lacks detail/trends and corrective actions. However, improvements to incident and accident analysis were noted from August 2013. HDS(C)S.2008 Standard 1.3.5: Consumers' service delivery PA Moderate Planning plans are consumer focused, integrated, and promote continuity of service delivery. HDS(C)S.2008 Criterion 1.3.5.2 Service delivery plans describe PA Moderate (i)Six of nine care plans Ensure that all areas of 30 the required support and/or sampled do not have identified need have related intervention to achieve the interventions relating to interventions in care plans. desired outcomes identified by all areas of need. (ii) Ensure that short term the ongoing assessment Examples include MRSA, care plans are used to process. falls risk management, address short term needs. pressure area risk management and weight loss. (ii) One resident in the dementia unit who has a possible delirium and one resident in the hospital with reddened areas in the groin requiring creams do not have short term care plans relating to these needs. HDS(C)S.2008 Standard 1.3.6: Consumers receive adequate PA Moderate Service and appropriate services in Delivery/Interventions order to meet their assessed needs and desired outcomes. HDS(C)S.2008 Criterion 1.3.6.1 The provision of services and/or PA Moderate (i)One resident in the (i) Ensure that all residents 30 interventions are consistent hospital has her only using restraint have a with, and contribute to, meeting functioning hand documented assessment the consumers' assessed bandaged to prevent her and plan around this. (ii) needs, and desired outcomes. removing her naso Ensure weight loss is gastric tube. has appropriately managed
lacks detail/trends and corrective actions. However, improvements to incident and accident analysis were noted from August 2013. HDS(C)S.2008 Standard 1.3.5: Planning Consumers' service delivery plans are consumer focused, integrated, and promote continuity of service delivery. PA Moderate HDS(C)S.2008 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 Moderate (i)Six of nine care plans sampled do not have interventions relating to all areas of need. Examples include MRSA, falls risk management, pressure area risk management and weight loss. (ii) One resident in the dementia unit who has a possible delirium and one resident in the hospital with reddened areas in the groin requiring creams do not have short term care plans relating to these needs. Ensure that all areas of identified need have related interventions in care plans. (ii) Ensure that short term care plans are used to address short term needs. 30 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 Moderate 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 Moderate (i)One resident in the hospital has her only functioning hand bandaged to prevent her removing her naso gastric tube. has (i) Ensure that all residents using restraint have a documented assessment and plan around this. (ii) Ensure weight loss is appropriately managed 30
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