NZS8134.2:2008 & NZS8134.3:2008

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "NZS8134.2:2008 & NZS8134.3:2008"

Transcription

1 Winchcombe Healthcare Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance audit conducted against the Health and Disability Services Standards NZS8134.1:2008; NZS8134.2:2008 & NZS8134.3:2008 on the audit date(s) specified. GENERAL OVERVIEW Cook Street Nursing Centre residents are cared for in a respectful and safe manner in a safe and appropriate environment. Staff is well qualified and staff skill mix ensures continuous and appropriate care delivery. Residents and staff interviewed are complementary of the service and the communication between staff and residents and their families. The organisation has comprehensive quality systems in place to guide care. There have been no changes in contracts or services. Service delivery is resident focused, with comprehensive and holistic assessment by nursing and medical staff as well as appropriate external health professionals as required. Residents have a designated general practitioner (GP) and an assigned registered nurse (RN) keyworker who takes responsibility for ensuring all documentation is current, appropriate reviews are completed and nursing care plans are evaluated and updated within expected timeframes. There is a strong sense of teamwork between all members of the care team, the resident and their whanau. Medication management is supported by policies and procedures, competent staff and the provision of medications in blister packs and individual prescriptions for other medications. The system complies with storage, administration, documentation and disposal requirements. An area of improvement from the last audit relating to the recording of controlled drugs and return of these drugs to the pharmacy when no longer required has been addressed. However, one area of improvement has been raised with respect to the recording of medication allergies and sensitivities on the medication charts. The organisation has not had an issues based audit or complaint lodged with the Health and Disability Commissioner. AUDIT SUMMARY AS AT 23-MAR-11 Standards have been assessed and summarised below: Key Indicator Description Definition

2 Indicator Description Definition Includes commendable elements above the required levels of performance All standards applicable to this service attained with some criteria exceeded attained with all criteria achieved Some minor shortfalls but no major deficiencies and required levels of performance seem achievable without extensive extra activity require specific action to address Major shortfalls, significant action is needed to achieve the required levels of performance attained but with some criteria partially achieved and of negligible or low risk attained but with some criteria partially achieved and of medium, high or critical risk and/or some criteria unattained Some standards applicable to this service unattained Consumer Rights Includes 13 standards that support an outcome where consumers receive safe services of an appropriate standard that comply with consumer rights legislation. Services are provided in a manner that is respectful of consumer rights, facilities, informed choice, minimises harm and acknowledges cultural and individual values and beliefs. Organisational Management Includes 9 standards that support an outcome where consumers receive services that comply with legislation and are managed in a safe, efficient and effective manner. Continuum of Service Delivery Includes 13 standards that support an outcome where consumers participate in and receive timely assessment, followed by services that are planned, coordinated, and delivered in a timely and appropriate manner, consistent with current legislation. action to address

3 Safe and Appropriate Environment Includes 8 standards that support an outcome where 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. 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. 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. Winchcombe Healthcare Limited Date of audit: 03-Aug-10 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the certification audit conducted against the Health and Disability Services Standards NZS8134.1:2008;NZS8134.2:2008 & NZS8134.3:2008 on the audit date(s) specified. GENERAL OVERVIEW Cook Street Nursing Care Centre is located in Palmerston North, it has 17 hospital and 13 rest home beds and provides services for over sixty five year old residents. It also has a contract for a respite hospital bed. The organisation is privately owned by a husband and wife and is managed by them. This audit was against both the Health and Disability Sector Standards and the Aged Related Residential Care Contract. There are no outstanding

4 corrective actions from the previous audit and the organisation had not had an issues based audit or a complaint lodged with the office of the Health and Disability Commissioner. SUMMARY Standards have been assessed and summarised below: Key Indicator Description Definition Includes commendable elements above the required levels of performance All standards applicable to this service attained with some criteria exceeded attained with all criteria achieved Some minor shortfalls but no major deficiencies and required levels of performance seem achievable without extensive extra activity require specific action to address Major shortfalls, significant action is needed to achieve the required levels of performance attained but with some criteria partially achieved and of negligible or low risk attained but with some criteria partially achieved and of medium, high or critical risk and/or some criteria unattained Some standards applicable to this service unattained Consumer Rights Indicator Includes 13 standards that support an outcome where consumers receive safe services of an appropriate standard that comply with consumer rights legislation. Services are provided in a manner that is respectful of consumer rights, facilities, informed choice, minimises harm and acknowledges cultural and individual values and beliefs. action to address Organisational Management Indicator Includes 9 standards that support an outcome where consumers receive services that comply with legislation and are managed in a safe, efficient and effective manner. action to address

5 Continuum of Service Delivery Indicator Includes 13 standards that support an outcome where consumers participate in and receive timely assessment, followed by services that are planned, coordinated, and delivered in a timely and appropriate manner, consistent with current legislation. action to address Safe and Appropriate Environment Indicator Includes 8 standards that support an outcome where 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. action to address Restraint Minimisation and Safe Practice Indicator Includes 3 standards with outcomes where: Consumers receive and experience services in the least restrictive manner through restraint minimisation Consumers requiring restraint receive services in a safe manner Consumers requiring seclusion receive services in the least restrictive manner Infection Prevention and Control Indicator Includes 6 standards which require: There is a managed environment, which minimises the risk of infection to consumers, service providers and visitors appropriate to the size and scope of the service. There are adequate human, physical and information resources to implement the infection control programme and meet the needs of the organisation. Documented policies and procedures for the prevention and control of infection reflect current accepted good practice and relevant legislation requirements and are readily available and are implemented in the organisation. These policies and procedures are practical, safe and appropriate/suitable for the type of service provided. The organisation provides relevant education on infection control to all service providers, support staff and consumers. Surveillance for infection is carried out in accordance with agreed objectives, priorities and methods that have been specified in the infection control programme. Acute care and surgical hospitals will have established and implemented policies and procedures for the use of antibiotics to promote the appropriate prudent prescribing in line with accepted guidelines. The service can seek guidance from clinical microbiologists or infectious disease physicians.

