service delivery, and to identify is no documented and manage risk. evidence that this information is being actively used to improve service delivery. One example relates to a resident who displays challenging behaviour. The incident form identifies that a challenging behaviour log is to be put in place. No log could be found in the resident’s file. HDS(C)S.2008 Standard 1.2.7: resource management PA Low Resource processes are conducted in Management accordance with good employment practice and meet the requirements of legislation. HDS(C)S.2008 Criterion 1.2.7.4 New service providers receive PA Low On the day of audit not Ensure all orientation 180 an orientation/induction all staff files could be processes are undertaken programme that covers the accessed as the village and signed off when essential components of the manager is away on completed and that staff files service provided. annual leave for three are accessible to weeks and no one else management at all times. at the facility can access the files for the staff she manages. This includes domestic staff from the laundry, cleaning and kitchen areas. 2. A review of a recently employed RN’s file identifies that none of the orientation criteria has been signed off. HDS(C)S.2008 Standard 1.2.9: Consumer information is PA Low Consumer uniquely identifiable, accurately Information recorded, current, confidential, and accessible when required.
service delivery, and to identify and manage risk. is no documented evidence that this information is being actively used to improve service delivery. One example relates to a resident who displays challenging behaviour. The incident form identifies that a challenging behaviour log is to be put in place. No log could be found in the resident’s file. HDS(C)S.2008 Standard 1.2.7: Resource Management resource management processes are conducted in accordance with good employment practice and meet the requirements of legislation. PA Low HDS(C)S.2008 Criterion 1.2.7.4 New service providers receive an orientation/induction programme that covers the essential components of the service provided. PA Low On the day of audit not all staff files could be accessed as the village manager is away on annual leave for three weeks and no one else at the facility can access the files for the staff she manages. This includes domestic staff from the laundry, cleaning and kitchen areas. 2. A review of a recently employed RN’s file identifies that none of the orientation criteria has been signed off. Ensure all orientation processes are undertaken and signed off when completed and that staff files are accessible to management at all times. 180 HDS(C)S.2008 Standard 1.2.9: Consumer Information Consumer information is uniquely identifiable, accurately recorded, current, confidential, and accessible when required. PA Low
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