Criterion 1.3.5.2 PA Low On review of four long term care one resident One care plan reviewed Ensure that all care plans with behaviour issues relating verbal aggression did not reflect all the are individualised, and Service delivery plans describe does not have these issues fully documented in interventions and care capture the current care the required support and/or the plan, nor triggers for behaviours or sufficient requirements needed to requirements and intervention to achieve the information to guide staff in the de-escalation and guide staff in the care interventions needed to desired outcomes identified by management of behaviours. and management of guide staff in the care and the ongoing assessment behaviours that management of residents. process. challenge. 90 days Criterion 1.3.7.1 PA Low A social and lifestyle profile is completed within 48 One resident did not Ensure that all resident hours of new resident admission. An activity care have an activity care have an activity care plan Activities are planned and plan is developed within three weeks of plan developed six developed within the provided/facilitated to develop admission. months after permanent required time and maintain strengths (skills, admission. resources, and interests) that are meaningful to the 90 days consumer.
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 On review of four long term care one resident with behaviour issues relating verbal aggression does not have these issues fully documented in the plan, nor triggers for behaviours or sufficient information to guide staff in the de-escalation and management of behaviours. One care plan reviewed did not reflect all the interventions and care requirements needed to guide staff in the care and management of behaviours that challenge. Ensure that all care plans are individualised, and capture the current care requirements and interventions needed to guide staff in the care and management of residents. 90 days Criterion 1.3.7.1 Activities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer. PA Low A social and lifestyle profile is completed within 48 hours of new resident admission. An activity care plan is developed within three weeks of admission. One resident did not have an activity care plan developed six months after permanent admission. Ensure that all resident have an activity care plan developed within the required time 90 days
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