The service has policies around competencies and requirements for validating professional competencies. The village manager advised that copies of practising certificates are obtained from employed staff. There are human resource policies and procedures, which includes the requirements of skill mix, staffing ratios, and rostering. The management team advised that they are currently in the process of employing registered nurses and caregivers. To date they have employed registered nurses including a senior RN, two that are interRAI trained and two that have experience providing for residents with complex medical needs and end of life cares. One of the employed RNs has syringe driver competency and medication competency obtained at another Selwyn facility. Two care partners have been employed, one being a transfer from another Selwyn facility. A cook has also been employed. The Selwyn Foundation Waikato region training plan for 2016 and 2017 will be implemented. There is a list of topics that must be completed at least two-yearly and this is reported on. Advised that further training around equipment, safe chemical handling, emergency and fire training will be implemented as part of the planned orientation being held before opening. The service has a contract with a pharmacy and a local general practitioner. The physiotherapist and dietitian contract to the Selwyn Foundation Waikato will provide services to the Moxon centre. Standard 1.2.8: Service Provider Availability Consumers receive timely, appropriate, and safe service from suitably qualified/skilled and/or experienced service providers. FA Human resource policies include documented rationale for determining staffing levels and skill mixes for safe service delivery. This defines staffing ratios to residents and rosters have been developed and are adjustable depending on resident numbers/mix/acuity. Draft rosters were sighted for various resident numbers and levels. The service has developed an initial draft roster, which includes, once the care home has more than 12 residents: one registered nurse and two care partners rostered on morning shift and one on afternoon shift in each household and one care partner on duty for the two households (which are adjacent on the same level) overnight. This will be adjusted as residents are admitted with general ratios of 1:5 for hospital level residents bed
Prior to occupancy days Criterion 1.4.7.1 Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. PA Low The site-specific St Andrews emergency manual contains the emergency and disaster policies and procedures including (but not limited to) fire and evacuation and dealing with emergencies and disasters. Emergencies, first aid and CPR are included in the mandatory in-services programme every two years and the annual training plan includes emergency training. Orientation includes emergency preparedness. Fire drills are scheduled for staff during induction, the week before opening. All staff will complete current first aid certificates during the orientation prior to opening. As the facility has not yet opened and staff are yet to be employed, a fire drill or training around the fire evacuation procedure has not occurred As the facility has not yet opened, staff have not completed a fire drill or training around the fire evacuation procedure. Implement fire drills for all at the Moxon Centre. Prior to occupancy days Criterion 1.4.7.5 An appropriate 'call system' is available to summon assistance when required. PA Low A new call bell system has been installed throughout the facility. The call system involves an individual pager system, which alerts staff when a resident activates a call bell. Call bells are situated in resident rooms, ensuites and in the communal dining and lounge areas of each household. The call bell system is yet to be activated. A call bell system is in throughout the care centre however, this is yet to be activated. Ensure that the call bell system is fully functioning throughout the care centre. Prior to occupancy days