Some standards applicable to this service partially A number of shortfalls that require specific action to attained and of medium or high risk and/or unattained address and of low risk Major shortfalls, significant action is needed to achieve Some standards applicable to this service unattained and the required levels of performance of moderate or high risk General overview of the audit Freeling Holt is a trust with a board providing a governance role. This surveillance audit was undertaken to establish compliance with the Health and Disability Services Standards and the district health board contract. The service provides rest home and hospital level care for up to 32 residents with 31 residents during the audit. Some residents had physical disabilities and some were under the age of 65 years. A manager has been in the role for a year. Staffing was appropriate to support the needs of residents. There was a quality and risk management programme in place that included review of incidents, complaints, implementation of an internal audit programme and a health a safety programme. There were no improvements required at the last certification audit. Improvements are required to the following: notifications following adverse events, integration of resident records, wound management, review of care plans, and documentation of administration of medication.
A number of shortfalls that require specific action to address Some standards applicable to this service partially attained and of medium or high risk and/or unattained and of low risk Major shortfalls, significant action is needed to achieve the required levels of performance Some standards applicable to this service unattained and of moderate or high risk General overview of the audit Freeling Holt is a trust with a board providing a governance role. This surveillance audit was undertaken to establish compliance with the Health and Disability Services Standards and the district health board contract. The service provides rest home and hospital level care for up to 32 residents with 31 residents during the audit. Some residents had physical disabilities and some were under the age of 65 years. A manager has been in the role for a year. Staffing was appropriate to support the needs of residents. There was a quality and risk management programme in place that included review of incidents, complaints, implementation of an internal audit programme and a health a safety programme. There were no improvements required at the last certification audit. Improvements are required to the following: notifications following adverse events, integration of resident records, wound management, review of care plans, and documentation of administration of medication.
AuditSummary_PRMS_CommunicatePublish_000000937002.docx