6 AUDIT RESULTS Consumer Rights Cook Street Nursing Care Centre provides information and discussion on the Health and Disability Commissioner's (HDC) Code of Health and Disability Services Consumers' Rights (the Code) to ensure residents and their families understand their rights and are able to raise concerns and access support services. The management and staff have a commitment to open disclosure and transparency in all service provision. Residents' cultural and individual values and beliefs are assessed on admission and documented in their plan of care. Staff receive education on supporting cultural and individual values and beliefs at orientation and through the annual education programme. Residents and relatives confirm privacy is respected. There is one corrective action required in relation to advance directives be correctly signed. Organisational Management Cook Street Nursing Care Centre has an organisation wide vision, statement of values and statements regarding residents' respect and rights. The organisation is managed by a Board of Directors who review the scope and provision of services at monthly Board meetings. Cook Street Nursing Care Centre has a quality and risk policy in place with a focus on ongoing quality improvement, innovation, empowerment and team work. Quality principals are included in all activities within the service to monitor outcomes. Staff participate in the quality and risk programme through attendance at meetings and through internal audit. Deficiencies in service delivery are identified through audits and resident and relative feedback, and corrective actions are implemented. The incident and accident reporting and investigation process is linked through the quality and risk system through data collection and analysis. There is a corrective actions required related to ensuring that the organisation's policies and procedures on incident and accident reporting are followed. Cook Street Nursing Care Centre has a workforce of twenty nine staff who are experienced and educated in care of the older person. The rosters show adequate staffing levels to meet resident numbers and acuity, however there is a need to develop a documented process for determining staffing levels and skill mix. Residents and relatives spoken to confirm a high level of satisfaction with the services provided and this is confirmed by results of the resident/relative survey. Continuum of Service Delivery Staff have implemented systems to plan and evaluate the care needs of consumers. The consumers' needs, outcomes and/or goals are documented in the care plans. There is a corrective action required in relation to the need for GPs to document in the clinical record if consumers are assessed as being appropriate to be seen three monthly, rather than monthly. Corrective actions are also required in relation to evidence that consumers and/or families have been involved in the development and review of care and that all consumers have been assessed at the time of admission and on an ongoing basis. Policies and procedures clearly detail service providers' responsibilities. Staff responsible for medicine management have received education in medicines management and have current medicines competencies. Medicine files sighted provide evidence of documentation for

7 consumers' allergies/sensitivities. Two corrective action are made in relation to medicines management; controlled drugs need to be checked by registered staff weekly, as per policy, and controlled drugs from discharged consumers returned to the pharmacy. The food services policies and procedures are appropriate to the service setting. The food service is contracted to Medirest. There is positive feedback from consumers interviewed regarding the food service. A corrective action is made in relation to ensuring that consumers' dietary profiles held in the kitchen are current. Safe and Appropriate Environment There are documented processes for the management of waste and hazardous substances in place. Any incidents are reported on in a timely manner. Service providers have received training and education to ensure safe and appropriate handling. There are appropriate systems to ensure the consumers' physical environment and facilities are fit for their purpose. All buildings, plant and equipment comply with legislation and both the internal and external areas are safe for consumers. Rooms and equipment are well maintained and staff and consumers are able to move freely around the facility. Documented policies and procedures for the cleaning and laundry services are implemented with appropriate monitoring systems in place to evaluate the effectiveness of these services. Documented systems are in place for essential and security services. Staff have been trained accordingly. There are alternative energy and utility sources an appropriate call bell system is available. Security systems are in place. There is a corrective action required in relation to staff being able to access first aid equipment during night duty and that staff following the falls policy. There are two rooms in the rest home close to the hospital wing that have hospital level care patients. The auditors were requested to review the other rest home rooms in relation to the possibility of accommodating further hospital level patients in the future. At the time of the audit, the other rooms in the rest home are not suitable for hospital level care patients. Restraint Minimisation and Safe Practice Cook Street Nursing Care Centre has a restraint policy in place that has a clear definition of restraint and enablers and includes a philosophy of restraint minimisation. All staff receive education on this at orientation and through annual education. Two enablers, at the request of the residents, along with thirteen restraints for safety reasons are in use at the time of audit. Monitoring and evaluation processes are in place for the thirteen restraints in use. Infection Prevention and Control The infection prevention and control programme implemented meets the needs of the organisation and provides information and resources to inform the service providers. Infection prevention and control management systems are documented and implemented to minimise the risk of infection to consumers, service providers and visitors. Policies and procedures are in place for the prevention and control of infection and reflect current accepted good practice. Relevant infection control education is provided to all service providers, support staff and consumers. The type of surveillance undertaken is appropriate for a rest home and hospital. Standardised definitions are outlined in the infection prevention

8 and control policy. Results of surveillance are acted upon, evaluated, and reported to relevant staff in a timely manner.

