Specific results for criterion where corrective actions are required 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 everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there 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 Rating required and timeframe for completion (days) Criterion 1.1.2.3 PA Low During interview, residents were unaware of their rights, Opportunities to explain, Residents and family and relatives who had accompanied hospital residents discuss and clarify the members/whanau are Opportunities are during admission could not recall being told about them and Health and Disability informed the Health provided for were not familiar with them. Staff stated that people are Commissioners Code of and Disability explanations, provided with a copy of the brochure to read at their leisure Health and Disability Commissioners Code of discussion, and as so much else happens at admission and they are Services Consumers’ Health and Disability clarification the provided with so much information. They also confirmed Rights (the Code) are not Services Consumers’ Code with the that updates are not currently being provided for long term occurring and the residents Rights (the Code). consumer, residents and/or relatives. and family members family/whānau of interviewed were not choice where familiar with them. 180 days appropriate and/or their legal representative during contact with the service. Criterion 1.2.7.5 PA Low Mandatory training requirements are defined for the The mechanism for Staff complete all different roles. Requirements and timeframes have recently recording of mandatory required training within A system to identify, been reviewed. All necessary topics are covered. The training requirements does the specified timeframes plan, facilitate, and Clinical Nurse Manager maintains a spreadsheet of training not support a process to and there is a record ongoing
Specific results for criterion where corrective actions are required 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 everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there 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 1.1.2.3 Opportunities are provided for explanations, discussion, and clarification the Code with the consumer, family/whānau of choice where appropriate and/or their legal representative during contact with the service. PA Low During interview, residents were unaware of their rights, and relatives who had accompanied hospital residents during admission could not recall being told about them and were not familiar with them. Staff stated that people are provided with a copy of the brochure to read at their leisure as so much else happens at admission and they are provided with so much information. They also confirmed that updates are not currently being provided for long term residents and/or relatives. Opportunities to explain, discuss and clarify the Health and Disability Commissioners Code of Health and Disability Services Consumers’ Rights (the Code) are not occurring and the residents and family members interviewed were not familiar with them. Residents and family members/whanau are informed the Health and Disability Commissioners Code of Health and Disability Services Consumers’ Rights (the Code). 180 days Criterion 1.2.7.5 A system to identify, plan, facilitate, and record ongoing PA Low Mandatory training requirements are defined for the different roles. Requirements and timeframes have recently been reviewed. All necessary topics are covered. The Clinical Nurse Manager maintains a spreadsheet of training The mechanism for recording of mandatory training requirements does not support a process to Staff complete all required training within the specified timeframes and there is a
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