Training records are not individually collated for each staff member. A few certificates are able to evidence attendance at external education. All healthcare assistants have completed NZQA level three and four of the Care for the older person programme. Careerforce education is now implemented. The nurse manager is training to be the approved assessor for this education programme. A training planner for 2016 and 2017 was available. All teaching sessions and updates provided to staff have been recorded by the nurse manager. Interviews with residents/family confirmed they are pleased with all aspects of service delivery and that staff perform their roles in a professional manner. The nurse manager and one registered nurse are undergoing interRAI training at present and are unable to complete the interRAI assessments until their training is signed off. The interRAI system was reviewed and this is an area of improvement identified in this audit. Standard 1.2.8: Service Provider Availability Consumers receive timely, appropriate, and safe service from suitably qualified/skilled and/or experienced service providers. FA There is a documented policy on staffing mix that covers the contract requirements and includes the rationale for determining staffing levels and skill mixes in order to provide safe service delivery. The nurse manager is responsible for rostering of the staff. There is a month roster with set duties for staff. There is a casual pool of staff. The registered nurses currently complete eight hour shifts and all health care assistants do 12 hour shifts. There is adequate staff to cover up to the twenty five residents presently. The director and nurse manager interviewed stated that additional staff will be employed when the current number of residents increases. There is a plan developed for this purpose. The three months rosters reviewed evidence few bureau staff being employed as current staff cover all shifts. The only bureau nurse has been the contracted registered nurse on a regular basis to ensure the interRAI assessments have been completed in a timely manner. (Refer 1.2.7) The manager is on call twenty four hours a day seven days a week. This will change when the registered nurses are more experienced and knowledgeable about the service. The GP is on call for the provider and stated when interviewed that this arrangement is satisfactory. Family interviewed and observation during the confirmed that staff are providing services required of them.
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 their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If 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 Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.7.3 The appointment of appropriate service providers to safely meet the of consumers. PA Six registered nurses have been employed to replace the same number of registered nurses who had resigned in August 2016. of these registered nurses were interRAI trained. One registered nurse and the nurse manager (both recently employed) are undergoing interRAI training at present, but are unable to complete the interRAI assessments until their training is signed off. Three registered nurses are awaiting the course date to commence their interRAI training. One experienced bureau registered nurse has been contracted for three months up until December 2016, to assist with the interRAI assessments. This contract has been changed now to one day a week. The current situation is as follows: three residents are awaiting their prior assessments to be transferred from the DHB; one resident is short term respite care so does not require an interRAI assessment; eight interRAI assessments are in draft form (not documented as completed); five interRAI assessments are overdue and not commenced at Five of 23 residents` interRAI assessments are overdue. This is due to the resignation of three trained interRAI assessors which the provider has taken steps to replace. However, the scheduling of training for the new staff is beyond the control of the provider and this has led to a delay in the carrying out of the interRAI assessments. To ensure that staff as the training becomes available for interRAI. 180 days