Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with desired Audit Evidence Audit Finding Corrective action outcome required and timeframe Rating for completion (days) Criterion 1.2.7.3 PA Six registered nurses have been employed to replace the Five of 23 residents` To ensure that staff as same number of registered nurses who had resigned in interRAI assessments are the training becomes The appointment of August 2016. of these registered nurses were interRAI overdue. This is due to the available for interRAI. appropriate service trained. One registered nurse and the nurse manager (both resignation of three trained providers to safely recently employed) are undergoing interRAI training at interRAI assessors which meet the of present, but are unable to complete the interRAI the provider has taken steps 180 days consumers. assessments until their training is signed off. Three to replace. However, the registered nurses are awaiting the course date to scheduling of training for the commence their interRAI training. One experienced bureau new staff is beyond the registered nurse has been contracted for three months up control of the provider and until December 2016, to assist with the interRAI this has led to a delay in the assessments. This contract has been changed now to one carrying out of the interRAI day a week. assessments. The current situation is as follows: three residents are awaiting their prior assessments to be transferred from the DHB; one resident is short term respite care so does not require an interRAI assessment; eight interRAI assessments are in draft form (not documented as completed); five interRAI assessments are overdue and not commenced at
Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.7.3 The appointment of appropriate service providers to safely meet the of consumers. PA Six registered nurses have been employed to replace the same number of registered nurses who had resigned in August 2016. of these registered nurses were interRAI trained. One registered nurse and the nurse manager (both recently employed) are undergoing interRAI training at present, but are unable to complete the interRAI assessments until their training is signed off. Three registered nurses are awaiting the course date to commence their interRAI training. One experienced bureau registered nurse has been contracted for three months up until December 2016, to assist with the interRAI assessments. This contract has been changed now to one day a week. The current situation is as follows: three residents are awaiting their prior assessments to be transferred from the DHB; one resident is short term respite care so does not require an interRAI assessment; eight interRAI assessments are in draft form (not documented as completed); five interRAI assessments are overdue and not commenced at Five of 23 residents` interRAI assessments are overdue. This is due to the resignation of three trained interRAI assessors which the provider has taken steps to replace. However, the scheduling of training for the new staff is beyond the control of the provider and this has led to a delay in the carrying out of the interRAI assessments. To ensure that staff as the training becomes available for interRAI. 180 days
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