Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message data to display” then no continuous improvements were recorded as part of this of this “no audit. Criterion with Attainment Evidence Audit Finding desired outcome Rating Criterion 1.1.8.1 CI The service is committed to continuous quality 1) The service identified an improvement required improvement. Quality improvement plans (QIPs) are around end of life care following a clinical review of The service provides developed for any deficits identified as of a result of palliative care residents. Palliative/end of life care was an environment that concerns/complaints, internal audits, below average included as a key focus for the 2014 village objectives encourages good quality indicators and suggestions for improvement. that would see Malvina Major as the provider for best practice, which Malvina Major has participated in two research palliative care for residents and their families. A meeting should include projects within the last year being; 1) Pharmac pilot in was held with the management team and key evidence-based the use of required’ antipsychotic medication in stakeholders including the general practitioner (GP) and ‘as practice. dementia, to reduce incidence of challenging hospice clinical educators to develop strategies and behaviours, and 2) Massey University pilot of the goals that would improve palliative care over the 24-hour whole body vibration exercise intervention to reduce period. Village and care centre residents involvement the number of falls. Two QIPs implemented; 1) and feedback sought on the project through regular palliative care focus and 2) bowel management have meetings. Palliative care discussion is held at all service been evaluated and evidence positive changes in meetings. nursing practice. The following have been implemented over the period April 2014 to April 2015:
Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message “no data to display” then no continuous improvements were recorded as part of this of this audit. Criterion with desired outcome Attainment Rating Evidence Audit Finding Criterion 1.1.8.1 The service provides an environment that encourages good practice, which should include evidence-based practice. CI The service is committed to continuous quality improvement. Quality improvement plans (QIPs) are developed for any deficits identified as of a result of concerns/complaints, internal audits, below average quality indicators and suggestions for improvement. Malvina Major has participated in two research projects within the last year being; 1) Pharmac pilot in the use of ‘as required’ antipsychotic medication in dementia, to reduce incidence of challenging behaviours, and 2) Massey University pilot of the whole body vibration exercise intervention to reduce the number of falls. Two QIPs implemented; 1) palliative care focus and 2) bowel management have been evaluated and evidence positive changes in nursing practice. 1) The service identified an improvement required around end of life care following a clinical review of palliative care residents. Palliative/end of life care was included as a key focus for the 2014 village objectives that would see Malvina Major as the provider for best palliative care for residents and their families. A meeting was held with the management team and key stakeholders including the general practitioner (GP) and hospice clinical educators to develop strategies and goals that would improve palliative care over the 24-hour period. Village and care centre residents involvement and feedback sought on the project through regular meetings. Palliative care discussion is held at all service meetings. The following have been implemented over the period April 2014 to April 2015:
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