confirmed their awareness of the corrective actions and feel they have had positive outcomes. This is supported by the overall resident/family satisfaction survey results which gained a 96% rating. Resident and family satisfaction surveys are completed annually. The most recent survey, June 2018, showed that all areas of service gained a higher rating in all areas from the 2017 year. Issues raised in the 2017 satisfaction survey such as food services have corrective actions shown with staff responsibilities and outcomes identified. Corrective actions included ensuring all residents’ food needs are catered for and this includes the introduction of an off-site specialist pureed food company supplying pureed food and the use of food moulds to make the meal look more attractive. Residents and families interviewed confirmed there has been an improvement in food services over the past year. The facility has undertaken a project around this process and outcomes are yet to be fully evaluated. The Orchards has four active quality improvements which they are working on. These are the introduction of an electronic programme to access off-site clinical information such as blood tests, hourly electronic fridge testing of temperatures to prevent food spoilage, residents on fortified foods and those having puree food is being linked to monitoring of residents weight to ensure they increase or remain stable, and the ongoing management of falls with a 30% of falls as a set goal. Policies reviewed cover all necessary aspects of the service and contractual requirements, including reference to the interRAI Long Term Care Facility (LTCF) assessment tool and process. This process is managed at head office and all policies are based on best practice and were current. The document control system ensures a systematic and regular review process, referencing of relevant sources, approval, distribution and removal of obsolete documents. The management team described the processes for the identification, monitoring, review and reporting of risks and development of mitigation strategies. The nurse manager is familiar with the Health and Safety at Work Act (2015) and has implemented requirements. The health and safety committee review all new risks and they are entered into the risk register and discussed at staff meetings as appropriate. A full review of the risk register occurs annually. There is a current hazardous substance register.
confirmed their awareness of the corrective actions and feel they have had positive outcomes. This is supported by the overall resident/family satisfaction survey results which gained a 96% rating. Resident and family satisfaction surveys are completed annually. The most recent survey, June 2018, showed that all areas of service gained a higher rating in all areas from the 2017 year. Issues raised in the 2017 satisfaction survey such as food services have corrective actions shown with staff responsibilities and outcomes identified. Corrective actions included ensuring all residents’ food needs are catered for and this includes the introduction of an off-site specialist pureed food company supplying pureed food and the use of food moulds to make the meal look more attractive. Residents and families interviewed confirmed there has been an improvement in food services over the past year. The facility has undertaken a project around this process and outcomes are yet to be fully evaluated. The Orchards has four active quality improvements which they are working on. These are the introduction of an electronic programme to access off-site clinical information such as blood tests, hourly electronic fridge testing of temperatures to prevent food spoilage, residents on fortified foods and those having puree food is being linked to monitoring of residents weight to ensure they increase or remain stable, and the ongoing management of falls with a 30% of falls as a set goal. Policies reviewed cover all necessary aspects of the service and contractual requirements, including reference to the interRAI Long Term Care Facility (LTCF) assessment tool and process. This process is managed at head office and all policies are based on best practice and were current. The document control system ensures a systematic and regular review process, referencing of relevant sources, approval, distribution and removal of obsolete documents. The management team described the processes for the identification, monitoring, review and reporting of risks and development of mitigation strategies. The nurse manager is familiar with the Health and Safety at Work Act (2015) and has implemented requirements. The health and safety committee review all new risks and they are entered into the risk register and discussed at staff meetings as appropriate. A full review of the risk register occurs annually. There is a current hazardous substance register.
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