Health Inspection Results
|
|
- Muriel Fletcher
- 6 years ago
- Views:
Transcription
1 Pennsylvania Department of Health CLARION PSYCHIATRIC CENTER Health Inspection Results Information about Acute and Ambulatory Care Inspections CLARION PSYCHIATRIC CENTER Health Inspection Results For: There are 8 surveys for this facility. Please select a date to view the survey results. 05/20/2013 Print Current Report Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey. View Previous Reports Initial Comments: This report is the result of an unannounced onsite complaint investigation (CEN13C216A) completed on May 16, 2013, at Clarion Psychiatric Center, with additional information requested May 17, 2013 and May 20, It was determined that the facility was not in compliance with the requirements of 42 CFR, Title 42, Part 482 Conditions of Participation for Hospitals (b)(1) STANDARD PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING The patient has the right to participate in the development and implementation of his or her plan of care. 1/9
2 Based on review of facility documents and medical records (MR), observation and staff interview (EMP), it was determined the facility failed to ensure the patient right to participate in his or her plan of care for a low stimulation environment for one of one medical records (MR2). Review of "Clarion Psychiatric Center Rights and Responsibilities of Patients," revised December 2010, no policy number provided, revealed, "... I. Patient's Rights... F. Information You have the right to obtain, from the doctor responsible for coordinating your care, complete and current information concerning diagnosis (to the degree known), treatment, and any other known prognosis to include both the positive and if any negative outcomes of care as documented in the medical record. This information should be communicated in terms you can reasonably be expected to understand.... H. Individual Treatment Plan You have the right to an individualized plan appropriate to your needs, setting for the objectives, goals, activities, experiences, and therapies designed to promote recovery. You have the right to participate to the extent feasible in the development of your treatment plan...." 1. Tour of the Adult Unit on May 16, 2013, at 10:50 AM revealed a patient name (PT6) located outside a seclusion room door. Review of MR2 (PT6) revealed PT6 had slept in the seclusion room on May 14 and May 15, EMP4, confirmed the patient's sleeping location, stating, "Yes. He/she slept in the safe room May 14 and 15. The door was not locked. It was voluntary for low stimulation, not for behavior." Further review of MR2 revealed no documentation for the altered sleeping arrangement. On May 16, 2013, at 10:52 AM, when asked if there was documentation on MR2 that sleeping in the seclusion room, not the assigned bedroom, was reflected on the patient's care plan, EMP4 stated, "No. It was not added (to the plan of care)." PLAN OF CORRECTION (A 0130) (b)(1) PATIENT RIGHTS: PARTICIPATION IN CARE PLANNING 1. Education provided to Unit Directors and Social Work staff members on 06/04/2013 that the use of the Quiet Room as a sleeping room must be included on the plan of care. The treatment plan for PT6 was updated with the patient to include the option of using the Quiet Room as a sleeping room should the patient desire. 2/9
3 All current treatment plans were checked to ensure that use of Quiet Room as a sleeping room, or any other infrequently utilized intervention, was included in the plan of care. The individual currently monitoring treatment plans as part of an internal Performance Improvement Committee has been alerted and will audit a sample of charts regularly for the inclusion of any infrequently utilized intervention on the treatment plan (c)(1) STANDARD PATIENT RIGHTS: PERSONAL PRIVACY The patient has the right to personal privacy. Based on review of facility documents and medical record (MR), observation and staff interviews (EMP), it was determined the facility failed to ensure the patient's right to privacy for receiving medical treatment and in living environment for two of two patients (PT5 and PT6). Review of "Clarion Psychiatric Center Rights and Responsibilities of Patients," revised December 2010, no policy number provided, revealed, "... I. Patient's Rights... C. Privacy and Confidentiality Your privacy and confidentiality of information is assured through the following: Audio, visual, personal privacy during examinations or treatment Knowing that discussion involving your care is conducted in a discreet manner; individuals not involved in care will not be present, without your consent...." 1. Tour of the Adult Unit on May 16, 2013, at 10:30 AM, revealed patients waiting in line for a smoke break, adjacent to the nursing station. PT5 was sitting among those waiting in the common area with a breathing treatment being administered. EMP1, present for the tour, confirmed the patient being treated in the common area. When asked if there was a treatment room on the unit, EMP4 stated, "No. There is not." On May 16, 2013, at 11:20 AM, when asked if there was a treatment room on the adult unit to allow privacy for patient treatments, EMP1 stated, "No. We don't have a specific treatment room." 2. Tour of the Adult Unit on May 16, 2013 at 10:50 AM, revealed a patient name (PT6) located outside a seclusion room door. Review of MR2 revealed PT6 had slept in the seclusion room on May 14 and May 15, EMP4, confirmed the patient's sleeping location, stating, "Yes. He slept in the safe room May 14 and 15. The door was not locked. It was voluntary for low stimulation, not for behavior." On May 16, 2013, at 10:54 AM, when asked if there was documentation that the 3/9
