managed and the quality meeting stated IC trends’. “no An incident form was sighted as completed for the outbreak. Criterion 2.2.3.4 PA Low The service has a lounge (i) There is no documented procedure to (i) Ensure there are with stable doors. The lower mitigate risk around the management of procedures in place to ensure Each episode of restraint is door can be locked. This locking immobile residents in the room. (ii) a locked door is managed documented in sufficient detail lounge is off the main lounge There has been one incident identified appropriately (ii) Ensure the to provide an accurate account and the lower stable door is where a mobile resident had managed in get locked door is included as part of the indication for use, mainly kept locked during the into the lounge and was unable to get out of risk/hazard management intervention, duration, its day. Later in the afternoon until staff undid the bolt. and processes are outcome, and shall include but immobile residents that require implemented to mitigate the is not limited to: a quieter space are kept in this risks (a) Details of the reasons for lounge so as not to be initiating the restraint, including disturbed by wandering and the desired outcome; agitated residents. During this 60 days (b) Details of alternative time the lower stable door is interventions (including locked and the other open so techniques where residents can be sighted applicable) that were attempted easily. Staff were observed or considered prior to the use of checking residents in the quiet restraint; lounge regularly and they (c) Details of any could describe how checks at advocacy/support offered, least every 15mins were provided or facilitated; completed. One caregiver is (d) The outcome of the restraint; assigned to oversee both (e) Any injury to any person as a lounges at all times and result of the use of restraint; therefore the risk has been (f) Observations and monitoring identified as low. of the consumer during the restraint; (g) Comments resulting from the evaluation of the restraint.
managed and the quality meeting stated “no IC trends’. An incident form was sighted as completed for the outbreak. Criterion 2.2.3.4 Each episode of restraint is documented in sufficient detail to provide an accurate account of the indication for use, intervention, duration, its outcome, and shall include but is not limited to: (a) Details of the reasons for initiating the restraint, including the desired outcome; (b) Details of alternative interventions (including techniques where applicable) that were attempted or considered prior to the use of restraint; (c) Details of any advocacy/support offered, provided or facilitated; (d) The outcome of the restraint; (e) Any injury to any person as a result of the use of restraint; (f) Observations and monitoring of the consumer during the restraint; (g) Comments resulting from the evaluation of the restraint. PA Low The service has a lounge with stable doors. The lower door can be locked. This lounge is off the main lounge and the lower stable door is mainly kept locked during the day. Later in the afternoon immobile residents that require a quieter space are kept in this lounge so as not to be disturbed by wandering and agitated residents. During this time the lower stable door is locked and the other open so residents can be sighted easily. Staff were observed checking residents in the quiet lounge regularly and they could describe how checks at least every 15mins were completed. One caregiver is assigned to oversee both lounges at all times and therefore the risk has been identified as low. (i) There is no documented procedure to mitigate risk around the management of locking immobile residents in the room. (ii) There has been one incident identified where a mobile resident had managed in get into the lounge and was unable to get out until staff undid the bolt. (i) Ensure there are procedures in place to ensure a locked door is managed appropriately (ii) Ensure the locked door is included as part of risk/hazard management and processes are implemented to mitigate the risks 60 days