Summary of assistance needed provisions for R-ACFI 1 to 4 Table 1: R-ACFI ADL rating (Nutrition) 0 1 2 3 Requirements Standard Care Monitoring Moderate assistance Full assistance Nutrition Nutrition Standard Care: Independent Needs general Always providing physical assistance, on a Always providing physical assistance, during the EATING activity; OR monitoring for an one-to-one basis, for part of the EATING on a one-to-one basis, throughout the assessed activity, whenever the activity is needed, entire activity, whenever the activity is Staff standing by for occasional nutritional need due to a swallowing issue or other needed. or episodic assistance; OR using the impairment. Provision of modified textured mandated food and drinks; OR assessment. Setting up activities e.g. taking lids off, cut up food, specialised plates and cutlery, special diets, placing food in front of resident; OR Providing verbal assistance (e.g. prompting, cueing). Mandated Not required R-ACFI Q1: MNA Short (completed within last 3 months of appraisal) Evidence Supporting Not required Not required Swallowing impairment: Swallowing impairment: Evidence Evidence- Speech Pathologist report Evidence- Speech Pathologist report Physical/ sensory impairment: Evidence- Physical/ sensory impairment: NSAF, MP notes, diagnoses. Evidence - NSAF, MP notes, diagnoses. Moderate Cognitive Impairment- requires Severe Cognitive Impairment: e.g. staff to initiate or complete the activity. does not participate in the activity Evidence: Cognition Assessment Evidence: Cognition Assessment (SMMSE), clinical report, NSAF, MP notes, (SMMSE), clinical report, NSAF, MP diagnoses. notes, diagnoses.
Summary of assistance needed provisions for R-ACFI 1 to 4 Table 1: R-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; OR Staff standing by for occasional or episodic assistance; OR Provision of modified textured food and drinks; OR Setting up activities e.g. taking lids off, cut up food, specialised plates and cutlery, special diets, placing food in front of resident; OR 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 R-ACFI Q1: MNA Short (completed within last 3 months of appraisal) Supporting Evidence Not required Not required 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_1_summary.docx