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Examples of Actions and Evidence - Standard 3 (3) (D)

Deterioration or change of a consumer’s mental health, cognitive or physical function, capacity or condition is recognised and responded to in a timely manner.

 

Consumers 

  • Consumers say they are confident that members of the workforce providing their care and services know them and would pick up a change in their condition, health or abilities. They also say the members of the workforce providing their care and services would know what to do about a change in their condition, health or any loss of abilities. 
     
  • Consumers and representatives say that they understand how to raise concerns about any deterioration in condition, health or ability which occurs.
     
  • Consumers and their representatives say that the organisation responded well to a change or deterioration in condition, health or ability when they needed to.
     

Workforce and others 

  • The workforce can describe the different situations where a change in a consumer’s condition, health or abilities should be identified and what response they should take. 
     
  • The workforce can describe how they should communicate information about a consumer’s condition, health or abilities deteriorating, who should be involved and what actions they should take.
     
  • The workforce can describe how they identify signs of deterioration. They can also describe their understanding of their role and the organisation’s processes for communicating and escalating any concerns.
     
  • Workforce orientation, training or other records that show how the organisation supported the workforce to meet this requirement.
     

Organisation

  • Evidence that the workforce who deliver care and services, document routine observations in line with the care and services plan and relevant policy and procedures. They also respond to triggers to escalate care when a consumer deteriorates.
     
  • Consumer records show critical information about a change in a consumer’s condition, health or abilities provided by members of the workforce, the consumer or their representative is acted on by the organisation.
     
  • Roles, responsibilities and accountabilities for members of the workforce for recognising and responding to a consumer’s deterioration are documented.
     
  • Policy and procedures document the organisation’s processes for responding to deterioration or change in a consumer’s condition, health or abilities, relevant to the services they provide. This includes how to communicate appropriately and involve consumers, their representatives and others including carers and families. 
     
  • Examples of documents about recognising and responding to deterioration. This can include advance care plans, documented needs, goals and preferences and documented discussions with consumers their representatives and others.
     
  • Evidence of improvements adopted after incident reports, investigations or feedback. This can include records from an incident management system about incidents or ‘near misses’ where the service didn’t recognise a consumer’s deterioration.
     
  • Evidence of how the organisation monitors and reports its performance against this requirement.  

 

Changed
Thursday, 13 December 2018 - 4:33pm