Reg 7(2) Yes/No Is the full name, age, gender, resident’s date of admission, and the name and address of his or her next of kin, and any representatives included in the resident’s records? And discharge date if they have left? Yes/No These records must be maintained in an appropriate manner at the facility ie. in the service plan, admission form, or resident’s contract Reg 6(6) Yes/No Does each resident have access to a copy of the Contract? Reg 6(6)(c) Yes/No Is an executed (signed) copy of the contract kept in the facility in a secure place? (Please sight) Yes/No Has an independent person witnessed the Guideline 2.1 contract (A member of staff including the manager/proprietor is not considered an appropriate witness) Have there been any amendments to the Contract? Discuss. Act 39(2) Is there a written form to ensure proper Yes/No issue of 28 days notice? Yes/No Does it include particulars and grounds for the termination of contract? Does it set out the rights that the Yes/No resident has to apply for a review of the proprietor’s decision? Yes/No Is this placed on the residents file? Is there a process when a resident is given 28 days notice? Review documentation that includes grounds for the termination and the rights to apply for a review of the resident’s decision proprietor’s Where is this documentation filed? Reg 6(4) Yes/No Does each resident have a service plan? Act 40 (This may be part of the resident contract) Reg 6(3)(b) Yes/No Is a checklist attached to each new resident contract and service plan that show they received the Schedule 3, service plan, and rules and policies? Yes/No Does the service plan contain the required detail of services? Reg 6(4)(a) The exact nature of the personal care Yes/No services provided to the resident Reg 6(4)(b) Instruction to staff relating to the Yes/No provision of these services Reg 6(4)(c)
Reg 7(2) Is the resident’s full name, age, gender, date of admission, and the name and address of his or her next of kin, and any representatives included in the resident’s records? And discharge date if they have left? These records must be maintained in an appropriate manner at the facility ie. in the service plan, admission form, or resident’s contract Yes/No Yes/No Reg 6(6) Does each resident have access to a copy of the Contract? Yes/No Reg 6(6)(c) Guideline 2.1 Is an executed (signed) copy of the contract kept in the facility in a secure place? (Please sight) Has an independent person witnessed the contract (A member of staff including the manager/proprietor is not considered an appropriate witness) Yes/No Yes/No Have there been any amendments to the Contract? Discuss. Act 39(2) Is there a written form to ensure proper issue of 28 days notice? Does it include particulars and grounds for the termination of contract? Does it set out the rights that the resident has to apply for a review of the proprietor’s decision? Is this placed on the residents file? Is there a process when a resident is given 28 days notice? Review documentation that includes grounds for the termination and the resident’s rights to apply for a review of the proprietor’s decision Where is this documentation filed? Yes/No Yes/No Yes/No Yes/No Reg 6(4) Act 40 Does each resident have a service plan? (This may be part of the resident contract) Yes/No Reg 6(3)(b) Is a checklist attached to each new resident contract and service plan that show they received the Schedule 3, service plan, and rules and policies? Yes/No Reg 6(4)(a) Reg 6(4)(b) Reg 6(4)(c) Does the service plan contain the required detail of services? The exact nature of the personal care services provided to the resident Instruction to staff relating to the provision of these services Yes/No Yes/No Yes/No
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