Corrective Action Requests (CAR) Report Provider Name: Springlands Senior Living Limited Type of Audit: Surveillance audit Date(s) of Audit Report: Start Date:16-Sep-13 End Date: 16-Sep-13 DAA: Health and Disability Auditing New Zealand Limited Lead Auditor: XXXXXXX Std Criteria Rating Evidence Timeframe 1.3.6 1.3.6.1 PA Finding: 3 months Moderate i) Five of twelve wound assessment and management plans do not document the type of wound, location and size of wound, ii) There is no short term care plan completed for a resident with weight loss. (iii) One resident with weight gain outside of the desired range as documented in the care plan has not had a review of the nutritional assessment. Action: i) Ensure wound assessment and management plans are fully completed and include the type of wound, location and size of wound currently being treated. ii) Ensure short term care plans are completed for any changes in resident condition/health. 1.3.12 1.3.12.1 PA Finding: 1 month Low The medication fridge in the rest home has not had regular weekly temperature checks completed from March to June 2013. Action: Ensure the medication fridge is checked on a regular basis 1.3.12 1.3.12.5 PA 1 Finding: Moderate There are no medication charts available for the RN to check off medications when delivered for the self-medicating residents. Action: Ensure there are medication charts in place to allow reconciliation of medications to occur for those residents who are self-administering medications.
Corrective Action Requests (CAR) Report Provider Name: Springlands Senior Living Limited Type of Audit: Surveillance audit Date(s) of Audit Report: Start Date:16-Sep-13 End Date: 16-Sep-13 DAA: Health and Disability Auditing New Zealand Limited Lead Auditor: XXXXXXX Std Criteria Rating Evidence Timeframe 1.3.6 1.3.6.1 PA Moderate Finding: i) Five of twelve wound assessment and management plans do not document the type of wound, location and size of wound, ii) There is no short term care plan completed for a resident with weight loss. (iii) One resident with weight gain outside of the desired range as documented in the care plan has not had a review of the nutritional assessment. Action: i) Ensure wound assessment and management plans are fully completed and include the type of wound, location and size of wound currently being treated. ii) Ensure short term care plans are completed for any changes in resident condition/health. 3 months 1.3.12 1.3.12.1 PA Low Finding: The medication fridge in the rest home has not had regular weekly temperature checks completed from March to June 2013. Action: Ensure the medication fridge is checked on a regular basis 1 month 1.3.12 1.3.12.5 PA Moderate Finding: There are no medication charts available for the RN to check off medications when delivered for the self-medicating residents. Action: Ensure there are medication charts in place to allow reconciliation of medications to occur for those residents who are self-administering medications. 1
AuditSummary_MOHI-9CC7HK.docx