the service and staff training was completed early in March 2014 around this. Criterion 2.2.5.1 CI There are Bupa policies around the Individuals’ approved restraint is reviewed at least two completion of restraint assessments and monthly through the clinical and quality meeting and Services conduct comprehensive monitoring. This is benchmarked with other as a multi-disciplinary review with family/EPOA reviews regularly, of all restraint Bupa facilities. involvement. Restraint usage throughout the practice in order to determine: organisation is also monitored regularly and is (a) The extent of restraint use and benchmarked. The organisation and facility are any trends; proactive in reducing restraints. Currently there are (b) The organisation's progress in no residents on restraints in the dementia unit or rest reducing restraint; home. No one has been restrained in the rest home (c) Adverse outcomes; since April 2011. There are seven hospital level (d) Service provider compliance residents on restraint. Restraints used do not with policies and procedures; currently include bed rails but lap belts and one (e) Whether the approved restraint low/low bed. There are four hospital level residents is necessary, safe, of an currently using enablers. There is full family/EPOA appropriate duration, and consultation documented around the use of any appropriate in light of consumer restraint and enablers. Alternatives and risks are and service provider feedback, and explored and restraint is only used as a last resort. current accepted practice; Regular falls assessments and toileting regimes are (f) If individual plans of used, as well as assessments by physiotherapists, care/support identified alternative training and staff competencies. The facility have techniques to restraint and worked hard to reduce the number of residents’ on demonstrate restraint evaluation; restraint and maintain this status through the two (g) Whether changes to policy, monthly meetings, handovers, on-site training/toolbox procedures, or guidelines are talks with care givers and registered nurses. Staff required; and talked about the need to reduce restraints and were (h) Whether there are additional able to identify risks involved and the need to monitor education or training needs or residents’. changes required to existing education. End of the report.
the service and staff training was completed early in March 2014 around this. Criterion 2.2.5.1 Services conduct comprehensive reviews regularly, of all restraint practice in order to determine: (a) The extent of restraint use and any trends; (b) The organisation's progress in reducing restraint; (c) Adverse outcomes; (d) Service provider compliance with policies and procedures; (e) Whether the approved restraint is necessary, safe, of an appropriate duration, and appropriate in light of consumer and service provider feedback, and current accepted practice; (f) If individual plans of care/support identified alternative techniques to restraint and demonstrate restraint evaluation; (g) Whether changes to policy, procedures, or guidelines are required; and (h) Whether there are additional education or training needs or changes required to existing education. CI There are Bupa policies around the completion of restraint assessments and monitoring. This is benchmarked with other Bupa facilities. Individuals’ approved restraint is reviewed at least two monthly through the clinical and quality meeting and as a multi-disciplinary review with family/EPOA involvement. Restraint usage throughout the organisation is also monitored regularly and is benchmarked. The organisation and facility are proactive in reducing restraints. Currently there are no residents on restraints in the dementia unit or rest home. No one has been restrained in the rest home since April 2011. There are seven hospital level residents on restraint. Restraints used do not currently include bed rails but lap belts and one low/low bed. There are four hospital level residents currently using enablers. There is full family/EPOA consultation documented around the use of any restraint and enablers. Alternatives and risks are explored and restraint is only used as a last resort. Regular falls assessments and toileting regimes are used, as well as assessments by physiotherapists, training and staff competencies. The facility have worked hard to reduce the number of residents’ on restraint and maintain this status through the two monthly meetings, handovers, on-site training/toolbox talks with care givers and registered nurses. Staff talked about the need to reduce restraints and were able to identify risks involved and the need to monitor residents’. End of the report.
AuditSummary_PRMS_CommunicatePublish_000000977005.docx