Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Citerion with desired outcome Audit Evidence Audit Finding Corrective action required and timeframe for Rating completion (days) Criterion 1.1.10.4 PA Low Information about the advance directive is Evidence of signed Maintain a record of the available to residents and their family. There is a EPOA’s has not signed EPOA. The service is able to demonstrate that process regarding the use of the enduring power been maintained. written consent is obtained where of attorney (EPOA) for residents who are not required. assessed as competent. A copy of the signed 180 days EPOA was not sighted in two of five resident files. Criterion 1.1.4.3 PA Low Documentation on cultural considerations was Documents related Provide staff with limited to cultural considerations for the to the care of Maori documentation related to the The organisation to ensure Māori management of hazardous waste. residents were not care of Maori residents. receive services commensurate with sighted, for example their needs. a Maori health plan/policy and 180 days tikanga practices. Criterion 1.1.8.1 PA Areas requiring improvement in service delivery Evidence of Provide consistent good resulted in a high risk finding. This included two consistent good practice. The service provides an environment areas regarding medication management and that encourages good practice, which staff competencies (refer criteria 1.3.12.3 and
Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Citerion with desired outcome Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.1.10.4 The service is able to demonstrate that written consent is obtained where required. PA Low Information about the advance directive is available to residents and their family. There is a process regarding the use of the enduring power of attorney (EPOA) for residents who are not assessed as competent. A copy of the signed EPOA was not sighted in two of five resident files. Evidence of signed EPOA’s has not been maintained. Maintain a record of the signed EPOA. 180 days Criterion 1.1.4.3 The organisation to ensure Māori receive services commensurate with their needs. PA Low Documentation on cultural considerations was limited to cultural considerations for the management of hazardous waste. Documents related to the care of Maori residents were not sighted, for example a Maori health plan/policy and tikanga practices. Provide staff with documentation related to the care of Maori residents. 180 days Criterion 1.1.8.1 The service provides an environment that encourages good practice, which PA Areas requiring improvement in service delivery resulted in a high risk finding. This included two areas regarding medication management and staff competencies (refer criteria 1.3.12.3 and Evidence of consistent good Provide consistent good practice.
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