safe and effective services to consumers. Criterion 1.3.12.3 PA Low The medications are administered by senior caregivers. The RN does not have a Ensure there is Medication competencies were sighted for 13 staff that documented medication documented evidence that Service providers assisted with medicine management. There was no competency. all staff that assist with responsible for documented competency assessment sighted for the RN medicine management are medicine management on duty at the time of audit, though it is the caregivers assessed as competent to are competent to who were assisting with the medicine administration. The do so. perform the function RN demonstrated sound knowledge and competency on for each stage they medicine management, they researched the manage. implementation of the new medication administration and 180 days storage system in May 2014. As the service has implemented an action plan to ensure the RN does have the formal competency assessment undertaken within this week, this is assessed as a low risk. Criterion 1.4.2.1 PA Low was refurbishment of ensuites and toilet/bathroom i) Ensure that doors on i) Ensure that doors on areas in progress on the day of the audit. The doors to toilets/bathrooms do not toilets/bathrooms do not All buildings, plant, bathrooms and toilets had been identified as requiring have exposed particle have exposed particle and equipment comply repair. board. ii) Ensure that two board. ii) Ensure that two with legislation. windows in one bedroom windows in one bedroom do not present a hazard to do not present a hazard to anyone using the deck anyone using the deck area. area. 60 days
safe and effective services to consumers. Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform the function for each stage they manage. PA Low The medications are administered by senior caregivers. Medication competencies were sighted for 13 staff that assisted with medicine management. There was no documented competency assessment sighted for the RN on duty at the time of audit, though it is the caregivers who were assisting with the medicine administration. The RN demonstrated sound knowledge and competency on medicine management, they researched the implementation of the new medication administration and storage system in May 2014. As the service has implemented an action plan to ensure the RN does have the formal competency assessment undertaken within this week, this is assessed as a low risk. The RN does not have a documented medication competency. Ensure there is documented evidence that all staff that assist with medicine management are assessed as competent to do so. 180 days Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. PA Low was refurbishment of ensuites and toilet/bathroom areas in progress on the day of the audit. The doors to bathrooms and toilets had been identified as requiring repair. i) Ensure that doors on toilets/bathrooms do not have exposed particle board. ii) Ensure that two windows in one bedroom do not present a hazard to anyone using the deck area. i) Ensure that doors on toilets/bathrooms do not have exposed particle board. ii) Ensure that two windows in one bedroom do not present a hazard to anyone using the deck area. 60 days
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