Specific results for criterion where corrective actions are required Where 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 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 Attainment Audit Evidence Audit Finding Corrective action outcome Rating required and timeframe for completion (days) Criterion 1.2.8.1 PA Moderate There are appropriate numbers of The rest home is an shape with Ensure that staff ‘L’ health care assistants on morning hallways leading to the hospital area are based in the is a clearly documented and afternoon shifts with staff where the registered nurse and the health rest home area and and implemented process which rostered onto the hospital and care assistant are based overnight. responsive to determines service provider dementia unit overnight. The two Fourteen residents requiring rest home residents overnight. levels and skill mixes in order to health care assistants in the level of care are based in the rest home provide safe service delivery. dementia unit include one who is area and there is a potential risk of staff able to support staff in the hospital being busy overnight in the hospital and 30 days with any cares required overnight. dementia unit and of not recognising that They are also required to support these residents need assistance. The residents in the rest home. roster was adjusted to base the second health care assistant from the dementia unit in the rest home area overnight. Criterion 1.4.2.4 PA Low There is a kitchen in the dementia The switch for the oven is in a cupboard Ensure residents unit. Residents are able to access that is potentially able to be locked are safe when they The physical environment the oven (switch located in a (unlocked on the day of the audit). The are in the dementia minimises risk of harm, cupboard) and a microwave. There microwave is potentially able to be used by unit kitchen. promotes safe mobility, aids is a snib lock on the inside of the
Specific results for criterion where corrective actions are required Where 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 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 Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.8.1 is a clearly documented and implemented process which determines service provider levels and skill mixes in order to provide safe service delivery. PA Moderate There are appropriate numbers of health care assistants on morning and afternoon shifts with staff rostered onto the hospital and dementia unit overnight. The two health care assistants in the dementia unit include one who is able to support staff in the hospital with any cares required overnight. They are also required to support residents in the rest home. The rest home is an ‘L’ shape with hallways leading to the hospital area where the registered nurse and the health care assistant are based overnight. Fourteen residents requiring rest home level of care are based in the rest home area and there is a potential risk of staff being busy overnight in the hospital and dementia unit and of not recognising that these residents need assistance. The roster was adjusted to base the second health care assistant from the dementia unit in the rest home area overnight. Ensure that staff are based in the rest home area and responsive to residents overnight. 30 days Criterion 1.4.2.4 The physical environment minimises risk of harm, promotes safe mobility, aids PA Low There is a kitchen in the dementia unit. Residents are able to access the oven (switch located in a cupboard) and a microwave. There is a snib lock on the inside of the The switch for the oven is in a cupboard that is potentially able to be locked (unlocked on the day of the audit). The microwave is potentially able to be used by Ensure residents are safe when they are in the dementia unit kitchen.
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