order to meet the resident meetings and these are issues raised are addressed and outcomes reported identified. (ii) Ensure specified Standard minuted. back. resident meeting minutes or requirements is document follow through developed and on issues raised. implemented. 90 days Criterion 1.2.7.5 PA Staff training is generally completed Five of five staff files sampled do not have a current Ensure all staff have an Low with compliance days which are performance appraisal. annual performance A system to identify, repeated more than once to ensure appraisal. plan, facilitate, and attendance. Two compliance days in record ongoing October 2013 covered infection control, education for health and safety, emergency plan, fire 180 days service providers to safety, CPR, advocacy and code of provide safe and rights. The most recent compliance effective services to day in March 2014 included infection consumers. control, health and safety, cultural safety and CPR. There has been significant recent training around medication management. Training booked for 2015 includes falls prevention, wound management and chemical safety. Criterion 1.3.1.4 PA Residents (two rest home and four The admission agreement does not meet the Ensure the admission Low hospital) and family/whanau (two rest requirements of the ARC contract. agreement meets the Entry criteria, home and one hospital) confirmed on requirements of the ARC assessment, and interview they had received all relevant contract. entry screening information on admission. The processes are information pack contains an documented and information book, the Code and 90 days clearly brochure of the service, and an communicated to advocacy brochure. The previous consumers, their admission agreement met the contract family/whānau of requirements. This was changed by choice where the last CSM and no longer meets appropriate, local requirements. The service has an
order to meet the specified Standard or requirements is developed and implemented. resident meetings and these are minuted. issues raised are addressed and outcomes reported back. identified. (ii) Ensure resident meeting minutes document follow through on issues raised. 90 days Criterion 1.2.7.5 A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. PA Low Staff training is generally completed with compliance days which are repeated more than once to ensure attendance. Two compliance days in October 2013 covered infection control, health and safety, emergency plan, fire safety, CPR, advocacy and code of rights. The most recent compliance day in March 2014 included infection control, health and safety, cultural safety and CPR. There has been significant recent training around medication management. Training booked for 2015 includes falls prevention, wound management and chemical safety. Five of five staff files sampled do not have a current performance appraisal. Ensure all staff have an annual performance appraisal. 180 days Criterion 1.3.1.4 Entry criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local PA Low Residents (two rest home and four hospital) and family/whanau (two rest home and one hospital) confirmed on interview they had received all relevant information on admission. The information pack contains an information book, the Code and brochure of the service, and an advocacy brochure. The previous admission agreement met the contract requirements. This was changed by the last CSM and no longer meets requirements. The service has an The admission agreement does not meet the requirements of the ARC contract. Ensure the admission agreement meets the requirements of the ARC contract. 90 days