Infection prevention and control Includes 6 standards that support an outcome which minimises the risk of infection to consumers, service providers and visitors. Infection control policies and procedures are practical, safe and appropriate for the type of service provided and reflect current accepted good practice and legislative requirements. The organisation provides relevant education on infection control to all service providers and consumers. Surveillance for infection is carried out as specified in the infection control programme. Standards applicable to this service fully attained. The infection control coordinator is an experienced registered nurse who has received additional infection control education. Appropriate infection prevention and control systems are in place, with staff offered regular education related to infection control. Personal protective equipment is freely available to staff, and additional supplies are on site should there be an infection outbreak. Infection surveillance is systematic, and reported monthly to senior management and staff. The infection control programme is reviewed annually. Summary of attainment The following table summarises the number of standards and criteria audited and the ratings they were awarded. Attainment Rating Continuous Improvement (CI) Fully Attained (FA) Partially Attained Negligible Risk (PA Negligible) Partially Attained Low Risk (PA Low) Partially Attained Moderate Risk (PA Moderate) Partially Attained High Risk (PA High) Partially Attained Critical Risk (PA Critical) Standards 0 45 0 0 0 0 0 Criteria 1 92 0 0 0 0 0
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
Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a these is a message “no data to display” then no continuous improvements were recorded as part of this of this audit. Criterion with desired outcome Attainment Rating Evidence Finding Criterion 1.2.7.5 A system to identify, plan, facilitate, and record ongoing education for service providers to provide safe and effective services to consumers. CI There is a comprehensive training, education and ongoing development programme in place, developed by the facility manager. This encompasses all positions at the facility. Over the past three years an annual quality plan objective has been to improve the attendance at, and completion of training and education to staff, and to maintain and improve levels of satisfaction in service delivery. from two staff members who commenced work in December 2015, all staff at MHH have completed one or more relevant sector qualifications for their positions. For example, caregivers hold the national certificate in health and wellbeing (or similar), two staff members hold the national certificate in hauora, the full time cook and kitchen staff member have both renewed their food safety qualifications within the last two years, all nursing staff Continuous improvement is recognised here in training, education and ongoing development. The service has achieved beyond full attainment through a process of measurement by family members and outcomes of learning. members interviewed during the audit all talked about the importance of the education programme for them in their roles and that they feel valued and supported by their employer. The annual family satisfaction survey results have increased 2013 when the overall response to the care provided at MHH was average, to the