Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)

• People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.

• People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.

• People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.

• People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.

• People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.

• Service providers respect people’s right to have space to engage in intimate and sexual relationships.
• Service providers use person-centred and respectful language.
• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Specimen collection rooms allow visual, auditory, and physical privacy.

• Service providers respect people’s right to have space to engage in intimate and sexual relationships.
• Service providers use person-centred and respectful language.
• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers respect people’s right to have space to engage in intimate and sexual relationships.
• Service providers use person-centred and respectful language.
• Health care and support workers communicate with people with respect, and without sarcastic or mean comments about people living in the service. 
• People have full access to all facilities in their own home. This should include:
  1. a key to the home
  2. access to Wi-Fi
  3. access to the kitchen (including the fridge).
• Support workers and other people living with people receiving services respect their personal items. 
• Support workers and others living with people receiving services respect their personal space when they are frustrated, processing emotions, or seeking quiet time.
• People have the freedom to be spontaneous. 
• If room searches occur, the person should always be present.
• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers respect people’s right to have space to engage in intimate and sexual relationships.
• Service providers use person-centred and respectful language.
• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers meet Hospice NZ Standards of Palliative Care in line with Te Ohu Rata o Aotearoa Māori Medical Practitioners (2019) Mauri Mate: A Māori palliative care framework for hospices.

• Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence. 
• Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. 

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy. 

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy. 

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.
• Service providers’ escalation processes enable people receiving services to contact the relevant health care and support worker to respond to a report of abuse.
• Service providers take a proactive approach to support people receiving services when a health care or support worker and whānau report suspected abuse or neglect.
• Service providers uphold mandatory requirements and initiate involving other agencies when abuse or neglect is suspected. People receiving services give informed consent or are provided access to supported decision-making when accessing other agencies.

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.
• Service providers inform people receiving services that, if abuse occurs, they have safe places to go and people other than their health care and support workers to talk to. These information could include:
  1. access to mātua
  2. information about external agencies.

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.

• Service providers undertake screening for abuse and violence against elderly people. See Glasgow K, Fanslow KL (2006) Family Violence Intervention Guidelines: Elder abuse and neglect.

• Service providers implement a process to manage residents’ comfort funds, such as sundry expenses. The person receiving services, the person given enduring power of attorney or their representative, as appropriate, manages all other financial matters.

• Service providers implement policy and procedures that clearly identify processes for:
  1. ensuring health care and support workers only undertake financial affairs or money handling with the knowledge of the service provider, as documented and agreed in the relevant individual care or support plan with the person and whānau, and under the Mental Health (Compulsory Assessment and Treatment) Act 1992 or in accordance with the Protection of Personal and Property Rights Act 1988
  2. specifying record-keeping requirements and the collection of receipts for any activities that a support worker may have undertaken in order to provide an auditable record
  3. receiving gifts.
• People’s care or support plans clearly state agreement on money and mail handling.

• Supported decision-making processes are always followed in relation to people’s funds. The person receiving services, the person given enduring power of attorney or their representative, as appropriate, manages all other financial matters.
• People are supported to self-determine and take risks. Agreements are in place to manage associated risks.
• People are involved in all decisions made with their money.
• Service providers’ operating policies determine what action to take if the spending of a person with enduring power of attorney is extraordinary.
• Service providers are aware of and access courses offered by organisations that represent the views of people who use the service.
• People and their support workers have delegated authority in respect of accessing discretionary funds.

• Supported decision-making processes are always followed in relation to people’s funds. The person receiving services, the person given enduring power of attorney or their representative, as appropriate, manages all other financial matters.
• Service providers have systems that identify, list, and cater for adequate and safe storage of people’s property. 

• People receiving services and their whānau are encouraged to take money and property off site.
• Service providers have an implemented policy and associated procedures related to property and money that:
  1. are person-centred
  2. provide people with secure facilities where they can keep their property and money on arrival
  3. include a mechanism of open communication or disclosure that operates if incidents occur with property or money
  4. include a mechanism of internal audit and corrective action planning.

• People’s property is respected, and nothing is ever taken away from them.

• Service providers have a policy that reflects that hospices do not manage property or money.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.
• Service provider training covers what best practice looks like.
• Employment practices include criminal record-checking for people who are supporting vulnerable people.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.

• Service providers offer people the opportunity for a support person where applicable.
• Service provider training covers what best practice looks like.
• Employment practices include criminal record-checking for people who are supporting vulnerable people.

• Every person is given the option of having a health passport.

• There is appropriate cultural assessment and support, and service providers consider a framework such as Pae Ora to guide practice.
• Service providers adopt a person-centred approach in which:
  1. the voice of the person receiving services is heard
  2. communication is with the person and whānau
  3. communication is understood
  4. people are empowered to self-determine.
• Service providers consider a multi-agency approach to meet people’s holistic needs.

• There is appropriate cultural assessment and support, and service providers consider a framework such as Pae Ora to guide practice. Service providers adopt a person-centred approach in which:
  1. the voice of the person receiving services is heard
  2. communication is with the person and whānau
  3. communication is understood
  4. people are empowered to self-determine.
• Service providers consider a multi-agency approach to meet people’s holistic needs.

