disposal comply with current covered and dated. Dry goods and pantry 60 days legislation, and guidelines. items were not stored correctly. Criterion 1.3.3.3 PA Low The registered nurse completes initial i) One of five (rest home) i) Ensure that all assessments and an initial care plan on admitted in July 2015 did not interRAI assessments Each of service provision admission. The long-term care plan is have an interRAI assessment are completed within (assessment, planning, completed within 21 days using the interRAI completed within 21 days of the required provision, evaluation, review, assessment tool and other relevant clinical admission; and timeframes. and exit) is provided within time assessment tools. Four of five files reviewed frames that safely meet the ii) One of five (rest home) did ii) Ensure that all had an interRAI assessment completed needs of the consumer. not have the long-term care care plans are within the required timeframes. Four of five plan completed within 21 days documented within 21 files sampled had the long-term care plan of admission. days of admission. completed within the required timeframe. 90 days Criterion 1.3.6.1 PA Low Assessments are completed on admission, The care plan for one hospital Ensure that when the care plan is reviewed and with a resident with unstable interventions are The provision of services and/or change in health condition. The RN reviews diabetes did not document the documented for all interventions are consistent with, information gathered using assessments and monitoring and interventions assessed care needs and contribute to, meeting the monitoring charts to ensure interventions are required for the management consumers' assessed needs, documented in the care plans to reflect of hyperglycaemia and and desired outcomes. current care needs. Four of five files hypoglycaemia. 60 days reviewed evidenced that interventions were documented for all identified care needs.
disposal comply with current legislation, and guidelines. covered and dated. Dry goods and pantry items were not stored correctly. 60 days Criterion 1.3.3.3 Each of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer. PA Low The registered nurse completes initial assessments and an initial care plan on admission. The long-term care plan is completed within 21 days using the interRAI assessment tool and other relevant clinical assessment tools. Four of five files reviewed had an interRAI assessment completed within the required timeframes. Four of five files sampled had the long-term care plan completed within the required timeframe. i) One of five (rest home) admitted in July 2015 did not have an interRAI assessment completed within 21 days of admission; and ii) One of five (rest home) did not have the long-term care plan completed within 21 days of admission. i) Ensure that all interRAI assessments are completed within the required timeframes. ii) Ensure that all care plans are documented within 21 days of admission. 90 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 Assessments are completed on admission, when the care plan is reviewed and with a change in health condition. The RN reviews information gathered using assessments and monitoring charts to ensure interventions are documented in the care plans to reflect current care needs. Four of five files reviewed evidenced that interventions were documented for all identified care needs. The care plan for one hospital resident with unstable diabetes did not document the monitoring and interventions required for the management of hyperglycaemia and hypoglycaemia. Ensure that interventions are documented for all assessed care needs 60 days
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