Blanket restrictions on an older persons mental health ward
- Edge Training
- 17 minutes ago
- 1 min read

On 22 October, the CQC published its latest inspection report for St Andrews Healthcare. It had a series of concerns with Older Person’s wards and rated them inadequate. The inspection report stated:
‘...restrictions regarding access to snacks, use of ordinary cutlery and access to alcohol as described in the safeguarding quality statement within this report had been imposed without appropriate consent or rationale. We were concerned these decisions had not considered individual patients’ best interests as is required by the Mental Capacity Act 2005 and were imposed as a blanket restriction to keep patients safe from others with an identified risk. Staff did not adopt the least restrictive principle such as facilitating access to cutlery in safe way or developing a person-centred care plan in relation to eating and drinking needs.’
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Identifying restrictions in care delivery is an essential part of the role of the BIA under DoLS. This report highlights the need to consider the presence of blanket restrictions and whether they are proportionate. We are one of the leading providers of BIA legal updates/annual refreshers and address this issue in our courses.
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