OUTCOME 2.1 RESTRAINT MINIMISATION STANDARD 2.1.1 Restraint minimisation Services demonstrate that the use of restraint is actively minimised. ARC E4.4a D16.6 D SI STI MI CI MaI V CQ SQ STQ Ma L Evaluation methods used: How is achievement of this standard met or not met? Attainment: FA Documented systems are in to ensure the use of restraint is actively minimized. Registered nurse interviewed (one) is the restraint coordinator. There are two residents who have requested the use of bed rails as an enabler. Six residents require the use of bed rails, and two residents require the use of a lazy boy chair and waist belt as a restraint. Staff interviews and staff records evidence guidance has been given on RMSP, enabler usage and prevention and/or de-escalation techniques. Policies and procedures include definition of restraint and enabler that are congruent with the definition in NZS 8134.0. The 2012 certification audit identified that staff had not received any formal education around challenging behaviours or the use of restraints and enablers. This finding has been addressed. Staff education on challenging behaviour management/de-escalation, restraint and enablers was completed was conducted in March 2012 and attended by nine staff. Restraint minimisation and safe practice audit was conducted in April 2013 and July 2013 with corrective actions identified being signed off as having been completed and discussed at staff meetings. Criterion 2.1.1.4 The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety. FA Audit Evidence Attainment: Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: OUTCOME 2.2 SAFE RESTRAINT PRACTICE Consumers receive services in a safe manner.
OUTCOME 2.1 RESTRAINT MINIMISATION STANDARD 2.1.1 Restraint minimisation Services demonstrate that the use of restraint is actively minimised. ARC E4.4a D16.6 Evaluation methods used: D SI STI MI CI MaI V CQ SQ STQ Ma L How is achievement of this standard met or not met? Attainment: FA Documented systems are in to ensure the use of restraint is actively minimized. Registered nurse interviewed (one) is the restraint coordinator. There are two residents who have requested the use of bed rails as an enabler. Six residents require the use of bed rails, and two residents require the use of a lazy boy chair and waist belt as a restraint. Staff interviews and staff records evidence guidance has been given on RMSP, enabler usage and prevention and/or de-escalation techniques. Policies and procedures include definition of restraint and enabler that are congruent with the definition in NZS 8134.0. The 2012 certification audit identified that staff had not received any formal education around challenging behaviours or the use of restraints and enablers. This finding has been addressed. Staff education on challenging behaviour management/de-escalation, restraint and enablers was completed was conducted in March 2012 and attended by nine staff. Restraint minimisation and safe practice audit was conducted in April 2013 and July 2013 with corrective actions identified being signed off as having been completed and discussed at staff meetings. Criterion 2.1.1.4 The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety. Audit Evidence Attainment: FA Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: OUTCOME 2.2 SAFE RESTRAINT PRACTICE Consumers receive services in a safe manner.