members and groups. Activities for residents in this secure dementia unit are specific to the needs and abilities of the people living there. One on one activities are undertaken and built into the schedule. Staff, including caregivers, were observed encouraging residents, to move around, go outside, cuddle a toy animal or doll (as applicable for the person) or use the fiddle boards as they moved around. Family members informed that overall residents are well occupied and noted there is a wide range of ways families/visitors can be involved. A comprehensive social assessment and history is undertaken when a resident is admitted to ascertain their needs, interests, abilities and social requirements. A 24 hour diversional therapy plan is then developed on a template that requires eight different goals and sets of interventions. Participation in various activities are recorded in an individualised tick sheet. Improvements are required related to activity reports and evaluations as these were not current nor reflected personal goals. Standard 1.3.8: Evaluation FA Resident care is evaluated on each shift and reported in the progress notes. If any change is noted, it is reported to a registered nurse who is Consumers' service delivery are evaluated in a responsible for taking appropriate action. comprehensive and timely manner. A multidisciplinary team meeting is undertaken every month and a brief summary of the discussion about each resident is documented all of the resident’s files that were reviewed. Formal care plan evaluations, occur every six months in conjunction with the six-monthly interRAI reassessment and as resident’s needs change. Where progress is different from expected, the service responds by initiating changes to the plan of care and examples if updates were evident in all resident files sighted. There was a gap in the evaluations and reviews of diversional therapy plans and this has been noted in section standard 1.3.7 (Planned Activities) in this report. Examples of short term care plans being consistently reviewed and progress evaluated as clinically indicated were noted for infections, skin tears and wounds. When necessary, and for unresolved problems, long term care plans are added to and/or updated. Family members stated they believe their feedback is valued by staff and contributes to how their relative is cared for.
members and groups. Activities for residents in this secure dementia unit are specific to the needs and abilities of the people living there. One on one activities are undertaken and built into the schedule. Staff, including caregivers, were observed encouraging residents, to move around, go outside, cuddle a toy animal or doll (as applicable for the person) or use the fiddle boards as they moved around. Family members informed that overall residents are well occupied and noted there is a wide range of ways families/visitors can be involved. A comprehensive social assessment and history is undertaken when a resident is admitted to ascertain their needs, interests, abilities and social requirements. A 24 hour diversional therapy plan is then developed on a template that requires eight different goals and sets of interventions. Participation in various activities are recorded in an individualised tick sheet. Improvements are required related to activity reports and evaluations as these were not current nor reflected personal goals. Standard 1.3.8: Evaluation Consumers' service delivery are evaluated in a comprehensive and timely manner. FA Resident care is evaluated on each shift and reported in the progress notes. If any change is noted, it is reported to a registered nurse who is responsible for taking appropriate action. A multidisciplinary team meeting is undertaken every month and a brief summary of the discussion about each resident is documented all of the resident’s files that were reviewed. Formal care plan evaluations, occur every six months in conjunction with the six-monthly interRAI reassessment and as resident’s needs change. Where progress is different from expected, the service responds by initiating changes to the plan of care and examples if updates were evident in all resident files sighted. There was a gap in the evaluations and reviews of diversional therapy plans and this has been noted in section standard 1.3.7 (Planned Activities) in this report. Examples of short term care plans being consistently reviewed and progress evaluated as clinically indicated were noted for infections, skin tears and wounds. When necessary, and for unresolved problems, long term care plans are added to and/or updated. Family members stated they believe their feedback is valued by staff and contributes to how their relative is cared for.
AuditSummary_PRMS_CommunicatePublish_000005724001.docx