• There is appropriate cultural assessment and support, and service providers consider a framework such as Pae Ora to guide practice. Service providers adopt a person-centred approach in which:
  1. the voice of the person receiving services is heard
  2. communication is with the person and whānau
  3. communication is understood
  4. people are empowered to self-determine.
• Service providers consider a multi-agency approach to meet people’s holistic needs.
• Hospice providers certified under the Health and Disability Services (Safety) Act 2001 meet the intent of the Hospice New Zealand Standards of Palliative Care 2019.

• Service providers adopt a collaborative approach at people’s homes to clarify expectations. This can cover a wide range of topics, such as which cloth to use for floors, showers, and hand basins.

• People receiving services are involved in all meetings about their care.

• Service providers give information about access to public funding and treatment.

• Service providers consider court orders and instructions such as bail conditions.

• Service providers consider court orders and instructions such as bail conditions.

• Service providers consider court bail conditions where people cannot make decisions about services.

• Service providers consider court bail conditions where people cannot make decisions about services.

• Service providers consider court bail conditions where people cannot make decisions about services.

• Service providers consider court bail conditions where people cannot make decisions about services.

• Written consent is required when gametes, embryos, or reproductive tissue are collected, stored, used, or disposed of outside of the body. For current guidelines, see Advisory Committee on Assisted Reproductive Technology (2020) Guidelines for Family Gamete Donation, Embryo Donation, the Use of Donated Eggs with Donated Sperm and Clinic Assisted Surrogacy.

• Written consent is required when contraception is implanted or inserted as part of a procedure.

• Written consent is required when contraception is implanted or inserted as part of a procedure.

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’.
• Although service providers do not develop advance directives or advance care and/or support plans, when one is in place, they make a copy available to support the services being provided.

• Service providers uphold the wishes of people receiving services about the fate of the stored gametes or embryos, as stated in consent forms. 

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’.
• Although service providers do not develop advance directives or advance care and/or support plans, when one is in place, they make a copy available to support the services being provided.

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’. 

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’. 

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’.
• Service providers give multiple opportunities for the person receiving services and their whānau to discuss advance directives.
• Tikanga is followed in the context of advance directives.
• Service providers have implemented policies and associated procedures to support practice.
• In the context of advance care planning, service providers use national resources; for example, the Health Quality & Safety Commission webpage ‘Te whakamahere tiaki i mua i te wā taumaha: Advance Care Planning’. 

• Service providers communicate how to make advance directives. An advance directive is a written or oral directive:
  1. by which a person makes a choice about a future care procedure
  2. that is effective only when the person is not competent.
• In some situations, it may not be possible to uphold or action an advance directive. When deciding whether to follow an advance directive, clinicians refer to the Health and Disability Commissioner’s webpage ‘Advance Directives & Enduring Powers of Attorney’.
• Service providers give multiple opportunities for the person receiving services and their whānau to discuss advance directives.
• Tikanga is followed in the context of advance directives.
• Service providers have implemented policies and associated procedures to support practice.
• In the context of advance care planning, service providers use national resources; for example, the Health Quality & Safety Commission webpage ‘Te whakamahere tiaki i mua i te wā taumaha: Advance Care Planning’.
• Although service providers do not develop advance directives or advance care and/or support plans, when one is in place, they make a copy available to support the services being provided.

• The consent process includes storage, disposal, and return of gametes, embryos, and reproductive materials.
• Service providers have a consent process for the use of gametes and embryos for training.
• Service providers have a process for contacting people well before the end of their storage period and informing them about when and how to apply for an extension if they wish to do so.
• The policy on gamete or embryo storage makes it clear to people receiving services that gametes or embryos will be disposed of if storage is not extended, or when the period of extension ends.
• Service providers have procedures to follow regarding gametes or embryos if the consenting person dies or becomes incapable of varying their consent.
• Service providers have a process for disposing of gametes and embryos where a person can no longer be contacted.

• The consent process includes storage for disposing of the placenta, fetus, or any other reproductive parts, or return of such parts on discharge for the consenting person or whānau to take home.
• The consent process includes the process for a fetus, placenta, or any other reproductive parts sent to pathology or for post mortem to be returned to the consenting person or whānau.
• Service providers demonstrate that they comply with the Human Tissue Act 2008 and with the New Zealand Standard on Non-therapeutic Use of Human Tissue NZS 8135:2009.
• Service providers provide an appropriate interim vessel for people who wish to take their products of conception home with them.
• Service providers inform people receiving services in advance of the procedure involved in their opportunity to bring an appropriate vessel for the purpose of taking their products of conception home with them.
• Service providers have an implemented policy for undertaking forensic analysis as part of their procedure.

• The consent process includes storage for disposing of the placenta, fetus, or any other reproductive parts, or return of such parts on discharge for the consenting person or whānau to take home.
• The consent process includes the process for a fetus, placenta, or any other reproductive parts sent to pathology or for post mortem to be returned to the consenting person or whānau.
• Service providers demonstrate that they comply with the Human Tissue Act 2008 and with the New Zealand Standard on Non-therapeutic Use of Human Tissue NZS 8135:2009.
• Service providers provide an appropriate interim vessel for people who wish to take their products of conception home with them.
• Service providers inform people receiving services in advance of the procedure involved in their opportunity to bring an appropriate vessel for the purpose of taking their products of conception home with them.
• Service providers have an implemented policy for undertaking forensic analysis as part of their procedure.