4 camera located in the seclusion room was turned off while the patient was occupying the room, and not considered to be in seclusion, EMP4 stated, "There is no documentation like that." PLAN OF CORRECTION (A 0143) (c)(1) PATIENT RIGHTS: PERSONAL PRIVACY 1. A room has been identified on each unit as a Treatment Room. The room is to be used exclusively as a Treatment Room and is available so that treatments need not occur in a common area. Necessary medical treatments will occur in the Treatment Room unless the patient prefers, as appropriate and applicable, that the treament occur in an alternate location. 2. On 06/06/2013, Nursing staff members were educated regarding changes forthcoming to the camera system in the quiet rooms. At this time, the cameras are on only by exception. There will be documention to show any times the cameras were turned on and the duration for which they remained on. A form will be created so that this information is available going forward. Applicable, policy revisions will be completed to reflect this procedure. The Director of Nursing will maintain a record of when the camera was in use. This will periodically be checked for accuracy by reviewing the camera system (d)(1) STANDARD PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS The patient has the right to the confidentiality of his or her clinical records. Based on review of facility documents, observation and staff interviews (EMP), it was determined that the facility failed to ensure the confidentiality of medical record information in clinical areas. Review of "Clarion Psychiatric Center Rights and Responsibilities of Patients," 4/9
5 revised December 2010, no policy number provided, revealed, "... I. Patient's Rights... C. Privacy and Confidentiality Your privacy and confidentiality of information is assured through the following: Audio, visual, personal privacy during examinations or treatment Knowing that discussion involving your care is conducted in a discreet manner; individuals not involved in care will not be present, without your consent. 5. Having your medical record read only by individuals directly in treatment or the monitoring of its quality, and by other individuals directly only on written authorization or your legallyauthorized representative Assuring that all communications and other records pertaining to your care, including the source of payment for treatment, be treated as confidential...." Review of the Clarion Psychiatric Center Policy, "Medical Records," revised September 2007 revealed, "I. POLICY... The records will be maintained in a manner compatible with the current standards of... all internal policies of the hospital, all local, state and federal regulations. II. PRINCIPLE To ensure the records are kept in a fashion that meets the regulatory requirement and maintains the privacy of the individual. III. PROCEDURE a. Use of the Medical Records: 1.) Only authorized persons shall be allowed access to the patient records." 1. Tour of the Adolescent Unit on May 16, 2013, at 10:10 AM revealed an unattended nursing station. A housekeeper was cleaning the floor in the adjacent hall at the time. A medical record, multiple patient laboratory sheets, two medication administration records and a patient photo with discharge information were unattended at the station. 2. On May 16, 2013, at 10:15 AM, when asked if the patient medical information should be unattended, EMP4 stated, "I understand. That shouldn't happen." EMP1, also present for the tour, added, "You are right. That shouldn't happen." PLAN OF CORRECTION (A 0147) (d)(1) PATIENT RIGHTS: CONFIDENTIALITY Staff members involved in described incident, wherein PHI was left on nurse's station desk, were identified and educated related to the need to maintain control over all PHI thoughout the discharge process, as well as, the importance of adherence to rules and regulations designed to ensure patient privacy. All staff are being re educated that it is forbidden to unnecessarily access any information related to a patient's treatment, including that in the chart. All staff are being reeducated that it is necessary to immediately alert a charge nurse if they should 5/9
6 happen to identify a situation wherein an individual could easily gain unathoorized access to PHI. Senior Leadership have begun to do regular unit checks and this is an item they will be monitoring regularly for (c) STANDARD FACILITIES The hospital must maintain adequate facilities for its services. Based on observation, staff interviews (EMP) and patient interviews (PT), it was determined the facility failed to ensure living spaces, toilets and sinks were functional and or accessible for seven of 16 rooms on the Adult Behavioral Health Unit. 1. Tour of the Adult Unit on May 16, 2013, at 11:00 AM revealed Room #132, #134, #135, #136, #137, #138 and #140 to be under construction, toilets removed and/or rooms filled with beds, furniture and/or construction supplies. 2. On May 16, 2013, at 11:01 AM, when asked what if PT6 (included in the above rooms) wanted to go to his/her assigned room..., EMP4 stated, "His/her room is out of condition for the day." 3. Review of a room assignment for May 16, 2013, revealed 13 patients were displaced as a result of the construction. 4. On May 16, 2013, at 11:04 AM, when asked to describe the room construction, PT2 stated, "The majority was OK but the bathroom was all torn up last night." 5. On May 16, 2013, at 11:12 AM, when asked to describe the room construction, PT1 stated, "I don't know. I do know I missed my smoke break since I couldn't get into my room." 6. On May 16, 2013, at 11:15 AM, when asked when construction began for Room #132, #134, #135, #136, #137, #138 and #140, OTH2 stated, "We ripped this section up this week. I'd like to be done tonight or tomorrow morning." OTH2 further confirmed Monday, May 13, 2013, as the start date for the aforementioned rooms. 7. On May 16, 2013, at 12:10 PM, when asked if rooms previously remodeled had also displaced patients, EMP1 stated that the process was the same unless the room was unoccupied due to census. 8. On May 16, 2013, at 1:40 PM, when asked to describe the room construction, PT3 stated, "Yeah, I had a toilet last night. Just no access (to his/her room) during 6/9
