Following a review of observation policies, the organisation issued a new policy to nursing staff and created a new record sheet for nursing staff. The organisation also developed a more robust training matrix and added a clause to employment contracts about keeping training up-to-date. (AI summary)
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Regulation 28; Response to repont; Re: Mr € J ROYAL We take note of the report in respect of the unreliable and inaccurate recordings which were made for 15 minute observation requirements In response to this we have; Reviewed our observation policy in line with matters highlighted (see appendix A, completed 1s August 2014). Issued policy to nursing staff (August 2014) Created new record sheet for nursing staff to complete at the commencement and conclusion of shift The sheet clearly identifies who is responsible for carrying out certain requirements and it places an onus on the nursing staff to review the sheet the observation requirements (paperwork) at timely intervals (see appendix B, implemented 1* August 2014). Completion of observation sheets allocation sheets are being monitored by our General Manager for audit purposes and to ensure that the new regime is being implemented in an accurate and effective manner. This is an ongoing process We take note of the report and evidence that Matron'$ First Aid Certificate had expired at the time of the event; In response to this we have; After the death of Mr Royal in January 2013,and upon finding at this time that Matron'$ first aid training had lapsed, we immediately reviewed our training system and the implementation of such, developed our skills matrix to highlight an overview of staff training: Since February 2013, we have developed more robust training matrix which focuses on some of the key training of staff within nursing environment: The matrix enclosed (appendix C) , shows our progress to date and shows that the majority of our nursing and care staff have (during the past 18 months), undertaken training in many mandatory courses This is an ongoing process and we enclose (appendix D) copy of our training plan which shows our program for this year. We will continue to monitor staff training records. As part of this development; we now also allocate staff to attend sessions as opposed to our previous process of open attendance requirements We have also added clause to employment contracts which makes requirement to keep training "in- date" and allows us to take further action ifthis is not the case_ We are now ensuring that all nursing/care staff receive training in key areas. To monitor the effectiveness of this we will be reviewing training sessions with staff to find out how effective the session has been and to find out if there are any remaining shortcomings_ From our findings we can arrange further training if needed, source an alternative provider or continue to implement if well received: We are commencing this program of monitoring and review with effect from 1" September 2014. and and and
We continue to offer extensive training to all staff (as per our training plan), whilst the completed training of staff is closely monitored though our skills matrix: Effectiveness of training is to be monitored by evaluation and feedback from course participants Working hours of staff will be monitored to ensure that arrangements benefit our residents as opposed to the requirements of staff members. Director Response and accompanying documents produced irectors of Barons Park Nursing Home Ltd.