the function for each stage they manage. Criterion 1.3.12.6 PA Low All medication files sampled contained accurate and of sixteen medication Ensure all medication legible prescribing information, demographic details and files sampled did not have charts have the allergy Medicine current photographs. Not all files had allergies allergies, or allergy status status documented. management documented. documented. information is recorded to a level of 30 days detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines. Criterion 1.3.3.3 PA Low All resident files sampled had current interRAI and Four of eight files sampled Ensure all assessment, care plans documented and reviewed. Not all (two hospital and two care plan and evaluation Each stage of service documentation was completed within expected psychogeriatric) did not have requirements are provision timeframes. InterRAI contractual requirements had not a long-term care plan completed within (assessment, previously been met as the service had no interRAI completed within three weeks contractual timeframes. planning, provision, trained RN’s. This issue has now been addressed and of admission. evaluation, review, all residents now have current interRAI assessments and exit) is provided Two of four files sampled 90 days within time frames under the ARHSS contract that safely meet the did not have contractual needs of the timeframes around interRAI consumer. met. One hospital file sampled had a period of 11 months between evaluations. Criterion 1.3.8.2 PA Low All care plans requiring evaluation had current Five of eight care plans Ensure evaluations documentation, however the documentation did not sampled (two psychogeriatric document progress Evaluations are always include progress against the goals. including one on a long-term toward desired outcomes. documented, support chronic health consumer-focused, condition contract and three indicate the degree of hospital including one on an 90 days achievement or ACC contract) did not response to the
the function for each stage they manage. Criterion 1.3.12.6 Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines. PA Low All medication files sampled contained accurate and legible prescribing information, demographic details and current photographs. Not all files had allergies documented. of sixteen medication files sampled did not have allergies, or allergy status documented. Ensure all medication charts have the allergy status documented. 30 days Criterion 1.3.3.3 Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer. PA Low All resident files sampled had current interRAI and care plans documented and reviewed. Not all documentation was completed within expected timeframes. InterRAI contractual requirements had not previously been met as the service had no interRAI trained RN’s. This issue has now been addressed and all residents now have current interRAI assessments Four of eight files sampled (two hospital and two psychogeriatric) did not have a long-term care plan completed within three weeks of admission. Two of four files sampled under the ARHSS contract did not have contractual timeframes around interRAI met. One hospital file sampled had a period of 11 months between evaluations. Ensure all assessment, care plan and evaluation requirements are completed within contractual timeframes. 90 days Criterion 1.3.8.2 Evaluations are documented, consumer-focused, indicate the degree of achievement or response to the PA Low All care plans requiring evaluation had current documentation, however the documentation did not always include progress against the goals. Five of eight care plans sampled (two psychogeriatric including one on a long-term support chronic health condition contract and three hospital including one on an ACC contract) did not Ensure evaluations document progress toward desired outcomes. 90 days
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