to perform the function for each stage medication administration policies and they manage. procedures as evidenced in the three observed 30 days lunchtime medication rounds. There is a medication competency process which requires sign off by the registered nurse. All 14 staff administering insulin have no insulin competencies completed by the registered nurses Criterion 1.3.12.6 PA The medication charts are generated by the Medication Fully document medication pharmacy and these are all signed and dated by administration administration instructions. Medicine management information is the GP. All discontinued medications were also instructions have not recorded to a level of detail, and signed by the GP. The staff had reported that been fully communicated to consumers at a they reduce the dose of the insulin to be documented. 30 days frequency and detail to comply with administered for the two out of four residents legislation and guidelines. receiving insulin therapy. These will depend on the resident’s glucose level and when the residents have finished the meals. The medication charts generated by the pharmacy have confirmed this. The GP’s instructions regarding insulin administration do not have clear instructions to ensure safe insulin administration i.e. timing of administration and the actual dose to be administered Criterion 1.3.13.5 PA Low All food is cooked on-site. The kitchen is situated Not all food safety Maintain all food safety in the dementia unit. Cooked meals are requirements have requirements. For example, All aspects of food procurement, transported to the rest home unit on a covered been maintained food and fridge production, preparation, storage, trolley and the meals are heated in the oven temperatures and food transportation, delivery, and disposal before serving to the residents. The two cooks safety training for all kitchen comply with current legislation, and have completed a course on safe food handling. staff. guidelines. HCAs assist with the serving of food. They were observed wearing hats and gloves when serving food. The relief cook has not completed safe 180 days food handling training.
to perform the function for each stage they manage. medication administration policies and procedures as evidenced in the three observed lunchtime medication rounds. There is a medication competency process which requires sign off by the registered nurse. All 14 staff administering insulin have no insulin competencies completed by the registered nurses 30 days Criterion 1.3.12.6 Medicine management information is recorded to a level of detail, and communicated to consumers at a frequency and detail to comply with legislation and guidelines. PA The medication charts are generated by the pharmacy and these are all signed and dated by the GP. All discontinued medications were also signed by the GP. The staff had reported that they reduce the dose of the insulin to be administered for the two out of four residents receiving insulin therapy. These will depend on the resident’s glucose level and when the residents have finished the meals. The medication charts generated by the pharmacy have confirmed this. The GP’s instructions regarding insulin administration do not have clear instructions to ensure safe insulin administration i.e. timing of administration and the actual dose to be administered Medication administration instructions have not been fully documented. Fully document medication administration instructions. 30 days Criterion 1.3.13.5 All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines. PA Low All food is cooked on-site. The kitchen is situated in the dementia unit. Cooked meals are transported to the rest home unit on a covered trolley and the meals are heated in the oven before serving to the residents. The two cooks have completed a course on safe food handling. HCAs assist with the serving of food. They were observed wearing hats and gloves when serving food. The relief cook has not completed safe food handling training. Not all food safety requirements have been maintained Maintain all food safety requirements. For example, food and fridge temperatures and food safety training for all kitchen staff. 180 days
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