips for creating a positive atmosphere

– Adapted Active Support Observation Checklist – helpful to give feedback on staff approaches to supporting people

– Positive Behaviour Support and Active Support – Produced with The Tizard Centre and The Avenues Trust to show the extent to which Active Support underpins Positive Behaviour Support.  The KCBN believes these approaches need to be central to any good support service.

7.  Services will demonstrate how they provide formal and informal technical and emotional support to staff who support people with challenging behaviour.

8. Where medication is prescribed to manage behaviour, ongoing efforts must be made to reduce its use based on the individual’s needs.

LD Medication Guideline – National Guideline for use of medication to treat behavioural problems in adults with learning disabilities.

9. Services will demonstrate a Total Communication approach to ensuring information is accessible and meaningful to each service user, and that each person is supported to express their feelings, opinions and decisions using their preferred communication style.

– CALL Scotland has produced a Communication Passport template which is available for download.

10. Each organisation must maintain a quality management system.

Progress For Providers – A self-assessment tool to help providers think about their progress in responding to the personalisation agenda.

– Care Management Group has developed auditing tools based on the KCBN Standards, incorporating a Management Audit and an Expert by Experience Audit.

– A set of Good Practice Standards are included in Challenging Behaviour: A Unified Approach.

– The KCBN produced a PSR version of the standards for pilot, the original draft is available for organisations to work with.  If you use it,  please let us know the results and share any changes you make.

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Following the production of a brief outlining their purpose and the overall goal, the KCBN agreed this initial set of standards at the Conference on 18 March 2008.  Following on from this conference, the network has set up a series of project groups which have worked towards establishing a measurable self-reporting system, based on the principles of Periodic Service Review.  The current draft of this work is available for review here and any comments are welcome.  (Please comment below or by email to kentcbn@gmail.com.)