Restraint is only used as a last resort when all options have been explored. An assessment, approval and monitoring process with regular reviews occurs. Staff receive training at orientation and thereafter annually. Staff demonstrated a sound knowledge and understanding of the restraint and enabler processes. Similarly, the review of residents’ files and associated documents for the Restraint Approval Group confirmed that the organisation’s systems are implemented and these standards are being met. Infection prevention and control The infection prevention and control programme, led by an experienced and appropriately trained infection control coordinator, aims to prevent and manage infections. There are terms of reference for the infection control committee which meets monthly. Specialist infection prevention and control advice is accessed from the district health board (DHB), microbiologist, infectious diseases physician, and group clinical advisory committee. The programme is reviewed annually. Staff demonstrated good principles and practice around infection control, which is guided by relevant policies and supported with regular education. Aged care specific infection surveillance is undertaken, analysed, trended, benchmarked and results reported through all levels of the organisation. Follow-up action is taken as and when required. Summary of attainment The following summarises the number of standards and criteria audited and the ratings they were awarded. Partially Partially Partially Partially Partially Continuous Fully Attained Attained Attained Low Attained Attained High Attained Critical Attainment Improvement Negligible Risk Risk Moderate Risk Risk Risk Rating (FA) (CI) (PA Negligible) (PA Low) (PA Moderate) (PA High) (PA Critical) Standards 0 49 0 1 0 0 0 0 99 1 1 0 0 0 Criteria
Restraint is only used as a last resort when all options have been explored. An assessment, approval and monitoring process with regular reviews occurs. Staff receive training at orientation and thereafter annually. Staff demonstrated a sound knowledge and understanding of the restraint and enabler processes. Similarly, the review of residents’ files and associated documents for the Restraint Approval Group confirmed that the organisation’s systems are implemented and these standards are being met. Infection prevention and control The infection prevention and control programme, led by an experienced and appropriately trained infection control coordinator, aims to prevent and manage infections. There are terms of reference for the infection control committee which meets monthly. Specialist infection prevention and control advice is accessed from the district health board (DHB), microbiologist, infectious diseases physician, and group clinical advisory committee. The programme is reviewed annually. Staff demonstrated good principles and practice around infection control, which is guided by relevant policies and supported with regular education. Aged care specific infection surveillance is undertaken, analysed, trended, benchmarked and results reported through all levels of the organisation. Follow-up action is taken as and when required. Summary of attainment The following summarises the number of standards and criteria audited and the ratings they were awarded. Attainment Rating Continuous Improvement (CI) Fully Attained (FA) Partially Attained Negligible Risk (PA Negligible) Partially Attained Low Risk (PA Low) Partially Attained Moderate Risk (PA Moderate) Partially Attained High Risk (PA High) Partially Attained Critical Risk (PA Critical) Standards 0 49 0 1 0 0 0 Criteria 0 99 1 1 0 0 0
AuditSummary_PRMS_CommunicatePublish_000004074002.docx