Table 5.9: Summary of BEH Recommendations Item Changes Assessments, Checklists, Ratings Audit system Fit to Items noted Changes noted Validated Standardised Fit to RAC Fit to Mandated Contemporary Outcomes External Clarifies Improves reviews below below assessment information workforce Gateway Assessment Assessments Rules NR NR NR NR Currency improved NR RN/AHP NR Professional Claim requires a new (ax) (3/12) sign off Accountability ax Cognition Assessment SMMSE YES Fits to YES Cognitive score YES MMSE In NSAF NR Shared evidence Checklist NATframe Cognition Checklist YES NR Updated NR Updated to fit NR NR NR Requires NR SMMSE scores evidence if no assessment used Behaviour Frequency YES-ACFI NR NR NR 1 = Not at all or less No No change In NSAF, NR NR Behaviour than daily; assessment as a Record 2 = Daily; rating 3= 2 times per day everyday; 4 = > 2 times per day everyday Behaviour Verbal refusal & NR NR NR NR Removed NR NR NR Behaviour NR constantly types agitated Behaviour Description YES- Behaviour ABC approach NR IPA Individualised YES- ask an Previously Add to The behaviour Improves mapping the description is widely used recommends description of the informant expected, NSAF contex - what behaviour to resident Behaviour behaviour- for clear not a new is heard/seen documents description in communication concept for the ABC approach about the behaviour individual Behaviour Disruptiveness YES- YES NR Not at all/Mildly; YES- ask an Minor Add to How disruptive Disruptive behaviour Disruptiveness scale used Moderately; informant training/ NSAF the behaviour should be documented rating with in other Severely; support is, the level of in notes for feedback contextual assessments Extremely required staff input on strategies. information For care planning to Informants will have and evaluation implement better recall of disruptive events. Behaviour Checklist NR NR YES NR Matrix of frequency NR NR NR Severity of NR and disruptiveness behaviour and intensity of interventions
Table 5.9: Summary of BEH Recommendations Item Changes Assessments, Checklists, Ratings Audit system Items noted below Changes noted below Mandated Validated assessment Standardised information Contemporary Outcomes Fit to External Assessment Fit to RAC workforce Fit to Gateway Clarifies Improves reviews Assessments (ax) Rules NR NR NR NR Currency improved (3/12) NR RN/AHP sign off NR Professional Accountability Claim requires a new ax Cognition Assessment SMMSE YES Fits to Checklist YES Cognitive score YES MMSE NATframe In NSAF NR Shared evidence Cognition Checklist YES NR Updated NR Updated to fit SMMSE scores NR NR NR Requires evidence if no assessment used NR Behaviour Frequency YES-ACFI Behaviour Record NR NR NR 1 = Not at all or less than daily; 2 = Daily; 3= 2 times per day everyday; 4 = > 2 times per day everyday No assessment No change In NSAF, as a rating NR NR Behaviour Verbal refusal & constantly agitated NR NR NR NR Removed NR NR NR Behaviour types NR Behaviour Description YES- Behaviour description ABC approach is widely used NR IPA recommends Behaviour description in ABC approach Individualised description of the behaviour- for clear communication about the behaviour YES- ask an informant Previously expected, not a new concept Add to NSAF The behaviour contex - what is heard/seen for the individual Improves mapping the behaviour to resident documents Behaviour Disruptiveness YES- Disruptiveness rating with contextual information scale used in other assessments YES NR Not at all/Mildly; Moderately; Severely; Extremely For care planning and evaluation YES- ask an informant Minor training/ support required to implement Add to NSAF How disruptive the behaviour is, the level of staff input Disruptive behaviour should be documented in notes for feedback on strategies. Informants will have better recall of disruptive events. Behaviour Checklist NR NR YES NR Matrix of frequency and disruptiveness NR NR NR Severity of behaviour and intensity of interventions NR
acfi_review_report_part_2_main_report.docx