A number of shortfalls that require specific action to address Some standards applicable to this service partially attained and of medium or high risk and/or unattained and of low risk Major shortfalls, significant action is needed to achieve the required levels of performance Some standards applicable to this service unattained and of moderate or high risk General overview of the audit Ernest Rutherford provides rest home, dementia and hospital level care for up to 124 residents, including 30 serviced apartments certified to provide rest home level care. At the time of the audit there were 105 residents in total. This certification audit was conducted against the relevant Health and Disability Standards and the contract with the district health board. The audit process included the review of policies and procedures, the review of residents and staff files, observations, and interviews with residents, relatives, management, staff and the general practitioner. The village manager at Ernest Rutherford is non-clinical and has been in the role for seven years. He is supported by an assistant to the manager and a clinical manager, who oversees the clinical care in the care centre. The clinical manager has been in the position for three months. The management team is supported by the Ryman management team including regional manager. There are systems, processes, policies and procedures that are structured to provide appropriate care for residents. Implementation is being supported through the organisations quality and risk management programme. An induction and in-service training programme that provides staff with appropriate knowledge and skills to deliver care and support is in place. This identified two improvements required around neurological observations and care planning documentation. The service is commended for achieving two continuous improvement ratings around the reduction of challenging behaviour incidents and pressure injury reduction.
resident preferences and dislikes. Nutritious snacks are available 24 hours. Residents interviewed responded favourably to the food that was provided. Safe and appropriate environment Includes 8 standards that support an outcome 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 attained. The building has a current warrant of fitness. There is a preventative and planned maintenance schedule in place. Chemicals are stored safely throughout the facility. All bedrooms have ensuites. There is sufficient space to allow the movement of residents around the facility using mobility aids or lazy boy chairs. The hallways and communal areas are spacious and accessible. The outdoor areas are safe and easily accessible. There is an approved fire evacuation scheme. There are six-monthly fire drills. Staff have attended emergency and disaster management. There is a first aider on-site at all times. Housekeeping staff maintain a clean and tidy environment. Restraint minimisation and safe practice 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. The service has appropriate procedures and documents for the safe assessment, planning, monitoring and review of restraint and enablers as evidenced in the two resident files with restraints reviewed. At the time of the audit there were no residents using any enablers and two residents with restraint in use. Staff receive training around restraint minimisation and the management of challenging behaviour.
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