• House meeting minutes reflect issues raised by people; service providers consider independent (from house support workers) minute taking.
• See the Ministry of Health’s webpage ‘Making a complaint about your residential care’.

• House meeting minutes reflect issues raised by people; service providers consider independent (from house support workers) minute taking.
• See the Ministry of Health’s webpage ‘Making a complaint about your residential care’.

• Managers appointed should have experience in dementia and the special needs of older people.

• Service providers identify a ‘person responsible for activity’, as defined in section 20 of the HART Act, and a ‘practice director’ for communication with the Australian and New Zealand Assisted Reproduction Database.
• Service providers consider adopting technical bulletins issued by the Reproductive Technology Accreditation Committee (RTAC) or other professional bodies as best practice guidelines.

• Managers appointed are experienced midwives.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.
• Governance body membership includes expertise from people with lived experience.
• Service providers and their governance bodies report to, and are accountable to, people receiving services.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.
• Governance body membership includes expertise from people with lived experience.
• Service providers and their governance bodies report to, and are accountable to, people receiving services.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.
• Governance body membership includes expertise from people with lived experience.
• Service providers and their governance bodies report to, and are accountable to, people receiving services.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.

• Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
• Governance bodies may seek:
  1. expertise from people with lived experience
  2. a partnership approach to decision making.

• Governance bodies have an understanding of the social determinants of each region. This understanding links to strategic planning and the quality improvement cycle.
• Universal proportionalism (the principle that those with the greatest need receive the greatest proportion of funding) is included in strategic planning.
• Governance bodies make proactive funding decisions. 

• Governance bodies have an understanding of the social determinants of each region. This understanding links to strategic planning and the quality improvement cycle.
• Universal proportionalism (the principle that those with the greatest need receive the greatest proportion of funding) is included in strategic planning.
• Governance bodies make proactive funding decisions. 

• Governance bodies have an understanding of the social determinants of each region. This understanding links to strategic planning and the quality improvement cycle.
• Universal proportionalism (the principle that those with the greatest need receive the greatest proportion of funding) is included in strategic planning.
• Governance bodies make proactive funding decisions.

• Quality and business planning documents show evidence that service providers:
  1. participate in partnership for mātauranga Māori
  2. include the Accessibility Charter
  3. understand the social determinants of each DHB region
  4. understand that social determinants help inform quality improvement goals with the aim of improving health outcomes for the communities being served.

• Quality and business planning documents show evidence that service providers:
  1. participate in partnership for mātauranga Māori
  2. include the Accessibility Charter
  3. understand the social determinants of each DHB region
  4. understand that social determinants help inform quality improvement goals with the aim of improving health outcomes for the communities being served.

• Quality and business planning documents show evidence that service providers:
  1. participate in partnership for mātauranga Māori
  2. include the Accessibility Charter
  3. understand the social determinants of each DHB region
  4. understand that social determinants help inform quality improvement goals with the aim of improving health outcomes for the communities being served.

• Risk mitigation is a continual process that is assessed, reviewed, and updated within defined intervals.
• Frequency of review is dependent on the level of risk posed to the service provider.

• Birthing units and maternity services: see the New Zealand Maternity Clinical Indicators.

• Risk mitigation is a continual process that is assessed, reviewed, and updated within defined intervals.
• Frequency of review is dependent on the level of risk posed to the service provider.

• Service providers communicate with people receiving services when they are planning changes to staffing levels.

• When support workers do not come to work, service providers inform the people affected of the change of support workers, wherever possible.
• Service providers’ documented rationale includes:
  1. the required qualifications and experience for different types of support
  2. skill mix (for example, specifying number of registered nurses, enrolled nurses, health care and support workers at level 3 and level 4, and peer support workers)
  3. adherence to pay equity legislation.

• Service providers communicate with people receiving services when they are planning changes to staffing levels.
• When support workers do not come to work, service providers inform the people affected of the change of support workers, wherever possible.

• Service providers communicate with people receiving services when they are planning changes to staffing levels.
• When support workers do not come to work, service providers inform the people affected of the change of support workers, wherever possible.
• Service providers’ documented rationale includes:
  1. the required qualifications and experience for different types of support
  2. skill mix (for example, specifying number of registered nurses, enrolled nurses, health care and support workers at level 3 and level 4, and peer support workers)
  3. adherence to pay equity legislation.

• Service providers use the Midwifery Employee Representation and Advisory Service (MERAS) Safe Staffing Standards (PDF, 239 KB).
• Service providers’ documented rationale includes:
  1. the required qualifications and experience for different types of support
  2. skill mix (for example, specifying number of registered nurses, enrolled nurses, health care and support workers at level 3 and level 4, and peer support workers)
  3. adherence to pay equity legislation.

• Service providers use the Midwifery Employee Representation and Advisory Service (MERAS) Safe Staffing Standards (PDF, 239 KB).

• Service providers consider suitability, such as how well someone’s personality or attitude coheres with people receiving services, as an integral factor in determining their service’s workforce.

• Service providers consider suitability, such as how well someone’s personality or attitude coheres with people receiving services, as an integral factor in determining their service’s workforce.

• Service providers verify Addiction Practitioners Association Aotearoa New Zealand qualifications where relevant.
• Service providers consider suitability, such as how well someone’s personality or attitude coheres with people receiving services, as an integral factor in determining their service’s workforce.

