ACQA NETWORK MEETING MINUTES
26th May 2017
Nurioopta
Present:
- Matt Kowald Barossa Village
- Jenny Fairy Barossa Village.
- Sue Ferrres Riverland Murray Coorong,
- Melanie Milne Wheatfields Inc.,
- Bronwyn Antwis Riverton,
- Tania Woolford, Mt View Homes,
- Dawn Hilditch, Maggie Hayward, Tina Garrard, Hamley Bridge,
Apologies:
- Gail Harding Wheatfields Inc,
- Tamara Erskine Wheatfields Inc.
- Lesley Hawker West Wimmera Health Service,
Matt Kowald welcomed and thanked all attendees.
Audits date last reviewed not updated on website.
All changes that will be made will be updated in a month when website is updated. (As per Steven)
DISCUSSION ON ACCREDITATION VISITS
Hamley Bridge – UPCOMING – 3 day accreditation visit 5-7th June
No more hospital admission, new renovations occurring presently so nil audits will occur during this renovation period. Areas that auditors will be looking at:
Health and personal care, Lifestyle management, Continuous improvement, Comments and complaints, Regulatory compliance, security of tenure, Infection control, Information systems, human resource management, Living environment, Occupational health and safety, Fire safety and security, Catering services and aspects of infection control, cleaning and laundry and aspects of infection control, Inventory and equipment and external services.
‘Auditors looking into things more in-depth due to all the bad publicity on other aged care facilities at present.’
Auditors – looking at action plans from audits etc.
Barmera – un-announced visit which looked at standards 2.4, 1.6 – all went well
Orroroo – Orroroo had had their accreditation on 24th and 25th and I hadn’t heard anything on how they went.
Wheatfields – food and safety audit, few small things that need to up-date ensuring that verifying and dating the fridge temp charts for refrigerators in residents areas and ensuring that there is a quick action for high and/or low fridge temps as they occur and document these actions. Also very picky re-food safety education that has taken place within the past year.
Barossa Village looking at outside auditors to look at systems in place.
Barossa village – Has implemented ‘Happy or Not’ machine – Asking different questions (1 question at a time) this captures a lot of accidental feedback. Aimed at residents, staff, and family members. Matt has found this machine fantastic to be able to measure performance outcomes, and to see how his residents, staff members and family members feel about the service offered.
Can purchase Happy or Not via website. – Derrek
Ask one questions and make it a simple question (e.g) rate this service’, ‘Rate your shift today’ etc. Well worth the money.
RECOMMENDED – look into Australian unity wellbeing index project – survey (link for staff to lee care) answer a few simple questions. Make people feel like they are getting heard.
Remark/ Mt pleasant/ Barmera all being audited within the first 6 months of next year (2018).
Hawker – Leisure has been cut to 2 days per week, making sure that there is a in-depth plan om how to manage difficult behaviours, etc.
Hamley Bridge – Capacity building training – dementia related training, has this upcoming within the next week, other facilities have utilised this and found it very useful.
My aged care – a lot of issues with accessing the correct information on the website. Information also not up-to-date.
Information Management Aduit Review
1. Q 3.1, 3.2 – Can get approved abbreviations though – National standards/ health thesaurus. Need to ensure that staff are using the correct abbreviations
Hamley Bridge audit 2x yearly do a check of progress notes from ‘OUR’ clinical staff from a 1 week period to check that the correct abbreviations are being used. – Add a Link to safety and quality.
2. Q 3.6 – write Document control instead of abbreviation (DC)
3. Q 3.7 – remove the abbreviation SBU
4. Q 3.8 – write Security and back up instead of abbreviations
5. Q 4.2 – Add /sensitivities next to allergies
6. Q 4.4 – Add /sensitivities next to allergies
7. Q 5.1 – Have all staff been trained in use of the home’s computerized systems relevant to their positions?
8. Q 5.2 – on the day of the audit, were staff satisfied that they were competent in the use of the home’s current IT system relevant to their positions?
