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 Criterion with desired Audit Evidence Finding Corrective action outcome Rating required and timeframe for completion (days) Criterion 1.3.12.3 PA Low Registered nurse and caregivers administer administrating medication Ensure that all medications. All medication persons undertake a including the owner/manager and the staff administrating Service providers medication competency assessment. registered nurse have not completed medication responsible for medicine medication competency annually. completes annual management are medication competent to perform the competencies. function for each stage they manage. 60 days Criterion 1.3.6.1 PA Low are assessed using pre admission documentation; (i) One resident with weight loss and (i), (ii) and (iii) doctors notes, and the assessment tools which are dietitian recommendations does not Ensure that all The provision of services completed by a registered nurse. Care plans are goal evidence interventions updated in interventions are and/or interventions are orientated and reviewed at six monthly intervals (# link the resident’s long term care plan. updated in the consistent with, and 1.3.8.2). (ii) One resident that requires the resident’s long contribute to, meeting the use of a does not have evidence term care plan to consumers' assessed of hoist interventions updated in the support identified resident’s long term care plan. (iii)
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. Criterion with desired outcome Rating Audit Evidence Finding Corrective action required and timeframe for completion (days) Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform the function for each stage they manage. PA Low Registered nurse and caregivers administer medications. All medication persons undertake a medication competency assessment. administrating medication including the owner/manager and the registered nurse have not completed medication competency annually. Ensure that all staff administrating medication completes annual medication competencies. 60 days Criterion 1.3.6.1 The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed PA Low are assessed using pre admission documentation; doctors notes, and the assessment tools which are completed by a registered nurse. Care plans are goal orientated and reviewed at six monthly intervals (# link 1.3.8.2). (i) One resident with weight loss and dietitian recommendations does not evidence interventions updated in the resident’s long term care plan. (ii) One resident that requires the use of a does not have evidence of hoist interventions updated in the resident’s long term care plan. (iii) (i), (ii) and (iii) Ensure that all interventions are updated in the resident’s long term care plan to support identified
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