Criterion 2.1.1.4 The use of enablers be PA Low During the audit a hospital When environmental restraint is 90 HDS(RMSP)S.2008 voluntary and the least resident was sighted to be in the used ensure this is restrictive option to meet the dementia unit. This is documented in policy and that needs of the consumer with the environmental restraint. The the resident has an appropriate intention of promoting or dementia unit health care assessment and that the care maintaining consumer assistant spoken to reports this plan includes the use of independence and safety. occurs occasionally to prevent environmental restraint and the resident wandering. The ways to manage the risk of this. restraint policies do not include environmental restraint and the resident has not been assessed for environmental restraint. The use of the environmental restraint and ways to manage the risks of this are not included in the resident’s care plan. HDS(RMSP)S.2008 Standard 2.2.2: Services shall ensure rigorous PA Assessment assessment of consumers is Moderate undertaken, where indicated, in relation to use of restraint. HDS(RMSP)S.2008 Criterion 2.2.2.1 In assessing whether restraint PA Two of six resident sampled Ensure all residents have an 90 will be used, appropriate factors Moderate for residents using restraint (both assessment and consent form are taken into consideration by in the dementia unit) do not have completed prior to the use of a suitably skilled service an assessment and consent form restraint. provider. This shall include but completed. One further file for a is not limited to: resident for who restraint was (a) Any risks related to the use commenced in August 2013 did of restraint; not have an assessment and (b) Any underlying causes for consent form completed until the relevant behaviour or January 2014. condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, which may have involved the consumer being
HDS(RMSP)S.2008 Criterion 2.1.1.4 The use of enablers 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. PA Low During the audit a hospital resident was sighted to be in the dementia unit. This is environmental restraint. The dementia unit health care assistant spoken to reports this occurs occasionally to prevent the resident wandering. The restraint policies do not include environmental restraint and the resident has not been assessed for environmental restraint. The use of the environmental restraint and ways to manage the risks of this are not included in the resident’s care plan. When environmental restraint is used ensure this is documented in policy and that the resident has an appropriate assessment and that the care plan includes the use of environmental restraint and ways to manage the risk of this. 90 HDS(RMSP)S.2008 Standard 2.2.2: Assessment Services shall ensure rigorous assessment of consumers is undertaken, where indicated, in relation to use of restraint. PA Moderate HDS(RMSP)S.2008 Criterion 2.2.2.1 In assessing whether restraint will be used, appropriate factors are taken into consideration by a suitably skilled service provider. This shall include but is not limited to: (a) Any risks related to the use of restraint; (b) Any underlying causes for the relevant behaviour or condition if known; (c) Existing advance directives the consumer may have made; (d) Whether the consumer has been restrained in the past and, if so, an evaluation of these episodes; (e) Any history of trauma or abuse, which may have involved the consumer being PA Moderate Two of six resident sampled for residents using restraint (both in the dementia unit) do not have an assessment and consent form completed. One further file for a resident for who restraint was commenced in August 2013 did not have an assessment and consent form completed until January 2014. Ensure all residents have an assessment and consent form completed prior to the use of restraint. 90