NZS8134.2:2008 & NZS8134.3:2008

NZS8134.2:2008 & NZS8134.3:2008 Oxford Court Rest Home Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification audit conducted against the Health

More information

Social Services Council of the Diocese of Christchurch Incorporated - Fitzgerald

Social Services Council of the Diocese of Christchurch Incorporated - Fitzgerald Social Services Council of the Diocese of Christchurch Incorporated - Fitzgerald Date of on-site Designated Auditing Agency verification of progress towards meeting attained found at last audit : 22 November

More information

Liberty 2000 Limited. CURRENT STATUS: 27-Jun-13

Liberty 2000 Limited. CURRENT STATUS: 27-Jun-13 Liberty 2000 Limited CURRENT STATUS: The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification audit conducted against the Health and Disability

More information

Athenree Lifecare Limited

Athenree Lifecare Limited Athenree Lifecare Limited Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;

More information

Radius Residential Care Limited - Radius Arran Court Home & Hospital

Radius Residential Care Limited - Radius Arran Court Home & Hospital Radius Residential Care Limited - Radius Arran Court Home & Hospital Current Status: 3 December 2013 The following summary has been accepted by the Ministry of Health as being an accurate reflection of

More information

Oceania Care Company Limited - Resthaven Rest Home

Oceania Care Company Limited - Resthaven Rest Home Oceania Care Company Limited - Resthaven Rest Home Current Status: 29 April 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance Audit

More information

Care Alliance Limited - Waimarie

Care Alliance Limited - Waimarie Care Alliance Limited - Waimarie Current Status: 4 March 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification Audit conducted against

More information

Brackenridge Estate Limited. Surveillance audit, Audit Report Audit Date: 12-Sep-11

Brackenridge Estate Limited. Surveillance audit, Audit Report Audit Date: 12-Sep-11 Brackenridge Estate Limited Surveillance audit, Audit Report Audit Date: 12-Sep-11 Audit Report To: HealthCERT, Ministry of Health Provider Name Brackenridge Estate Limited Premise Name Street Address

More information

Lifeline Agecare Limited

Lifeline Agecare Limited Lifeline Agedcare Limited Introduction This report records the results of a Certification Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;

More information

NZS8134.2:2008 & NZS8134.3:2008

NZS8134.2:2008 & NZS8134.3:2008 Malvina Major Retirement Village Limited CURRENT STATUS: 22-Aug-13 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Certification audit conducted

More information

Performance audit report. Effectiveness of arrangements to check the standard of services provided by rest homes

Performance audit report. Effectiveness of arrangements to check the standard of services provided by rest homes Performance audit report Effectiveness of arrangements to check the standard of services provided by rest homes Office of of the the Auditor-General PO PO Box Box 3928, Wellington 6140 Telephone: (04)

More information

Auckland Healthcare Group Limited

Auckland Healthcare Group Limited Auckland Healthcare Group Limited Current Status: 7 April 2014 The following summary has been accepted by the Ministry of Health as being an accurate reflection of the Surveillance Audit conducted against

More information

Ranfurly Village Hospital Limited - Bob Reed, Ranfurly Care & Veterans

Ranfurly Village Hospital Limited - Bob Reed, Ranfurly Care & Veterans Ranfurly Village Hospital Limited - Bob Reed, Ranfurly Care & Veterans Introduction This report records the results of a Certification Audit of a provider of aged residential care services against the

More information

8. To ensure the accurate use of all pharmacy computer systems and to record all issues, receipts and returns of medicines.

8. To ensure the accurate use of all pharmacy computer systems and to record all issues, receipts and returns of medicines. JOB DESCRIPTION JOB TITLE PAY BAND DIRECTORATE / DIVISION DEPARTMENT BASE RESPONSIBLE TO ACCOUNTABLE TO RESPONSIBLE FOR Student Pharmacy Technician Band 4 (1st year 70% of top point on band 4, 2 nd year

More information

Clinical Nurse Specialist - Infection Prevention & Control

Clinical Nurse Specialist - Infection Prevention & Control Clinical Nurse Specialist - Infection Prevention & Control 1. PURPOSE OF POSITION The Clinical Nurse Specialist Infection Prevention and Control in consultation with the Senior Clinical Nurse Specialist

More information

Registered Nurse Hawera Hospital. Clinical Nurse Manager

Registered Nurse Hawera Hospital. Clinical Nurse Manager POSITION DESCRIPTION TITLE: RESPONSIBLE TO: LOCATION: Registered Nurse Hawera Hospital Clinical Nurse Manager Hawera Hospital DATE: March 2010 AIM OF POSITION The Staff Nurse will provide optimum care

More information

Guide to the National Safety and Quality Health Service Standards for health service organisation boards

Guide to the National Safety and Quality Health Service Standards for health service organisation boards Guide to the National Safety and Quality Health Service Standards for health service organisation boards April 2015 ISBN Print: 978-1-925224-10-8 Electronic: 978-1-925224-11-5 Suggested citation: Australian

More information

Other Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology.