7 the day." 9. On May 16, 2013, at 1:45 PM, when asked to describe the room construction, PT4 stated, "I had to sleep on the couch during the day. Not allowed in my room. It's (expletive)! May as well tell the (expletive) truth!" 10. On May 16, 2013, at 2:50 PM, EMP4 confirmed, "They (flooring company) started to rip up the unit (Room #132, #134, #135, #136, #137, #138 and #140) on Monday (May 13, 2013) and started to lay floor on Tuesday. The full project started on April 22, and there are 26 rooms done of 36 rooms." PLAN OF CORRECTION (A 0722) (c) FACILITIES Patient rooms undergoing major renovation were completed. Going forward, patient rooms in need of major renovation will be decomissioned and managed care organizations will be notified, as per applicable agreements, of reduced bed capacity. Plant Engineer/ Safety Director was educated as related to this change (a)(1) STANDARD INFECTION CONTROL OFFICER RESPONSIBILITIES The infection control officer or officers must develop a system for identifying, reporting, investigating, and controlling infections and communicable diseases of patients and personnel. Based on review of facility documents, observation and staff interview (EMP), it was determined the facility failed to maintain techniques for the maintenance of food sanitation for patient food located on the Adult Behavioral Health Unit. Review of the Clarion Psychiatric Center Policy, "Kitchens & Food Storage on Units," reviewed September 2012 revealed, "IV. PROCEDURE... B. Freshness of food in kitchens and refrigerators shall be maintained by nursing staff and Dietary Department. 1. All perishable foods will be labeled and dated. a. All foods not labeled and dated will be removed by Dietary Department." 7/9
8 Review of the Clarion Psychiatric Center Policy, "Dietary Closing Check List," revised September 2012 revealed, "IV. PROCEDURE... C. Kitchen Area 1. All food covered, dated and stored in proper areas." Review of the Clarion Psychiatric Center Policy, "Food Purchasing," revised October 2012 revealed, "Procedures... Food shall be stored at least 12 inches from the floor and 18 inches from the ceiling." 1. Tour of the medication room on the Adult Unit on May 16, 2013, at 10:40 AM revealed a refrigerator designated for patient food items. Uncovered and covered food was located on top of the refrigerator. The food was not dated. The top of the refrigerator also included plastic food storage containers with food remnants inside. Inside the refrigerator were two unmarked fruit cups, and three open milk containers. One container was dated May 9, The other two open cartons were not dated. On May 16, 2013, at 10:42 AM, when asked about the food on top of the refrigerator, EMP10 stated, "It's from last night. It's employee food.... Those are not patient containers." When asked how old the unmarked/dated cups and food inside the refrigerator was, EMP10 stated, "I don't know." When asked how long the open milk carton dated May 9, 2013, was good for, EMP10 stated, "Three days." 2. On May 16, 2013, at 10:50 AM, a plastic bin containing food and juice containers was observed on the floor. EMP10 stated, "That is food for the diabetics." PLAN OF CORRECTION (A 0749) (a)(1) INFECTION CONTROL OFFICER RESPONSIBILITIES 1. Dietary staff and nursing staff re educated regarding proper food labeling and handling. Education provided to all staff members that employee food is not permitted on units. 2. Nursing staff re educated on 06/06/2013, regarding proper food storage as related to physical location of food. A designated location, adhering to policy guidelines, was identified for the Diabetic Emergency Supply Kit. Unit Directors and Infection Control Nurse will check units regularly to ensure that food is stored and labeled, as per requirements, and that food is disposed of immediately that is outside of those parameters. Charge Nurse will be immediately notified of any identified problems so that follow up can occur with any and all staff involved. 8/9
9 9/9
Alabama Medicaid Adult Day Health Minimum Standards
Alabama Medicaid Adult Day Health Minimum Standards ADH = Adult Day Health E/D = Elderly & Disabled AMA = Alabama Medicaid Agency Local Area Agency on Aging = SARCOA I. Adult Day Health Services: A. Definition:
More informationChildren, Adults and Families
Children, Adults and Families Policy Title: Policy Number: Licensing Academic Boarding Schools OAR II-C.1.1 413-215-0201 thru 0276 Effective Date: 10-17-08 Approved By: on file Date Approved: Reference(s):
More informationThere were 40 residents on 28/07/2007. The Nursing Home is currently fully registered for 50 residents.
Nursing Home Inspectorate, HSE Dublin North East Area, Kells Business Park, Cavan Rd., Kells, Co. Meath. Tel No: 046-9282629/9282524 Fax No: 046-9282561 Tuesday, 9 th October 2007 Mowlam Healthcare Ltd.,
More information2018 Program Review and Certification Standards J. Facilities
2018 Review and Certification Standards New requirements are in red text and do not apply for the 2018 PR&C review. These requirements will be applicable in 2019. Minor adjustments and clarifications and
More informationNACCC Accreditation of Child Contact Centres Health and Safety Checklist
NACCC Accreditation of Child Contact Centres Health and Safety Checklist Name of Child Contact Centre: 1. Fire 1.1 Are your centre s fire and emergency procedures clearly displayed, compliant with fire
More informationWoodlea Cottage Care Home Service Children and Young People Woodlea Cottage Muirend Road Burghmuir Perth PH1 1JU Telephone:
Woodlea Cottage Care Home Service Children and Young People Woodlea Cottage Muirend Road Burghmuir Perth PH1 1JU Telephone: 01738 474705 Type of inspection: Unannounced Inspection completed on: 9 January
More informationAPPENDIX I HOSPICE INPATIENT FACILITY (HIF)
INTRODUCTION APPENDIX I HOSPICE INPATIENT FACILITY (HIF) The principles and standards in all chapters of the Standards of Practice for Hospice Programs apply to hospice care provided in an inpatient facility.
