Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with desired Attainment Audit Evidence Audit Finding Corrective action required outcome Rating and timeframe for completion (days) Criterion 1.3.6.1 PA Low Four of seven long term care plans detail (i). Two dementia care (i).Ensure behaviour interventions required to meet the needs of the plans lacked management strategies are The provision of services residents. Two dementia care plans lacked interventions to support clearly documented in the long and/or interventions are interventions to support management of behaviours management of term care plan. consistent with, and that challenge. Monitoring of restraints and behaviours that contribute to, meeting the (ii).Ensure restraint monitoring enablers is guided by policy and assessment tools. challenge. consumers' assessed documentation is completed. Not all monitoring forms had been completed as per needs, and desired (ii). Monitoring of the lap requirements. outcomes. belt restraint for one hospital resident was 90 days not undertaken for three days. Criterion 1.3.9.1 PA Low There is evidence of medical review and Referrals for Ensure re-assessments for psychogeriatrician involvement in two rest home for two higher level of care is initiated Consumers are given the residents with challenging behaviour. The GP and residents have not been as per medical advice and choice and advised of the pychogeriatrician have documented the initiated for two rest within a timely manner. their options to access residents require referral for higher level of care. home residents with Referrals for needs other health and disability challenging behaviour assessments for both rest home services where indicated as per medical notes. or requested. A record of
Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.3.6.1 The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. PA Low Four of seven long term care plans detail interventions required to meet the needs of the residents. Two dementia care plans lacked interventions to support management of behaviours that challenge. Monitoring of restraints and enablers is guided by policy and assessment tools. Not all monitoring forms had been completed as per requirements. (i). Two dementia care plans lacked interventions to support management of behaviours that challenge. (ii). Monitoring of the lap belt restraint for one hospital resident was not undertaken for three days. (i).Ensure behaviour management strategies are clearly documented in the long term care plan. (ii).Ensure restraint monitoring documentation is completed. 90 days Criterion 1.3.9.1 Consumers are given the choice and advised of their options to access other health and disability services where indicated or requested. A record of PA Low There is evidence of medical review and psychogeriatrician involvement in two rest home residents with challenging behaviour. The GP and the pychogeriatrician have documented the residents require referral for higher level of care. Referrals for for two residents have not been initiated for two rest home residents with challenging behaviour as per medical notes. Ensure re-assessments for higher level of care is initiated as per medical advice and within a timely manner. Referrals for needs assessments for both rest home
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