Other Clinical Support services available on site include Oncology, Laboratory, Pharmacy, Physiotherapy and Audiology. BMI Albyn Hospital Quality Accounts April 2013 to March 2014 ALBYN HOSPITAL BMI Albyn Hospital is part of BMI Healthcare a leading provider of healthcare services throughout the UK. Located in the west

More information

Mental Health. Bulletin. Introduction. Physical healthcare. September 2015

Mental Health. Bulletin. Introduction. Physical healthcare. September 2015 Mental Health September 2015 Bulletin Introduction Welcome to the second edition of the Mental Health Bulletin. In this issue we again look at some of the themes from recent inspections, as well as share

More information

Reducing healthcare associated infections: An organisational perspective A summary of best practice

Reducing healthcare associated infections: An organisational perspective A summary of best practice Reducing healthcare associated infections: An organisational perspective A summary of best practice Introduction Sustainable reductions in healthcare associated infections (HCAIs) require the proactive

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: New Ross Community Hospital

More information

JOB DESCRIPTION. THE PRESCRIBING LEAD PARTNERS (Clinically) THE PRACTICE MANAGER (Administratively)

JOB DESCRIPTION. THE PRESCRIBING LEAD PARTNERS (Clinically) THE PRACTICE MANAGER (Administratively) JOB DESCRIPTION JOB TITLE: REPORTS TO: PRESCRIBING PHARMACIST THE PRESCRIBING LEAD PARTNERS (Clinically) THE PRACTICE MANAGER (Administratively) HOURS: Up to Full Time Practice Hours: The practice is open

More information

Guideline: Medical supervision of Diabetes Registered Nurse Prescribing 2014

Guideline: Medical supervision of Diabetes Registered Nurse Prescribing 2014 Guideline: Medical supervision of Diabetes Registered Nurse Prescribing 2014 The Nursing Council of New Zealand has adapted this Guideline which was developed by the New Zealand Society for the Study of

More information

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services.

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services. Job Description POSITION: PHYSICIAN RESPONSIBLE TO: CLINICAL DIRECTOR, MEDICAL SERVICES PRINCIPAL OBJECTIVES: 1. To provide medical services to the community served by the South Canterbury District Health

More information

Adverse reactions identification and documentation

Adverse reactions identification and documentation Adverse reactions identification and documentation Contents Purpose... 1 Policy... 2 Scope... 2 Associated documents... 2 Responsibilities on Presentation to the CDHB for capture and documentation... 3

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Kilbrew Recuperation

More information

Quality. Healthcare. Solutions. Swords, Co. Dublin. Tel: Mobile: Web:

Quality. Healthcare. Solutions. Swords, Co. Dublin. Tel: Mobile: Web: Quality Within QMS Healthcare Solutions Swords, Co. Dublin Tel: 01-8079746 Mobile: 086-8799311 E-Mail: info@qmssolutions.ie Web: www.qmssolutions.ie As a healthcare provider you must ensure that everyone

More information

Zambia UK Health Workforce Alliance & Zambia Ministry of Health Conference

Zambia UK Health Workforce Alliance & Zambia Ministry of Health Conference Zambia UK Health Workforce Alliance & Zambia Ministry of Health Conference CURRENT HEALTH BILLS/ACTS & RESTRUCTURING OF THE ZAMBIAN HEALTH SERVICE WITHIN MINISTRIES Maynard Theatre, The Kings Fund, 11

More information

Job Description. Line Management of a small team of staff administrating and managing patient and professional feedback and incidents.

Job Description. Line Management of a small team of staff administrating and managing patient and professional feedback and incidents. Job Description Job Title Pay Band Base Dept./Team Responsible to Accountable to Responsible for Complaints, Incidents and Governance Manager New Alderley House, Macclesfield Eastern Cheshire Clinical

More information

JOB DESCRIPTION. The Company: Birch Green Care Home: Purpose of Job: Service Manager Job Description SCH V2 July 2013.

JOB DESCRIPTION. The Company: Birch Green Care Home: Purpose of Job: Service Manager Job Description SCH V2 July 2013. JOB DESCRIPTION Job Title: Reports to: Responsible for: Service Manager General Manager Nursing and Care Staff Team Salary 30,000 Hours work Holiday 40 per week working on a rota to meet the needs of the

More information

Review of compliance. Redcar and Cleveland PCT Redcar Primary Care Hospital. North East. Region: West Dyke Road Redcar TS10 4NW.

Review of compliance. Redcar and Cleveland PCT Redcar Primary Care Hospital. North East. Region: West Dyke Road Redcar TS10 4NW. Review of compliance Redcar and Cleveland PCT Redcar Primary Care Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: Date of site visit (where applicable):

More information

Reports to: Regional Vice President, Operations or Regional Director, Operations, and Governing Board of the facility

Reports to: Regional Vice President, Operations or Regional Director, Operations, and Governing Board of the facility UNITED SURGICAL PARTNERS INTERNATIONAL, INC. SURGERY CENTER ADMINISTRATOR OPENING EAST PORTLAND SURGERY CENTER Contact: Shannon Mosley VP Talent Acquisition 972-763-3820 smosley@uspi.com Job Title: Administrator

More information

Job Description & Person Specification

Job Description & Person Specification Job Description & Person Specification Band 6 Community Nursing Sister October 2015 In partnership with JOB DESCRIPTION 1. CPFT s Mission Our mission is to put people in control of their care. We will

More information

Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy

Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Contents: 1. Introduction and purpose 2. Period of Service 3. Aim of the Service

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Watford House Residential Home 263 Birmingham Road, Shenstone

More information

JOB DESCRIPTION. Clinical Nurse Manager 2 (CNM2) Staff Nurses, Health Care Assistants, Administration staff, Student Nurses and all hospital staff.

