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
Consumers are provided with safe and hygienic cleaning and laundry services appropriate to the setting in which the service is being provided. person. All personal clothing and linen is laundered on-site. The new washing machine has an outbreak cycle. All equipment has a six-monthly service. At Riverside Rest Home, personal clothing is laundered on-site in a laundry. All linen is laundered off-site. The contracted chemical supplier monitors the effectiveness of the cleaning and laundry processes. The cleaner’s trolleys at both sites are well equipped and are kept in designated locked areas when not in use. Standard 1.4.7: Essential, Emergency, And Security Systems Consumers receive an appropriate and timely response during emergency and security situations. FA There are policies and procedures on emergency and security situations including how services will be provided in health, civil defence or other emergencies. All staff receive emergency training on orientation and ongoing. Lonsdale Total Care- civil defence supplies are readily available on-site including a 1,000L water tank, other bottled water store (changed six-monthly), adequate food storage, gas and electric cooking appliances and a barbeque. The service has purchased a diesel generator which is to be connected to the hospital mains. At Riverside Rest Home there are adequate civil defence supplies including water and food storage. There is a battery backup in the event of a power failure. The fire evacuation scheme was approved by the fire service 1992 for both facilities. There are six-monthly fire drills. Fire safety is completed with new staff as part of the health and safety induction and is ongoing as part of the education plan. There is a first aider on duty at all times. Resident’s rooms, communal bathrooms and living areas all have a wireless call bell system that generates call on staff carrying pagers. Security policies and procedures are documented and implemented by staff. The buildings are secure at night with doorbell access. Standard 1.4.8: Natural Light, Ventilation, And Heating Consumers are provided with adequate natural light, safe ventilation, and an environment that is maintained at a safe and comfortable temperature. FA Residents are provided with adequate natural safe ventilation and an environment that is maintained at a safe and comfortable temperature. There are sufficient doors and opening windows for ventilation. All bedrooms have good sized windows which allows plenty of natural light.
Specific results for criterion corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.3.5.2 Service delivery plans describe the required support and/or intervention to achieve the desired outcomes identified by the ongoing assessment process. PA Low Resident care reviewed were resident focused and individualised. Overall identified support needs were included in the care plans for all resident files reviewed. However not all interventions were documented to manage pain and restraint risks. (i) were no documented interventions for the management of pain for one rest home resident at Lonsdale, and (ii) there were documented risks around the use of restraint for three of five hospital residents on restraint. (i) Ensure there are documented interventions for pain management and (ii) ensure restraint risks are documented for all residents on restraint. 90 days