CQC registration document guidance

Home Care Restraint Policy

If you are applying to register a specialist home care service for autistic people or people with a learning disability, your Restraint Policy should explain how restraint is approached, when it may be used and what safeguards will protect people's rights, dignity and safety.

Why this matters for your registration

  • •CQC expects providers to demonstrate a commitment to least restrictive practice and show that restraint would only ever be used as a last resort.
  • •A good Restraint Policy helps show that your service understands the legal, ethical and safeguarding issues around restrictive interventions.
  • •It also demonstrates how incidents would be monitored, reviewed and used to reduce future reliance on restraint.

What you should prepare

  • •A policy statement setting out your commitment to human rights, dignity, safety, person-centred support and least restrictive practice.
  • •Clear definitions of different forms of restraint and the difference between restraint and restriction.
  • •The legal and ethical framework, including necessity, proportionality, best-interest decision-making and relevant consent or capacity issues.
  • •Roles and responsibilities, assessment and decision-making arrangements, and how restraint would be implemented safely if ever required.
  • •Post-incident arrangements such as debriefing, incident reporting, review, care-plan updates and learning from incidents.
  • •Staff training, governance, audit, external reporting, equality and human-rights considerations, all aligned with your wider registration evidence.

Before you submit

  • •Make sure the policy clearly states that restraint is a last resort and not a routine response to behaviour or distress.
  • •Keep it consistent with your Positive Behaviour Support Policy, Safeguarding Policy, Consent Policy, Staff Training Plan and Statement of Purpose.
  • •Show clearly who is responsible for authorising, applying, reviewing and monitoring restraint-related decisions.
  • •Explain how your service will reduce restrictive practices over time and protect people's rights throughout the process.

Need help?

Support with your CQC documents

We can help you prepare a Restraint Policy tailored to your specialist home care service so it works consistently alongside your PBS, safeguarding and training arrangements.