to provide safe and effective services to consumers. has been provided for staff and what education each staff member has attended. (ii) Documented education planners for 2013 and 2014 are not available for review. (iii) Unable to evidence that medicine management education has been provided for staff involved in medicine management. It is acknowledged that medication competencies are current for staff involved in medicine management. (iv) Review of education spreadsheets and staff files indicates that not all staff have attended the staff study days which means that all staff have not completed challenging behaviour education and restraint minimisation education. (v) Not all staff have current performance appraisals. and implemented that includes all key topics; (ii) staff attend in-service education; (iii) accurate records of in-service education attended are retained for each staff member; (iv) all staff involved in medicine management attend medicine management education; (v) all staff attend challenging behaviour education and all clinical staff attend restraint minimisation and safe practice education; and (vi) all staff have performance appraisals completed on a regular basis. HDS(C)S.2008 Standard 1.3.4: Assessment Consumers' needs, support requirements, and preferences are gathered and recorded in a timely manner. PA Low HDS(C)S.2008 Criterion 1.3.4.2 The needs, outcomes, and/or goals of consumers are identified via the assessment process and are documented to serve as the basis for service delivery planning. PA Low The assessment process identified short term problems requiring intervention. However none of the associated care plans made Assessment and intervention outcomes are communicated to service providers 180
reference to these problems or the intervention required. HDS(C)S.2008 Standard 1.3.12: Medicine Management Consumers receive medicines in a safe and timely manner that complies with current legislative requirements and safe practice guidelines. PA High HDS(C)S.2008 Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in to comply with legislation, protocols, and guidelines. PA High The medicines management system currently in place does not ensure safe and appropriate dispensing, administration and storage of medicines to comply with legislation, protocols and guidelines. Provide evidence of implemented policies and strategies to ensure residents receive medicines in a safe and timely manner that complies with safe practice guidelines. 30 HDS(C)S.2008 Standard 1.3.13: Nutrition, Safe Food, And Fluid Management A consumer's individual food, fluids and nutritional needs are met where this service is a component of service delivery. PA Moderate HDS(C)S.2008 Criterion 1.3.13.5 All aspects of food procurement, production, preparation, storage, transportation, delivery, and disposal comply with current legislation, and guidelines. PA Moderate Aspects of food storage do not meet the required standard to comply with current legislation and guidelines. Provide evidence of regular freezer defrosting and updated labelling on food stored in the freezer to ensure compliance with current legislation and guidelines. 90 Continuous Improvement (CI) Report Code Name Description Attainment Finding