Services demonstrate that the use of restraint is restraint procedures. Interviews with the caregiver and nursing staff confirm their actively minimised. understanding of restraints and enablers. Enablers are assessed as required for maintaining safety and independence and are used voluntarily by the residents. The hospital has two residents with restraints (bedrails). One resident has an enabler (bedrail) in the hospital. The rest home is restraint free. Standard 2.2.1: Restraint approval and processes FA Suitably qualified and skilled in partnership with the resident and their family/whānau, undertake assessments for restraint. Family are consulted as part Services maintain a process for determining of the authorisation and whether previous advance directives related to restraint approval of all types of restraint used, restraint are in place. Restraint documentation identifies involvement of family. Individual processes (including policy and procedure), approved restraint is reviewed at least three monthly at Eventhorpe and as part of duration of restraint, and ongoing education on six monthly MDT review with whānau involvement. The restraint and falls focus restraint use and this process is made known to group meets monthly and restraint is discussed as part of this group. service providers and others. Standard 2.2.2: Assessment FA Bupa policies and procedures provide guidance and process to ensure a robust assessment process to the use of restraint. Two hospital level residents with Services shall ensure rigorous assessment of bedrails restraint, have an assessment in place that evidences family involvement consumers is undertaken, where indicated, in and consideration of alternatives to restraint. relation to use of restraint. Standard 2.2.3: Safe Restraint Use FA Two resident were reviewed for use of restraint. The resident files evidence that consideration to alternatives has been considered in association with the Services use restraint safely family and GP. There are care plan interventions in place that ensure the risks associated with restraint are mitigated and monitoring is documented as occurring according to the care plan. The monthly restraint and falls focus group monitors and discusses the use of restraint. Standard 2.2.4: Evaluation FA The restraint and falls focus group reviews and evaluates all episodes of restraint and enablers monthly. Restraint usage throughout the organisation is also Services evaluate all episodes of restraint. monitored regularly and is benchmarked. Review of this use across the group is discussed at regional restraint approval groups. Individual episodes of restraint are reviewed at least monthly as part of the monthly review of restraint. Three monthly GP reviews and six monthly MDT also review individual use of restraint.
Services demonstrate that the use of restraint is actively minimised. restraint procedures. Interviews with the caregiver and nursing staff confirm their understanding of restraints and enablers. Enablers are assessed as required for maintaining safety and independence and are used voluntarily by the residents. The hospital has two residents with restraints (bedrails). One resident has an enabler (bedrail) in the hospital. The rest home is restraint free. Standard 2.2.1: Restraint approval and processes Services maintain a process for determining approval of all types of restraint used, restraint processes (including policy and procedure), duration of restraint, and ongoing education on restraint use and this process is made known to service providers and others. FA Suitably qualified and skilled in partnership with the resident and their family/whānau, undertake assessments for restraint. Family are consulted as part of the authorisation and whether previous advance directives related to restraint are in place. Restraint documentation identifies involvement of family. Individual approved restraint is reviewed at least three monthly at Eventhorpe and as part of six monthly MDT review with whānau involvement. The restraint and falls focus group meets monthly and restraint is discussed as part of this group. Standard 2.2.2: Assessment Services shall ensure rigorous assessment of consumers is undertaken, where indicated, in relation to use of restraint. FA Bupa policies and procedures provide guidance and process to ensure a robust assessment process to the use of restraint. Two hospital level residents with bedrails restraint, have an assessment in place that evidences family involvement and consideration of alternatives to restraint. Standard 2.2.3: Safe Restraint Use Services use restraint safely FA Two resident were reviewed for use of restraint. The resident files evidence that consideration to alternatives has been considered in association with the family and GP. There are care plan interventions in place that ensure the risks associated with restraint are mitigated and monitoring is documented as occurring according to the care plan. The monthly restraint and falls focus group monitors and discusses the use of restraint. Standard 2.2.4: Evaluation Services evaluate all episodes of restraint. FA The restraint and falls focus group reviews and evaluates all episodes of restraint and enablers monthly. Restraint usage throughout the organisation is also monitored regularly and is benchmarked. Review of this use across the group is discussed at regional restraint approval groups. Individual episodes of restraint are reviewed at least monthly as part of the monthly review of restraint. Three monthly GP reviews and six monthly MDT also review individual use of restraint.
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