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 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 1.3.3.3 PA Low Medical assessment by the GP occurs within 48hrs of Residents are not always Evidence is provided admission, and residents are reviewed monthly by reviewed monthly by the to verify the GP Each stage of service the GP, or three monthly if the GP has deemed the GP. No evidence was supports any provision (assessment, resident stable and able to be reviewed three sighted to verify the GP resident not planning, provision, monthly. Three of seven residents’ files reviewed, are supports the resident does requiring monthly evaluation, review, and being reviewed by the GP three monthly, and there is not require monthly visits. exit) is provided within time no verification or documentation the GP had deemed reviews. frames that safely meet the the resident stable and not requiring monthly reviews. needs of the consumer. Evidence sighted supports the resident being stable 180 days at this time. Interviews and documentation verifies GP input is accessed when residents are unwell. Criterion 1.3.5.2 PA Low reviewed evidenced all residents have an All residents have lifestyle Lifestyle care plans individualised lifestyle care plan. The assessment care plans, however these describe the support Service delivery plans findings in consultation with the resident and/or are not always updated to the resident requires describe the required family/whanau, informs the care plan and assists in describe the required to achieve the support and/or intervention identifying the required support the resident requires support needed, nor desired outcomes. to achieve the desired from care staff, to meet their goals and desired evidence service outcomes identified by the outcomes. Progress notes, activities notes, updated integration to enable a
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 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 1.3.3.3 Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer. PA Low Medical assessment by the GP occurs within 48hrs of admission, and residents are reviewed monthly by the GP, or three monthly if the GP has deemed the resident stable and able to be reviewed three monthly. Three of seven residents’ files reviewed, are being reviewed by the GP three monthly, and there is no verification or documentation the GP had deemed the resident stable and not requiring monthly reviews. Evidence sighted supports the resident being stable at this time. Interviews and documentation verifies GP input is accessed when residents are unwell. Residents are not always reviewed monthly by the GP. No evidence was sighted to verify the GP supports the resident does not require monthly reviews. Evidence is provided to verify the GP supports any resident not requiring monthly visits. 180 days Criterion 1.3.5.2 Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the PA Low reviewed evidenced all residents have an individualised lifestyle care plan. The assessment findings in consultation with the resident and/or family/whanau, informs the care plan and assists in identifying the required support the resident requires from care staff, to meet their goals and desired outcomes. Progress notes, activities notes, updated All residents have lifestyle care plans, however these are not always updated to describe the required support needed, nor evidence service integration to enable a Lifestyle care plans describe the support the resident requires to achieve the desired outcomes.
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