Table 4.5: ACFI ADL rating (Nutrition) 0 1 2 3 Requirements Standard Care Monitoring Moderate assistance Full assistance Nutrition Nutrition Standard Care: Independent during Needs general monitoring for an Always providing physical Always providing physical the EATING activity. assessed nutritional need using assistance, on a one-to-one assistance, on a one-to-one the mandated assessment.. basis, for part of the EATING basis, throughout the entire Staff standing by for occasional or activity, whenever the activity is activity, whenever the activity is episodic assistance. needed, due to a swallowing needed. Provision of modified textured issue or other impairment. food and drinks. Setting up activities e.g. taking lids off, cut up food, specialised plates and cutlery, special diets, placing food in front of resident. Providing verbal assistance (e.g. prompting, cueing). Mandated Not required for standard care. R-ACFI Q1: MNA Short (completed within last 3 months of appraisal) Evidence Supporting Not required for standard care. Not required for monitoring. Swallowing impairment: Swallowing impairment: Evidence Evidence- Speech Pathologist Evidence- Speech Pathologist report report Physical/ sensory impairment: Physical/ sensory impairment: Evidence- NSAF, MP notes, Evidence- NSAF, MP notes, diagnoses. diagnoses. Moderate Cognitive Severe Cognitive Impairment: Impairment- requires staff to e.g. does not participate in the initiate or complete the activity. activity Evidence: Cognition Assessment Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, (SMMSE), clinical report, NSAF, MP notes, diagnoses. MP notes, diagnoses.
Table 4.5: ACFI ADL rating (Nutrition) Requirements 0 Standard Care 1 Monitoring 2 Moderate assistance 3 Full assistance Nutrition Nutrition Standard Care: Independent during the EATING activity. Staff standing by for occasional or episodic assistance. Provision of modified textured food and drinks. Setting up activities e.g. taking lids off, cut up food, specialised plates and cutlery, special diets, placing food in front of resident. Providing verbal assistance (e.g. prompting, cueing). Needs general monitoring for an assessed nutritional need using the mandated assessment.. Always providing physical assistance, on a one-to-one basis, for part of the EATING activity, whenever the activity is needed, due to a swallowing issue or other impairment. Always providing physical assistance, on a one-to-one basis, throughout the entire activity, whenever the activity is needed. Mandated Evidence Not required for standard care. R-ACFI Q1: MNA Short (completed within last 3 months of appraisal) Supporting Evidence Not required for standard care. Not required for monitoring. Swallowing impairment: Evidence- Speech Pathologist report Physical/ sensory impairment: Evidence- NSAF, MP notes, diagnoses. Moderate Cognitive Impairment- requires staff to initiate or complete the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes, diagnoses. Swallowing impairment: Evidence- Speech Pathologist report Physical/ sensory impairment: Evidence- NSAF, MP notes, diagnoses. Severe Cognitive Impairment: e.g. does not participate in the activity Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes, diagnoses.
acfi_review_report_part_2_main_report.docx