
Behaviour Monitoring & PBS
CareVerity ECM & Care Compliance System with CareVerity Training Academy.
Behaviour Monitoring & Positive Behaviour Support Module
Johnny Burrows behaviour support monitoring
Person-centred, least restrictive, dignity-focused monitoring for distressed behaviour, sleep disturbance, emotional distress and behaviour support needs. This module avoids punitive wording and supports Positive Behaviour Support principles.
Person-centred language guardrails
Preferred wording for records, plans, reviews and staff prompts.
ABC records completed
Manager review required
Observed across hourly and ABC records
Night-time pattern
Sleep disturbance context
Hourly records completed
6 awaiting review
Linked to support plan
More reviews due
OT and community mental health team drafts
Manager review required
Settled with least restrictive support
Action tracker
Lessons learned captured
Behaviour Support Trigger
The module appears when behaviourSupportRequired is Yes. Admin users can open it for setup/review.
Core Sections
Core sections required for PBS monitoring, records, review, evidence and inspection readiness.
| Profile field | Value | Company scope |
|---|---|---|
| serviceUserId | demo-su-johnny-burrows | TEST-COMPANY-001 |
| companyId | TEST-COMPANY-001 | TEST-COMPANY-001 |
| branchId | TEST-LOCATION-001 | TEST-COMPANY-001 |
| behaviourSupportRequired | Yes | TEST-COMPANY-001 |
| dateIdentified | 04 June 2026 | TEST-COMPANY-001 |
| identifiedBy | Demo Care Coordinator | TEST-COMPANY-001 |
| mainBehaviourSupportNeeds | Sleep disturbance, night-time monitoring and distressed behaviour support. | TEST-COMPANY-001 |
| knownTriggers | Noise at night, unfamiliar staff approach, rushing personal care, pain/discomfort cues. | TEST-COMPANY-001 |
| earlyWarningSigns | Restlessness, repeated calling out, pacing, clenched hands, withdrawing from support. | TEST-COMPANY-001 |
| communicationNeeds | Use calm tone, short sentences and allow extra processing time. | TEST-COMPANY-001 |
| preferredSupportApproach | Offer reassurance, choice, quiet space, familiar routine and least restrictive support. | TEST-COMPANY-001 |
| dislikesThingsToAvoid | Avoid rushing, crowding, arguing, raised voices and unnecessary touch. | TEST-COMPANY-001 |
| calmingStrategies | Warm drink, dimmed lights, favourite music, reassurance and time to settle. | TEST-COMPANY-001 |
| sensoryNeeds | Low noise environment, reduced bright lighting, familiar blanket. | TEST-COMPANY-001 |
| painHealthConsiderations | Check for discomfort, continence need, constipation, infection signs or medication side effects. | TEST-COMPANY-001 |
| medicationConsiderations | Medication concerns must be referred to GP/pharmacist by authorised staff. | TEST-COMPANY-001 |
| environmentalFactors | Night-time noise, room temperature, lighting and hallway movement may affect sleep. | TEST-COMPANY-001 |
| culturalReligiousPersonalPreferences | Personal routines and family preferences recorded in care plan. | TEST-COMPANY-001 |
| capacityConsentConsiderations | Capacity/consent reviewed for behaviour monitoring and information sharing. | TEST-COMPANY-001 |
| bestInterestDecisionRequired | Yes | TEST-COMPANY-001 |
| familyRepresentativeInput | Family representative involved in review meetings. | TEST-COMPANY-001 |
| professionalInput | GP, community mental health team, learning disability team or OT input considered where needed. | TEST-COMPANY-001 |
| reviewFrequency | weekly | TEST-COMPANY-001 |
| nextReviewDate | 11 June 2026 | TEST-COMPANY-001 |
| status | active | TEST-COMPANY-001 |
| createdBy | Demo Care Coordinator | TEST-COMPANY-001 |
| createdAt | 04 June 2026 09:00 | TEST-COMPANY-001 |
| updatedBy | Demo Registered Manager | TEST-COMPANY-001 |
| updatedAt | 04 June 2026 10:00 | TEST-COMPANY-001 |
| Plan section | Status | Version | Approval |
|---|---|---|---|
| About the person | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| What behaviour may tell us | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| Communication needs | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| Known triggers | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| Early warning signs | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| Proactive support strategies | Drafted | Version 1.0 | Demo Registered Manager approval required before publishing |
| Active support during distress | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| De-escalation techniques | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| What staff should avoid | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Post-incident support | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Family / representative involvement | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Professional involvement | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Restrictions or restraint if applicable | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Least restrictive approach | Manager review required | Version 1.0 | Demo Registered Manager approval required before publishing |
| Review plan | Linked | Version 1.0 | Demo Registered Manager approval required before publishing |
| Staff training requirements | Linked | Version 1.0 | Demo Registered Manager approval required before publishing |
| Linked care plan sections | Linked | Version 1.0 | Demo Registered Manager approval required before publishing |
| Linked risk assessments | Linked | Version 1.0 | Demo Registered Manager approval required before publishing |
| Risk ID | Risk category | Risk description | People at risk | Likelihood | Impact | Rating | Current controls | Proactive measures | De-escalation | Emergency escalation | Professional referral | Care plan update | Review date | Approved by | Approved at | Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRISK-001 | sleep disturbance | Johnny Burrows may become distressed during night-time waking. | service user / staff | Medium | High | High | Quiet environment, calm reassurance, hourly observation | Low-stimulus approach and familiar routine | Offer choice and space | Office/999 escalation if immediate safety concern | Yes | Yes | 11 June 2026 | Demo Registered Manager | Pending approval | active |
| BRISK-002 | wandering | Night-time wandering may increase falls or exit-seeking risk. | service user | Medium | High | High | Door sensor placeholder and observation prompts | Reduce night-time triggers | Redirect calmly | Contact manager if unable to settle safely | OT review considered | Yes | 11 June 2026 | Demo Registered Manager | Pending approval | active |
Quick Staff Recording
Mobile-friendly recording actions for staff during or after a visit. Demo buttons create local confirmation only.
