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 1.2.3.1 CI Royal Heights is continuing to achieve the quality goals Having fully attained this criterion the which are set annually. The service is ready to engage in service demonstrates that it The organisation has a quality and using the interRAI data warehouse for comparison and continues to review and evaluate its risk management system which is analysis of their data. Although the service has not had quality and risk management understood and implemented by residents with pressure injuries, a new audit tool for systems and take actions which service providers. pressure injury prevention has been added to the schedule improve and strengthen its methods and incident and accident documents have been updated for performance monitoring. This has to include reporting on these. Where audits reveal areas lead to safer systems, improved that do not attain 100% of the outcomes, there was outcomes for residents and greater documented evidence of investigations and remedial participation by consumers. actions being taken immediately. All corrective actions are documented on audit action sheets and signed off when tasks are completed. A medicines audit in 2015 revealed 18 omissions by the prescriber to sign off discontinued medicines. The service introduced an electronic prescribing and medicines management system in November 2015 and a re-audit two months later revealed no omissions or errors. Review of residents’ meeting
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 1.2.3.1 The organisation has a quality and risk management system which is understood and implemented by service providers. CI Royal Heights is continuing to achieve the quality goals which are set annually. The service is ready to engage in using the interRAI data warehouse for comparison and analysis of their data. Although the service has not had residents with pressure injuries, a new audit tool for pressure injury prevention has been added to the schedule and incident and accident documents have been updated to include reporting on these. Where audits reveal areas that do not attain 100% of the outcomes, there was documented evidence of investigations and remedial actions being taken immediately. All corrective actions are documented on audit action sheets and signed off when tasks are completed. A medicines audit in 2015 revealed 18 omissions by the prescriber to sign off discontinued medicines. The service introduced an electronic prescribing and medicines management system in November 2015 and a re-audit two months later revealed no omissions or errors. Review of residents’ meeting Having fully attained this criterion the service demonstrates that it continues to review and evaluate its quality and risk management systems and take actions which improve and strengthen its methods for performance monitoring. This has lead to safer systems, improved outcomes for residents and greater participation by consumers.
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