More informationReport of the Inspector of Mental Health Services 2010
Report of the Inspector of Mental Health Services 2010 MENTAL HEALTH SERVICE APPROVED CENTRE CATCHMENT AREA Longford/Westmeath St. Loman s Hospital Longford/Westmeath NUMBER OF WARDS 5 NAMES OF UNITS OR
More informationGUIDELINES FOR HOMESTAY/CUSTODIANS
GUIDELINES FOR HOMESTAY/CUSTODIANS 1. Accommodation Room: Furniture: Utility of Room: Bathroom: Laundry: A private room for each student, room size minimum a s per city bylaw, window, fire exit and fire
More informationThe Joint Commission and Facility Design: A Partnership for Patient Safety and Quality Care
The Joint Commission and Facility Design: A Partnership for Patient Safety and Quality Care A Webinar Presentation for the AIA AAH 8 January 2013 1 Topic 1: Driving Safety through Good Design Presenter:
More informationMaryborough Nursing Home inspection report, 5 July 2012
Maryborough Nursing Home inspection report, 5 July 2012 Item Type Report Authors Health Information and Quality Authority (HIQA);Social Services Inspectorate (SSI) Publisher Health Information and Quality
More informationWelcome to Fairview Ridges Hospital Pediatrics
Page 1 of 6 Welcome to Fairview Ridges Hospital Pediatrics For Patients, Families and Guests Welcome to patient and family centered care Care at Fairview Ridges Hospital Pediatrics centers on you our patients
More informationPATIENT SAFETY IN A MENTAL HEALTH ENVIROMENT. 9 November 2016
0 PATIENT SAFETY IN A MENTAL HEALTH ENVIROMENT 9 November 2016 PATIENT SAFETY IN A MENTAL HEALTH ENVIROMENT MENTAL HEALTH CARE ACT, 2002; Act No. 17 of 2002 This Act regulates the admission, care, treatment
More informationShelter Fundamentals Exercise Disaster Cycle Services
Shelter Fundamentals Exercise Disaster Cycle Services Participant Handout November 2013 This document was prepared under a grant from FEMA's Grant Programs Directorate, U.S. Department of Homeland Security.
More informationBonnington Nursing Home Care Home Service Adults 205 / 207 Ferry Road Edinburgh EH6 4NN
Bonnington Nursing Home Care Home Service Adults 205 / 207 Ferry Road Edinburgh EH6 4NN Inspected by: Averil Blair Linda Paterson Type of inspection: Unannounced Inspection completed on: 9 June 2011 Contents
More informationThe Regulatory Focus. Critical Access Hospitals The Regulatory Process
Critical Access Hospitals The Regulatory Process Montana DPHHS Quality Assurance Division Roy Kemp, Deputy Administrator rkemp@mt.gov The Regulatory Focus The fundamental principal of the state regulatory
More informationNew Jersey Department of Health MEDICAL DAY INSPECTION INFORMATION
New Jersey Department of Health MEDICAL DAY INSPECTION INFORMATION Requirements for Standard Medical Day Care Surveys (Adult and Pediatrics) Facility Name Survey Date / / Name(s) of Registered Nurse(s)
More informationHousekeeping Room Attendant Maintenance Request. 1. Tasks. Task 1. Task 2
Housekeeping Room Attendant Maintenance Request Housekeeping room attendants sweep, mop, wash and polish floors. They dust furniture and vacuum carpeting, rugs and upholstery. Attendants make beds, change
More informationCHECKLIST FOR SURVEY READINESS. Business Office and Personnel. 100% audit until in compliance and then 50% audit every year
CHECKLIST FOR SURVEY READINESS Business Office and Personnel 100% audit until in compliance and then 50% audit every year Issue Quarterly statements sent as per regulations Surety bond Survey data readily
More informationAgency for Health Care Administration
Page 1 of 88 ST - R0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag ST - R0001 - LICENSURE PROCEDURE Title LICENSURE PROCEDURE The license is displayed in a conspicuous location inside the
More information55 PA. Code, Chapter (Family Child Day Care Homes, )
55 Pa. Code 3290.171 3290.171. Consent. The operator shall obtain written consent from the parent for transportation by the facility staff. 55 Pa. Code 3290.171, 55 PA ADC 3290.171 55 Pa. Code 3290.172
More informationInfection Prevention and Control Checklist for LTCHs Suggestions for Use
s Suggestions for Use This checklist is designed to assist you to complete an Infection Prevention and Control walkabout in your facility. Some suggestions for use include: Set aside an hour to tour your
More informationChild Health and Safety
1. Responding to Emergency Staff will be trained on emergency procedures such as but not limited to CPR, basic first aid, and medication administration. Emergency procedures will be posted in classrooms.
