Arus Carolan Nursing Unit

Substantially compliant

• 3.2 The residential service has effective arrangements in place to manage risk and protect residents from the risk of harm.
• 3.5 Arrangements to protect residents from harm promote bodily integrity, personal liberty and a restraint-free environment in accordance with national policy.
• 5.4 The quality of care and experience of residents are monitored, reviewed and improved on an ongoing basis.
• 7.2 Staff have the required competencies to manage and deliver person-centred, effective and safe services to all residents.
• 7.4 Training is provided to staff to improve outcomes for all residents.

Compliant

• 1.1 The rights and diversity of each resident are respected and safeguarded.
• 1.2 The privacy and dignity of each resident are respected.
• 1.3 Each resident has a right to exercise choice and to have their needs and preferences taken into account in the planning, design and delivery of services.
• 1.4 Each resident develops and maintains personal relationships and links with the community in accordance with their wishes.
• 1.5 Each resident has access to information, provided in a format appropriate to their communication needs and preferences.
• 1.6 Each resident, where appropriate, is facilitated to make informed decisions, has access to an advocate and their consent is obtained in accordance with legislation and current evidence-based guidelines.
• 1.7 Each resident's complaints and concerns are listened to and acted upon in a timely, supportive and effective manner.
• 2.1 Each resident has a care plan, based on an ongoing comprehensive assessment of their needs which is implemented, evaluated and reviewed, reflects their changing needs and outlines the supports required to maximise their quality of life in accordance with their wishes.
• 2.6 The residential service is homely and accessible and provides adequate physical space to meet each resident's assessed needs.
• 3.1 Each resident is safeguarded from abuse and neglect and their safety and welfare is promoted.
• 4.3 Each resident experiences care that supports their physical, behavioural and psychological wellbeing.
• 5.1 The residential service performs its functions as outlined in relevant legislation, regulations, national policies and standards to protect each resident and promote their welfare.
• 5.2 The residential service has effective leadership, governance and management arrangements in place and clear lines of accountability.
• 5.3 The residential service has a publicly available statement of purpose that accurately and clearly describes the services provided.
• 6.1 The use of resources is planned and managed to provide person-centred, effective and safe services and supports to residents.
• 7.3 Staff are supported and supervised to carry out their duties to protect and promote the care and welfare of all residents.
• 8.1 Information is used to plan and deliver person-centred, safe and effective residential services and supports.

Not compliant — high risk

• 15: Staffing

Substantially compliant

• 5: Individual assessment and care plan
• 7: Managing behaviour that is challenging
• 23: Governance and management

Compliant

• 4: Written policies and procedures
• 6: Health care
• 8: Protection
• 9: Residents' rights
• 10: Communication difficulties
• 11: Visits
• 12: Personal possessions
• 14: Persons in charge
• 16: Training and staff development
• 17: Premises
• 19: Directory of residents
• 21: Records
• 22: Insurance
• 24: Contract for the provision of services
• 27: Infection control
• 28: Fire precautions
• 30: Volunteers
• 31: Notification of incidents
• 34: Complaints procedure

Not compliant — high risk

• Regulation 12: Personal possessions
• Regulation 17: Premises
• Regulation 23: Governance and management
• Regulation 28: Fire precautions
• Regulation 9: Residents' rights

Substantially compliant

• Regulation 27: Infection control
• Regulation 5: Individual assessment and care plan

Compliant

• Regulation 11: Visits
• Regulation 15: Staffing
• Regulation 16: Training and staff development
• Regulation 18: Food and nutrition
• Regulation 19: Directory of residents
• Regulation 21: Records
• Regulation 31: Notification of incidents
• Regulation 6: Health care
• Regulation 7: Managing behaviour that is challenging
• Regulation 8: Protection