
Able Training / Ligature Audit
Ligature audits
Have a professional attend your, setting and create a detailed report to reduce your ligature risks.
They will complete a full audit, identifying ligature points* within the environment that pose a significant risk based on general service user profiles, room designation and the type and position of the ligature point.

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Have a professional attend your, setting and create a detailed report to reduce your ligature risks.
They will complete a full audit, identifying ligature points* within the environment that pose a significant risk based on general service user profiles, room designation and the type and position of the ligature point.
An Able consultant will assess your current ligature risks in these high-risk areas and consider any appliances/furniture that may need replacing or upgrading. We also recommend if other measures are required to reduce the risks to a reasonable level.
We also assess those ligature risks that need to remain, as removing them may create a greater risk to the patient; for example, grab rails for elderly patients at high risk of falls. The Care Quality Commission and Ofsted will pay close attention to the areas highlighted above during their inspection.
With an environmental audit, we come to your location, hospital or residential property and perform a full environmental Ligature risk assessment.
We can check either the whole site or one area and provide you will a detailed report including photos and risk details. We also include a detailed breakdown of action points and recommended actions.
Why have a Ligature Audit?
Three-quarters of people who kill themselves while on a psychiatric ward do so by hanging or strangulation. The most common method of suicide used in England and Wales is hanging, accounting for 59.4% of male and 45% of female suicides. These alarming statistics are why it is vital that environments that support individuals with mental health concerns assess the ligatures risks within their wards to minimise the risk of suicide and self-harm.
Every NHS Trust or care setting in each Local Authority will have its own anti-ligature policies. They will all be based on official NHS guidelines, CQC/Ofsted requirements or legal guidelines regarding the care and wellbeing of patients in their facilities.
Many settings provide staff with equipment and training to manage a ligature event when it occurs but prevention being better than cure is not just a saying. Even if a person doesn’t die due to strangulation, they may still experience life changing injuries and trauma, including brain damage and paralysis.
Legal framework and process/methodology for assessing risks
The challenge with managing ligatures
It is not possible for all ligature points to be identified and/or removed. According to The Camden and Islington NHS Trust (2017), a judgment must be made about the likelihood of something being used as a ligature point and the control measures required for that area. This is where specifiers and designers need to assess the design of their space and choose products aimed at limiting ligature risks.
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