resources and information to clinical staff to assist them with infection matters. There are no specific requirements except for those required in relation to waste management. 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) 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 0 7 8 0 0 0 0 Criteria 0 27 8 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
Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform the function for each stage they manage. PA The current medicine administration, recording and storage systems are safe and met best practice guidelines. It is anticipated that RNs will be required to use syringe drivers and/or other IV administration systems. None of the current RNs hold current IV certificates or have been assessed as competent with syringe drivers. RNs will need to demonstrate competence with the use of syringe drivers and/or other intravenous medicine administration systems before delivery of hospital level care can occur. Ensure there is at least one RN on site at all times who holds current IV certification and is competent with syringe driver use. to occupancy days Criterion 1.4.1.1 Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements. PA The only operational sluice room on site is located a distance from the proposed dual purpose rooms. The area previously designated as a sluice room is in close proximity to the proposed dual purpose rooms, does not have a sterilizer. Ensure is a readily accessible and suitably equipped sluice room for the disposal of human waste in close proximity to the dual purpose bedrooms. to occupancy days Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. PA Although the physical environment and facilities are currently safe and fit for the provision of hospital care, a few building changes would enhance resident, staff and visitor experiences. There is a proposal to reconfigure the large lounge area to create two smaller recreational areas, a family/whanau room and an additional office. This would increase choices for residents and their visitors and provide more effective use of the existing space. There is one sling hoist on site which is maintained in good condition. This may not be sufficient as the numbers of residents who require hoists for lifting increases. There is a need to provide more space and areas for family to visit in private, especially when a resident is requiring palliative care. It is likely that there will be insufficient hoists for the increase in hospital level care residents. Ensure the physical environment is maximised to provide more choices for residents, and provide a separate family/whanau area. Provide sufficient equipment for the safe movement and transfer of frail residents.
playroom, visitor, and dining facilities to meet the needs of consumers. and visitor experiences. There is a proposal to reconfigure the large lounge area to create two smaller recreational areas, a family/whanau room and an additional office. This would increase choices for residents and their visitors and provide more effective use of the existing space. choices for some residents. There is no separate family/whanau area. families and that residents have a choice of different spaces for recreational activities. Prior to occupancy days Criterion 1.4.7.4 Alternative energy and utility sources are available in the event of the main supplies failing. PA Additional blankets for warmth and alternative energy supplies (eg, barbeque, torches and batteries) are also kept on site. In the event of a power outage, emergency backup lighting system is powered by battery. There is no generator on site to provide mains electricity There is no generator on site to provide mains electricity. Ensure there is a system for providing electricity in the event of a long term power cut. Prior to occupancy days