• Service providers incorporate cultural competence into continuing education. Part of this education involves developing an awareness of Māori health models and how they apply to Māori reproductive health. This includes the four domains of Te Whare Tapa Whā:
  1. hauora hinengaro
  2. hauora tinana
  3. hauora wairua
  4. hauora whānau.

• Service providers incorporate cultural competence into continuing education. Part of this education involves developing an awareness of Māori health models and how they apply to Māori reproductive health. This includes the four domains of Te Whare Tapa Whā:
  1. hauora hinengaro
  2. hauora tinana
  3. hauora wairua
  4. hauora whānau.

• Service providers incorporate cultural competence into continuing education. Part of this education involves developing an awareness of Māori health models and how they apply to Māori reproductive health. This includes the four domains of Te Whare Tapa Whā:
  1. hauora hinengaro
  2. hauora tinana
  3. hauora wairua
  4. hauora whānau.

• Service providers demonstrate a culture of ongoing professional development for health care and support workers.
• Training is underpinned by the principles of Enabling Good Lives, is mana enhancing, and focuses on ‘what we are trying to achieve for people’.
• Training includes:
  1. community inclusion
  2. strengths-based training
  3. supported decision-making
  4. substitute decision-making
  5. principles of Enabling Good Lives
  6. positive behaviour support
  7. speaking up for the safety of the person receiving services and their whānau
  8. cultural training
  9. rainbow (LGBTI+) training
  10. rights-based and responsiveness training
  11. stigma and discrimination training
  12. consumer rights training
  13. Health and Disability Services Consumers’ Code of Rights training.
• Training is open to whānau, as appropriate.
• Evidence demonstrates service providers work with organisations that represent the views of people who use the service in developing a learning and development plan.
• Training materials are in accessible formats.

• Service providers demonstrate a culture of ongoing professional development for health care and support workers.
• Training is underpinned by the principles of Enabling Good Lives, is mana enhancing, and focuses on ‘what we are trying to achieve for people’.
• Training includes:
  1. community inclusion
  2. strengths-based training
  3. supported decision-making
  4. substitute decision-making
  5. principles of Enabling Good Lives
  6. positive behaviour support
  7. speaking up for the safety of the person receiving services and their whānau
  8. cultural training
  9. rainbow (LGBTI+) training
  10. rights-based and responsiveness training
  11. stigma and discrimination training
  12. consumer rights training
  13. Health and Disability Services Consumers’ Code of Rights training.
• Training is open to whānau, as appropriate.
• Evidence demonstrates service providers work with organisations that represent the views of people who use the service in developing a learning and development plan.
• Training materials are in accessible formats.

• Service providers demonstrate a culture of ongoing professional development for health care and support workers.
• Training is underpinned by the principles of Enabling Good Lives, is mana enhancing, and focuses on ‘what we are trying to achieve for people’.
• Training includes:
  1. community inclusion
  2. strengths-based training
  3. supported decision-making
  4. substitute decision-making
  5. principles of Enabling Good Lives
  6. positive behaviour support
  7. speaking up for the safety of the person receiving services and their whānau
  8. cultural training
  9. rainbow (LGBTI+) training
  10. rights-based and responsiveness training
  11. stigma and discrimination training
  12. consumer rights training
  13. Health and Disability Services Consumers’ Code of Rights training.
• Training is open to whānau, as appropriate.
• Evidence demonstrates service providers work with organisations that represent the views of people who use the service in developing a learning and development plan.
• Training materials are in accessible formats.

Criterion 2.3.9

• Service providers could appoint a person receiving services to a position of ‘person with lived experience’ or ‘consumer advisor’ or similar.
• People with lived experience of the service state that they are involved in important decisions about service delivery.

Criterion 2.3.10

• Service providers recognise people with lived experience of the service and organisations or groups that represent the views of people receiving the service as a valued voice and act on their opinions where appropriate.
• Position descriptions are clear and provide an appropriate level of responsibility and accountability to people with lived experience.
• Service providers adequately resource planning, implementation, and evaluation of service activities to involve people with lived experience.

Criterion 2.3.11

• Policies and procedures may include:
  1. employing people with lived experience of the service, where practicable
  2. services helping with education, training, and support for people with lived experience to maximise their participation in the service
  3. training for service providers in working with people as advisors.
• Advisors liaise with organisations, networks, or groups that represent the views of people receiving services.

Criterion 2.3.12

• Service providers could appoint a whānau member to a position of ‘whānau advisor’ or similar.
• Whānau state that they are involved in important decisions about service delivery.

Criterion 2.3.13

• Service providers seek advice from whānau advisory groups when developing terms of reference.
• Roles and responsibilities are clearly outlined and include accountabilities, confidentiality, and conflicts of interest.

Criterion 2.3.14

• Policies and procedures may include:
  1. employing whānau where practicable
  2. the service helping with education, training and support for whānau to maximise their participation in the service
  3. training for service providers in working with whānau as advisors.
• Advisors liaise with whānau groups or networks.

Criterion 2.3.9

• Service providers could appoint a person receiving services to a position of ‘person with lived experience’ or ‘consumer advisor’ or similar.
• People with lived experience of the service state that they are involved in important decisions about service delivery.

