| RISK-BASED QUESTIONS | Applicable MOA Tool | |
|---|---|---|
| 1. | Have there been any adverse findings by another regulatory agency or oversight body in the last 12 months? (e.g. Healthcare complaints commission or similar, food safety authority, WorkCover, etc). |
PCI Manager Interventions and improvements logged |
| 2. | What trends do your complaints data show you? |
Quality Indicators Number of complaints received Audits Feedback and complaints |
| 3. | How many consumers are receiving pressure injury care? |
Quality Indicators Number of pressure injuries developed in this service Number of pressure injuries on admission Number of pressure injuries on return from other services NACMQIP Tool Number of residents with one or more pressure injuries |
| 4. | Have there been any medication incidents in the past 6 months where a consumer required hospitalisation or attention by a medical officer? |
Quality Indicators Medication incident indicators Unplanned transfers to hospital Incident Management Module |
| 5. | How many consumers have had falls and required medical attention in the past 3 months? |
Quality Indicators Observed falls with injury Found on floor with injury, unobserved Incident Management Module |
| 6. | How many consumers at the service are currently subject to restrictive practices? (Prompt for a separate answer for chemical restraints, mechanical restraints, environmental restraints, physical restraints and seclusion) |
Audits Medication Management Delirium Restrictive Practices Quality Indicators Chemical restraint Individual environmental restraint Antipsychotic medication Antidepressant medication Anti-anxiety medication Insomnia medication SPOT Tools Self-assessment tool for recording consumers receiving psychotropic medications |
| 7. | Describe incidents (past 6 months) where a consumer or staff member required medical attention and/or psychological treatment as a result of challenging behaviour from another consumer; was a behaviour management plan implemented? |
Quality Indicators Care recipient aggressive incidents toward staff Care recipient aggressive incidents directed towards other care recipients Audits Incident Management SPOT Tools Behaviour Support Plan SPOT Check Incident Management Module |
| 8. | What action has the service taken to assess and minimise infection-related risks for the care of aged care consumers including the impact of a potential coronavirus (COVID-19) outbreak? |
SPOT Tools COVID-19 audit suite Hand Hygiene Audits Infection Control Antimicrobial Stewardship PCI Manager Interventions and improvements logged |
| RISK-BASED QUESTIONS | Applicable MOA Tool | |
|---|---|---|
| 1. | Have there been any adverse findings by another regulatory agency or oversight body in the last 12 months? (e.g. HealthCare Complaints Commission or similar, food safety authority, WorkCover, etc). |
PCI Manager Interventions and improvements logged |
| 2. | What trends do your complaints data show you? |
Quality Indicators Number of complaints received Audits Feedback and complaints |
| 3. | Has the service had unfilled shifts in the last month? |
Quality Indicators Total number of staff hours paid Missed services |
| 4. | Does the service have specific strategies to help staff to provide care to people living with dementia? If so, what are these? |
Audits Restrictive practices Behaviour management Meal services, nutrition, and hydration Choking/dysphagia Social, personal, and community life Delirium Pain management Managing high-impact and high-prevalence risks |
| 5. | Does the service have a process to identify and respond to changes in the condition of consumers? If so, what are these? |
Audits Responding to change and deterioration in health |
| 6. | What action has the service taken to assess and minimise infection-related risks for the care of aged care consumers including the impact of a potential coronavirus (COVID-19) outbreak? |
Audits Infection Control Antimicrobial Stewardship SPOT Tools Infection Control Spot Check – COVID-19 Hand Hygiene PCI Manager Interventions and improvements logged. |