family/whānau is managed by the organisation, where resident, the resident, family and NASC service will be contacted so that appropriate. alternative residential accommodation can be found. If the resident's needs exceed the level of care provided, they are reassessed and an appropriate service is found for the resident. The resident agreement includes a statement for when a resident is required to leave the service. The admission agreement has a clause on when the agreement can be terminated and the need for reassessment if the service can no longer meet the needs of the resident. Standard 1.3.4: Assessment FA The service has implemented the electronic interRAI assessment for all residents. The service uses some of the organisational tools for risk Consumers' needs, support requirements, and assessments and interventions required should a risk be identified. All preferences are gathered and recorded in a timely assessment tools sighted are appropriate to the level of care. Initial manner. assessments includes falls, skin integrity, challenging behaviour, nutritional needs, continence, communication, self-medication and pain. Assessments are undertaken by a RN. The residents' files reviewed have initial assessments that includes identifying behaviour particular to the resident. The files reviewed had specific risks identified in the initial or ongoing care reviews. The behaviour assessments sighted include the triggers, description of the behaviour, contributing factors and solutions/de-escalation techniques. The service has a continence assessment and management procedure, wound care management procedures, wound care protocols and behaviour management processes, which include seeking expert assistance, such as, mental health services, when required. Where a need is identified, interventions for this are recorded on the care plan. All of the files reviewed have falls risk assessments and pressure risk assessments. Standard 1.3.5: Planning FA The residents' files reviewed have care plans that address resident's current abilities, level of independence, identified needs/deficits, and takes Consumers' service delivery plans are consumer into account the resident's habits, routines and idiosyncrasies. The focused, integrated, and promote continuity of service strategies for minimising falls risks are based on assessment and use of delivery. techniques that are effective for the resident and are evidenced in the files reviewed. The caregivers interviewed demonstrated knowledge on the management of falls risks for residents.
family/whānau is managed by the organisation, where appropriate. resident, the resident, family and NASC service will be contacted so that alternative residential accommodation can be found. If the resident's needs exceed the level of care provided, they are reassessed and an appropriate service is found for the resident. The resident agreement includes a statement for when a resident is required to leave the service. The admission agreement has a clause on when the agreement can be terminated and the need for reassessment if the service can no longer meet the needs of the resident. Standard 1.3.4: Assessment Consumers' needs, support requirements, and preferences are gathered and recorded in a timely manner. FA The service has implemented the electronic interRAI assessment for all residents. The service uses some of the organisational tools for risk assessments and interventions required should a risk be identified. All assessment tools sighted are appropriate to the level of care. Initial assessments includes falls, skin integrity, challenging behaviour, nutritional needs, continence, communication, self-medication and pain. Assessments are undertaken by a RN. The residents' files reviewed have initial assessments that includes identifying behaviour particular to the resident. The files reviewed had specific risks identified in the initial or ongoing care reviews. The behaviour assessments sighted include the triggers, description of the behaviour, contributing factors and solutions/de-escalation techniques. The service has a continence assessment and management procedure, wound care management procedures, wound care protocols and behaviour management processes, which include seeking expert assistance, such as, mental health services, when required. Where a need is identified, interventions for this are recorded on the care plan. All of the files reviewed have falls risk assessments and pressure risk assessments. Standard 1.3.5: Planning Consumers' service delivery plans are consumer focused, integrated, and promote continuity of service delivery. FA The residents' files reviewed have care plans that address resident's current abilities, level of independence, identified needs/deficits, and takes into account the resident's habits, routines and idiosyncrasies. The strategies for minimising falls risks are based on assessment and use of techniques that are effective for the resident and are evidenced in the files reviewed. The caregivers interviewed demonstrated knowledge on the management of falls risks for residents.