Developing Evidence Based Practice


EVIDENCE BASED PRACTICE

We at M&D Care believe the direction and future of social care is evidence-based practice.

The model of evidence-based practise is a process, which involves a combination of critical thinking and evaluation of best research evidence, clinical expertise and the client’s values and preferences. Evidence Based Practice considers internal and external influences on practice and encourages critical thinking in the judicious application of such evidence to the care of the individuals we support, and this helps us develop a delivery of care where the individual is at the centre.

This is a model which is an all encompassing approach in that it is a process of education, reflection and change.

We do this through our training, education and developing staffs knowledge around the people we support and their conditions and the use of on the job supervision and reflection in order to develop a clear process of intervention for each person we support.

M&D Care is proud to foster the use and application of evidence-based practise throughout our service and we are proactively achieving this by using widely researched, accepted and adopted models of care, which include:

  • Active Support
  • Positive Behaviour Support
  • Research and Development
  • Positive Behaviour Management
  • Expert class and online training that reflects best practice
  • A positive culture of qualified social care workers via QCF

The role of training and development within the organisation

Education underpins all good practice and we have heavily invested within the company to develop a process of education – training – supervision – reflection and audit.

Our trainers are accredited and expert in their field for each part of care understanding they deliver. Where required we source and provide training above the expectations in order to meet the need of the individuals that we support.

The role of Positive Behaviour Support practitioners

Here at M&D Care, we have developed a team of Positive Behaviour Support Practitioners, who actively work towards the implementation and monitoring of these models throughout and guide our staff throughout the service to create a delivery of care that promotes individual’s quality of life, well-being and independence.

Active Support

The Active Support Model was developed in the early 1990’s in response to the failure of second-generation support services for people with learning disabilities to achieve the level of beneficial gains evidenced in the early pilot community-based projects that focused on deinstitutionalisation.

Active Support is a method of enabling individuals with learning disabilities or mental health to engage more in their daily lives. Implementing active support within M&D Care changes the staff support style from “caring for” to “working with”. It also promotes independence and supports individuals within our service to live an ordinary life that is valued by society.

Here at M&D Care, we want to enable the people we support to live an active and normalised lifestyle. By using active support within our service, we are promoting an individual’s skill acquisition and development, increasing engagement in constructive activity, providing access to new opportunities, building relationships and social networks. 

We at M&D Care are passionate about Active Support because it is a best-evidence based approach to care in which it is outcome focused and also acts as a learning tool to change staff culture. Although not an intervention for challenging behaviour, active support builds the foundations of PBS and can be used as a proactive strategy and help reduce behaviours that concern us or impact on the quality of life for the people we support. 

 

Positive Behaviour Support

We at M&D Care are passionate about providing the people we support with the highest quality care and support, through the model of PBS. In response to refusing to stand still M&D Care has invested in the development of a fully functioning Positive Behaviour Support team, expertly trained by Professor Kathy Lowe, co-founder of Active Support and subject matter expert for PBS.

M&D Care have introduced Positive Behavioural Support into our service because it is an ethical, evidence-based approach. It is person-centred and proactive in that it focuses on improvements in individuals’ quality of life and prevention of challenging behaviour. PBS is a comprehensive, values-led approach that is accepted internationally as current best practice and, following the Winterbourne View scandal, is specifically recommended by the Department of Health in numerous recent guidance documents as part of the ambitious transformation agenda across client groups.

The adoption of PBS framework has also been recommended by the Learning Disability Advisory Group to the Welsh Government. The comprehensiveness of the PBS approach stands in line with the direction of Welsh social policy over the last thirty years and is in full accord with the Social Care and Well-being Act (2014) in that it:

  • Promotes physical and emotional well-being
  • Address physical and mental health issues
  • Emphasises personal and skill development
  • Supports and encourages family and personal relationships
  • Provides opportunities for social well-being and inclusion
  • Promotes human rights, dignity and respect
  • Enhances living accommodation and the person-environment fit

Here at M&D Care, we are passionate about PBS because it uses the least restrictive interventions and totally rejects any use of punishment. As such, it is accepted as the most effective protection for vulnerable people at risk of abuse and neglect. PBS can provide the tools and framework for the principles embedded in the Social Services and Wellbeing (Wales) Act to be translated into practice.

PBM ABMU is the model of restrictive interventions used by M&D care. PBM ABMU is accredited by BILD and is the only form of physical intervention training which puts all local and national policy guidance in one place. PBM ABMU also integrated the models of active support and PBS, further supporting us in helping staff understand how these models work together and its role in reducing restrictive practice. Each and every time any restrictive practice or physical intervention is unutilized, it is documented and sent to the PBS team immediately. We then analyse this data in order to both evidence and ensure;

  • Consistent implementation of proactive and secondary strategies (PBS &AS)
  • That the reactive strategy implemented was utilised as a last resort
  • The reactive strategy implemented was utilised correctly
  • Monitor to see if restrictive intervention is no longer necessary for the individual
  • Monitor the frequency of incidents and use of restrictive practice to identify individuals early on who may need their support strategies reviewed.

M&D Care is fully committed to continuing to reduce the use of restrictive practice throughout the company, and hope to set a service example in regards to how the models of Active Support and Positive Behavioural Support are utterly crucial to this process.

Development of Research in Social Care for Better Practice

Here at M&D Care, we are passionate about being on the forefront of change, driving service improvements and ensuring the people we support achieve the highest quality care. M&D Care are proud to announce that Joey Curry, one of our PBS Practitioners, has been accepted by the University of South Wales to undertake a PhD study on Active Support within our service.

This unique opportunity provides M&D Care the scope to assess the impact of the Active Support model within our service by validating the years of research within learning disabilities, and provide novel quantitative and qualitative research on the impact of the Active Support Model within other distinct client groups where there is a dearth or lack of evidence based research.

The study allows M&D Care to be on the forefront of service improvement within learning disabilities and other services and coincides with the company’s values of refusing to standstill, and drive innovative change through active research and evidence based practise. This study will contribute to the literature on the effectiveness of a well-known proactive approach in enhancing quality of life and wellbeing within learning disabilities and other client groups.