Criterion 2.3.10

• Service providers recognise people with lived experience of the service and organisations or groups that represent the views of people receiving the service as a valued voice and act on their opinions where appropriate.
• Position descriptions are clear and provide an appropriate level of responsibility and accountability to people with lived experience.
• Service providers adequately resource planning, implementation, and evaluation of service activities to involve people with lived experience.

Criterion 2.3.11

• Policies and procedures may include:
  1. employing people with lived experience of the service, where practicable
  2. services helping with education, training, and support for people with lived experience to maximise their participation in the service
  3. training for service providers in working with people as advisors.
• Advisors liaise with organisations, networks, or groups that represent the views of people receiving services.

Criterion 2.3.12

• Service providers could appoint a whānau member to a position of ‘whānau advisor’ or similar.
• Whānau state that they are involved in important decisions about service delivery.

Criterion 2.3.13

• Service providers seek advice from whānau advisory groups when developing terms of reference.
• Roles and responsibilities are clearly outlined and include accountabilities, confidentiality, and conflicts of interest.

Criterion 2.3.14

• Policies and procedures may include:
  1. employing whānau where practicable
  2. the service helping with education, training and support for whānau to maximise their participation in the service
  3. training for service providers in working with whānau as advisors.
• Advisors liaise with whānau groups or networks.

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development (PDF, 356 KB)’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.
• People receiving services have a choice of the support workers who work in their home.
• Service providers demonstrate that Māori health care and support workers are able to work in a manner that is safe for them.
• A person with a disability from the service is an integral part of the recruitment process. Ideally the person is involved in recruiting their own support health care and support workers. These people are adequately trained and compensated for their skill and contribution to the recruitment process.
• Where service providers are having difficulty recruiting health care and support workers, they have mitigation strategies in place to safeguard people receiving services.
• Service providers inform people receiving services whether the criminal record-checking process is complete for new support workers involved in their care.

• People receiving services have a choice of the support workers who work in their home.
• Service providers demonstrate that Māori health care and support workers are able to work in a manner that is safe for them.
• A person with a disability from the service is an integral part of the recruitment process. Ideally the person is involved in recruiting their own support health care and support workers. These people are adequately trained and compensated for their skill and contribution to the recruitment process.
• Where service providers are having difficulty recruiting health care and support workers, they have mitigation strategies in place to safeguard people receiving services.

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development (PDF, 356 KB)’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.
• People receiving services have a choice of the support workers who work in their home.
• Service providers demonstrate that Māori health care and support workers are able to work in a manner that is safe for them.
• A person with a disability from the service is an integral part of the recruitment process. Ideally the person is involved in recruiting their own support health care and support workers. These people are adequately trained and compensated for their skill and contribution to the recruitment process.
• Where service providers are having difficulty recruiting health care and support workers, they have mitigation strategies in place to safeguard people receiving services.

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development (PDF, 356 KB)’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.
• Service providers use the MERAS Safe Staffing Standards (PDF, 239 KB).

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development (PDF, 356 KB)’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.
• Service providers use the MERAS Safe Staffing Standards (PDF, 239 KB).

• Service providers’ policies may include:
  1. how they support the implementation of Te Tumu Whakarae (2019) ‘Te Mahi a Te Tumu Whakarae – Position statement on Māori workforce development (PDF, 356 KB)’ and associated targets
  2. Te Kuwatawata
  3. exit interviews – either with a manager or with someone else nominated by the person or human resources
  4. strategies that support recruitment of a workforce that reflects the communities they serve
  5. volunteers
  6. unregulated health care and support workers
  7. alignment with the Employment Relations Act 2000
  8. values-based recruitment
  9. progression pathways determined for peer support roles.
• Service providers demonstrate a commitment to:
  1. succession planning
  2. leadership and workforce development.

• Service providers embed the principles of Enabling Good Lives in their orientation and induction processes.

• Service providers embed the principles of Enabling Good Lives in their orientation and induction processes.

• Service providers embed the principles of Enabling Good Lives in their orientation and induction processes.

• Service providers embed the principles of Enabling Good Lives in their orientation and induction processes.

• Service providers embed the principles of Enabling Good Lives in their orientation and induction processes.

• Service providers develop a mechanism to extract multiple ethnicity fields from data.
• Service providers follow prescribed reporting processes.
• Service providers refer to HISO 10001 2017: Ethnicity Data Protocols.
• A workforce ethnicity audit is part of the internal audit programme.
• Service providers meet whole-of-government standards for collecting disability data. See State Services Commission (2020) ‘Standards of workforce information for agencies in the state services (PDF, 1.8 MB)’ and Stats NZ (2017) ‘Improving New Zealand disability data’.

• Service providers develop a mechanism to extract multiple ethnicity fields from data.
• Service providers follow prescribed reporting processes.
• Service providers refer to HISO 10001 2017: Ethnicity Data Protocols.
• A workforce ethnicity audit is part of the internal audit programme.
• Service providers meet whole-of-government standards for collecting disability data. See State Services Commission (2020) ‘Standards of workforce information for agencies in the state services (PDF, 1.8 MB)’ and Stats NZ (2017) ‘Improving New Zealand disability data’.

