encouraged to maintain their former community links. Church services are held fortnightly for all denominations and Holy Communion. The service has a wheelchair van for outings. The service has employed a full-time recreational therapist who is a qualified physiotherapist and currently progressing through the DT qualification. The recreational therapist will receive support from the rest home/hospital DT (also a Careerforce assessor) and from the regional DT support network. There are a number of care centre caregivers who have attended “walking in another’s shoes” who can provide activities for dementia care residents. Standard 1.4.1: Management Of Waste And Hazardous Substances Consumers, visitors, and service providers are protected from harm as a result of exposure to waste, infectious or hazardous substances, generated during service delivery. FA Documented processes for the management of waste and hazardous substances are in place to ensure incidents are reported in a timely manner. Safety datasheets are readily accessible for staff. Chemical bottles sighted have correct manufacturer labels. Chemicals were stored safely throughout the facility. Personal protective clothing is available for staff and seen to be worn by staff when carrying out their duties in the care centre on the day of audit. Relevant staff have completed chemical safety training. The service has a chemical provider who monitors chemical use, documentation and chemical safety. The dementia unit has a locked sluice area. The main chemical supply is stored safely in the rest home/hospital area. The chemical provider is scheduled on day two for orientation to chemical safety for new employees. Standard 1.4.2: Facility Specifications Consumers are provided with an appropriate, accessible physical environment and facilities that are fit for purpose. PA Low There is a full-time property manager who oversees the property and gardening team and is available on call for facility matters. Planned and reactive maintenance systems are in place and maintenance requests are generated through the Sway (Summerset way) on-line system (property services requests). All electrical equipment has been tested and tagged. Clinical equipment has had functional checks/calibration annually. Preferred contractors for essential services are available 24/7. The new dementia care unit is still under construction and requires a certificate for public use on completion. Hot water temperatures in all resident areas and ensuring safety in the kitchen are required to be completed prior to occupancy. Contractors are in the process of
Specific results for criterion where 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 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 Rating Audit Evidence Finding Corrective action required and timeframe for completion (days) Criterion 1.2.7.4 New service providers receive an orientation/induction programme that covers the essential components of the service provided. PA Low There is a planned three-week orientation for staff who have been employed to work in the dementia care unit. The orientation commences on 7 November 2016. All new and existing staff will receive orientation to the unit, emergency procedures, call bell system and attend a planned fire drill. Over the three weeks, mandatory and clinical education will be completed and competencies completed such as medication, nutrition and infection control and first aid. The orientation programme has not yet commenced. Ensure staff complete the orientation programme as scheduled over three weeks. Prior to occupancy days Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, PA Low There is a separate medication room located within the new dementia care unit. The medication cabinets and controlled drugs safe and locks are yet to be installed and completed. The The medication room is not ready for use or secure. Implement a safe transition for the medication system.
dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines. service uses robotic rolls. The pharmacy is available 24 hours and medications are received by courier within a timely manner. Prior to occupancy days Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform the function for each stage they manage. PA Low Caregivers employed for the dementia unit will complete medication education and medication competencies including the use of the electronic medication system on day of the orientation programme. Senior caregivers will be employed to manage and administer medications. Advised, that medication competencies will be completed during induction and annually. For new commencing who will have medication administration responsibilities, ensure all have completed medication competencies. Prior to occupancy days Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. PA Low The dementia building is still a construction site with internal construction and décor to be completed. The new dementia care unit requires a certificate for public use on completion as follows; 1) the internal building requires completion including all electrical work and lighting, completion of the activity based laundry, sluice room, kitchenette (including hot water safety), interior décor of all areas (including furnishings) and flooring and 2) construction is completed and the building complies with legislation. Obtain a certificate for public use (CPU). to occupancy days Criterion 1.4.2.4 The physical environment minimises risk of harm, promotes safe mobility, aids independence PA Low The dementia building is a construction site with external landscaping to be completed. The exterior walking pathways provide freedom to wander within a safe 1) Hot temperatures in all resident areas and hot water safety in the kitchen, are required to be completed, 2) the kitchen has a functioning oven and stovetop for Ensure the physical environment minimises harm.