Table 2: R-ACFI ADL rating (Mobility) 0 1 2 3 Requirements Standard Care Moderate assistance Full assistance Mechanical Lifting Mobility Independent (with or without aids); Always providing physical Always providing physical Use of Mechanical Lifting device for OR assistance, on a one-to-one basis, assistance, by at least two staff, Transfers: Transfers for at least part of the activity, throughout the entire activity, Standing by for occasional or Always providing physical Locomotion whenever the activity is needed. whenever the activity is needed. episodic assistance; OR assistance by the use of mechanical lifting equipment, throughout the Transfer Setting up activities e.g. entire transfer activity, whenever preparing or providing wheelchair or the activity is needed. other transfer aid; OR Locomotion Setting up activities e.g. handing the resident the mobility aid; OR Verbal assistance, prompting, cuing. Mandated Not required R-ACFI Q2: PMS & FRAT items (completed within last 3 months of appraisal) Evidence Supporting Not required Sensory Impairment: Evidence: NSAF, MP notes, diagnoses Evidence Behavioural Issues: Evidence- clinical report, NSAF, MP notes. Physical impairment e.g. gait, balance. Evidence: Functional Assessment (PMS), Physiotherapy report, NSAF, MP notes, diagnoses. Supporting Not required Moderate cognitive impairment, Severe cognitive impairment e.g. Evidence: Physiotherapy Evidence requires staff to initiate the does not participate in the activity. Assessment, NSAF, MP notes, activity. diagnoses Evidence: Cognition Assessment Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP (SMMSE), clinical report, NSAF, MP notes, diagnoses notes.
Table 2: R-ACFI ADL rating (Mobility) Requirements 0 Standard Care 1 Moderate assistance 2 Full assistance 3 Mechanical Lifting Mobility Transfers Locomotion Independent (with or without aids); OR Standing by for occasional or episodic assistance; OR Transfer Setting up activities e.g. preparing or providing wheelchair or other transfer aid; OR Locomotion Setting up activities e.g. handing the resident the mobility aid; OR Verbal assistance, prompting, cuing. Always providing physical assistance, on a one-to-one basis, for at least part of the activity, whenever the activity is needed. Always providing physical assistance, by at least two staff, throughout the entire activity, whenever the activity is needed. Use of Mechanical Lifting device for Transfers: Always providing physical assistance by the use of mechanical lifting equipment, throughout the entire transfer activity, whenever the activity is needed. Mandated Evidence Not required R-ACFI Q2: PMS & FRAT items (completed within last 3 months of appraisal) Supporting Evidence Not required Sensory Impairment: Evidence: NSAF, MP notes, diagnoses Behavioural Issues: Evidence- clinical report, NSAF, MP notes. Physical impairment e.g. gait, balance. Evidence: Functional Assessment (PMS), Physiotherapy report, NSAF, MP notes, diagnoses. Supporting Evidence Not required Moderate cognitive impairment, requires staff to initiate the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes. Severe cognitive impairment e.g. does not participate in the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes, diagnoses Evidence: Physiotherapy Assessment, NSAF, MP notes, diagnoses
acfi_review_report_part_1_summary.docx