More informationSAMPLE. Child Care Center Sanitation Inspection Form
Child Care Center Sanitation Inspection Form OAR numbers generally refer to numbers in the Office of Child Care s Rules for the Certification of Child Care Centers REMOVE THIS COVER AND INSERT UNDER EACH
More information89421 WATER SUPPLY CLEARANCE Any home where water for human consumption is from a private source shall meet the following requirements:
89421 FOSTER FAMILY HOMES Regulations 89421 WATER SUPPLY CLEARANCE 89421 Any home where water for human consumption is from a private source shall meet the following requirements: (1) Prior to the home
More informationBelow you will find a number of Inspection Reports published by the Mental Health Commission.
Mental Health Commission Approved Centre Inspection Reports Below you will find a number of Inspection Reports published by the Mental Health Commission. The Approved Centres reported on are: 1. Jonathan
More informationRule R Nursing Facility Construction. Table of Contents. State Links: Utah.gov State Online Services Agency List Business.utah.gov Search.
State Links: Utah.gov State Online Services Agency List Business.utah.gov Search. Division of Administrative Rules. A Service of the Department of Administrative Services. [Division of Administrative Rules
More informationReport of the Inspector of Mental Health Services 2012
Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Independent Sector HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Independent Sector Independent Sector
More informationOldcastle Road. County Meath. Type of centre: Private Voluntary Public. Time inspection took place: Start: 14:40 hrs Completion: 18:20 hrs
Health Information and Quality Authority Social Services Inspectorate Inspection report Designated centres for older people Centre name: St Colmcille s Nursing Home Centre ID: 0165 Centre address: Oldcastle
More informationWisconsin. Phone. Agency Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living (608)
Wisconsin Agency Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living (608) 266-8598 Contact Alfred C. Johnson (608) 266-8598 E-mail Alfred.Johnson@dhs.wisconsin.gov
More informationReport of an inspection of a Designated Centre for Disabilities (Adults)
Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Dara Respite House Dara Residential Services Kildare Type of inspection:
More informationPart B - Health Facility Briefing and Planning. PLANNING Functional Areas Functional Relationships
545 INDEX PALLIATIVE CARE UNIT 545.1.00 Description INTRODUCTION Description PLANNING Functional Areas Functional Relationships COMPONENTS OF THE UNIT Introduction Standard Components Non-Standard Components
More informationCUBICLE/STUDIO SPACE POLICIES AND GUIDELINES FALL & SPRING BID STUDIO CONTRACT
Name: Room Number: Cubicle Number: ID# CUBICLE/STUDIO SPACE POLICIES AND GUIDELINES FALL & SPRING 2011-12 BID STUDIO CONTRACT The use of a cubicle/studio is a privilege provided by the Pratt Industrial
More informationIowa. Phone. Web Site. https://dia-hfd.iowa.gov/dia_hfd/home.do. Licensure Term
Iowa Phone Agency Department of Inspections and Appeals, Health Facilities Division (515) 281-6325 Contact Linda Kellen (515) 281-7624 E-mail Linda.Kellen@dia.iowa.gov. Web Site https://dia-hfd.iowa.gov/dia_hfd/home.do
More informationWe 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. Eastbourne Villa 21 Eastbourne Road, Hornsea, HU18 1QS Tel:
More informationSt. Colmcille s Nursing Home Ltd. County Meath. Type of centre: Private Voluntary Public
Health Information and Quality Authority Social Services Inspectorate Inspection report Designated centres for older people Centre name: St. Colmcille s Nursing Home Centre ID: 0165 Oldcastle Road Centre
More informationChest Centre. Welcome to the. Vancouver General Hospital
Welcome to the Chest Centre Vancouver General Hospital 12th Floor, Jim Pattison Pavilion, 899 West 12th Avenue Vancouver BC V5Z 1M9 Tel: 604-875-4111 Welcome to the Chest Centre The Chest Centre comprises
More informationParents Coordinating Council - Lanterman Developmental Center
Community Placement Checklist Parents Coordinating Council - Lanterman Developmental Center As part of the community placement process, families will be asked to visit or contact potential homes for their
More informationHealth & Safety Policy
Safeguarding and Welfare Requirements: Safety & Suitability of Premises, Environment & Equipment g Providers must take reasonable steps to ensure the safety of children, staff and others premises. Health.
More informationWe 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. The Tudors Care Home North Street, Stanground, Peterborough,
More informationBenvarden Residential Care Homes Limited
Benvarden Residential Care Homes Limited Benvarden Residential Care Homes Limited Inspection report 110 Ash Green Lane Exhall Coventry West Midlands CV7 9AJ Date of inspection visit: 14 January 2016 Date
More informationSt. Drostans House Care Home Service Adults 5 Infirmary Street Brechin DD9 7AN Telephone:
St. Drostans House Care Home Service Adults 5 Infirmary Street Brechin DD9 7AN Telephone: 01356 622050 Inspected by: Timothy Taylor Type of inspection: Unannounced Inspection completed on: 6 July 2012
More informationCowdenbeath Primary School Nursery Day Care of Children 45 Broad Street Cowdenbeath KY4 8JP Telephone:
Cowdenbeath Primary School Nursery Day Care of Children 45 Broad Street Cowdenbeath KY4 8JP Telephone: 01383 602449 Inspected by: Seonaid Lowe Linda Wood Type of inspection: Unannounced Inspection completed
More informationHead Start Facilities and Safe Environments Checklist
Head Start Facilities and Safe Environments Checklist Place a C for Compliant and NC for Non-Compliant in the box when you observe evidence of each of the items listed. Describe any problems or concerns
More informationCeltic Cross Nursery Day Care of Children 56 Station Road Banchory AB31 5YJ Telephone:
Celtic Cross Nursery Day Care of Children 56 Station Road Banchory AB31 5YJ Telephone: 01330 824744 Type of inspection: Unannounced Inspection completed on: 22 August 2014 Contents Page No Summary 3 1
More informationHealth and Safety Policy
Health and Safety Policy STATEMENT OF INTENT This pre-school believes that the health and safety of children is of paramount importance. We make our pre-school a safe and healthy place for children, parents,
More informationFUNCTIONAL PROGRAM for General Hospital
FUNCTIONAL PROGRAM for General Hospital 1 General Considerations 1.1 Applicability As discussed with WY Dept of Health, it is anticipated that this facility will be surveyed and licensed as a General Hospital.
