Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Criterion 1.1.13.3 (HDS(C)S.2008:1.1.13.3) An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Outcome 1.2: Organisational Management Consumers receive services that comply with legislation and are managed in a safe, efficient, and effective manner. Standard 1.2.1: Governance (HDS(C)S.2008:1.2.1) The governing body of the organisation ensures services are planned, coordinated, and appropriate to the needs of consumers. ARC A2.1; A18.1; A27.1; A30.1; D5.1; D5.2; D5.3; D17.3d; D17.4b; D17.5; E1.1; E2.1 ARHSS A2.1; A18.1; A27.1; A30.1; D5.1; D5.2; D5.3; D17.5 Attainment and Risk: FA Evidence: Malvina Major provides care across two levels. The ground floor has 60 rest home beds, of which 20 have been assessed as suitable for dual purpose i.e. rest home and/or – hospital level. Level one has 60 hospital level beds. In addition 20 of the serviced apartments have been certified suitable for rest home level residents. On the day of audit there are 45 rest home and 12 hospital level residents (of 60) on the ground floor, 58 (of 60) hospital residents, and four rest home residents in the serviced apartments. This gives a total of 49 rest home residents (including one respite), and 70 hospital level residents.
Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Criterion 1.1.13.3 (HDS(C)S.2008:1.1.13.3) An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Outcome 1.2: Organisational Management Consumers receive services that comply with legislation and are managed in a safe, efficient, and effective manner. Standard 1.2.1: Governance (HDS(C)S.2008:1.2.1) The governing body of the organisation ensures services are planned, coordinated, and appropriate to the needs of consumers. ARC A2.1; A18.1; A27.1; A30.1; D5.1; D5.2; D5.3; D17.3d; D17.4b; D17.5; E1.1; E2.1 ARHSS A2.1; A18.1; A27.1; A30.1; D5.1; D5.2; D5.3; D17.5 Attainment and Risk: FA Evidence: Malvina Major provides care across two levels. The ground floor has 60 rest home beds, of which 20 have been assessed as suitable for dual purpose – i.e. rest home and/or hospital level. Level one has 60 hospital level beds. In addition 20 of the serviced apartments have been certified suitable for rest home level residents. On the day of audit there are 45 rest home and 12 hospital level residents (of 60) on the ground floor, 58 (of 60) hospital residents, and four rest home residents in the serviced apartments. This gives a total of 49 rest home residents (including one respite), and 70 hospital level residents.
AuditSummary_PRMS_CommunicatePublish_000000835001.docx