Corrective actions are established, implemented and are signed off when completed. Health and safety goals are established and regularly reviewed. Health and safety policies are implemented and monitored by the Health and Safety Committee. The health and safety officer was interviewed about the health and safety programme. Risk management, hazard control and emergency policies and procedures are being implemented. Hazard identification forms and a hazard register are in place. There are procedures to guide staff in managing clinical and non-clinical emergencies. All new staff and contractors undergo a health and safety orientation programme. An employee health and safety programme (Bfit) is in place, which is linked to the overarching Bupa National Health and Safety Plan. The resident satisfaction survey for 2016 improved to 95% overall satisfaction from 91% overall satisfaction in 2015. Falls prevention strategies include the analysis of falls events and the identification of interventions on a case-by-case basis to minimise future falls. Falls prevention equipment includes sensor mats and chair alarms. Standard 1.2.4: Adverse Event Reporting FA Individual reports are completed for each incident/accident with immediate action noted and any follow-up action(s) required. Fourteen accident/incident forms All adverse, unplanned, or untoward events are were reviewed. Each event involving a resident reflected a clinical assessment systematically recorded by the service and and follow up by a registered nurse. Neurological observations are conducted for reported to affected consumers and unwitnessed falls. Data collected on incident and accident forms are linked to the appropriate their family/whānau of choice in an quality management system. The care home manager and clinical manager are open manner. aware of their requirement to notify relevant authorities in relation to essential notifications. Standard 1.2.7: Human Resource Management FA Human resources policies include recruitment, selection, orientation and staff training and development. Eight staff files reviewed (one clinical manager, two resource management processes are RNs, three caregivers, one diversional therapist and one health and safety officer) conducted in accordance with good employment included a recruitment process (interview process, reference checking and police practice and meet the requirements of legislation. check), signed employment contracts, job descriptions and completed orientation programmes. A register of registered nursing staff and other health practitioner practising certificates is maintained. The orientation programme provides new staff with relevant information for safe work practice. There is an implemented annual education and training plan that exceeds eight hours annually. There is an attendance register for each training session and an individual staff member record of training. Staff are required to
Corrective actions are established, implemented and are signed off when completed. Health and safety goals are established and regularly reviewed. Health and safety policies are implemented and monitored by the Health and Safety Committee. The health and safety officer was interviewed about the health and safety programme. Risk management, hazard control and emergency policies and procedures are being implemented. Hazard identification forms and a hazard register are in place. There are procedures to guide staff in managing clinical and non-clinical emergencies. All new staff and contractors undergo a health and safety orientation programme. An employee health and safety programme (Bfit) is in place, which is linked to the overarching Bupa National Health and Safety Plan. The resident satisfaction survey for 2016 improved to 95% overall satisfaction from 91% overall satisfaction in 2015. Falls prevention strategies include the analysis of falls events and the identification of interventions on a case-by-case basis to minimise future falls. Falls prevention equipment includes sensor mats and chair alarms. Standard 1.2.4: Adverse Event Reporting All adverse, unplanned, or untoward events are systematically recorded by the service and reported to affected consumers and appropriate their family/whānau of choice in an open manner. FA Individual reports are completed for each incident/accident with immediate action noted and any follow-up action(s) required. Fourteen accident/incident forms were reviewed. Each event involving a resident reflected a clinical assessment and follow up by a registered nurse. Neurological observations are conducted for unwitnessed falls. Data collected on incident and accident forms are linked to the quality management system. The care home manager and clinical manager are aware of their requirement to notify relevant authorities in relation to essential notifications. Standard 1.2.7: Human Resource Management resource management processes are conducted in accordance with good employment practice and meet the requirements of legislation. FA Human resources policies include recruitment, selection, orientation and staff training and development. Eight staff files reviewed (one clinical manager, two RNs, three caregivers, one diversional therapist and one health and safety officer) included a recruitment process (interview process, reference checking and police check), signed employment contracts, job descriptions and completed orientation programmes. A register of registered nursing staff and other health practitioner practising certificates is maintained. The orientation programme provides new staff with relevant information for safe work practice. There is an implemented annual education and training plan that exceeds eight hours annually. There is an attendance register for each training session and an individual staff member record of training. Staff are required to
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