JOB DESCRIPTION. Clinical Nurse Manager 2 (CNM2) Staff Nurses, Health Care Assistants, Administration staff, Student Nurses and all hospital staff. Job Title: JOB DESCRIPTION Clinical Nurse Manager 2 (CNM2) Professionally accountable to: Key working relationships: Key Reporting relationship: Director of Nursing Clinical Nurse Managers, Medical Staff,

More information

Community Mental Health Nurse Primary Care Liaison

Community Mental Health Nurse Primary Care Liaison Date: March 2013 Job Title : Community Mental Health Nurse - Department : Mental Health Services Location : North Shore One Community Mental Health Team Reporting To : Team Manager Functional Relationships

More information

INCIDENT POLICY Page 1 of 13 November 2015

INCIDENT POLICY Page 1 of 13 November 2015 Page 1 of 13 Policy Applies To All Mercy Hospital Staff Credentialed Medical Specialists and Allied Health Personnel are required to indicate understanding of the incident policy via the credentialing

More information

Agreed Job Description and Person Specification

Agreed Job Description and Person Specification Agreed Job Description and Person Specification Job Title: Line Manager: Professionally accountable to: Job Purpose Registered Nurse Lead Nurse Inpatient Unit Clinical Director Provide specialist palliative

More information

West Gippsland Healthcare Group. Position Description Emergency Department

West Gippsland Healthcare Group. Position Description Emergency Department West Gippsland Healthcare Group Position Description Emergency Department Position Title: Registered Nurse Grade 2 Hours of Work: Reporting Relationship: Enterprise Agreement: Division: Classification:

More information

St. John s Hospice. Job Description. Registered Nurse

St. John s Hospice. Job Description. Registered Nurse St. John s Hospice Job Description Registered Nurse POST: HOURS: ACCOUNTABLE TO: REPORTS TO: Registered Nurse 37.5 hours Head of Nursing and Quality Ward Sisters JOB PURPOSE To provide skilled nursing

More information

Crown Heights Medical Centre Job Description Nurse Practitioner

Crown Heights Medical Centre Job Description Nurse Practitioner JOB TITLE: REPORTS TO: HOURS: Salary Health Care Assistant Nurse (clinical) Patient Services Manager (Employment) Practice Manager (All other issues) Dependant on advertised post. Negotiable dependant

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Vision MH - Cornerstone House Barnet Lane, Elstree, WD6 3QU

More information

MENTAL HEALTH SERVICES POSITION DESCRIPTION MANAGER OF RESIDENTIAL SERVICES

MENTAL HEALTH SERVICES POSITION DESCRIPTION MANAGER OF RESIDENTIAL SERVICES MENTAL HEALTH SERVICES POSITION DESCRIPTION POSITION: REGISTERED NURSE CLASSIFICATION: RN DIVISION 1 OR 3 GRADE 2 RESPONSIBLE TO: QUALIFICATIONS: MANAGER OF RESIDENTIAL SERVICES DIV 1/3 NURSE (POST GRAD

More information

healthcare associated infection 1.2

healthcare associated infection 1.2 healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important

More information

Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450

Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450 Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450 Job Description Job title: Nurse Practitioner /Lead Nurse ACCOUNTIBILITY The

More information

PHARMACY DEPARTMENT POSITION DESCRIPTION

PHARMACY DEPARTMENT POSITION DESCRIPTION PHARMACY DEPARTMENT POSITION DESCRIPTION POSITION TITLE Pharmacist Grade 1 REPORTS TO AWARD/AGREEMENT/CONTRACT As per organisational structure Hospital Pharmacists POSITION TYPE e.g. Registered Nurse Div

More information

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust

MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION. Downe Acute Inpatient Unit. South Eastern Health and Social Care Trust MENTAL HEALTH AND LEARNING DISABILITY ANNOUNCED INSPECTION Downe Acute Inpatient Unit South Eastern Health and Social Care Trust 9 and 10 May 2012 1 Table of Contents 1.0 Introduction... 3 2.0 Ward Profile...

More information

Annexe A. Senior Charge Nurse/Team Leader. Performance Objectives

Annexe A. Senior Charge Nurse/Team Leader. Performance Objectives Annexe A Senior Charge Nurse/Team Leader Performance Objectives 2008 1 Performance Objectives 1. Therapeutic Relationships Performance Objective: The Senior Charge Nurse/Team Leader will provide evidence

More information

Education programme standards for the registered nurse scope of practice

Education programme standards for the registered nurse scope of practice Education programme standards for the registered nurse scope of practice July 2010 2 Introduction Under the Health Practitioners Competence Assurance Act 2003 ( the Act ) the Nursing Council of New Zealand

More information

Report of the Inspector of Mental Health Services 2010

Report of the Inspector of Mental Health Services 2010 Report of the Inspector of Mental Health Services 2010 EECUTIVE CATCHMENT AREA HSE AREA CATCHMENT AREA MENTAL HEALTH SERVICE APPROVED CENTRE Limerick, North Tipperary and Clare West Limerick West Tearmann

More information

4.06. Infection Prevention and Control at Long-term-care Homes. Chapter 4 Section. Background. Follow-up on VFM Section 3.06, 2009 Annual Report

4.06. Infection Prevention and Control at Long-term-care Homes. Chapter 4 Section. Background. Follow-up on VFM Section 3.06, 2009 Annual Report Chapter 4 Section 4.06 Infection Prevention and Control at Long-term-care Homes Follow-up on VFM Section 3.06, 2009 Annual Report Background Long-term-care nursing homes and homes for the aged (now collectively

More information

Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust.

Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust. Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust. JOB TITLE: Clinical Teaching Fellow (CTF) and Resident Medical Officer (RMO) ACCOUNTABLE

More information

To provide holistic nursing care to hospice patients and support to their families

To provide holistic nursing care to hospice patients and support to their families Date: January 2016 Hours of Work: Responsible to: Team Leader Responsibility: Functional Relationships: Rostered Shifts Clinical Charge Nurse Refer Appendix One Internal SLMT Nursing Staff Medical Staff

More information

THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15

THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15 15 October 2015 THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15 This briefing summarises today s publication of the Care Quality Commission s annual State of Health and Adult Social Care

More information

INFORMATION NOTE. Hospital accreditation schemes in selected places

INFORMATION NOTE. Hospital accreditation schemes in selected places INFORMATION NOTE Hospital accreditation schemes in selected places 1. Introduction 1.1 Accreditation is a voluntary, independent external review process commonly adopted by healthcare service providers

More information

West Gippsland Healthcare Group

West Gippsland Healthcare Group West Gippsland Healthcare Group POSITION DESCRIPTION POSITION NURSING COORDINATOR DATE SEPTEMBER 2009 DIVISION NURSING NEXT REVIEW DATE SEPTEMBER 2012 AREA NURSING ADMINISTRATION JOB GRADE 5 RESPONSIBLE

More information

Accreditation History

Accreditation History Key Issues in HFAP Beverly Robins, RN, BSN, MBA Director of October 26, 2012 1 History Began in 1945 American Osteopathic Association Accrediting Hospitals and Other Health Care Facilities for Over 65

More information

NELSON REGION HOSPICE TRUST

NELSON REGION HOSPICE TRUST NELSON REGION HOSPICE TRUST JOB DESCRIPTION: PALLIATIVE CARE R EGISTERED NURSE RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: Clinical Nurse Leader Patients, their families/whanau Hospice Manager Hospice &

More information

About the Trust. What you can expect: Single sex accommodation

About the Trust. What you can expect: Single sex accommodation About the Trust The Royal Berkshire NHS Foundation Trust is one of the largest general hospital trusts in the country. We provide acute medical and surgical services to Reading, Wokingham and West Berkshire

More information

Coordinated Care Planning and Clinical Pathways for Patients/Consumers

Coordinated Care Planning and Clinical Pathways for Patients/Consumers Contents 1 Definitions... 2 Risk Screening... 2 Assessment... 2 Approved Clinical Pathway... 2 Plan of Care... 2 Continuum of Service/Care... 2 Needs... 2 2 Clinical Pathways... 3 3 Plans of care... 3

More information

Regulatory Compliance Course Catalog

Regulatory Compliance Course Catalog Right training. Right place. Right time. Regulatory Compliance Course Catalog PerforMax3 2555 Enterprise Rd. Ste. 8 Clearwater, FL 33763-1104 T: 1-888-752-6299 F: 1-727-723-3728 www.performax3.com Regulatory

More information

Assessment modules. Australian Government Australian Aged Care Quality Agency. www.aacqa.gov.au

Assessment modules. Australian Government Australian Aged Care Quality Agency. www.aacqa.gov.au Assessment modules Australian Government Australian Aged Care Quality Agency www.aacqa.gov.au Assessment module compilation October 2014 Australian Aged Care Quality Agency 2014 ISSN 2204 1796 (print)

More information

Nursing Agencies. Minimum Standards

Nursing Agencies. Minimum Standards Nursing Agencies Minimum Standards 1 Contents Page Introduction 3 Values underpinning the standards 6 SECTION 1 - MINIMUM STANDARDS Management of the nursing agency 1. Management and control of operations

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Eastham Walk In Centre Eastham Clinic, Eastham Rake, Eastham,

More information

South West Graduate Nurse Program

South West Graduate Nurse Program South West Graduate Nurse Program Incorporating: South West Healthcare - Warrnambool Campus - Camperdown Campus Supporting programs at Terang & Mortlake Healthcare Service Timboon Hospital Moyne Health

More information

Doctor in Urgent Care, Dr B Accident and Medical Clinic. A Report by the Health and Disability Commissioner. (Case 12HDC01062)

Doctor in Urgent Care, Dr B Accident and Medical Clinic. A Report by the Health and Disability Commissioner. (Case 12HDC01062) Doctor in Urgent Care, Dr B Accident and Medical Clinic A Report by the Health and Disability Commissioner (Case 12HDC01062) Table of Contents Executive summary... 1 Complaint and investigation... 2 Information

More information

The Practice Nurse is accountable to the Managing Medical Principal for clinical issues and Practice Manager for non-clinical issues.

The Practice Nurse is accountable to the Managing Medical Principal for clinical issues and Practice Manager for non-clinical issues. Job Description Nurse Overview The Practice Nurse is a multi-skilled practitioner who, as part of a team, contributes to the provision of high-quality health care in the general practice setting. Her/his

More information

JOB DESCRIPTION. Job Title: Pre-registration Pharmacist. Band: 5. Hours: 37.5 hours per week. Responsible to:

JOB DESCRIPTION. Job Title: Pre-registration Pharmacist. Band: 5. Hours: 37.5 hours per week. Responsible to: JOB DESCRIPTION Job Title: Pre-registration Pharmacist Band: 5 Hours: Responsible to: Accountable to: Professionally Accountable to: 37.5 hours per week Principal Pharmacist: Clinical Governance & Risk

