at appointment have completed apropriate training within six months of appointmentStaff interviews confirm orientation / induction is provided for new staff. Care staff also confirm their attendance at on-going in-service education. There are two areas requiring improvement around staff in-service education and staff performance reviews. ARC requirements are not fully met. Criterion 1.2.7.2 (HDS(C)S.2008:1.2.7.2) Professional qualifications are validated, including evidence of registration and scope of practice for service providers. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 choose 30, for 6 months choose 180, etc.) Criterion 1.2.7.3 (HDS(C)S.2008:1.2.7.3) The appointment of appropriate service providers to safely meet the needs of consumers. Attainment and Risk: PA Low Evidence: Seven staff files reviewed evidence all processes are followed as per human resources policies and procedures except currency of performance reviews. Finding: staff files reviewed. One of seven staff files evidences performance review has not been conducted for that staff member (clinical leader). Corrective Action: Provide evidence of current performance reviews of all staff. Timeframe (days): 180 (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.)
at appointment have completed apropriate training within six months of appointmentStaff interviews confirm orientation / induction is provided for new staff. Care staff also confirm their attendance at on-going in-service education. There are two areas requiring improvement around staff in-service education and staff performance reviews. ARC requirements are not fully met. Criterion 1.2.7.2 (HDS(C)S.2008:1.2.7.2) Professional qualifications are validated, including evidence of registration and scope of practice for service providers. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 choose 30, for 6 months choose 180, etc.) Criterion 1.2.7.3 (HDS(C)S.2008:1.2.7.3) The appointment of appropriate service providers to safely meet the needs of consumers. Attainment and Risk: PA Low Evidence: Seven staff files reviewed evidence all processes are followed as per human resources policies and procedures except currency of performance reviews. Finding: staff files reviewed. One of seven staff files evidences performance review has not been conducted for that staff member (clinical leader). Corrective Action: Provide evidence of current performance reviews of all staff. Timeframe (days): 180 (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.)
AuditSummary_PRMS_CommunicatePublish_000000803003.docx