| Record ID | Date | Time | Location | Staff present | Antecedent | Possible trigger | Behaviour observed | Intensity | Duration | Risk to self | Risk to others | De-escalation used | Outcome | Manager review | Care plan update | Risk update | Referral | Created by | Created at | Reviewed by | Reviewed at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ABC-DEMO-001 | 01 June 2026 | 20:15 | Lounge | Demo Senior Care Worker | Night-time noise and change in routine noted before distress. | Environmental noise | Distressed behaviour and repeated requests for reassurance. | High | 8 | Yes | No | Yes - least restrictive support used. | Settled and safe. | Yes | Yes | Yes | Yes | Demo Care Worker A | 04 June 2026 22:15 | Demo Registered Manager | 05 June 2026 09:00 |
| ABC-DEMO-002 | 02 June 2026 | 21:15 | Bedroom | Demo Care Worker A | Night-time noise and change in routine noted before distress. | Pain/discomfort suspected | Distressed behaviour and repeated requests for reassurance. | Low | 9 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-003 | 03 June 2026 | 22:15 | Lounge | Demo Senior Care Worker | Night-time noise and change in routine noted before distress. | Unfamiliar approach | Distressed behaviour and repeated requests for reassurance. | Medium | 10 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-004 | 04 June 2026 | 23:15 | Bedroom | Demo Care Worker A | Night-time noise and change in routine noted before distress. | Environmental noise | Distressed behaviour and repeated requests for reassurance. | Low | 11 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-005 | 05 June 2026 | 20:15 | Lounge | Demo Senior Care Worker | Night-time noise and change in routine noted before distress. | Pain/discomfort suspected | Distressed behaviour and repeated requests for reassurance. | High | 12 | Yes | No | Yes - least restrictive support used. | Settled and safe. | Yes | Yes | No | No | Demo Care Worker A | 04 June 2026 22:15 | Demo Registered Manager | 05 June 2026 09:00 |
| ABC-DEMO-006 | 06 June 2026 | 21:15 | Bedroom | Demo Care Worker A | Night-time noise and change in routine noted before distress. | Unfamiliar approach | Distressed behaviour and repeated requests for reassurance. | Low | 13 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | Yes | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-007 | 07 June 2026 | 22:15 | Lounge | Demo Senior Care Worker | Night-time noise and change in routine noted before distress. | Environmental noise | Distressed behaviour and repeated requests for reassurance. | Medium | 14 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | Yes | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-008 | 01 June 2026 | 23:15 | Bedroom | Demo Care Worker A | Night-time noise and change in routine noted before distress. | Pain/discomfort suspected | Distressed behaviour and repeated requests for reassurance. | Low | 15 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
| ABC-DEMO-009 | 02 June 2026 | 20:15 | Lounge | Demo Senior Care Worker | Night-time noise and change in routine noted before distress. | Unfamiliar approach | Distressed behaviour and repeated requests for reassurance. | High | 16 | Yes | No | Yes - least restrictive support used. | Settled and safe. | Yes | Yes | No | No | Demo Care Worker A | 04 June 2026 22:15 | Demo Registered Manager | 05 June 2026 09:00 |
| ABC-DEMO-010 | 03 June 2026 | 21:15 | Bedroom | Demo Care Worker A | Night-time noise and change in routine noted before distress. | Environmental noise | Distressed behaviour and repeated requests for reassurance. | Low | 17 | No | No | Yes - least restrictive support used. | Settled and safe. | No | No | No | No | Demo Care Worker A | 04 June 2026 22:15 | Pending | Pending |
Hourly Sleep / Behaviour Record
Digital quick-tick options and printable A4 portrait record guidance.