• Service providers develop a mechanism to extract multiple ethnicity fields from data.
• Service providers follow prescribed reporting processes.
• Service providers refer to HISO 10001 2017: Ethnicity Data Protocols.
• A workforce ethnicity audit is part of the internal audit programme.
• Service providers meet whole-of-government standards for collecting disability data. See State Services Commission (2020) ‘Standards of workforce information for agencies in the state services (PDF, 1.8 MB)’ and Stats NZ (2017) ‘Improving New Zealand disability data’.

Service providers access available resources to support the process of debrief and discussion, such as the New Zealand Nurses Organisation (2021) ‘Incident debriefing’ fact-sheet (PDF, 196 KB).

• Health care and support workers have access to supervision.

• Service providers maintain appropriate levels of documentation and management of health records, according to relevant legislation and standards, including the New Zealand Standard on Health Records NZS 8153:2002. For information about the requirements of the New Zealand Connected Health Information Services, see Connected Health Information Services. Permanent records are kept of:
  1. clinical and laboratory results of investigations undertaken
  2. the outcome of every attempted fertilisation
  3. every insemination
  4. every embryo transfer
  5. the fate of every embryo
  6. conceptions arising from treatment involving in vitro sperm, eggs, or embryos.
• Service providers collect information required by the HART Act on the donors of children conceived using donated gametes or embryos, including:
  1. physical characteristics – name; gender; date, place and country of birth; height; eye and hair colour
  2. ethnicity and any relevant cultural affiliation
  3. for a Māori donor, whānau, hapū, and iwi, to the extent the donor is aware of these
  4. family medical history
  5. social history.

• Service providers will write notes in collaboration with the person receiving services, unless there are good reasons not to. 

• Service providers will write notes in collaboration with the person receiving services, unless there are good reasons not to. 

• Service providers will write notes in collaboration with the person receiving services, unless there are good reasons not to. 

• Service providers will write notes in collaboration with the person receiving services, unless there are good reasons not to. 

• The minimum duration of storage of people’s records is regulated under the Health Information Functional Disposal Authorities (FDA) (Department of Internal Affairs – National Archives). That minimum duration is:
  1. 10 years from the date of treatment not leading to the birth of a child
  2. 26 years from the date of treatment leading to the birth of a child (allowing for 20 years for the child to reach maturity, 3 years for ACC claims and 3 years for ACC appeals)
  3. 50 years for information about donors or children conceived using donor gametes or embryos, as described in the HART Act.

• Service providers have a data use policy.
• Local lead maternity carers can access service providers’ information management systems for information sharing.

• Service providers have a data use policy.
• Local lead maternity carers can access service providers’ information management systems for information sharing.

• Prompt referral to the Fertility Service Providers for fertility preservation treatment including gamete storage.
• The Assisted Reproductive Technology service specification describes the requirements for publicly funded assessment and treatment.

• Prompt referral to the Fertility Service Providers for fertility preservation treatment including gamete storage.
• The Assisted Reproductive Technology service specification describes the requirements for publicly funded assessment and treatment.

• Service providers supply impartial printed resources, web resources, telephone resources, or links to the Ministry of Health for information and advice to support people receiving services. This information may cover:
  1. location of the service
  2. how to access the service
  3. self-referral
  4. referral from another health service
  5. costs associated with pre-assessment, investigation, and travel
  6. travel options to access the service
  7. time frames from initial contact to having the procedure
  8. how to get time off work and school and how to get a medical certificate
  9. how to get post-procedure support in an unsupportive home environment
  10. rights and entitlements and how to access subsidies for costs
  11. contraception
  12. information appropriate for those who do not go ahead with the procedure the service provider is offering
  13. a glossary of relevant medical terms.
• This information may be available in alternative formats such as Braille, large print, audio-visual, and audio, and may be translated into the different languages of people who are likely to use the service. 

• As part of wait list management, service providers have a documented and implemented process that includes, wherever possible, transparent communication. This process may include transparent communication at defined intervals with the person and their whānau.
• Service providers include information about other support services, such as community support groups, when communicating with the person and their whānau.

• As part of wait list management, service providers have a documented and implemented process that includes, wherever possible, transparent communication. This process may include transparent communication at defined intervals with the person and their whānau.
• Service providers include information about other support services, such as community support groups, when communicating with the person and their whānau.
• Once they have accepted a referral, service providers maintain contact with people until they are transitioned into a home.
• Service providers demonstrate that they have considered Māori aspects before admission in terms of iwi connections and strengths of whānau connections.
• Service providers’ entry processes demonstrate:
  1. the person entering services has choice in terms of the homes they will live in, and their flatmates
  2. they have considered the compatibility of people living in a home
  3. they have consulted the people currently living in a home before a new person is moved in
  4. they have developed a contract, service agreement or home agreement for people receiving services in line with contractual requirements.

• As part of wait list management, service providers have a documented and implemented process that includes, wherever possible, transparent communication. This process may include transparent communication at defined intervals with the person and their whānau.
• Service providers include information about other support services, such as community support groups, when communicating with the person and their whānau.

• As part of wait list management, service providers have a documented and implemented process that includes, wherever possible, transparent communication. This process may include transparent communication at defined intervals with the person and their whānau.
• Service providers include information about other support services, such as community support groups, when communicating with the person and their whānau.

• As part of wait list management, service providers have a documented and implemented process that includes, wherever possible, transparent communication. This process may include transparent communication at defined intervals with the person and their whānau.
• Service providers include information about other support services, such as community support groups, when communicating with the person and their whānau.

