implemented in the organisation. These policies and by an external provider. IC policies and procedures identify links to other procedures are practical, safe, and documentation in the facility. appropriate/suitable for the type of service provided. Standard 3.4: Education FA Infection control education is provided to all staff, as part of their orientation and as part of the on-going in-service education programme. Staff state that The organisation provides relevant education on clinical staff identify situations where IC education is required for a resident infection control to all service providers, support such as hand hygiene; cough etiquette and one on one education is and consumers. conducted. Education sessions are documented with a record of attendance maintained. The clinical manager/ ICC has completed IC education relevant to their position on an annual basis. Standard 3.5: Surveillance FA The infection control coordinator is responsible for the surveillance programme. Monthly surveillance data relating to number and type of Surveillance for infection is carried out in infections is recorded and there is evidence the data being analysed and accordance with agreed objectives, priorities, and evaluated. methods that have been specified in the infection control programme. Standardised definitions are used for the identification and classification of infection events, indicators or outcomes. Infection logs are maintained for infection events with these retained in individual resident files. Staff report they are made aware of any infections of individual residents by way of feedback from the clinical manager or registered nurse, through verbal and written handovers and through documentation in progress notes. Standard 2.1.1: Restraint minimisation FA Policies and procedures on restraint minimisation and use of enablers are documented and are links with the policy for managing challenging Services demonstrate that the use of restraint is behaviour. These are accessible to guide staff actions related to restraint and actively minimised. enabler use. There is no evidence of restraint or enablers being in use at this facility. The service has a commitment to a policy, philosophy and ‘non-restraint’ appropriate use of enablers/restraint. Enablers are only used for safety reasons. Staff interviewed understood that the use of enablers is to be a voluntary and the least restrictive means to meet the needs of residents with the intention and/or maintaining of a resident’s independence. Training records evidence training occurs at orientation and is ongoing. The clinical manager is the restraint co-ordinator.
implemented in the organisation. These policies and procedures are practical, safe, and appropriate/suitable for the type of service provided. by an external provider. IC policies and procedures identify links to other documentation in the facility. Standard 3.4: Education The organisation provides relevant education on infection control to all service providers, support and consumers. FA Infection control education is provided to all staff, as part of their orientation and as part of the on-going in-service education programme. Staff state that clinical staff identify situations where IC education is required for a resident such as hand hygiene; cough etiquette and one on one education is conducted. Education sessions are documented with a record of attendance maintained. The clinical manager/ ICC has completed IC education relevant to their position on an annual basis. Standard 3.5: Surveillance Surveillance for infection is carried out in accordance with agreed objectives, priorities, and methods that have been specified in the infection control programme. FA The infection control coordinator is responsible for the surveillance programme. Monthly surveillance data relating to number and type of infections is recorded and there is evidence the data being analysed and evaluated. Standardised definitions are used for the identification and classification of infection events, indicators or outcomes. Infection logs are maintained for infection events with these retained in individual resident files. Staff report they are made aware of any infections of individual residents by way of feedback from the clinical manager or registered nurse, through verbal and written handovers and through documentation in progress notes. Standard 2.1.1: Restraint minimisation Services demonstrate that the use of restraint is actively minimised. FA Policies and procedures on restraint minimisation and use of enablers are documented and are links with the policy for managing challenging behaviour. These are accessible to guide staff actions related to restraint and enabler use. There is no evidence of restraint or enablers being in use at this facility. The service has a commitment to a ‘non-restraint’ policy, philosophy and appropriate use of enablers/restraint. Enablers are only used for safety reasons. Staff interviewed understood that the use of enablers is to be a voluntary and the least restrictive means to meet the needs of residents with the intention and/or maintaining of a resident’s independence. Training records evidence training occurs at orientation and is ongoing. The clinical manager is the restraint co-ordinator.