More information

Continuing Care Health Service Standards

Continuing Care Health Service Standards Continuing Care Health Service Standards July 2008 and Amended March 5, 2013 For further information For additional copies of this document contact: Alberta Health Communications Phone: 780-427-7164 Fax:

More information

Position Description Page 1 of 5

Position Description Page 1 of 5 Position Description Page 1 of 5 Position Title: Department: Responsible To: Position Personal Care Assistant / Assistant in Nursing Residential Aged Care Date of original Position Description: August

More information

KATHARINE HOUSE HOSPICE JOB DESCRIPTION. Advanced Nurse Practitioner (Independent Prescriber)

KATHARINE HOUSE HOSPICE JOB DESCRIPTION. Advanced Nurse Practitioner (Independent Prescriber) KATHARINE HOUSE HOSPICE JOB DESCRIPTION Advanced Nurse Practitioner (Independent Prescriber) Post Holder: Area of Work: Responsible to: Vacant Day Therapies Director of Nursing Services Mission To offer

More information

Job Description Receptionist Administrator

Job Description Receptionist Administrator New Court Surgery Malvern Job Description Receptionist Administrator Job title: Reports to: Accountable to: Receptionist and Administrator Deputy Practice Manager (1 st line), Practice Manager General

More information

Position Description. Title: Department: Reporting to: Time commitment: Employment conditions: Last reviewed: August 2012.

Position Description. Title: Department: Reporting to: Time commitment: Employment conditions: Last reviewed: August 2012. Title: Department: Reporting to: Time commitment: Employment conditions: Ward Clerk Wards Nursing Unit Manager Full time MUH & HSU- Enterprise Agreement Last reviewed: August 2012 About the role: To provide

More information

PERSONNEL SPECIFICATION

PERSONNEL SPECIFICATION PERSONNEL SPECIFICATION POST Patient Flow Manager Band 7 DEPARTMENT LOCATION Emergency Care and Medicine Altnagelvin Hospital DATE June 2014 FACTORS ESSENTIAL DESIRABLE QUALIFICATIONS AND/OR EXPERIENCE

More information

NHS Constitution Patient & Public Quarter 4 report 2011/12

NHS Constitution Patient & Public Quarter 4 report 2011/12 NHS Constitution Patient & Public Quarter 4 report 2011/12 1 Executive Summary The NHS Constitution was first published on 21 st January 2009. One of the primary aims of the Constitution is to set out

More information

PERSONNEL SPECIFICATION

PERSONNEL SPECIFICATION PERSONNEL SPECIFICATION Title Diabetes Nurse Band 6 Department Primary and Community Care Location Community Diabetes Nursing Team Southern Sector Date May 2015 Factors Essential Criteria Desirable Criteria

More information

NHSLA Risk Management Standards for NHS Trusts Providing Mental Health & Learning Disability Services 2011/12

NHSLA Risk Management Standards for NHS Trusts Providing Mental Health & Learning Disability Services 2011/12 NHSLA Risk Management Standards for NHS Trusts Providing Mental Health & Learning Disability Services 2011/12 Oxford Health NHS Foundation Trust Level 1 March 2012 Contents Page 1: Executive Summary 3

More information

NHS Constitution. Access to health services:

NHS Constitution. Access to health services: NHS Constitution Patients and the public your rights and NHS pledges to you Everyone who uses the NHS should understand what legal rights they have. For this reason, important legal rights are summarised

More information

Improving Emergency Care in England

Improving Emergency Care in England Improving Emergency Care in England REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1075 Session 2003-2004: 13 October 2004 LONDON: The Stationery Office 11.25 Ordered by the House of Commons to be printed

More information

QUM and Continuity of Care A Prescribed Medicines Services and Programs

QUM and Continuity of Care A Prescribed Medicines Services and Programs Community Pharmacy Roadmap Program Development Template Program/Service: Quadrant: 1. Program/Service Description QUM and Continuity of Care A Prescribed Medicines Services and Programs a) Background The

More information

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.)

PLAN OF CORRECTION. Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) ID Prefix Tag (X4) R000 R200 Provider's Plan of Correction (Each corrective action must be cross-referenced to the appropriate deficiency.) Submission and implementation of this Plan of Correction does

More information

Registered Nurse Clinical Services

Registered Nurse Clinical Services JOB DESCRIPTION SECTION IDENTIFICATION Job Title: Responsible to: Hospice Band: Department: Location: Registered Nurse Clinical Services Clinical Services Manager Band 6 Day Therapy Unit Nottinghamshire

More information

POSITION DESCRIPTION Alfred Health/The Alfred/Caulfield Hospital/Sandringham Hospital

POSITION DESCRIPTION Alfred Health/The Alfred/Caulfield Hospital/Sandringham Hospital POSITION DSCRIPTION Alfred Health/The Alfred/Caulfield Hospital/Sandringham Hospital Date revised: February 2016 POSITION: AWARD/AGRMNT: CLASSIFICATION TITL: DPARTMNT/UNIT: DIVISION: ACCOUNTABL TO: Pharmacy

More information

Bachelor of Nursing or equivalent

Bachelor of Nursing or equivalent Position: Registered Nurse Grade 2 Reports To: Award: Minimum Qualifications: Academic: Other: Unit Manager Nurses and Midwives (Victorian Public Health Sector) (Single Interest Employers) Enterprise Agreement

More information

Residential key lines of enquiry (KLOE), prompts and potential sources of evidence

