negligible – this issue requires no additional action or planning.The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be. The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place. when the rest home has the required documentation, but is unable to show that the process is being implemented.there is evidence that the rest home has the appropriate process in place, but not the required documentation.Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is. The action necessary to fix the issue, as decided by the auditor.

The issue that was found when the rest home was audited. The outcome required by the Health and Disability Services Standards. Six monthly controlled drug (CD) stock takes were not completed as per legislation requirements.Įnsure medication charts, CD stocktake, and medication room temperature monitoring are kept up to date. The medication room temperature was not being monitored. Seven out of 10 medication charts sampled were not reviewed in a timely manner, the latest being 36 days overdue. There was no documented activity planner for all residents.Įnsure all activity planning is current in all files and an activity planner is developed for all residents.Ī medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.ġ. Two files reviewed for residents assessed as requiring rest home level of care had no activities care plans in place. Two residents’ files reviewed in the dementia unit had no 24-hour activity care plans completed. Access from the external area needs to have appropriate security installed to ensure residents are not able to access that area.Īctivities are planned and provided/facilitated to develop and maintain strengths (skills, resources, and interests) that are meaningful to the consumer.ġ. There is also no appropriate security installed on the external door.Įnsure appropriate data sheets and procedural documents are made available in the laundry to guide staff. In the new laundry in the yet to be commissioned dementia wing, there are no guidance processes and procedures available to guide staff. Service providers have access to designated areas for the safe and hygienic storage of cleaning/laundry equipment and chemicals. There is currently no approved evacuation plan for the inclusion of the new building into the facility plan.Ĭontinue with processes already in place for obtaining an appropriate approved evacuation plan from the NZFS for all areas intending to be used for residents. Where required by legislation there is an approved evacuation plan. Paint the doors not used by residents the same colours as the surrounding walls and have the locks removed from the residents’ doors that are no longer used to ensure residents are not unnecessarily confused. The two locks/handles on the relevant residents’ rooms doors that were exits to the staff toilet area, are not disabled and painted so as not to confuse residents once the unit is operational. While the number of toilet and shower blocks is now adequate, the staff only toilet entry from the hallway is not painted in a similar wall colour.

This excludes any toilets/showers/bathing facilities designated for service providers or visitor use. There are adequate numbers of accessible toilets/showers/bathing facilities conveniently located and in close proximity to each service area to meet the needs of consumers.

Hummingbird house