confirming completion of requirements Criterion 1.2.8.1 PA Low There is a Safe staffing policy and (i) The current nurses’ station is a distance from the (i)Ensure a nurses Safe Staffing procedure, which upstairs wing. Advised that a small nurse’s station is to station is installed as is a clearly describes staffing and is based on be placed at the start of the wing (ii) Currently the night discussed; (ii) documented and benchmarking information. The staff are responsible for laundry. Due to the size of the Review implemented process policy also states that a developing growing facility, this should be reviewed; (iii) Staff have responsibilities for which determines care centre will have a higher staff not yet been employed for the new dual purpose laundry; (iii) Ensure service provider levels to resident ratio in the initial build in upstairs wing. appropriate trained and skill mixes in order occupancy to ensure safe staffing staff in place for new to provide safe service practices. wing prior to delivery. occupancy of residents within the upstairs wing. Prior to occupancy Criterion 1.3.3.4 PA There is evidence of the GP being A review of progress notes identified lack of follow Ensure progress Moderate involved in the six month MTD through and integration. The registered nurses write notes are integrated The service is meetings with families. The GP progress notes in the medical notes. There is no link to and identify link and coordinated in a manner visits weekly and is available on the caregiver’s progress notes. follow through of that promotes continuity call. care. in service delivery and promotes a team A verbal and written handover at the approach where beginning of each shift where any 60 Days appropriate. issues or changes in resident status is discussed. Progress notes are maintained on every shift by caregivers or more often if there are any changes. RNs write in the medical continuation notes at least weekly and with significant events.
confirming completion of requirements 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 Low There is a Safe staffing policy and Safe Staffing procedure, which describes staffing and is based on benchmarking information. The policy also states that a developing care centre will have a higher staff to resident ratio in the initial build in occupancy to ensure safe staffing practices. (i) The current nurses’ station is a distance from the upstairs wing. Advised that a small nurse’s station is to be placed at the start of the wing (ii) Currently the night staff are responsible for laundry. Due to the size of the growing facility, this should be reviewed; (iii) Staff have not yet been employed for the new dual purpose upstairs wing. (i)Ensure a nurses station is installed as discussed; (ii) Review responsibilities for laundry; (iii) Ensure appropriate trained staff in place for new wing prior to occupancy of residents within the upstairs wing. Prior to occupancy Criterion 1.3.3.4 The service is coordinated in a manner that promotes continuity in service delivery and promotes a team approach where appropriate. PA Moderate There is evidence of the GP being involved in the six month MTD meetings with families. The GP visits weekly and is available on call. A verbal and written handover at the beginning of each shift where any issues or changes in resident status is discussed. Progress notes are maintained on every shift by caregivers or more often if there are any changes. RNs write in the medical continuation notes at least weekly and with significant events. A review of progress notes identified lack of follow through and integration. The registered nurses write progress notes in the medical notes. There is no link to the caregiver’s progress notes. Ensure progress notes are integrated and identify link and follow through of care. 60 Days
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