Specific results for criterion where corrective actions are required a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with desired Audit Evidence Audit Finding Corrective action outcome Rating required and timeframe for completion (days) Criterion 1.2.7.4 PA Low The facility employs RNs and has access to a bank of trained The service is in the Ensure newly RNs who have been orientated to the site. The facility is in the process of employing employed New service providers process of recruiting additional registered nurses in order to registered nurses. registered nurses receive an ensure they have a registered nurse on duty 24 hours a day, 7 Advised they will who will be orientation/induction days a week. A pre-requisite for appointment is that the complete an onsite providing care for programme that covers the registered nurses are InterRAI trained. These nurses will receive induction, which will hospital level essential components of the a comprehensive orientation/induction, which is standardised include fire safety. residents complete service provided. across all Bupa sites. an orientation and onsite induction. Prior to occupancy Criterion 1.2.8.1 PA Low The proposed roster reflects the anticipated of residents in The facility is in the Ensure there is 24 both levels of care from the day the service commences. The process of recruiting hour registered There is a clearly proposed roster will accommodate anticipated growth in hospital and has access to a nurse cover in documented and level resident numbers as the facility moves toward capacity. bank of RNs who hold place implemented process which Hospital level residents will be provided with services from one of Bupa competencies.
Specific results for criterion where corrective actions are required a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.7.4 New service providers receive an orientation/induction programme that covers the essential components of the service provided. PA Low The facility employs RNs and has access to a bank of trained RNs who have been orientated to the site. The facility is in the process of recruiting additional registered nurses in order to ensure they have a registered nurse on duty 24 hours a day, 7 days a week. A pre-requisite for appointment is that the registered nurses are InterRAI trained. These nurses will receive a comprehensive orientation/induction, which is standardised across all Bupa sites. The service is in the process of employing registered nurses. Advised they will complete an onsite induction, which will include fire safety. Ensure newly employed registered nurses who will be providing care for hospital level residents complete an orientation and onsite induction. Prior to occupancy Criterion 1.2.8.1 There is a clearly documented and implemented process which PA Low The proposed roster reflects the anticipated of residents in both levels of care from the day the service commences. The proposed roster will accommodate anticipated growth in hospital level resident numbers as the facility moves toward capacity. Hospital level residents will be provided with services from one of The facility is in the process of recruiting and has access to a bank of RNs who hold Bupa competencies. Ensure there is 24 hour registered nurse cover in place
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