in full in the policy and occurs according to policy. Data is reported to head office and benchmarked between Bupa facilities. Data is reported by the clinical manager to facility staff at the monthly quality meeting held within the facility so that all staff are aware of IPC. The IPC programme is linked with the quality management programme. An outbreak of norovirus occurred early in 2014 in the dementia unit and was identified, contained within the dementia unit and fully resolved within six days. Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical 0 13 0 3 0 0 0 Standards 0 35 0 4 0 0 0 Criteria UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited 0 0 0 0 0 0 0 34 Standards 0 0 0 0 0 0 0 62 Criteria Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) Standard 1.2.7: Human resource management PA Low HDS(C)S.2008 Human Resource processes are conducted in Management accordance with good employment practice and meet the requirements of legislation. Criterion 1.2.7.5 A system to identify, plan, PA Low One of the five caregivers who are Ensure all caregivers who work in 180 HDS(C)S.2008 facilitate, and record ongoing working on dementia the dementia unit are enrolled to education for service providers to standards has been employed for complete dementia provide safe and effective over one year. She has completed standards in the first six months services to consumers. two of her four dementia of employment and have standards. The care home completed their dementia manager reports that she standards within one year of anticipates that this caregiver will employment. complete her remaining two dementia standards in approximately two months’ time.
in full in the policy and occurs according to policy. Data is reported to head office and benchmarked between Bupa facilities. Data is reported by the clinical manager to facility staff at the monthly quality meeting held within the facility so that all staff are aware of IPC. The IPC programme is linked with the quality management programme. An outbreak of norovirus occurred early in 2014 in the dementia unit and was identified, contained within the dementia unit and fully resolved within six days. Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical Standards 0 13 0 3 0 0 0 Criteria 0 35 0 4 0 0 0 UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited Standards 0 0 0 0 0 0 0 34 Criteria 0 0 0 0 0 0 0 62 Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.2.7: Human Resource Management Human resource management processes are conducted in accordance with good employment practice and meet the requirements of legislation. PA Low HDS(C)S.2008 Criterion 1.2.7.5 A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. PA Low One of the five caregivers who are working on dementia standards has been employed for over one year. She has completed two of her four dementia standards. The care home manager reports that she anticipates that this caregiver will complete her remaining two dementia standards in approximately two months’ time. Ensure all caregivers who work in the dementia unit are enrolled to complete dementia standards in the first six months of employment and have completed their dementia standards within one year of employment. 180
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