Consumers' service delivery plans are evaluated in a reviewed resident’s files when the desired outcomes are not met. comprehensive and timely manner. Short term care plans evidenced the resident’s response to treatment after the treatment regime is completed. Standard 1.4.2: Facility Specifications FA is a current building warrant of fitness displayed. There have been no changes to the layout of the building since the last audit or Consumers are provided with an appropriate, accessible last evacuation (February 2016). physical environment and facilities that are fit for their purpose. Standard 3.5: Surveillance FA The infection surveillance programme is appropriate for aged care. The service uses standardised definitions to identify infections that Surveillance for infection is carried out in accordance are based on residential care setting best practice. Infection data is with agreed objectives, priorities, and methods that have collected and analysed monthly. The data is externally benchmarked been specified in the infection control programme. on a quarterly basis. There are low numbers of infections, with five months in the reporting period 2015 and 2016 where there have been no infections. When trends or common possible causative factors are indicated, actions are implemented to reduce the reoccurrence of the infection. The actions implemented are discussed at the staff meetings. Staff interviewed reported that they are informed of infection rates at monthly staff meetings and through compiled reports. Standard 2.1.1: Restraint minimisation FA The service demonstrated that the use of restraint is actively minimised. There are no residents using restraint; three residents use Services demonstrate that the use of restraint is actively an enabler. The restraint register is current. The policies and minimised. procedures have good definitions of restraints and enablers. Staff demonstrated good knowledge regarding restraints and enablers. The previous area for improvement in 2.2.1 has been fully implemented in practice.
Consumers' service delivery plans are evaluated in a comprehensive and timely manner. reviewed resident’s files when the desired outcomes are not met. Short term care plans evidenced the resident’s response to treatment after the treatment regime is completed. Standard 1.4.2: Facility Specifications Consumers are provided with an appropriate, accessible physical environment and facilities that are fit for their purpose. FA is a current building warrant of fitness displayed. There have been no changes to the layout of the building since the last audit or last evacuation (February 2016). Standard 3.5: Surveillance Surveillance for infection is carried out in accordance with agreed objectives, priorities, and methods that have been specified in the infection control programme. FA The infection surveillance programme is appropriate for aged care. The service uses standardised definitions to identify infections that are based on residential care setting best practice. Infection data is collected and analysed monthly. The data is externally benchmarked on a quarterly basis. There are low numbers of infections, with five months in the reporting period 2015 and 2016 where there have been no infections. When trends or common possible causative factors are indicated, actions are implemented to reduce the reoccurrence of the infection. The actions implemented are discussed at the staff meetings. Staff interviewed reported that they are informed of infection rates at monthly staff meetings and through compiled reports. Standard 2.1.1: Restraint minimisation Services demonstrate that the use of restraint is actively minimised. FA The service demonstrated that the use of restraint is actively minimised. There are no residents using restraint; three residents use an enabler. The restraint register is current. The policies and procedures have good definitions of restraints and enablers. Staff demonstrated good knowledge regarding restraints and enablers. The previous area for improvement in 2.2.1 has been fully implemented in practice.
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