Training records are not individually collated for each staff member. A few certificates are able to evidence attendance at external education. All healthcare assistants have completed NZQA level three and four of the Care for the older person programme. Careerforce education is now implemented. The nurse manager is training to be the approved assessor for this education programme. A training planner for 2016 and 2017 was available. All teaching sessions and updates provided to staff have been recorded by the nurse manager. Interviews with residents/family confirmed they are pleased with all aspects of service delivery and that staff perform their roles in a professional manner. The nurse manager and one registered nurse are undergoing interRAI training at present and are unable to complete the interRAI assessments until their training is signed off. The interRAI system was reviewed and this is an area of improvement identified in this audit. Standard 1.2.8: Service Provider Availability FA There is a documented policy on staffing mix that covers the contract requirements and includes the rationale for determining staffing levels and Consumers receive timely, appropriate, and safe skill mixes in order to provide safe service delivery. The nurse manager is service from suitably qualified/skilled and/or responsible for rostering of the staff. There is a month roster with set duties experienced service providers. for staff. There is a casual pool of staff. The registered nurses currently complete eight hour shifts and all health care assistants do 12 hour shifts. There is adequate staff to cover up to the twenty five residents presently. The director and nurse manager interviewed stated that additional staff will be employed when the current number of residents increases. There is a plan developed for this purpose. The three months rosters reviewed evidence few bureau staff being employed as current staff cover all shifts. The only bureau nurse has been the contracted registered nurse on a regular basis to ensure the interRAI assessments have been completed in a timely manner. (Refer 1.2.7) The manager is on call twenty four hours a day seven days a week. This will change when the registered nurses are more experienced and knowledgeable about the service. The GP is on call for the provider and stated when interviewed that this arrangement is satisfactory. Family interviewed and observation during the confirmed that staff are providing services required of them.
Training records are not individually collated for each staff member. A few certificates are able to evidence attendance at external education. All healthcare assistants have completed NZQA level three and four of the Care for the older person programme. Careerforce education is now implemented. The nurse manager is training to be the approved assessor for this education programme. A training planner for 2016 and 2017 was available. All teaching sessions and updates provided to staff have been recorded by the nurse manager. Interviews with residents/family confirmed they are pleased with all aspects of service delivery and that staff perform their roles in a professional manner. The nurse manager and one registered nurse are undergoing interRAI training at present and are unable to complete the interRAI assessments until their training is signed off. The interRAI system was reviewed and this is an area of improvement identified in this audit. Standard 1.2.8: Service Provider Availability Consumers receive timely, appropriate, and safe service from suitably qualified/skilled and/or experienced service providers. FA There is a documented policy on staffing mix that covers the contract requirements and includes the rationale for determining staffing levels and skill mixes in order to provide safe service delivery. The nurse manager is responsible for rostering of the staff. There is a month roster with set duties for staff. There is a casual pool of staff. The registered nurses currently complete eight hour shifts and all health care assistants do 12 hour shifts. There is adequate staff to cover up to the twenty five residents presently. The director and nurse manager interviewed stated that additional staff will be employed when the current number of residents increases. There is a plan developed for this purpose. The three months rosters reviewed evidence few bureau staff being employed as current staff cover all shifts. The only bureau nurse has been the contracted registered nurse on a regular basis to ensure the interRAI assessments have been completed in a timely manner. (Refer 1.2.7) The manager is on call twenty four hours a day seven days a week. This will change when the registered nurses are more experienced and knowledgeable about the service. The GP is on call for the provider and stated when interviewed that this arrangement is satisfactory. Family interviewed and observation during the confirmed that staff are providing services required of them.
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