Physical Control in Care Training Manual - Independent Advisory ...

PHYSICAL CONTROL IN CAREWhilst moving the young person it may be necessary to negotiatedoorways or gates. If this is the case, on reaching the doorway themember of staff supporting the young person’s head will maintain thehead support position. The No. 1 will instruct the No’s 2 and 3, whowill be applying the Double Embrace Hold, to proceed through thedoorway first. Deciding who goes first will depend upon the directionto be taken once through the doorway. For example, if the member ofstaff controlling the left arm places their left shoulder into thedoorjamb, and initiates the spin out movement, then the team havingpassed through the doorway will be facing to the left. The member ofstaff controlling the head will be the last person to pass through thedoorway.Every effort will must be made to protect the young person’s headfrom contacting the door frame. The No 1 of the team may have toadjust the head support position and use their arm to protect theyoung person’s head.STUDENTS TO PRACTICE AS PART OF A THREE OFFICERTEAM.Whilst a young person can be moved using the phase threemethodde-escalation would make movement far easier.3.5 STAIRWAY NEGOTIATION MOVING DOWNSTAIRSIdeally the team and the additional member of staff will take up thefollowing positions away from the top of the stair area.When approaching the stairs, the team will turn sideways so that theNo’s 2 and 3 applying the Double Embrace Hold have their backs tothe wall. A fourth member of staff will take up a position at the side ofthe member of staff nearest to the stairs acting as an anchor for theteam. This member of staff will grip the handrail of the stairs tostabilise the team. The member of staff controlling the head willdictate the rate at which the stairs are descended.If at any time a member of staff feels that their hold is insecure, thecommand “DOWN” is given. Staff will sink down into a kneelingposition and adjust their holds, before standing back up andcontinuing their movement.© National Offender Management Service National Tactical Response GroupJuly 201082