Residential key lines of enquiry (KLOE), prompts and potential sources of evidence Residential key lines of enquiry (KLOE), prompts and potential sources of evidence Introduction We have developed the key lines of enquiry (KLOEs), prompts and sources of evidence sections to help you

More information

General Guidance on the National Standards for Safer Better Healthcare

General Guidance on the National Standards for Safer Better Healthcare General Guidance on the National Standards for Safer Better Healthcare September 2012 About the Health Information and Quality Authority The (HIQA) is the independent Authority established to drive continuous

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Amvale Medical Transport - Ambulance Station Unit 1D, Birkdale

More information

HEALTH AND SAFETY POLICY Page 1 of 8 Reviewed: May 2016

HEALTH AND SAFETY POLICY Page 1 of 8 Reviewed: May 2016 Page 1 of 8 Policy Applies to: The Board of Directors, all staff employed by Mercy Hospital, Credentialed Specialists, Allied Health Professionals, contractors, students, volunteers and visitors. Related

More information

Profile Table of Priority Areas, Actions and Deliverables for the Period 2015-2017

Profile Table of Priority Areas, Actions and Deliverables for the Period 2015-2017 Profile Table of Priority Areas, Actions and Deliverables for the Period 2015-2017 Actions Deliverables Priority area: Drive the Healthy Ireland agenda Health and wellbeing Introduce Public Health legislation

More information

All processes must be in line with RPS, GPhC, MHRA and BCH SOP standards.

All processes must be in line with RPS, GPhC, MHRA and BCH SOP standards. JOB DESCRIPTION Job Title: Reports to: Accountable to: Clinical Pharmacist Deputy Chief Pharmacist Chief Pharmacist Role Summary: To work with the Pharmacy Team to provide a comprehensive Clinical Pharmacy

More information

ARTICLE 8. ASSISTED LIVING FACILITIES

ARTICLE 8. ASSISTED LIVING FACILITIES Section R9-10-801. R9-10-802. R9-10-803. R9-10-804. R9-10-805. R9-10-806. R9-10-807. R9-10-808. R9-10-809. R9-10-810. R9-10-811. R9-10-812. R9-10-813. R9-10-814. R9-10-815. R9-10-816. R9-10-817. R9-10-818.

More information

The practice of medicine comprises prevention, diagnosis and treatment of disease.

The practice of medicine comprises prevention, diagnosis and treatment of disease. English for Medical Students aktualizované texty o systému zdravotnictví ve Velké Británii MUDr Sylva Dolenská Lesson 16 Hospital Care The practice of medicine comprises prevention, diagnosis and treatment

More information

NHS Lanarkshire Care Homes Protocol Group. Care Home Prescriptions - Good Practice Guide

NHS Lanarkshire Care Homes Protocol Group. Care Home Prescriptions - Good Practice Guide NHS Lanarkshire Care Homes Protocol Group Care Home Prescriptions - Good Practice Guide Date of Publication Review Date August 2015 Responsible Author Francesca Aaen Care Homes Pharmacist on behalf of

More information

Report for the Meeting of the Trust Board of Directors Held in Public. Date of Meeting: 17 December 2013

Report for the Meeting of the Trust Board of Directors Held in Public. Date of Meeting: 17 December 2013 Report for the Meeting of the Trust Board of Directors Held in Public Date of Meeting: 17 December Enclosure: 7a Title of Report Ward Nursing Team Assurance Report November Author Executive Lead Lesley

More information

Core Job Description Registered Nurse (Ref: RN-01)

Core Job Description Registered Nurse (Ref: RN-01) Core Job Description Registered Nurse (Ref: RN-01) Job Details Job Title: Registered Nurse Responsible to: Manager Accountable to: Manager Location: Valerie Manor Reviewed: November 2010 Page 2 Scope To

More information

PHARMACY DEPARTMENT JOB DESCRIPTION PRE-REGISTRATION TRAINEE PHARMACIST. Chief Pharmacist (Pre-Registration Manager)

PHARMACY DEPARTMENT JOB DESCRIPTION PRE-REGISTRATION TRAINEE PHARMACIST. Chief Pharmacist (Pre-Registration Manager) PHARMACY DEPARTMENT JOB DESCRIPTION POST: PRE-REGISTRATION TRAINEE PHARMACIST BAND: 5 REPORTS AND RESPONSIBLE TO: ACCOUNTABLE TO: RELATIONSHIPS: Principal Pharmacist, Medicines Management (Pre- Registration

More information

Hip replacements: Getting it right first time

Hip replacements: Getting it right first time Report by the Comptroller and Auditor General NHS Executive Hip replacements: Getting it right first time Ordered by the House of Commons to be printed 17 April 2000 LONDON: The Stationery Office 0.00

More information

Care service inspection report

Care service inspection report Care service inspection report Full inspection Richmondhill House Care Home Service 18 Richmondhill Place Aberdeen Inspection completed on 25 May 2016 Service provided by: Aberdeen Association of Social

More information

ARTICLE 7. BEHAVIORAL HEALTH RESIDENTIAL FACILITIES

ARTICLE 7. BEHAVIORAL HEALTH RESIDENTIAL FACILITIES Section R9-10-701. R9-10-702. R9-10-703. R9-10-704. R9-10-705. R9-10-706. R9-10-707. R9-10-708. R9-10-709. R9-10-710. R9-10-711. R9-10-712. R9-10-713. R9-10-714. R9-10-715. R9-10-716. R9-10-717. R9-10-718.

More information