Standards › Standard 28 › Forms
Form · LTC-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 28.1
Purpose
Records the functional assessment and the individual maintenance and restoration plan for each resident.
How to complete
- Record the functional assessment and its date.
- Write the maintenance goals and the activities.
- Record each review and any change to the plan.
Checks
| Check | Entry |
|---|---|
| Functional assessment (date, tool) | Yes |
| Maintenance and restoration goals | Yes |
| Activities and responsible staff | Yes |
| Review date and change | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Global strategy and action plan on ageing and health 2016-2030, WHO Integrated care for older people (ICOPE) guidelines (2017), and WHO guidance on digital and AI governance. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)