More informationPatient Bill of Rights
Patient Bill of Rights The Patient Bill of Rights was developed specifically for individuals who use the services of the Mental Health and Addiction Program of St. Joseph s Healthcare Hamilton. The Bill
More informationHCB Characteristics Review Tool Probing Questions Residential Settings
HCB Characteristics Review Tool Probing Questions Residential Settings 1. Setting 1.1 - Is the facility surrounded by high walls/fences and/or have closed/locked gates? - Is the facility setting among
More informationArizona Department of Health Services Licensing and CMS Deficient Practices
Arizona Department of Health Services Licensing and CMS Deficient Practices Connie Belden, RN., Bureau of Medical Facility Licensing August 8, 2013 General Comments Deficient Practices per visit Trend
More informationBHS Policies and Procedures
BHS Policies and Procedures City and County of San Francisco Department of Public Health San Francisco Health Network BEHAVIORAL HEALTH SERVICES 1380 Howard Street, 5th Floor San Francisco, CA 94103 415.255-3400
More informationUnannounced Care Inspection Report 9 March Orchard Grove
Unannounced Care Inspection Report 9 March 2017 Orchard Grove Type of service: Residential care home Address: 7 The Square, Clough, BT30 8RB Tel no: 028 4481 1672 Inspector: Alice McTavish w w w. r q i
More informationReport of the Inspector of Mental Health Services 2012
Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Independent Sector HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Independent Sector Independent St.
More informationTelepharmacy: How One Wyoming Pharmacy Makes it Work
Telepharmacy: How One Wyoming Pharmacy Makes it Work Panel: Scot Schmidt, PharmD with Kevin Smith, Telehealth Cord. Wyoming Telehealth Network November 29, 2017 Telepharmacy: How One Wyoming Pharmacy Makes
More informationAgency for Health Care Administration
Page 1 of 103 ST - R0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - R0001 - LICENSURE PROCEDURE
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationA Helping Hand. Navigating your way in your new home. (Personal Care Home Edition)
A Helping Hand Navigating your way in your new home (Personal Care Home Edition) Name: Phone Number: Home Administrator Name: Phone Number: Local Ombudsman Name: Phone Number: PEER Contact All communication
More informationTSS QUICK REFERENCE: SUMMARY OF POLICIES, PROCEDURES AND PLANS REQUIREMENTS. Reference Number. Section / Sub-section. Shelter Standard Requirement
Complaints And Appeals Intake / Assessment Referrals Admission Daytime Access Discharge Service Restrictions Food, Diet And Nutrition Dietary Restrictions and Accommodation Sleeping Areas and Beds 7 (a)(i)
More informationSample. A guide to development of a hospital blood transfusion Policy at the hospital level. Effective from April Hospital Transfusion Committee
Sample A guide to development of a hospital blood transfusion Policy at the hospital level Name of Policy Blood Transfusion Policy Effective from April 2009 Approved by Hospital Transfusion Committee A
More informationReview of compliance. McDiarmid-Hall Clinic Limited McDiarmid-Hall Clinic. South West. Region: 22 Imperial Square Cheltenham Gloucestershire GL50 1QZ
Review of compliance McDiarmid-Hall Clinic Limited McDiarmid-Hall Clinic Region: Location address: Type of service: South West 22 Imperial Square Cheltenham Gloucestershire GL50 1QZ Doctors consultation
More informationThere were 41 dependent persons present on this date. The Nursing Home is currently fully registered for forty two dependent persons.
Nursing Home Inspectorate, HSE Dublin North East Area, Kells Business Park, Cavan Rd., Kells, Co. Meath. Tel No: 046-9282629/9282524 Fax No: 046-9282561 Friday, 03 August 2007 Ms. Brenda Keyes, Registered
More informationCQC ENF , ENF , ENF
This Action Plan is responding to the following requirement notice and enforcement action, as detailed in the CQC inspection report of 13 th February. It is also in response to the accompanying warning
More informationDefense Logistics Agency Instruction. Lactation Program
Defense Logistics Agency Instruction Lactation Program DLAI 7306 September 2, 2010 DLA Installation Support Occupational Safety and Health Releasability: UNCLASSIFIED. For Public Release. 1. REFERENCES.
