Specific results for criterion 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 1.3.5.2 PA Low Resident care reviewed were (i) were no documented (i) Ensure there are resident focused and individualised. interventions for the management documented interventions Service delivery plans Overall identified support needs were of pain for one rest home resident for pain management and describe the required included in the care plans for all at Lonsdale, and (ii) there were (ii) ensure restraint risks are support and/or intervention resident files reviewed. However documented risks around the use documented for all residents to achieve the desired not all interventions were documented of restraint for three of five hospital on restraint. outcomes identified by the to manage pain and restraint risks. residents on restraint. ongoing assessment process. 90 days
Specific results for criterion 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 1.3.5.2 Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. PA Low Resident care reviewed were resident focused and individualised. Overall identified support needs were included in the care plans for all resident files reviewed. However not all interventions were documented to manage pain and restraint risks. (i) were no documented interventions for the management of pain for one rest home resident at Lonsdale, and (ii) there were documented risks around the use of restraint for three of five hospital residents on restraint. (i) Ensure there are documented interventions for pain management and (ii) ensure restraint risks are documented for all residents on restraint. 90 days
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