Service response matter has been raised with the Residential Care Service team… Quality – “This improvement (and any relevant data) have been incorporated as a standing agenda item in those meetings.” Progress SAMS sighted meeting minutes with the Quality Improvement Plan as a standing – agenda item. Minutes indicate the plan was discussed at each staff meeting since at least December 2015. No further action required Finding 4 Criteria 1.2.7.3 – Two of five staff files sampled do not have a job description. Two of five staff files sampled do not have police checks. Action Ensure all staff have a job description on file. Ensure all staff have a police check completed. Service response two human resource matters were raised with the Residential Care Service –“These team immediately following the findings of our audit in 2013. job descriptions have been … incorporated into those staff members' files who did not already have a current and relevant job description… Te Toi Huarewa requested police checks on staff from the Ministry of Justice around the time of the audit. These have been received and are now on the relevant staff members' files.” Progress The SAMS team sighted the documentation referred to by the service on staff files and – copies of the new police check forms completed by new staff members that are in process. No further action required. Finding 5 Criteria 1.3.5.2 – Two of four residents experience seizures. The management of seizures is not addressed in the support Action Ensure all identified issues are addressed in the support plans. Service response support plans have since been reviewed and amended by adding a section on – “The seizures (which includes advice/information from Epilepsy NZ)…staff have received training on seizure management.” Progress SAMS sighted reference to seizure support in the lifestyle (care) plans. The reader is – directed to a special section in each person's file that is entitled Information about “seizure/restraint”. the individual's seizure history and management is noted in this section as well as information provided by Epilepsy NZ and seizure recording charts. No further action required. There were two corrective actions that require further review: Finding 1 Criteria 1.1.10.4 – Obtain signed home agreements from all whānau.
Service response – “This matter has been raised with the Residential Care Service team… Quality improvement (and any relevant data) have been incorporated as a standing agenda item in those meetings.” Progress – SAMS sighted meeting minutes with the Quality Improvement Plan as a standing agenda item. Minutes indicate the plan was discussed at each staff meeting since at least December 2015. No further action required Finding 4 – Criteria 1.2.7.3 Two of five staff files sampled do not have a job description. Two of five staff files sampled do not have police checks. Action Ensure all staff have a job description on file. Ensure all staff have a police check completed. Service response –“These two human resource matters were raised with the Residential Care Service team immediately following the findings of our audit in 2013. … job descriptions have been incorporated into those staff members' files who did not already have a current and relevant job description… Te Toi Huarewa requested police checks on staff from the Ministry of Justice around the time of the audit. These have been received and are now on the relevant staff members' files.” Progress – The SAMS team sighted the documentation referred to by the service on staff files and copies of the new police check forms completed by new staff members that are in process. No further action required. Finding 5 – Criteria 1.3.5.2 Two of four residents experience seizures. The management of seizures is not addressed in the support Action Ensure all identified issues are addressed in the support plans. Service response – “The support plans have since been reviewed and amended by adding a section on seizures (which includes advice/information from Epilepsy NZ)…staff have received training on seizure management.” Progress – SAMS sighted reference to seizure support in the lifestyle (care) plans. The reader is directed to a special section in each person's file that is entitled “seizure/restraint”. Information about the individual's seizure history and management is noted in this section as well as information provided by Epilepsy NZ and seizure recording charts. No further action required. There were two corrective actions that require further review: Finding 1 – Criteria 1.1.10.4 Obtain signed home agreements from all whānau.
te-toi-huarewa-developmental-evaluation-report-summary.docx