| Record ID | Date | Hour | Asleep | Awake | Settled | Restless | Distressed | Behaviour observed | Possible trigger | Support provided | Staff initials | Notes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SLEEP-DEMO-001 | 01 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-001 | 01 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-002 | 02 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-002 | 02 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-003 | 03 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-003 | 03 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-004 | 04 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-004 | 04 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-005 | 05 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-005 | 05 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-006 | 06 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-006 | 06 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-007 | 07 June 2026 | 22:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| SLEEP-DEMO-007 | 07 June 2026 | 23:00 | No | Yes | Yes | No | No | No behaviour of concern observed. | None identified | Reassurance, drink offered, low-stimulation support. | DW | Hourly sleep/behaviour monitoring demo entry. |
| Incident ID | Behaviour record | Date | Time | Incident type | Description | Trigger | Early signs | Behaviour observed | Risk level | Injury | Restriction used | Emergency services | Staff action | De-escalation | Outcome | People notified | Family | Professional notification | Safeguarding | Manager review | Lessons learned | Care plan update | Risk update | Support plan update | Approved by | Approved at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BINC-001 | ABC-DEMO-001 | 04 June 2026 | 22:15 | Distressed behaviour | Noise before sleep increased distress. | Environmental noise | Restlessness | Repeated reassurance sought | Medium | No injury | No | No | Calm reassurance and reduced stimulation | Yes | Settled safely | Manager and family representative | Yes | No | No safeguarding threshold in demo | Manager review required | Reduce noise and review night routine | Yes | Yes | Yes | Demo Registered Manager | Pending approval |
| BINC-002 | ABC-DEMO-004 | 05 June 2026 | 01:10 | Wandering risk | Service user moved toward hallway during night waking. | Unsettled sleep | Pacing | Walking near exit | High | No injury | No | No | Redirected calmly | Yes | Returned to room | Manager | No | OT review considered | No safeguarding threshold in demo | Manager review required | Review environment and signage | Yes | Yes | Yes | Demo Registered Manager | Pending approval |
| BINC-003 | ABC-DEMO-007 | 06 June 2026 | 23:30 | Refusal of essential care | Personal care was delayed and accepted later. | Rushed approach | Withdrawing | Refused support initially | Low | No injury | No | No | Staff stepped back and offered choice | Yes | Accepted later | Manager | No | No | No safeguarding threshold in demo | Reviewed | Avoid rushing and give time | Yes | No | Yes | Demo Registered Manager | Approved |
Restrictive Practice / Restraint Safeguard
Displayed only where restriction/restraint is recorded.
Restrictive practice must only be used as a last resort, where necessary, proportionate and least restrictive. Manager review is required.
| Record | Type | Reason | Necessary | Proportionate | Least restrictive | Duration | Staff | Monitoring | Wellbeing check | Service user debrief | Staff debrief | Manager review | Safeguarding | CQC consideration | Professional review | Care/risk update | Reduction plan |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RPR-DEMO-001 | Door sensor / observation restriction placeholder | Immediate safety monitoring after night-time wandering risk | To reduce immediate risk of leaving safe area during distress | Proportionate to risk and time-limited | Least restrictive option selected before any physical intervention | 10 minutes | Demo Senior Care Worker | Continuous wellbeing checks | Wellbeing check completed | Debrief offered to service user | Staff debrief required | Manager review required | Safeguarding consideration recorded | CQC notification consideration required | Professional review required | Care plan and risk assessment update required | Reduction plan: reduce night-time triggers and review environment |
| AI status | Draft/action | Reason | Approval status | Link |
|---|---|---|---|---|
| AI-assisted draft - manager approval required | Behaviour support plan update | Night-time environmental noise and reassurance pattern | Awaiting manager approval | Links to behaviour support plan |
| AI-assisted draft - manager approval required | Behaviour risk assessment update | Wandering risk and sleep disturbance pattern | Awaiting manager approval | Links to risk assessment |
| AI-assisted draft - manager approval required | ABC trend summary | Environmental noise and pain/discomfort cues are possible triggers | Awaiting manager approval | Links to ABC records |
| AI-assisted draft - manager approval required | Family update draft | Support plan review and reassurance strategies | Awaiting manager approval | Minimum necessary details |
