Consumer Rights Day of Audit 26-Sep-13 Assessment Includes 13 standards that support an outcome where consumers receive safe services of an appropriate standard that comply with consumer rights legislation. Services are provided in a manner that is respectful of consumer rights, facilities, informed choice, minimises harm and acknowledges cultural and individual values and beliefs. Standards applicable to this service fully attained Organisational Management Day of Audit 26-Sep-13 Assessment Includes 9 standards that support an outcome where consumers receive services that comply with legislation and are managed in a safe, efficient and effective manner. Standards applicable to this service fully attained Continuum of Service Delivery Day of 26-Sep-13 Assessment Includes 13 standards that support an outcome where consumers participate in and receive timely assessment, followed by services that are planned, coordinated, and delivered in a timely and appropriate manner, consistent with current legislation. Standards applicable to this service fully attained Safe and Appropriate Environment Day of Audit 26-Sep-13 Assessment Includes 8 standards that support an outcome where services are provided in a clean, safe environment that is appropriate to the age/needs of the consumer, ensure physical privacy is maintained, has adequate space and amenities to facilitate independence, is in a setting appropriate to the consumer group and meets the needs of people with disabilities. Standards applicable to this service fully attained Restraint Minimisation and Safe Practice Day of 26-Sep-13 Assessment Includes 3 standards that support outcomes where consumers receive and experience services in the least restrictive and safe manner through restraint minimisation. Standards applicable to this service attained Infection Prevention and Control Day of Audit 26-Sep-13 Assessment
Care staff interviewed demonstrate an understanding of how residents can access advocacy/support persons. Care staff interviewed confirm they attended education on the Code of Right, advocacy, complaint management as part of the inservice education programme. This was confirmed during review of staff education records. The general/facility manager advises that a minister provides advocacy services as needed, including blessing resident's rooms. Residents and family interviewed confirm that advocacy support is available to them if required, and that information on how to access the Health and Disability Advocate is included in the information package they receive on admission. Visual inspection provides evidence the independent and H&D Advocate details are displayed along with advocacy information brochures. Admission pack reviewed and provides evidence advocacy, complaints and Code of Rights is included. The ARC requirements are met. Criterion 1.1.11.1 Consumers are informed of their rights to an independent advocate, how to access them, and their right to have a support person/s of their choice present. Evidence Attainment: FA Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: STANDARD 1.1.12 Links With Family/Whānau And Other Community Resources Consumers are able to maintain links with their family/whānau and their community. ARC D3.1h; D3.1e ARHSS D3.1h; D3.1e; D16.5f Evaluation methods used: D SI STI MI CI MaI V CQ SQ STQ Ma L How is achievement of this standard met or not met? Attainment: FA There are documented visitors' policy and guidelines available to ensure resident safety and well-being is not compromised by visitors to the service (e.g. visitors are required to sign in and out via registers). The activities programme includes access to community groups and there are systems in place to ensure residents remain aware of current affairs, including reading of the newspaper each day. Residents and family members interviewed confirm they can have access to visitors of their choice, and confirm they are supported to access services within the community. Access to community support/interest groups is facilitated for residents as appropriate and two vans are available to take residents on
An 'Accident/Incident Summary' is used to document all incidents, is reviewed monthly, and is provided to the quality improvement committee meetings. There is an open disclosure policy. Resident files reviewed (four hospital and three rest home) provide evidence of communication with families following adverse events involving the resident, or any change in the residents condition, confirmed by family interviews. Communication with family is documented in the resident's progress notes. Staff confirm during interview that they are made aware of their essential notification responsibilities through: job descriptions; policies and procedures; and professional codes of conduct, which was confirmed via review of staff files and other documentation. Policy and Procedures comply with essential notification reporting e.g., health and safety, human resources, infection control etc. The ARC requirements are met. Criterion 1.2.4.2 The service provider understands statutory and/or regulatory obligations in relation to essential notification reporting and the correct authority is notified where required. Evidence Attainment: FA Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: Criterion 1.2.4.3 The service provider documents adverse, unplanned, or untoward events including service shortfalls in order to identify opportunities to improve service delivery, and to identify and manage risk. Audit Evidence Attainment: FA Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: