Train all staff on alternatives to restraint use

• Deliver mandatory education sessions on evidence-based, non-restraint interventions
• Use real case scenarios to demonstrate how to de-escalate behaviours without physical restriction
• Conduct hands-on workshops for staff to practise communication, redirection, and environmental modification strategies

Enforce a least restraint policy

• Implement a clear home-wide policy prioritizing alternatives before any restraint use
• Audit restraint use regularly to ensure compliance with the Fixing Long-Term Care Act and professional standards
• Require documentation of the rationale for any restraint use, including all attempted alternatives and reassessment plans

Complete individualized assessments for every resident

• Assess all residents within 24 hours of admission for fall risk, mobility challenges, and triggers for responsive behaviours
• Reassess after any significant health, cognitive, or behavioural change
• Use assessment findings to create tailored safety and mobility plans that avoid restraints

Apply targeted mobility and environmental strategies

• Engage physiotherapists to improve mobility, balance, and strength through exercise programs
• Have occupational therapists adapt the environment with clear signage, grab bars, and low beds to support orientation and reduce wandering risks
• Adjust lighting, noise levels, and room layouts to prevent confusion and agitation

Partner with residents and families

• Discuss restraint policies, risks, and alternatives during care conferences
• Provide residents and families with information on safe, non-restrictive safety measures
• Involve residents and families in co-designing mobility and activity plans that maintain dignity and independence