• Service providers aim to provide the procedure within five (but no longer than 10) working days of request. Where people choose to have more time for decision making, service providers document this.

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers communicate with a person seeking services where they decline that person entry to their service. 

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Service providers undertake assessment according to best practice.
• Service providers have policies that define time frames for completing care or support plans.
• Evidence shows that service providers develop care or support plans in a timely manner and those plans meet the expectations of, and are agreed with, the people receiving services.
• Service providers prioritise development of the care or support plan and base it on the need of the person receiving services and, if service is delayed, on assessed risk.
• In some instances, it may be necessary to have support in place before a service provider has developed an in-depth care or support plan with a person receiving services. In these cases, the service provider has a process of review with the person receiving services to provide safe support.

• Service providers have a documented transition process that:
  1. is developed in partnership with the person entering the service, alongside the people living in the home
  2. demonstrates a partnership approach with the person entering the service and the people currently in the chosen home, including by considering compatibility between people who are living together
  3. enables people moving into a residential home to choose, meet, and engage with the people they will be living with, before they move in
  4. supports the person entering the service to maintain friendships and employment from their previous living situation.
• Service providers have implemented processes that support people receiving services to:
  1. use a supported decision-making process in determining their preferred supports
  2. have as much influence over decisions as possible
  3. manage their own conflicts within the home
  4. make decisions about their own health care. This can include contacting the ambulance service or attending an annual GP health check.
• Service providers arrange and provide appropriate support when a person is admitted to public hospitals and when discharged back to their home.
• Service providers develop an initial care or support plan with the person and their whānau within 48 hours of them entering the home. This initial care or support plan takes account of:
  1. a needs assessment that includes the person’s consent to share results with the provider
  2. other relevant documentation provided.
• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Health pathways are implemented and include procedures to support practice.
• Service providers undertake assessment according to best practice.
• Service providers have policies that define time frames for completing care or support plans.
• Evidence shows that service providers develop care or support plans in a timely manner and those plans meet the expectations of, and are agreed with, the people receiving services.
• Service providers prioritise development of the care or support plan and base it on the need of the person receiving services and, if service is delayed, on assessed risk.
• In some instances, it may be necessary to have support in place before a service provider has developed an in-depth care or support plan with a person receiving services. In these cases, the service provider has a process of review with the person receiving services to provide safe support.

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Health pathways are implemented and include procedures to support practice.

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Health pathways are implemented and include procedures to support practice.

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Health pathways are implemented and include procedures to support practice.

• Service providers complete an initial assessment with input from the person receiving services and their whānau.
• Service providers develop care or support plans for ongoing care and support of the person receiving services.
• The assessment and planning processes align with any contractual requirements and may include goal setting and time frames.
• Evidence shows the service provider has asked the person seeking services if they would like whānau involved in developing their care or support plan.
• Where whānau are involved, service providers work in partnership with the whānau to develop care and/or support plans.
• Health pathways are implemented and include procedures to support practice.

• Service providers undertake assessment according to best practice.
• Service providers have policies that define time frames for completing care or support plans.
• Evidence shows that service providers develop care or support plans in a timely manner and those plans meet the expectations of, and are agreed with, the people receiving services.
• Service providers prioritise development of the care or support plan and base it on the need of the person receiving services and, if service is delayed, on assessed risk.
• In some instances, it may be necessary to have support in place before a service provider has developed an in-depth care or support plan with a person receiving services. In these cases, the service provider has a process of review with the person receiving services to provide safe support.

• Service providers include escalation pathways where appropriate.

• Service providers include escalation pathways where appropriate.

• Service providers include escalation pathways where appropriate.

• Service providers include escalation pathways where appropriate.

• Service providers follow current guidelines on care or support plan development; for example, the Ministry of Health’s National Maternity Clinical Guidance, specifically Observation of Mother and Baby in the Immediate Postnatal Period: Consensus statements guiding practice (2012) and National Consensus Guideline for Treatment of Postpartum Haemorrhage (2013).
• Service providers include escalation pathways where appropriate.

• Service providers follow current guidelines on care or support plan development; for example, the Ministry of Health’s National Maternity Clinical Guidance, specifically Observation of Mother and Baby in the Immediate Postnatal Period: Consensus statements guiding practice (2012) and National Consensus Guideline for Treatment of Postpartum Haemorrhage (2013).
• Service providers include escalation pathways where appropriate.

• Service providers include escalation pathways where appropriate.

• Service providers include escalation pathways where appropriate.

• Service providers demonstrate:
  1. they have an implemented policy relating to intimacy
  2. they have a sexual safety policy that also includes the importance of risk assessment and management and actions taken in response to a complaint involving sexual safety
  3. assessment is clearly linked to the care or support plan
  4. the care or support plan identifies key assessed risks, including medical risks
  5. ongoing assessments and reassessments are completed where required
  6. the care or support plan is goal focused and individualised
  7. the care or support plan meets individualised choices and preferences
  8. interventions describe in detail all support required to address assessed needs
  9. cultural, spiritual, and lifestyle needs are identified and addressed
  10. the care or support plan includes multidisciplinary involvement
  11. service providers meet their contractual requirements
  12. the person using services and, if appropriate, their whānau have input into the development of the care or support plan.
• Where service providers provide dementia or psychogeriatric services:
  1. interventions take into account habits, routine, and specific communication support strategies to reduce distressed behaviour across a 24/7 period
  2. service providers meet their contractual requirements
  3. the person using services and their whānau have input into the development of the care or support plan.
• Relevant resources: Physiotherapy New Zealand (2022) New Zealand Physiotherapy Guidelines for Aged Residential Care (ARC)

• Service providers support people receiving services and their whānau to access counsellors approved by the Australian and New Zealand Infertility Counsellors Association during the consultation, diagnosis, and waiting times.
• Point (h) of the criterion does not apply to assisted reproductive technology services.