| AI-assisted draft - manager approval required | OT referral draft | Night-time wandering and environment review | Awaiting manager approval | No automatic referral sent |
| AI-assisted draft - manager approval required | Community mental health team email draft | Distressed behaviour support review | Awaiting manager approval | No automatic clinical decision |
| Draft | Purpose | Governance | Sending status |
|---|---|---|---|
| OT referral draft | Night-time wandering and environment review | AI-assisted draft - manager approval required | Not sent |
| Community mental health team email draft | Distressed behaviour support review | AI-assisted draft - manager approval required | Not sent |
| Family update draft | Support plan review update using minimum necessary detail | AI-assisted draft - manager approval required | Not sent |
| Mobile item | Staff prompt |
|---|---|
| Behaviour support alert | Johnny Burrows has a behaviour support plan. Use calm, least restrictive support. |
| Key triggers | Noise at night, unfamiliar staff approach, rushing personal care, pain/discomfort cues. |
| Early warning signs | Restlessness, repeated calling out, pacing, clenched hands, withdrawing from support. |
| Calming strategies | Warm drink, dimmed lights, favourite music, reassurance and time to settle. |
| What to avoid | Avoid rushing, crowding, arguing, raised voices and unnecessary touch. |
| Emergency escalation plan | Call office/manager; follow emergency procedure if immediate safety concern. |
| Quick ABC record | Antecedent, behaviour observed, consequence, support and outcome |
| Quick hourly sleep/behaviour record | Sleeping, awake settled, restless, distressed, support provided |
| Behaviour incident report | Create linked incident and notify manager |
| Manager notification button | Notify manager for review or urgent support |
| Chart | Demo pattern |
|---|---|
| Behaviour events by week | Week 1: 10 |
| Behaviour events by time of day | 22:00-01:00 highest |
| Triggers frequency | Environmental noise 5, pain/discomfort suspected 3, unfamiliar approach 2 |
| Intensity breakdown | Low 4, Medium 3, High 3 |
| Restrictive practice trend | 1 event, reduction plan active |
| Sleep pattern overview | 7 monitored nights, settled periods improving |
| Action ID | Service user | Company | Source record | Source type | Action required | Responsible person | Priority | Due date | Status | Evidence | Completed by | Completed at | Manager approved | Approved by | Approved at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BACT-001 | demo-su-johnny-burrows | TEST-COMPANY-001 | ABC-DEMO-001 | ABC record | update care plan | Demo Care Coordinator | High | 07 June 2026 | Open | Draft care plan update | No | ||||
| BACT-002 | demo-su-johnny-burrows | TEST-COMPANY-001 | BRISK-001 | risk assessment | update risk assessment | Demo Registered Manager | High | 07 June 2026 | Open | Risk update draft | No | ||||
| BACT-003 | demo-su-johnny-burrows | TEST-COMPANY-001 | SLEEP-DEMO-003 | hourly record | request OT review | Demo Care Coordinator | Medium | 10 June 2026 | Open | OT referral draft | No | ||||
| BACT-004 | demo-su-johnny-burrows | TEST-COMPANY-001 | BINC-002 | incident | arrange staff debrief | Demo Field Supervisor | Medium | 08 June 2026 | In progress | Debrief notes | No | ||||
| BACT-005 | demo-su-johnny-burrows | TEST-COMPANY-001 | ABC-DEMO-007 | ABC record | review environment | Demo Registered Manager | High | 09 June 2026 | Open | Environment review checklist | No |
| CQC area | Evidence included |
|---|---|
| Safe | Behaviour risk assessment, restrictive practice safeguard, incident records, manager reviews |
| Effective | Behaviour support plan, professional referrals, care plan/risk assessment updates |
| Caring | Person-centred profile, family/representative input, least restrictive response |
| Responsive | ABC records, hourly sleep/behaviour records, action tracker, review meetings |
| Well-led | KPI dashboard, lessons learned, staff training/debriefs, audit trail and evidence pack |
| Acceptance area | Result | Evidence |
|---|---|---|
| Behaviour module trigger works | Pass in demo | Johnny Burrows has behaviourSupportRequired = Yes |
| Behaviour module hidden when disabled | Pass in demo | Service users with No show trigger-disabled message unless admin |
| Mobile recording works | Pass in demo | Mobile prompt card includes quick ABC and hourly record |
| Hourly record works | Pass in demo | 7 days hourly records generated |
| ABC record works | Pass in demo | 10 ABC records generated |
| Manager review works | Pass in demo | Manager review statuses displayed |
| AI draft approval works | Pass in demo | AI-assisted draft rows require manager approval |
| Restrictive practice safeguard works | Pass in demo | Restrictive practice must only be used as a last resort, where necessary, proportionate and least restrictive. Manager review is required. |
| KPI dashboard works | Pass in demo | KPI cards and chart rows populated |
| Evidence pack works | Pass in demo | CQC evidence mappings generated |
| Tenant separation passes | Partial | All demo behaviour records include companyId; real DB/RLS still required |