Standard 1.3.4: Assessment (HDS(C)S.2008:1.3.4) Consumers' needs, support requirements, and preferences are gathered and recorded in a timely manner. ARC D16.2; E4.2 ARHSS D16.2; D16.3d; D16.5g.ii Attainment and Risk: FA Evidence: The following personal needs information is gathered during admission (but not limited to): personal and identification and next of kin, ethnicity and religion, current and previous health and/or disability conditions, medication and allergies, activities of daily living, equipment needs, family/whanau support, activities preferences, food & nutrition information and mental function. Risk assessment tools and monitoring forms are available and implemented to assess level of risk and required support for residents including (but not limited to); a) water low pressure area risk assessment, b) skin integrity, c) three day continence assessment, d) coombes falls risk, e) dietary profile/nutritional needs screening f) pain/Abbey scale assessment g) physiotherapy assessment. h) Behavioural assessment i) wound assessment and enabler/restraint assessment (as applicable). Assessments are reviewed six monthly or when there is a change to condition. ARC E4.2; Three resident files reviewed included an individual assessment that included identifying diversional, motivation and recreational requirements. E4, 2a Challenging behaviours assessments are completed. Behaviour nursing care are in place. Criterion 1.3.4.2 (HDS(C)S.2008:1.3.4.2) The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.)
Standard 1.3.4: Assessment (HDS(C)S.2008:1.3.4) Consumers' needs, support requirements, and preferences are gathered and recorded in a timely manner. ARC D16.2; E4.2 ARHSS D16.2; D16.3d; D16.5g.ii Attainment and Risk: FA Evidence: The following personal needs information is gathered during admission (but not limited to): personal and identification and next of kin, ethnicity and religion, current and previous health and/or disability conditions, medication and allergies, activities of daily living, equipment needs, family/whanau support, activities preferences, food & nutrition information and mental function. Risk assessment tools and monitoring forms are available and implemented to assess level of risk and required support for residents including (but not limited to); a) water low pressure area risk assessment, b) skin integrity, c) three day continence assessment, d) coombes falls risk, e) dietary profile/nutritional needs screening f) pain/Abbey scale assessment g) physiotherapy assessment. h) Behavioural assessment i) wound assessment and enabler/restraint assessment (as applicable). Assessments are reviewed six monthly or when there is a change to condition. ARC E4.2; Three resident files reviewed included an individual assessment that included identifying diversional, motivation and recreational requirements. E4, 2a Challenging behaviours assessments are completed. Behaviour nursing care are in place. Criterion 1.3.4.2 (HDS(C)S.2008:1.3.4.2) The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.)
AuditSummary_PRMS_CommunicatePublish_000000879001.docx