and were noted to have decreased in 2014, bruises remained above the benchmark Jan2014 July – 2014. The service has a number of meetings including monthly registered nurse meetings. While meeting minutes identify discussions of quality data collected, there is lack of documented evidence that issues were followed through and evaluated. While quality goals are well documented and regularly evaluated through meetings, other clinical indicator analysis is limited. Where QI corrective – actions have been established following benchmarking outcomes there is a little documented evidence that these have been implemented. Criterion 1.2.3.9 PA Low Cornwall has a health and The current hazard register has not been Ensure the hazard register safety committee that collates updated to include the identified risks identifies all current hazards Actual and potential risks are and discusses staff incidents around the outdoor garden, and potential for identified, documented and /accidents. This data is also T-belts to break where appropriate aggregated at an 60 days communicated to consumers, organisational level and their family/whānau of choice, reported monthly. The health visitors, and those commonly and safety committee monitor associated with providing objectives that are defined in services. This shall include: the Bupa Health & Safety (a) Identified risks are Plan. The hazard register at monitored, analysed, evaluated, Cornwall park is not up to and reviewed at a frequency date. determined by the severity of
and were noted to have decreased in 2014, bruises remained above the benchmark Jan2014 – July 2014. The service has a number of meetings including monthly registered nurse meetings. While meeting minutes identify discussions of quality data collected, there is lack of documented evidence that issues were followed through and evaluated. While quality goals are well documented and regularly evaluated through meetings, other clinical indicator analysis is limited. Where QI – corrective actions have been established following benchmarking outcomes there is a little documented evidence that these have been implemented. Criterion 1.2.3.9 Actual and potential risks are identified, documented and where appropriate communicated to consumers, their family/whānau of choice, visitors, and those commonly associated with providing services. This shall include: (a) Identified risks are monitored, analysed, evaluated, and reviewed at a frequency determined by the severity of PA Low Cornwall has a health and safety committee that collates and discusses staff incidents /accidents. This data is also aggregated at an organisational level and reported monthly. The health and safety committee monitor objectives that are defined in the Bupa Health & Safety Plan. The hazard register at Cornwall park is not up to date. The current hazard register has not been updated to include the identified risks around the outdoor garden, and potential for T-belts to break Ensure the hazard register identifies all current hazards 60 days
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