More informationFacility Information. Overview of Visit. Report Summary
Team Advocacy Inspection for December 15, 2015 Miles Residential Care Inspection conducted by Nicole Davis, P&A Team Advocate, and Bethany Schweer, Volunteer Facility Information Miles Residential Care
More informationWe 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. Glenside Residential Care Home 179-181 Weedon Road, Northampton,
More informationNazareth House - Cheltenham
Nazareth Care Charitable Trust Nazareth House - Cheltenham Inspection report London Road Charlton Kings Cheltenham Gloucestershire GL52 6YJ Tel: 01242516361 Date of inspection visit: 12 May 2016 17 May
More informationGolden Years Care Home
Mrs M C Prenger Golden Years Care Home Inspection report 47-49 Shaftesbury Avenue Blackpool Lancashire FY2 9TW Tel: 01253594183 Date of inspection visit: 10 January 2018 Date of publication: 05 February
More informationNorth Carolina. Phone. Agency (919) Department of Health and Human Services, Division of Health Service Regulation
North Carolina Agency Department of Health and Human Services, Division of Health Service Regulation (919) 855-3765 Contact Doug Barrick (919) 855-3778 E-mail doug.barrick@dhhs.nc.gov Phone Web Site http://ncdhhs.gov/dhsr/acls
More informationHealth and Safety Policy Statement
Health and Safety Policy Statement Author: Michelle Bingham Date of Issue: 16 th September 2017 Review date: 16 th September 2018 At Brookside Preschool, we believe that the health and safety of children
More informationThe Clatterbridge Cancer Centre. NHS Foundation Trust MRSA. Infection Control. A guide for patients and visitors
The Clatterbridge Cancer Centre NHS Foundation Trust MRSA Infection Control A guide for patients and visitors Contents Information... 1 Symptoms... 1 Diagnosis... 2 Treatment... 2 Prevention of spread...
More informationSRI LAKSHMI MEDICAL CENTRE AND HOSPITAL
SRI LAKSHMI MEDICAL CENTRE AND HOSPITAL 18/121 MTP Road, Thudiyalur, Coimbatore 641 034. Document Name : POLICY AND PROCEDURES TO PROTECT PATIENT RIGHTS AND EDUCATION Document No. : E / NABH / SMCH / PRE
More informationMental Welfare Commission for Scotland. Report on announced visit to: Camus Tigh, Kirkhill Road, Broxburn. Date of visit: 17 January 2017 EH52 6HT
Mental Welfare Commission for Scotland Report on announced visit to: Camus Tigh, Kirkhill Road, Broxburn EH52 6HT Date of visit: 17 January 2017 Where we visited Camus Tigh is a seven bedded NHS unit for
More informationGuidelines. Camp Nursing. Guidelines for Registered Nurses
Guidelines Camp Nursing Guidelines for Registered Nurses June 2015 CAMP NURSING: FOR REGISTERED NURSES JUNE 2015 i Approved by the College and Association of Registered Nurses of Alberta () Provincial
More informationTendercare Home Ltd. Tendercare Home Limited. Overall rating for this service. Inspection report. Ratings. Good
Tendercare Home Limited Tendercare Home Ltd Inspection report 237-239 Oldbury Road Rowley Regis West Midlands B65 0PP Tel: 01215614984 Date of inspection visit: 20 January 2016 21 January 2016 Date of
More informationINSTITUTIONS REGULATION, 1981
Province of Alberta PUBLIC HEALTH ACT INSTITUTIONS REGULATION, 1981 Alberta Regulation 143/1981 With amendments up to and including Alberta Regulation 109/2003 Office Consolidation Published by Alberta
More informationManis Aged Care Limited
Manis Aged Care 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 informationReport of an inspection of a Designated Centre for Disabilities (Adults)
Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Jeddiah Health Service Executive Sligo Type of inspection: Unannounced
More informationExamples of enforcement letters to Adult Family Homes certified to care for people with Developmental Disabilities in Washington State
Examples of enforcement letters to Adult Family Homes certified to care for people with Developmental Disabilities in Washington State Repeated, uncorrected violations highlighted All information retrieved
More informationWhere does the Department s authority to regulate drug and alcohol services come from?
Where does the Department s authority to regulate drug and alcohol services come from? Act 50 of 2010, previously Act 63 of 1972 (71 P.S. 1690.102 through 1690.115), is the primary body of Pennsylvania
More informationReport. Leigh House, Specialised Services Winchester
Report Leigh House, Specialised Services Winchester Thursday 23 rd February 2012 Overall Impression Leigh house appeared to have a calm and relaxed atmosphere with a non-clinical feel, a nice environment
More informationWelcome to Glyme Ward
Oxford Health NHS Foundation Trust Forensic services Welcome to Glyme Ward Forensic services Contents Page 3 Page 3 Page 5 Page 9 Welcome to Glyme Ward What to expect on arrival Staff on the ward Ward
More informationHealth and Safety Policy
Health and Safety Policy EYFS Requirement This policy has been written in line with the Early Years Foundation Stage Safeguarding and Welfare requirements (section 3.52 to 3.54) Related Policies Child
More informationReport of the Inspector of Mental Health Services 2012
Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Galway, Mayo and Roscommon HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE West Mayo Adult Mental Health
More informationHCBS Settings Evaluation Tool Module 3. Welcome
HCBS Settings Evaluation Tool Module 3 Welcome Welcome to Module 3, the third of six modules in the Home and Community-Based Services Settings Training Series. This module will focus on the additional
More informationTABLE OF CONTENT. 2.1 Allocation of Responsibilities 1 2.l.l Departmental Responsibilities Service Provider Responsibilities services..
