administration, review, storage, disposal, days. One resident with a recent and medicine reconciliation in order to change in XXXX has had the previous comply with legislation, protocols, and dose administered on one occasion in guidelines. the past week. One resident with QID XXXX prescribed has not always had these administered QID. Standard Consumers are provided with an PA Low 1.4.2: Facility appropriate, accessible physical Specifications environment and facilities that are fit for their purpose. Criterion All buildings, plant, and equipment PA Low (i) There is not a current Building (i)Continue the process to 90 1.4.2.1 comply with legislation. Warrant of Fitness with the previous obtain a building warrant of one having expired in 2012. (ii) The fitness. (ii) Ensure all medical scales have not been calibrated. equipment is calibrated according to manufacturer’s recommendations. Standard 3.1: There is a managed environment, which PA Low Infection minimises the risk of infection to control consumers, service providers, and management visitors. This shall be appropriate to the size and scope of the service. Criterion 3.1.3 The organisation has a clearly defined PA Low Infection control manual was last Review and evaluate the 90 and documented infection control reviewed 2013 and includes the infection control programme. programme that is reviewed at least programme and associated policies. annually. The infection control programme requires annual review. Continuous Improvement (CI) Report Code Name Description Attainment Finding
administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines. days. One resident with a recent change in XXXX has had the previous dose administered on one occasion in the past week. One resident with QID XXXX prescribed has not always had these administered QID. Standard 1.4.2: Facility Specifications Consumers are provided with an appropriate, accessible physical environment and facilities that are fit for their purpose. PA Low Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. PA Low (i) There is not a current Building Warrant of Fitness with the previous one having expired in 2012. (ii) The scales have not been calibrated. (i)Continue the process to obtain a building warrant of fitness. (ii) Ensure all medical equipment is calibrated according to manufacturer’s recommendations. 90 Standard 3.1: Infection control management There is a managed environment, which minimises the risk of infection to consumers, service providers, and visitors. This shall be appropriate to the size and scope of the service. PA Low Criterion 3.1.3 The organisation has a clearly defined and documented infection control programme that is reviewed at least annually. PA Low Infection control manual was last reviewed 2013 and includes the programme and associated policies. The infection control programme requires annual review. Review and evaluate the infection control programme. 90 Continuous Improvement (CI) Report Code Name Description Attainment Finding
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