0 0 0 0 0 0 0 60 Criteria Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.3.6: Consumers receive PA Low Service adequate and Delivery/Interventions appropriate services in order to meet their assessed needs and desired outcomes. HDS(C)S.2008 Criterion 1.3.6.1 The provision of PA Low (i)One hospital (i)Ensure alternative 60 services and/or resident reviewed by strategies/activities for interventions are the psychiatrist for the de-escalation of consistent with, and challenging behaviour challenging contribute to, meeting does not have a behaviours are the consumers' behaviour assessment documented in the assessed needs, and in place documenting care plan/behavioural desired outcomes. alternative assessment. ii) strategies/activities for Ensure pain the de-escalation of assessments are challenging completed for all behaviours as per the residents who identify psychiatrist letter. ii) with chronic, Two hospital residents breakthrough or new with reports of a) pain episodes. wound pain and b) Ensure there is exacerbation of a monitoring of the chronic pain do not effectiveness of pain have pain relief. iii) Ensure assessments chronic wounds are completed. One rest documented on the home resident on chronic/complex regular and prn wound care plan and analgesia for linked to the long term breakthrough pain care plan. does not have a pain assessment or monitoring of the effectiveness of pain. The initial assessment
Criteria 0 0 0 0 0 0 0 60 Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.3.6: Service Delivery/Interventions Consumers receive adequate and appropriate services in order to meet their assessed needs and desired outcomes. PA Low HDS(C)S.2008 Criterion 1.3.6.1 The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. PA Low (i)One hospital resident reviewed by the psychiatrist for challenging behaviour does not have a behaviour assessment in place documenting alternative strategies/activities for the de-escalation of challenging behaviours as per the psychiatrist letter. ii) Two hospital residents with reports of a) wound pain and b) exacerbation of a chronic pain do not have pain assessments completed. One rest home resident on regular and prn analgesia for breakthrough pain does not have a pain assessment or monitoring of the effectiveness of pain. The initial assessment (i)Ensure alternative strategies/activities for the de-escalation of challenging behaviours are documented in the care plan/behavioural assessment. ii) Ensure pain assessments are completed for all residents who identify with chronic, breakthrough or new pain episodes. Ensure there is monitoring of the effectiveness of pain relief. iii) Ensure chronic wounds are documented on the chronic/complex wound care plan and linked to the long term care plan. 60
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