Standard 1.2.6 Family/whānau participation 0 0 0 0 0 3 Standard 1.2.7 Human resource management Not Applicable 0 0 0 0 0 5 Standard 1.2.8 Service provider availability FA 0 1 0 0 0 1 Standard 1.2.9 Consumer information management systems Not Applicable 0 0 0 0 0 10 Organisational Management Standards (of 7): N/A:5 CI:0 FA: 2 PA Neg: 0 PA Low: 0 PA Mod: 0 PA High: 0 PA Crit: 0 UA Neg: 0 UA Low: 0 UA Mod: 0 UA High: 0 UA Crit: 0 Criteria (of 34): CI:0 FA:3 PA:0 UA:0 NA: 0 Continuum of Service Delivery Attainment CI FA PA UA NA of Standard 1.3.1 Entry to services Not Applicable 0 0 0 0 0 5 Standard 1.3.2 Declining referral/entry to services Not Applicable 0 0 0 0 0 2 Standard 1.3.3 Service provision requirements Not Applicable 0 0 0 0 0 6 Standard 1.3.4 Assessment Not Applicable 0 0 0 0 0 5 Standard 1.3.5 Planning Not Applicable 0 0 0 0 0 5 Standard 1.3.6 Service delivery / interventions Not Applicable 0 0 0 0 0 5 Standard 1.3.7 Planned activities Not Applicable 0 0 0 0 0 3 Standard 1.3.8 Evaluation Not Applicable 0 0 0 0 0 4 Standard 1.3.9 Referral to other health and disability services (internal and external) Not Applicable 0 0 0 0 0 2 Standard 1.3.10 Transition, exit, discharge, or transfer Not Applicable 0 0 0 0 0 2 Standard 1.3.11 Use of electroconvulsive therapy (ECT) 0 0 0 0 0 4 Standard 1.3.12 Medicine management Not Applicable 0 0 0 0 0 7 Standard 1.3.13 Nutrition, safe food, and management FA 0 0 0 0 0 5
ARC D15.3; ARHSS D15.3e: The following equipment is available, pressure relieving mattresses, shower chairs, two hoists, oxygen concentrator, lifting aids. Interviews with the operations manager confirmed that can access medical equipment as needed. There is a modified weighing scale but the clinical manager stated that she has already requested to upgrade existing weighing equipment, which is currently under consideration. E3.3e: ARHSS D15.2e: There are quiet, low stimulus areas that provide privacy when required in both the dementia unit and psychogeriatric unit. Criterion 1.4.2.1 All buildings, plant, and equipment comply with legislation. Audit Evidence Attainment: PA Risk level for PA/UA: The new wing and part of the dementia wing are still under construction. The new wing has a 14-bed capacity including six -bed psychogeriatric and eight-bed hospital level care. This two wings are connected each other with a door between them that will be secure when building completed. During the tour of the facility, it is observed that bathroom fittings, carpeting, electrical work, drug room, nursing station, and paintings are not fully completed. Finding Statement (i) The building is not yet completed and therefore a CPU has not yet been signed off, (ii) Doors into the new PG wing are not yet secured. The operations manager stated that a key pad lock will be installed with the completion of the building work. Corrective Action Required: (i) Ensure a CPU is signed off before opening. (ii) Ensure that entrance and exit to the psychogeriatric unit is secure. Timeframe: To be completed prior to opening. Criterion 1.4.2.4 The physical environment minimises risk of harm, promotes safe mobility, aids independence and is appropriate to the of the consumer/group. Audit Evidence Attainment: FA Risk level for PA/UA: Finding Statement Corrective Action Required: Timeframe: Criterion 1.4.2.6 Consumers are provided with safe and accessible external that meet their needs. Audit Evidence Attainment: PA Risk level for PA/UA: Low There is an accessible outdoor area, but this is not yet completed off the psychogeriatric unit