9. Q 6.2 – remove the word – Completed
10. Q 6.3 – remove the word – Completed
11. Q 7. – Staff Communication
12. Q 7.1 – what form of staff communication is used by the home (same options)
13. Q 8.2 – on the day of the audit did staff indicate that they use these forms of communication?
14. Q 8.3 – on the day of the audit did staff indicate they were satisfied with these form of communication?
15. (questions 9 will now be questions 8)
16. Remove N/A from – 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.9, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 5.1, 5.2, 6.1, 6.2, 6.3, 6.4, 6.5, 6.6, 8.1, 9.1, 9.2, 9.3, 9.4.
Information session
Amanda Lake came in and spoke about her products through Confident care – oral care, nail care kits which has been discussed and formulated with Amanda and Matt, 12 month kit, $8.50 per kit. Amanda is happy to come around and do education sessions in oral care if going to purchase products. Amanda also handed out goody bags.
Leisure, health and well being audit review
No one happy with this audit lots of doubling up of questions.
1. Systems and Processes: Heading 1 Questions 3.1, 7.7, 7.8, 8.4, 8.2 8.3, 8.5, 8.6, 8.7, 6, 3.11
2. Assessment and Planning: Heading 2 Questions 3.3, 3.6, 3.7, 3.8, 3.10, 4(as 1 question)
3. Choice and decision making: Heading 3 Questions 5.5, 5.6, 7.1,
4. Leisure, health and wellbeing program: Heading 3 Questions 7.3, 7.4, 7.5, 7.6, 7.9
Changes to old questions;
5. Q 3.3 – Have all Care Recipients and/or been consulted in the formulation of the social and Leisure ASSESSMENT (add) completed as part of their admission process?
6. Q 3.7 – spell ‘individualiSed’ (change the Z to an S, Australian spelling) also remove (inclusive of individual lifestyle expectations)
7. Q 3.8 – spell ‘individualiSed’ (change the Z to an S, Australian spelling)
8. Q 3.11 – Change wording – Has the Policy and Procedure for Leisure and Lifestyle been reviewed in accordance with your organisations guidelines?
9. Q 4. Does the assessment and the individualised care plan consider
a. Privacy, dignity and confidentially
b. Choice and control of their own lives
c. Physical Independence
d. Cognitive health support
e. Mental health support
f. Lifestyle Independence
g. Spiritual and cultural
h. Social and community
i. Emotional
10. Q 6. Is there evidence of a policy, procedure and/or guideline designed to support the individual in the following areas?
j. Privacy, dignity and confidentially
k. Choice and control of their own lives
l. Physical Independence
m. Cognitive health support
n. Mental health support
o. Lifestyle Independence
p. Spiritual and cultural
q. Social and community
r. Emotional
11. Q 7.9 – Are all Care recipient/ representative who were interviewed, on the day of the audit satisfied with the leisure, health and well-being program?
12. Q 8.2 – is thee a program of ‘in house’ leisure, health and well-being activities available in advance, to care recipients (in a format understandable to them)?
MATT has sent a copy of the revised audit to members to review and get feedback to him by the 16th June 2017.
Medication Management Audit review
1. Q 3.2 – remove digoxin and add Warfarin
2. Q 3.5 – Remove the words – or self-selected
3. Q 7.1 – remove (as required)
4. Q 8.1 – If answering Yes/ No the drop down 8.2, 8.3
5. Q 12.1 – Change RACF to home – change MAC medication advisory committee.
6. Remove N/A from – 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 3.10, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 6.1, 6.2, 6.3, 7.1, 7.2, 7.3, 7.4, 8.2, 8.3, 9.1, 9.2, 9.3, 10.1, 10.2, 10.3, 11.1, 11.2, 11.3, 12.1.
Matt has contacted Steve in regards to the changes that were requested at the previous meeting and they will be updated at the end of June when the website is updated.
Meeting closed at 4.00pm with Matt Thanking all those for their attendance and a reminder that if facilities needed some support, please contact either Gail or Matt and although thy may not have the answer they will try to put you in touch with someone that can assist.