Services shall ensure rigorous assessment of assessments are based on information in the initial care assessment, long term care consumers is undertaken, where indicated, in plan, resident/family discussions, RN and care staff observations, accident or relation to use of restraint. incidents, review of clinical risk assessment tools and behaviour assessments. Two files reviewed included completed assessments that considered those listed in 2.2.2.1 (a) - (h). Standard 2.2.3: Safe Restraint Use FA The service has an approval process (as part of the restraint minimisation policy) that is applicable to the service. The restraint is responsible for “champion” Services use restraint safely ensuring all restraint documentation is completed. The approval process includes ensuring the environment is appropriate and safe. Assessments identify the specific interventions or strategies to try (as appropriate) before implementing restraint. Restraint authorisation is in consultation with the consumer (as appropriate), family/whanau and the GP. Restraint use is reviewed three monthly. Each episode of restraint is monitored at pre-determined intervals depending on individual risk to that resident. Monitoring requirements are documented and the use of restraint evaluated regularly. There is a restraint register which provides an auditable record. Standard 2.2.4: Evaluation FA The restraint evaluation form includes the identified in 2.2.4.1 (a) (k). Written – evaluations are completed at least three monthly or earlier if required as part of the Services evaluate all episodes of restraint. three monthly medical review. Effective de-escalation strategies are reviewed by the restraint and approval committee. “champion” Standard 2.2.5: Restraint Monitoring and FA Restraint usage is monitored regularly by the restraint and approval “champion” Quality Review committee. Enabler and restraint use is discussed quarterly at the quality/health and safety meeting. An internal restraint audit is completed annually with 100% Services demonstrate the monitoring and compliance. quality review of their use of restraint.
Services shall ensure rigorous assessment of consumers is undertaken, where indicated, in relation to use of restraint. assessments are based on information in the initial care assessment, long term care plan, resident/family discussions, RN and care staff observations, accident or incidents, review of clinical risk assessment tools and behaviour assessments. Two files reviewed included completed assessments that considered those listed in 2.2.2.1 (a) - (h). Standard 2.2.3: Safe Restraint Use Services use restraint safely FA The service has an approval process (as part of the restraint minimisation policy) that is applicable to the service. The restraint “champion” is responsible for ensuring all restraint documentation is completed. The approval process includes ensuring the environment is appropriate and safe. Assessments identify the specific interventions or strategies to try (as appropriate) before implementing restraint. Restraint authorisation is in consultation with the consumer (as appropriate), family/whanau and the GP. Restraint use is reviewed three monthly. Each episode of restraint is monitored at pre-determined intervals depending on individual risk to that resident. Monitoring requirements are documented and the use of restraint evaluated regularly. There is a restraint register which provides an auditable record. Standard 2.2.4: Evaluation Services evaluate all episodes of restraint. FA The restraint evaluation form includes the identified in 2.2.4.1 (a) – (k). Written evaluations are completed at least three monthly or earlier if required as part of the three monthly medical review. Effective de-escalation strategies are reviewed by the restraint “champion” and approval committee. Standard 2.2.5: Restraint Monitoring and Quality Review Services demonstrate the monitoring and quality review of their use of restraint. FA Restraint usage is monitored regularly by the restraint “champion” and approval committee. Enabler and restraint use is discussed quarterly at the quality/health and safety meeting. An internal restraint audit is completed annually with 100% compliance.