Preparing for re-accreditation

We worked together at a 100+ residential care facility in South Australia. The home is a two-storey purpose built new facility with a dementia specific wing. The home’s clinical and catering services would not have met the Accreditation Standards.

A significant amount of work was required to bring the home up to standard, including:

  • Undertaking a consumer experience survey of greater than 20% of care recipients which identified specific gaps that required action, especially in relation to catering services.
  • Assisting management to undertake self-assessment in readiness for re-accreditation audit.
  • Teaching clinical staff how to use Tracer methodology to audit clinical and lifestyle systems and processes for a group of care recipients. This identified significant gaps in assessment, care planning and review processes, particularly in relation to restraint use, nutrition, medication and behaviour management.
  • Monitoring reassessment of care recipients, and care plans updated to reflect newly identified needs.
  • One to one and group training was provided to staff on the home’s clinical processes to ensure consistent implementation.
  • Working in collaboration with the organisation’s external suppliers and reviewing the services processes for fluid texturing. A new system was implemented along with relevant training for all staff.
  • Implementation of a Texture Modified Diet Focus Group to include staff, care recipients, families, speech pathologists, catering contractor, and site’s management team.
  • Review and implementation of appropriate process for food and fluid texturing to ensure safety and quality for at risk residents.
  • Working closely with the catering contractor to redesign the menu to suit the care recipients needs and preferences, and improve efficiencies and cost of food supply.
  • Implementing a suitable uniform and personal hygiene practices for catering staff.
  • Undertaking a review of the scope of service for cleaning services and purchasing appropriate cleaning equipment in consultation with the staff and equipment manufacturer / supplier.
  • Implementing an effective and efficient micro-fibre mopping system across the facility.
  • Review of cleaning and laundry roster and implementation of a more effective and efficient roster.
  • Review and implementation of Cleaning and Laundry staffs’ Duty Statements and task lists.

The home had their re-accreditation site audit in 2018 and were found to be compliant with all 44 Expected outcomes of the Accreditation Standards.

By Virginia .M and Vitish .G

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