updated to include changed (ii) One hospital ACC resident file resident needs. reviewed had not been updated to reflect changes to continence (no longer has a catheter), and the need for use of lap belt restraint when in specialist wheelchair. For the same resident, with a current unstageable pressure injury, this was not documented in care plan, and pressure injury prevention equipment currently in place (air wave mattress) was not documented in the care plan; (iii) For a hospital resident with 7% weight loss in one month; the care plan had not been updated to reflect interventions being implemented to manage weight loss. The prescribed dietary supplement was not evidenced to be administered as prescribed (link to 1.3.12.6); and (iv) In two of two restraint files sampled the management of the risks associated with restraint use were not documented. Criterion 2.1.1.4 PA Moderate complete restraint (i) During a tour of the facility a Ensure that restraints training and competencies resident who is not assessed for an are only used when The use of enablers shall be voluntary and annually. Staff interviewed enabler had bed rails up on the the resident has been the least restrictive option to meet the needs where able to describe the bed. (ii) One resident with a lap assessed and the of the consumer with the intention of processes required for belt on a wheelchair had not had restraint approved. promoting or maintaining consumer restraint to be implemented. this identified as a restraint. (iii) Ensure that bed independence and safety. Despite this there were One resident who is not competent on beds are not raised residents restrained and with to consent to an enabler has a bed when the resident is an enabler that were not rail documented and managed as not approved for a approved or documented. an enabler, not a restraint. restraint or enabler.
updated to include changed resident needs. (ii) One hospital ACC resident file reviewed had not been updated to reflect changes to continence (no longer has a catheter), and the need for use of lap belt restraint when in specialist wheelchair. For the same resident, with a current unstageable pressure injury, this was not documented in care plan, and pressure injury prevention equipment currently in place (air wave mattress) was not documented in the care plan; (iii) For a hospital resident with 7% weight loss in one month; the care plan had not been updated to reflect interventions being implemented to manage weight loss. The prescribed dietary supplement was not evidenced to be administered as prescribed (link to 1.3.12.6); and (iv) In two of two restraint files sampled the management of the risks associated with restraint use were not documented. Criterion 2.1.1.4 The use of enablers shall 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 Moderate complete restraint training and competencies annually. Staff interviewed where able to describe the processes required for restraint to be implemented. Despite this there were residents restrained and with an enabler that were not approved or documented. (i) During a tour of the facility a resident who is not assessed for an enabler had bed rails up on the bed. (ii) One resident with a lap belt on a wheelchair had not had this identified as a restraint. (iii) One resident who is not competent to consent to an enabler has a bed rail documented and managed as an enabler, not a restraint. Ensure that restraints are only used when the resident has been assessed and the restraint approved. Ensure that bed on beds are not raised when the resident is not approved for a restraint or enabler.