TABLE OF CONTENT Page Section 1: General Information..1 1.1 Introduction. 1 1.2 Adult Day Centres 1 1.3 List of Relevant Legislation..1 1.4 Philosophy..2 1.5 Objectives..2 1.6 Definitions 3 1.7 Target
More informationPeacock Nursing Home Care Home Service Adults Garden Place Eliburn Livingston EH54 6RA Telephone:
Peacock Nursing Home Care Home Service Adults Garden Place Eliburn Livingston EH54 6RA Telephone: 01506 417 464 Type of inspection: Unannounced Inspection completed on: 24 February 2015 Contents Page No
More informationHouston Controls, Inc Safety Management System
Preparation: Safety Mgr Authority: Dennis Johnston Issuing Dept: Safety Page: Page 1 of 8 Purpose This Bloodborne Pathogen Exposure Control Plan has been established to ensure a safe and healthful working
More informationHealth Care Dining Service
Health Care Dining Service A Workbook for Employee Training Level I Written by Wayne Toczek Edited,and formatted by Ari Sutton A Product of Innovations Services 102 Parsons St. Norwalk, OH 44857 419-663-9300
More informationpennsylvania DEPARTMENT OF AGING Know Your Rights as a Nursing Home Resident Long-Term Care Ombudsman Program
pennsylvania DEPARTMENT OF AGING Know Your Rights as a Nursing Home Resident Long-Term Care Ombudsman Program The Pennsylvania State Long-Term Care Ombudsman Program under the Pennsylvania Department of
More informationMental Health Commission Approved Centre Inspection Report (Mental Health Act 2001)
Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) APPROVED CENTRE NAME: IDENTIFICATION NUMBER: APPROVED CENTRE TYPE: REGISTERED PROPRIETOR: REGISTERED PROPRIETOR NOMINEE:
More informationINFORMED CONSENT TO PARTICIPATE IN A DIABETES RESEARCH REGISTRY
INFORMED CONSENT TO PARTICIPATE IN A DIABETES RESEARCH REGISTRY PRINCIPAL INVESTIGATOR: Andrew S. Pumerantz, DO 795 E. Second Street, Suite 4 Pomona, CA 91766-2007 (909) 706-3779 CO-INVESTIGATORS: WDI
More informationRULES AND REGULATIONS FOR SEMINAR HOUSE
RULES AND REGULATIONS FOR Housing arrangements in the Kansai Gaidai Seminar House are made based upon a formal written contract between the residents and Kansai Gaidai. The rules and regulations listed
More informationFacility Information. Overview of Visit. Report Summary
Harmony House Team Advocacy Inspection for November 30, 2017 Inspection conducted by Toni Etheridge, P&A Team Advocate; Nicole Davis, P&A Advocate; and Clarissa Guerrero, Volunteer Facility Information
More informationUniversity of Akron College of Nursing 370-Care of Older Adult Home Safety Checklist
University of Akron College of Nursing 370-Care of Older Adult Home Safety Checklist Patient: 1. 2. 3. 4. Living Room/- Family Room Yes No Can you turn on a light without having to walk into a dark room?
More informationDocuments and Document Location
Head Start Performance Standard/ Head Start Act 1304.22 Child Health and Safety (a) Health Emergency Procedures (b) Conditions of Short Term Exclusion and Admittance (c) Medication Administration (d) Injury
More informationSurvey Protocol for Long Term Care Facilities
Attachment B Survey Protocol for Long Term Care Facilities The provision of home dialysis treatments in a Long Term Care (LTC) facility place an increased burden on the LTC facility staff and may place
More informationWHEELING-OHIO COUNTY BOARD OF HEALTH WHEELING-OHIO COUNTY HEALTH DEPARTMENT
WHEELING-OHIO COUNTY BOARD OF HEALTH WHEELING-OHIO COUNTY HEALTH DEPARTMENT TITLE This Regulation shall be known as the Wheeling-Ohio County Health Department Tanning Bed Regulation and shall cover Ohio
More informationEnter & View Report. The Glenfield Surgery
The Glenfield Surgery 5 January 2015 Report Details Address The Glenfield Surgery 111 Station Road Glenfield Leicester LE3 8GS Service Provider East Leicestershire and Rutland Clinical Commissioning Group
More informationDevelop your Practice Management Tool Box. Survey Readiness and Maintaining Compliance Teresa Treiber March 21, 2018
1 [ Develop your Practice Management Tool Box Survey Readiness and Maintaining Compliance Teresa Treiber March 21, 2018 2 [ Objectives Learn how to develop an Evidence Binder Understand the importance
More informationMental Health Commission Approved Centre Inspection Report (Mental Health Act 2001)
Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) APPROVED CENTRE NAME: IDENTIFICATION NUMBER: APPROVED CENTRE TYPE: REGISTERED PROPRIETOR: REGISTERED PROPRIETOR NOMINEE:
More information