The facility is managed by an experienced and suitably qualified manager who has a background in quality. The facility manager is non-clinical and is supported by a clinical manager/registered nurse. The facility manager and clinical manager are supported by a clinical co-ordinator/registered nurse. The clinical manager is responsible for the oversight of the clinical services in the facility. Quality and risk management systems are in place. There is an internal audit programme, risks are identified and there is a hazard register. Adverse events are documented on accident/incident forms. Internal audits, accident/incident forms, and meeting minutes evidenced corrective action plans were being developed, implemented, monitored and signed off as being completed to address the issue/s that required improvement. Various meetings are held and there was reporting on numbers of various clinical indicators, quality and risk issues and discussion of any trends identified in these meetings. Graphs of clinical indicators were available for staff to view along with meeting minutes. There are policies and procedures on human resource management, which are implemented at the service. An in-service education programme is provided for staff and study days are held several times during the year. Staff are also required to complete the New Zealand Qualifications Authority Unit Standards. There is a documented rationale for determining staffing levels and skill mixes in order to provide safe service delivery that is based on best practice. The clinical manager and clinical co-ordinator are rostered on call after hours. Resident information is entered into a register in an accurate and timely manner. The privacy of resident information is maintained. The name and designation of staff making entries into residents’ clinical records was legible. Continuum of service delivery Includes 13 standards that support an outcome where consumers participate in and receive Standards applicable timely assessment, followed by services that are planned, coordinated, and delivered in a to this service fully timely and appropriate manner, consistent with current legislation. attained. Services are being provided by a range of health professionals. Entry to services is made in a timely and equitable manner. Assessments, service plans and evaluations are completed in a comprehensive manner. Clinical and medical needs are identified
The facility is managed by an experienced and suitably qualified manager who has a background in quality. The facility manager is non-clinical and is supported by a clinical manager/registered nurse. The facility manager and clinical manager are supported by a clinical co-ordinator/registered nurse. The clinical manager is responsible for the oversight of the clinical services in the facility. Quality and risk management systems are in place. There is an internal audit programme, risks are identified and there is a hazard register. Adverse events are documented on accident/incident forms. Internal audits, accident/incident forms, and meeting minutes evidenced corrective action plans were being developed, implemented, monitored and signed off as being completed to address the issue/s that required improvement. Various meetings are held and there was reporting on numbers of various clinical indicators, quality and risk issues and discussion of any trends identified in these meetings. Graphs of clinical indicators were available for staff to view along with meeting minutes. There are policies and procedures on human resource management, which are implemented at the service. An in-service education programme is provided for staff and study days are held several times during the year. Staff are also required to complete the New Zealand Qualifications Authority Unit Standards. There is a documented rationale for determining staffing levels and skill mixes in order to provide safe service delivery that is based on best practice. The clinical manager and clinical co-ordinator are rostered on call after hours. Resident information is entered into a register in an accurate and timely manner. The privacy of resident information is maintained. The name and designation of staff making entries into residents’ clinical records was legible. Continuum of service delivery Includes 13 standards that support an outcome where consumers participate in and receive timely assessment, followed by services that are planned, coordinated, and delivered in a timely and appropriate manner, consistent with current legislation. Standards applicable to this service fully attained. Services are being provided by a range of health professionals. Entry to services is made in a timely and equitable manner. Assessments, service plans and evaluations are completed in a comprehensive manner. Clinical and medical needs are identified
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