Consumers' needs, support requirements, and reviewed. The long-term care plans in place reflected the outcome of the preferences are gathered and recorded in a timely assessments. Cultural, sexuality and intimacy needs have been identified for manner. the residents. Registered nurses are competent in the assessment of acute clinical needs of residents to be able to safely deliver care for residents under medical services. Maternity service The LMC midwives that have access to Waihi maternity provide care for women from the booking date at the start of the pregnancy. During the antenatal period, there are extensive assessments of needs, goals and continued planning with all aspects of the maternity experience. There is a Waihi maternity booking form which provides comprehensive entry information for the service. Once the client enters the facility for the labour birth experience or the postnatal period these previous plans form the basis of the care provided while within the facility. All files reviewed confirm the continuum of provision of care with daily assessments, timely interventions, and achievement of planned goals. The tracer file shows needs and daily goals being met in a timely manner. Standard 1.3.5: Planning PA Moderate Rest home and hospital: Resident files include all required documentation. The long-term care plan records the resident’s problem/need and objectives. Not all Consumers' service delivery plans are consumer resident files sampled had documented interventions to address the residents’ focused, integrated, and promote continuity of needs. Care plans are evaluated for identified issues and were completed six service delivery. monthly, or in some files as condition changed. Short-term care plans are in use for short-term needs and changes in health status. Resident files reviewed identified that family were involved in the care plan development and ongoing care needs of the resident. Families interviewed confirmed their involvement in the care planning process. Maternity service Continuity of care is provided to the clients by their LMC who visits daily and by the facility HCAs. Inpatient orientation to the facility and its services are identified within the daily entries in the facility files while the client is an inpatient. Handover of information between the LMCs and HCAs were evidenced in the five of five files reviewed and show a team approach to the inpatient care. Clients’ delivery plans displayed evidence of required support or interventions that were identified as part of the daily ongoing assessment process. Some summary’s, topics and updates within the care plans and file were absent. One Waihi maternity client phone interview discussed how she felt that having the
Consumers' needs, support requirements, and preferences are gathered and recorded in a timely manner. reviewed. The long-term care plans in place reflected the outcome of the assessments. Cultural, sexuality and intimacy needs have been identified for the residents. Registered nurses are competent in the assessment of acute clinical needs of residents to be able to safely deliver care for residents under medical services. Maternity service The LMC midwives that have access to Waihi maternity provide care for women from the booking date at the start of the pregnancy. During the antenatal period, there are extensive assessments of needs, goals and continued planning with all aspects of the maternity experience. There is a Waihi maternity booking form which provides comprehensive entry information for the service. Once the client enters the facility for the labour birth experience or the postnatal period these previous plans form the basis of the care provided while within the facility. All files reviewed confirm the continuum of provision of care with daily assessments, timely interventions, and achievement of planned goals. The tracer file shows needs and daily goals being met in a timely manner. Standard 1.3.5: Planning Consumers' service delivery plans are consumer focused, integrated, and promote continuity of service delivery. PA Moderate Rest home and hospital: Resident files include all required documentation. The long-term care plan records the resident’s problem/need and objectives. Not all resident files sampled had documented interventions to address the residents’ needs. Care plans are evaluated for identified issues and were completed six monthly, or in some files as condition changed. Short-term care plans are in use for short-term needs and changes in health status. Resident files reviewed identified that family were involved in the care plan development and ongoing care needs of the resident. Families interviewed confirmed their involvement in the care planning process. Maternity service Continuity of care is provided to the clients by their LMC who visits daily and by the facility HCAs. Inpatient orientation to the facility and its services are identified within the daily entries in the facility files while the client is an inpatient. Handover of information between the LMCs and HCAs were evidenced in the five of five files reviewed and show a team approach to the inpatient care. Clients’ delivery plans displayed evidence of required support or interventions that were identified as part of the daily ongoing assessment process. Some summary’s, topics and updates within the care plans and file were absent. One Waihi maternity client phone interview discussed how she felt that having the
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