Table 4.5a: R-ACFI ADL rating (Mobility) 0 1 2 3 Requirements Standard Care Moderate assistance Full assistance Mechanical Lifting Mobility Independent (with or without Always providing physical Always providing physical Use of Mechanical Lifting device aids). assistance, on a one-to-one assistance, by at least two staff, for Transfers: Transfers basis, for at least part of the throughout the entire activity, Standing by for occasional or Always providing physical Locomotion activity, whenever the activity is whenever the activity is needed. episodic assistance. assistance by the use of needed. mechanical lifting equipment, Transfer Setting up activities e.g. throughout the entire transfer preparing or providing wheelchair activity, whenever the activity is or other transfer aid. needed. Locomotion Setting up activities e.g. handing the resident the mobility aid. Verbal assistance, prompting, cuing. Mandated Not required for standard care. R-ACFI Q2: PMS & FRAT items (completed within last 3 months of appraisal) Evidence Supporting Not required for standard care. 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 for standard care. Moderate cognitive impairment, Severe cognitive impairment Evidence: Physiotherapy Evidence requires staff to initiate the e.g. does not participate in the Assessment, NSAF, MP notes, activity. activity. diagnoses Evidence: Cognition Assessment Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, (SMMSE), clinical report, NSAF,
Table 4.5a: 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). Standing by for occasional or episodic assistance. Transfer Setting up activities e.g. preparing or providing wheelchair or other transfer aid. Locomotion Setting up activities e.g. handing the resident the mobility aid. 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 for standard care. R-ACFI Q2: PMS & FRAT items (completed within last 3 months of appraisal) Supporting Evidence Not required for standard care. 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 for standard care. Moderate cognitive impairment, requires staff to initiate the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, Severe cognitive impairment e.g. does not participate in the activity. Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, Evidence: Physiotherapy Assessment, NSAF, MP notes, diagnoses
acfi_review_report_part_2_main_report.docx