Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message data to display” then no continuous improvements were recorded as part of this of this “no audit. Criterion with desired outcome Attainment Audit Evidence Audit Finding Rating Criterion 1.1.8.1 CI The service is committed to Malvina Major Malvina strives to be an excellent provider of providing high quality end of life end of life care. To achieve this the service have implemented The service provides an care. The service has received the following a) developed an excellent working relationship environment that encourages good more than double the referrals with Mary Potter Hospice and GPs, b) developed a palliative practice, which should include from hospice in 2018 to date care champion for the service, c) continuing education and evidence-based practice. than for 2017. hosting of palliative care sessions at Malvina Major, d) accessed new innovative funding for RNs to participate in the In January 2017 the service link-nurse programme whereby the RNs work alongside identified an improvement was experienced practitioners at the hospice for five days, e) required around a high number weekly palliative care rounds at Malvina Major with the of incidents of challenging palliative care nurse specialist and f) the hospice doctors and behaviour in the care centre. nurse specialist have access to the one chart for prompt symptom management. There continues to be effective and regular communication with families. The service links to many areas of palliative care resources and host events and conferences, and attends meetings and reviews palliative care objectives in consultation with hospice and other community agencies. Complimentary letters, cards and emails were
Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message “no data to display” then no continuous improvements were recorded as part of this of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Criterion 1.1.8.1 The service provides an environment that encourages good practice, which should include evidence-based practice. CI The service is committed to providing high quality end of life care. The service has received more than double the referrals from hospice in 2018 to date than for 2017. In January 2017 the service identified an improvement was required around a high number of incidents of challenging behaviour in the care centre. Malvina Major Malvina strives to be an excellent provider of end of life care. To achieve this the service have implemented the following a) developed an excellent working relationship with Mary Potter Hospice and GPs, b) developed a palliative care champion for the service, c) continuing education and hosting of palliative care sessions at Malvina Major, d) accessed new innovative funding for RNs to participate in the link-nurse programme whereby the RNs work alongside experienced practitioners at the hospice for five days, e) weekly palliative care rounds at Malvina Major with the palliative care nurse specialist and f) the hospice doctors and nurse specialist have access to the one chart for prompt symptom management. There continues to be effective and regular communication with families. The service links to many areas of palliative care resources and host events and conferences, and attends meetings and reviews palliative care objectives in consultation with hospice and other community agencies. Complimentary letters, cards and emails were
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