Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical 0 42 0 3 0 0 0 Standards 0 90 0 3 0 0 0 Criteria UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited 0 0 0 0 0 5 0 0 Standards 0 0 0 0 0 8 0 0 Criteria Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) Standard 1.2.4: All adverse, unplanned, or PA Low HDS(C)S.2008 Adverse Event untoward events are Reporting systematically recorded by the service and reported to affected consumers and appropriate their family/whānau of choice in an open manner. HDS(C)S.2008 Criterion 1.2.4.3 The service provider documents PA Low (i)Incident form didn’t identify neuro (i)Ensure neuro obs are 60 adverse, unplanned, or untoward obs. Completed when the resident documented where the resident events including service shortfalls had a head injury; (ii) one resident has a head injury; (ii) Ensure in order to identify opportunities to file identified a sacral pressure incident forms are completed for improve service delivery, and to injury, no incident form was pressure injuries; (iii) Ensure identify and manage risk. completed; (iii) one incident form incidents and follow reviewed did not identify the up/assessment are also incident in the progress notes. completed in the progress notes. HDS(C)S.2008 Standard 1.3.3: Consumers receive timely, PA Low Service Provision competent, and appropriate Requirements services in order to meet their assessed needs and desired outcome/goals.
Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical Standards 0 42 0 3 0 0 0 Criteria 0 90 0 3 0 0 0 UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited Standards 0 0 0 0 0 5 0 0 Criteria 0 0 0 0 0 8 0 0 Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.2.4: Adverse Event Reporting All adverse, unplanned, or untoward events are systematically recorded by the service and reported to affected consumers and appropriate their family/whānau of choice in an open manner. PA Low HDS(C)S.2008 Criterion 1.2.4.3 The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. PA Low (i)Incident form didn’t identify neuro obs. Completed when the resident had a head injury; (ii) one resident file identified a sacral pressure injury, no incident form was completed; (iii) one incident form reviewed did not identify the incident in the progress notes. (i)Ensure neuro obs are documented where the resident has a head injury; (ii) Ensure incident forms are completed for pressure injuries; (iii) Ensure incidents and follow up/assessment are also completed in the progress notes. 60 HDS(C)S.2008 Standard 1.3.3: Service Provision Requirements Consumers receive timely, competent, and appropriate services in order to meet their assessed needs and desired outcome/goals. PA Low
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