continuity in service record review of residents and follow up post incident or their review of residents where they have delivery and promotes a change in health condition. The registered nurse has post incidents or reviewed residents team approach documented response to incidents and care needs via following changes in and reviewed care appropriate. incident reports and short-term care plans developed. health condition. staff entries. 60 days Criterion 1.3.4.2 PA Low The service has a comprehensive nursing admission The interRAI Ensure that all assessment that has been completed for all five resident assessment tool has not residents have the The outcomes, and/or reviewed. Paper based assessments included been completed for two interRAI assessment goals of consumers are continence, pressure injury risk, nutrition, falls risk and residents admitted after tool completed when identified via the pain. Two new residents and two residents who have 1 July 2015 and two required. assessment process and had care plan reviews conducted after 1January 2016 residents who have had are documented to serve as have not been assessed with the interRAI tool. One is care plan reviews after the basis for service not yet required to be reviewed with the tool. the 1 January 2016. 90 days delivery planning. Criterion 1.3.5.2 PA Low Long-term care plans reviewed for five of five files were Two residents (admitted Ensure that all new comprehensive and personalised. Initial care plans had after 1 January 2016) residents have an Service delivery plans been documented for three of five resident files reviewed. had not had an initial initial care plan describe the required care plan developed. documented within support and/or intervention 48 hours of to achieve the desired admission. outcomes identified by the ongoing assessment process. 90 days Criterion 1.4.2.1 PA Moderate Hot water temperatures are scheduled to be checked Hot water temperatures Ensure that a monthly. checks have been above corrective action plan All buildings, plant, and 45 degrees at various is implemented equipment comply with times and places over hot water legislation. the past six months. temperatures are There have been no recorded over 45 corrective action plans degrees. conducted. 60 days
continuity in service delivery and promotes a team approach appropriate. record review of residents and follow up post incident or change in health condition. The registered nurse has documented response to incidents and care needs via incident reports and short-term care plans developed. their review of residents post incidents or following changes in health condition. where they have reviewed residents and reviewed care staff entries. 60 days Criterion 1.3.4.2 The outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning. PA Low The service has a comprehensive nursing admission assessment that has been completed for all five resident reviewed. Paper based assessments included continence, pressure injury risk, nutrition, falls risk and pain. Two new residents and two residents who have had care plan reviews conducted after 1January 2016 have not been assessed with the interRAI tool. One is not yet required to be reviewed with the tool. The interRAI assessment tool has not been completed for two residents admitted after 1 July 2015 and two residents who have had care plan reviews after the 1 January 2016. Ensure that all residents have the interRAI assessment tool completed when required. 90 days Criterion 1.3.5.2 Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. PA Low Long-term care plans reviewed for five of five files were comprehensive and personalised. Initial care plans had been documented for three of five resident files reviewed. Two residents (admitted after 1 January 2016) had not had an initial care plan developed. Ensure that all new residents have an initial care plan documented within 48 hours of admission. 90 days Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. PA Moderate Hot water temperatures are scheduled to be checked monthly. Hot water temperatures checks have been above 45 degrees at various times and places over the past six months. There have been no corrective action plans conducted. Ensure that a corrective action plan is implemented hot water temperatures are recorded over 45 degrees. 60 days