HDS(C)S.2008 Criterion 1.3.3.1 Each of service provision PA Low There is insufficient Provide evidence that 90 (assessment, planning, evidence that each stage service delivery is completed provision, evaluation, review, of service provision is by a suitably qualified and exit) is undertaken by completed by a suitably person (in the rest home). suitably qualified and/or qualified person in the experienced service providers rest home. For example who are competent to perform a number of the function. assessments in the rest home have no signature of the person completing them, and one file sampled had the assessments completed by a student enrolled nurse. HDS(C)S.2008 Criterion 1.3.3.3 Each stage of service provision PA Low There is insufficient Provide evidence that all 90 (assessment, planning, evidence that time timeframes for service provision, evaluation, review, frames for service delivery are maintained as and exit) is provided within time delivery are consistently required. frames that safely meet the maintained. needs of the consumer. HDS(C)S.2008 Standard 1.3.6: Consumers receive adequate PA Low Service and appropriate services in Delivery/Interventions order to meet their assessed needs and desired outcomes. HDS(C)S.2008 Criterion 1.3.6.1 The provision of services and/or PA Low Not all current and Provide evidence that all 90 interventions are consistent interventions are current needs and with, and contribute to, meeting documented in care interventions are the consumers' assessed plans. documented in care plans. needs, and desired outcomes. HDS(C)S.2008 Standard 1.3.8: Consumers' service delivery PA Low Evaluation plans are evaluated in a comprehensive and timely manner.
HDS(C)S.2008 Criterion 1.3.3.1 Each of service provision (assessment, planning, provision, evaluation, review, and exit) is undertaken by suitably qualified and/or experienced service providers who are competent to perform the function. PA Low There is insufficient evidence that each stage of service provision is completed by a suitably qualified person in the rest home. For example a number of assessments in the rest home have no signature of the person completing them, and one file sampled had the assessments completed by a student enrolled nurse. Provide evidence that service delivery is completed by a suitably qualified person (in the rest home). 90 HDS(C)S.2008 Criterion 1.3.3.3 Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer. PA Low There is insufficient evidence that time frames for service delivery are consistently maintained. Provide evidence that all timeframes for service delivery are maintained as required. 90 HDS(C)S.2008 Standard 1.3.6: Service Delivery/Interventions Consumers receive adequate and appropriate services in order to meet their assessed needs and desired outcomes. PA Low HDS(C)S.2008 Criterion 1.3.6.1 The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes. PA Low Not all current and interventions are documented in care plans. Provide evidence that all current needs and interventions are documented in care plans. 90 HDS(C)S.2008 Standard 1.3.8: Evaluation Consumers' service delivery plans are evaluated in a comprehensive and timely manner. PA Low
AuditSummary_PRMS_CommunicatePublish_000000822006.docx