Summary of attainment The following table summarises the number of standards and criteria audited and the ratings they were awarded. Attainment Rating Continuous Improvement (CI) Fully Attained (FA) Partially Attained Negligible Risk (PA Negligible) Partially Attained Low Risk (PA Low) Partially Attained Moderate Risk (PA Moderate) Partially Attained High Risk (PA High) Partially Attained Critical Risk (PA Critical) Standards 00 50 0 0 0 0 0 Criteria 0 101 0 0 0 0 0 Attainment Rating Unattained Negligible Risk (UA Negligible) Unattained Low Risk (UA Low) Unattained Moderate Risk (UA Moderate) Unattained High Risk (UA High) Unattained Critical Risk (UA Critical) Standards 0 0 0 0 0 Criteria 0 0 0 0 0
information they need to make informed choices and give informed consent. records and residents and family interviews confirmed that advance directives and not for resuscitation were discussed and signed by the resident or EPOA where appropriate. The CM and BCVM reported informed consent is discussed and recorded at the time the resident is admitted to the facility. Residents and family confirmed they have been made aware of and understand the principles of informed consent. Residents/family are provided with various consent forms on admission for completion as appropriate and these were reviewed on residents’ files. Copies of legal documents such as EPOA for residents are retained at the facility. Where residents have named EPOAs these were reviewed on residents’ files. Standard 1.1.11: Advocacy And Support Service providers recognise and facilitate the right of consumers to advocacy/support persons of their choice. FA Resident information relating to advocacy services is available at the entrance to the facility and in information packs provided to residents and family on admission to the service. Written information on the role of advocacy services is also provided to complainants at the time of their complaint acknowledgement. Staff training regarding advocacy services was last provided in 2017. The health and disability advocate visits the service, as confirmed by the management team. Family and residents confirmed the service provides opportunities for the family/EPOA to be involved in decisions and they stated they have been informed about advocacy services. Family members confirmed they act as advocates for their family member and for other residents if they identify any needs. There is a resident chaplain and local chaplains from a variety of disciplines who can be accessed as advocates if required. Standard 1.1.12: Links With Family/Whānau And Other Community Resources Consumers are able to maintain links with their family/whānau and their community. FA Residents are encouraged to be involved in community activities and to maintain family and friend networks. Residents' files reviewed demonstrated that progress notes and the content of care plans include regular outings and appointments. The service has an open visiting policy and residents may have visitors of their choice at any time. The facility is secured in the evenings and visitors can gain access by using the intercom to gain entry to visit after doors are locked. Families confirmed they could visit at any time and are always made to feel welcome. Families noted that the café onsite provides an opportunity to dine with their family member.