residents’ primary language however when interviewed the resident responded in Maori. Documentation 180 days evidenced regular communication with family/whanau. Family were unable to be contacted on the day of audit. Criterion 1.2.1.1 PA The organisation has a strategic and business plan in The organisation’s Provide evidence place (February 2015). The objectives and goals strategic and business that the The purpose, values, scope, direction, documented have not been reviewed since they were put plan was last reviewed organisational and goals of the organisation are in place. Policy outlines the purpose, values, and scope in February 2015. The planning processes clearly identified and regularly of the organisation. No reporting occurs between the current owner/director are overseen by the reviewed. facility manager and the current owner. The current stated they were governing body and facility manager was unaware that regular review of the unaware that they regularly reviewed documented goals and objectives set was a requirement. were required to to allow monitoring monitor the set of planned, objectives and goals. coordinated and appropriate service delivery to meet the needs of residents. 60 days Criterion 1.2.1.3 PA The overall day to day service is managed by a facility The facility manager is Provide evidence Low manager who has been a registered nurse since 2013. new to the role and that the facility The organisation is managed by a They maintain their required educational hours to meet they have no manager is suitably qualified and/or experienced Nursing Council requirements. They have worked at the established localised supported into their person with authority, accountability, facility since July 2016, firstly as the clinical nurse networks or support role to allow them to and responsibility for the provision of manager and then as the facility manager since from the current owner. gain confidence and services. November 2016. This is their first role as a facility The current owner had experience to manager. The facility manager confirmed knowledge of very limited knowledge complete all the sector, regulatory and reporting requirements and of what is expected as required tasks. maintains currency through attendance at ongoing the owner of an aged clinical education sessions, via two post graduate papers care facility. There are related to the health field. They have also commenced no formalised lines of 180 days attendance at aged care professional development communication seminars. between the facility manager and the current owner.
residents’ primary language however when interviewed the resident responded in Maori. Documentation evidenced regular communication with family/whanau. Family were unable to be contacted on the day of audit. 180 days Criterion 1.2.1.1 The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed. PA The organisation has a strategic and business plan in place (February 2015). The objectives and goals documented have not been reviewed since they were put in place. Policy outlines the purpose, values, and scope of the organisation. No reporting occurs between the facility manager and the current owner. The current facility manager was unaware that regular review of the documented goals and objectives set was a requirement. The organisation’s strategic and business plan was last reviewed in February 2015. The current owner/director stated they were unaware that they were required to monitor the set objectives and goals. Provide evidence that the organisational planning processes are overseen by the governing body and regularly reviewed to allow monitoring of planned, coordinated and appropriate service delivery to meet the needs of residents. 60 days Criterion 1.2.1.3 The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services. PA Low The overall day to day service is managed by a facility manager who has been a registered nurse since 2013. They maintain their required educational hours to meet Nursing Council requirements. They have worked at the facility since July 2016, firstly as the clinical nurse manager and then as the facility manager since November 2016. This is their first role as a facility manager. The facility manager confirmed knowledge of the sector, regulatory and reporting requirements and maintains currency through attendance at ongoing clinical education sessions, via two post graduate papers related to the health field. They have also commenced attendance at aged care professional development seminars. The facility manager is new to the role and they have no established localised networks or support from the current owner. The current owner had very limited knowledge of what is expected as the owner of an aged care facility. There are no formalised lines of communication between the facility manager and the current owner. Provide evidence that the facility manager is supported into their role to allow them to gain confidence and experience to complete all required tasks. 180 days
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