Standard 1.2.3: Quality And Risk Management FA Radius Peppertree has implemented a quality and risk management system. Systems are policies and procedures implemented to provide assurance that the The organisation has an established, documented, service is meeting accepted good practice and adhering to relevant and maintained quality and risk management standards, including those standards relating to the Health and Disability system that reflects continuous quality improvement Services (Safety) Act 2001. The operations management team at head principles. office regularly develop and review policies. The content of policy and procedures are detailed to allow effective implementation by staff. Staff interviewed (one RN and four healthcare assistants HCAs) confirm they are made aware of new/reviewed policies. – There are monthly combined quality/infection control and health and safety meetings where monthly quality data is discussed including infections, accidents and incidents, health and safety, restraints and enablers, concerns and complaints and audit outcomes. Other facility meetings include RN meetings, night shift meetings, full staff meeting and food service meetings. An internal audit programme includes clinical and non-clinical audits. For audits with outcomes below 95%, a corrective action plan is raised and discussed at the facility meetings. The facility manager, where required, has signed off corrective action plans. Resident/relative satisfaction surveys are completed annually in July. Through resident meetings, results were collated and fed back to participants. A separate activities survey was completed in February 2016 with 80% satisfaction with activities provided. Benchmarking of quality indicators occurs within the Radius organisation. The Radius Peppertree facility receives feedback on its performance through the Radius on-line quality system and this is communicated to staff through meetings and a display of quality data information. There is an implemented health and safety, and risk management system in place including policies to guide practice. The facility manager oversees health and safety. Two health and safety representatives have attended health and safety training. The committee is representative of all service areas and actively involved in the review of the hazard register and accident/incidents. The service has achieved tertiary level of the ACC workplace safety-management practices in September 2015.
Standard 1.2.3: Quality And Risk Management Systems The organisation has an established, documented, and maintained quality and risk management system that reflects continuous quality improvement principles. FA Radius Peppertree has implemented a quality and risk management system. are policies and procedures implemented to provide assurance that the service is meeting accepted good practice and adhering to relevant standards, including those standards relating to the Health and Disability Services (Safety) Act 2001. The operations management team at head office regularly develop and review policies. The content of policy and procedures are detailed to allow effective implementation by staff. Staff interviewed (one RN and four healthcare assistants – HCAs) confirm they are made aware of new/reviewed policies. There are monthly combined quality/infection control and health and safety meetings where monthly quality data is discussed including infections, accidents and incidents, health and safety, restraints and enablers, concerns and complaints and audit outcomes. Other facility meetings include RN meetings, night shift meetings, full staff meeting and food service meetings. An internal audit programme includes clinical and non-clinical audits. For audits with outcomes below 95%, a corrective action plan is raised and discussed at the facility meetings. The facility manager, where required, has signed off corrective action plans. Resident/relative satisfaction surveys are completed annually in July. Through resident meetings, results were collated and fed back to participants. A separate activities survey was completed in February 2016 with 80% satisfaction with activities provided. Benchmarking of quality indicators occurs within the Radius organisation. The Radius Peppertree facility receives feedback on its performance through the Radius on-line quality system and this is communicated to staff through meetings and a display of quality data information. There is an implemented health and safety, and risk management system in place including policies to guide practice. The facility manager oversees health and safety. Two health and safety representatives have attended health and safety training. The committee is representative of all service areas and actively involved in the review of the hazard register and accident/incidents. The service has achieved tertiary level of the ACC workplace safety-management practices in September 2015.