management of medicines and storage of food at the ward level. The hospital site is and this needs to include the ‘smoke free’ mental health service. Management of enablers (bed rails in particular) also requires improvement. There is an area of continuous improvement in relation to infection prevention and control. Consumer rights Information about the Health and Disability of Health and Disability Services Consumers' Rights (the Code of Commissioner’s Code Rights) and the Nationwide Health and Disability Advocacy Service in both English and is available and accessible te reo Māori, throughout Hauora services. Advocacy and support for patients and is evident. Patients and Tairāwhiti their whānau family/whānau interviewed confirmed their rights are upheld and that they have received respectful care throughout their stay. Staff are fully aware of the need for privacy and make every effort to ensure this occurs. Family violence screening and other appropriate risk assessments are completed on entry to the service. Suitable training is provided. health plan outlines priorities to reduce health and social disparities in the region. Kaiatawhai and ora roles are A Māori whānau well established and and their felt well supported. Māori patients whānau Spiritual needs are addressed with a range of chaplaincy services available. Patients described feeling empowered to make decisions about their care and treatment and are welcome to have support people with them during their stay. Open communication with the multidisciplinary team is confirmed by patients and with whānau, examples of open disclosure documented. Interpreter services are accessible and used. Examples of good practice were observed, such as the screening and management of gestational diabetes in the maternity service, consistent implementation of in the operating theatre, the handover process to staff for the weekend, and ‘timeout’ ‘on call’ medical work undertaken to reduce unnecessary admissions and ensure patients do not have any delay in their discharge.
management of medicines and storage of food at the ward level. The hospital site is ‘smoke free’ and this needs to include the mental health service. Management of enablers (bed rails in particular) also requires improvement. There is an area of continuous improvement in relation to infection prevention and control. Consumer rights Information about the Health and Disability Commissioner’s Code of Health and Disability Services Consumers' Rights (the Code of Rights) and the Nationwide Health and Disability Advocacy Service in both English and te reo Māori, is available and accessible throughout Hauora Tairāwhiti services. Advocacy and support for patients and their whānau is evident. Patients and family/whānau interviewed confirmed their rights are upheld and that they have received respectful care throughout their stay. Staff are fully aware of the need for privacy and make every effort to ensure this occurs. Family violence screening and other appropriate risk assessments are completed on entry to the service. Suitable training is provided. A Māori health plan outlines priorities to reduce health and social disparities in the region. Kaiatawhai and whānau ora roles are well established and Māori patients and their whānau felt well supported. Spiritual needs are addressed with a range of chaplaincy services available. Patients described feeling empowered to make decisions about their care and treatment and are welcome to have support people with them during their stay. Open communication with the multidisciplinary team is confirmed by patients and whānau, with examples of open disclosure documented. Interpreter services are accessible and used. Examples of good practice were observed, such as the screening and management of gestational diabetes in the maternity service, consistent implementation of ‘timeout’ in the operating theatre, the handover process to ‘on call’ medical staff for the weekend, and work undertaken to reduce unnecessary admissions and ensure patients do not have any delay in their discharge.
tairawhiti-dhb-audit-summary-may2016.docx