Executive Summary of Audit General Overview Metlifecare Palmerston North is owned and operated by Metlifecare Limited. On the day of audit 34 beds are occupied consisting of 26 hospital level care residents and eight rest home level residents. Seven of the nine areas identified as requiring improvement in the previous audit have been addressed two areas remain open. There are three new areas identified for improvement related to corrective action outcome management, staff orientation and assessment processes. Outcome 1.1: Consumer Rights The residents and family/whanau interviewed report that there is a good standard of communication at the service and that information is conveyed in an open and honest manner. Access to interpreter services is documented in the interpreter service policy, which contains contact numbers for interpreter services. All complaints sighted are recorded appropriately to meet policy requirements. This was an area identified for improvement in the previous audit and is now fully attained. Outcome 1.2: Organisational Management Organisational structures and processes are monitored by Metlifecare head office via an electronic system (Amrisk). The purpose, values, scope, direction and goals of the organisation are clearly documented and regularly reviewed. Documentation identifies key components of service delivery are reported on a quarterly basis at organisational level, and monthly basis at staff meetings. Service delivery is overseen by the nurse manager (a registered nurse) who has been in the role for seven years. She is supported by the village manager. A signed job description identifies that the nurse manager has the authority, accountability and responsibility for ensuring the provision of services meets residents’ needs. Corrective action planning is documented, but does not have any identified outcomes, as is required by policy to show effectiveness of actions taken. This requires improvement. Incidents, accidents and adverse events are recorded, reported, evaluated and benchmarked at organisational level and information is shared with all facility staff. Family/whanau are kept informed and communication related to an event reflects the principles of open disclosure. Not all information shown on incident and accident forms is followed up to ensure corrective actions are being used as opportunities for improvement. This was an area identified for improvement in the previous audit and is yet to be addressed. There is an up-to-date risk register which outlines controls that are in place to minimise known and potential risks. The service has an up to date disaster management plan in place which identifies contingency measures to be taken by the site manager at Metlifecare Palmerston North. The service is able to
Executive Summary of Audit General Overview Metlifecare Palmerston North is owned and operated by Metlifecare Limited. On the day of audit 34 beds are occupied consisting of 26 hospital level care residents and eight rest home level residents. Seven of the nine areas identified as requiring improvement in the previous audit have been addressed two areas remain open. There are three new areas identified for improvement related to corrective action outcome management, staff orientation and assessment processes. Outcome 1.1: Consumer Rights The residents and family/whanau interviewed report that there is a good standard of communication at the service and that information is conveyed in an open and honest manner. Access to interpreter services is documented in the interpreter service policy, which contains contact numbers for interpreter services. All complaints sighted are recorded appropriately to meet policy requirements. This was an area identified for improvement in the previous audit and is now fully attained. Outcome 1.2: Organisational Management Organisational structures and processes are monitored by Metlifecare head office via an electronic system (Amrisk). The purpose, values, scope, direction and goals of the organisation are clearly documented and regularly reviewed. Documentation identifies key components of service delivery are reported on a quarterly basis at organisational level, and monthly basis at staff meetings. Service delivery is overseen by the nurse manager (a registered nurse) who has been in the role for seven years. She is supported by the village manager. A signed job description identifies that the nurse manager has the authority, accountability and responsibility for ensuring the provision of services meets residents’ needs. Corrective action planning is documented, but does not have any identified outcomes, as is required by policy to show effectiveness of actions taken. This requires improvement. Incidents, accidents and adverse events are recorded, reported, evaluated and benchmarked at organisational level and information is shared with all facility staff. Family/whanau are kept informed and communication related to an event reflects the principles of open disclosure. Not all information shown on incident and accident forms is followed up to ensure corrective actions are being used as opportunities for improvement. This was an area identified for improvement in the previous audit and is yet to be addressed. There is an up-to-date risk register which outlines controls that are in place to minimise known and potential risks. The service has an up to date disaster management plan in place which identifies contingency measures to be taken by the site manager at Metlifecare Palmerston North. The service is able to
AuditSummary_PRMS_CommunicatePublish_000000752001.docx