• The care or support plan for the person receiving services clearly articulates agreed variability and flexibility, plus any identified associated risk to the support received.
• In developing a care or support plan, people are offered choice in terms of the number and type of support workers engaged for different tasks (for example, reading mail or home support).
• The care or support plan effectively integrates cultural beliefs, values, and practices. Cultural aspects of a care or support plan may be identified over a period of time.
• Adequate time is available to develop a person’s care or support plan.

• Service providers follow a supported decision-making process when developing a care or support plan.
• The care or support plan should:
  1. demonstrate how the person receiving services is being supported to self-determine
  2. support people to develop and maintain relationships outside of the service that extend beyond whānau
  3. be in a format accessible to the person
  4. integrate the person’s identities, cultural needs, values, and beliefs
  5. demonstrate that a proactive approach is taken to make people aware of options, entitlements, and community activities available to them
  6. be agreed to and signed by the person, where possible.
• The person owns the care or support plan.
• The care or support plan can include:
  1. information about how the person wants to be supported and what outcome they want to receive from the service provider. This includes essential information such as personal care and risks
  2. evidence that the person receiving services is offered the opportunity to identify and document their personal aspirations and goals and ways to achieve these. The plan presents the person’s aspirations in a format they prefer. The person has the option to decline this aspect of the care or support plan.
• Service providers document the person’s choice to participate in and have an aspirational plan.
• Service providers demonstrate that people receiving services are informed of other services available to them.
• Service providers have an implemented policy relating to intimacy.

• Service providers demonstrate:
  1. they have an implemented policy relating to intimacy
  2. they have a sexual safety policy that also includes the importance of risk assessment and management and actions taken in response to a complaint involving sexual safety
  3. assessment is clearly linked to the care or support plan
  4. the care or support plan identifies key assessed risks, including medical risks
  5. ongoing assessments and reassessments are completed where required
  6. the care or support plan is goal focused and individualised
  7. the care or support plan meets individualised choices and preferences
  8. interventions describe in detail all support required to address assessed needs
  9. cultural, spiritual, and lifestyle needs are identified and addressed
  10. the care or support plan includes multidisciplinary involvement
  11. service providers meet their contractual requirements
  12. the person using services and, if appropriate, their whānau have input into the development of the care or support plan.
• Where service providers provide dementia or psychogeriatric services:
  1. interventions take into account habits, routine, and specific communication support strategies to reduce distressed behaviour across a 24/7 period
  2. service providers meet their contractual requirements
  3. the person using services and their whānau have input into the development of the care or support plan.
• Service providers follow a supported decision-making process when developing a care or support plan.
• The care or support plan should:
  1. demonstrate how the person receiving services is being supported to self-determine
  2. support people to develop and maintain relationships outside of the service that extend beyond whānau
  3. be in a format accessible to the person
  4. integrate the person’s identities, cultural needs, values, and beliefs
  5. demonstrate that a proactive approach is taken to make people aware of options, entitlements, and community activities available to them
  6. be agreed to and signed by the person, where possible.
• The person owns the care or support plan.
• The care or support plan can include:
  1. information about how the person wants to be supported and what outcome they want to receive from the service provider. This includes essential information such as personal care and risks
  2. evidence that the person receiving services is offered the opportunity to identify and document their personal aspirations and goals and ways to achieve these. The plan presents the person’s aspirations in a format they prefer. The person has the option to decline this aspect of the care or support plan.
• Service providers document the person’s choice to participate in and have an aspirational plan.
• Service providers demonstrate that people receiving services are informed of other services available to them.
• Service providers have an implemented policy relating to intimacy.

• Service providers demonstrate:
  1. they have an implemented policy relating to intimacy
  2. they have a sexual safety policy that also includes the importance of risk assessment and management and actions taken in response to a complaint involving sexual safety
  3. assessment is clearly linked to the care or support plan
  4. the care or support plan identifies key assessed risks, including medical risks
  5. ongoing assessments and reassessments are completed where required
  6. the care or support plan is goal focused and individualised
  7. the care or support plan meets individualised choices and preferences
  8. interventions describe in detail all support required to address assessed needs
  9. cultural, spiritual, and lifestyle needs are identified and addressed
  10. the care or support plan includes multidisciplinary involvement
  11. service providers meet their contractual requirements
  12. the person using services and, if appropriate, their whānau have input into the development of the care or support plan.
• Where service providers provide dementia or psychogeriatric services:
  1. interventions take into account habits, routine, and specific communication support strategies to reduce distressed behaviour across a 24/7 period
  2. service providers meet their contractual requirements
  3. the person using services and their whānau have input into the development of the care or support plan. 

• Service providers offer people receiving services and their whānau access to appropriate counselling services, which are provided by a workforce holding relevant qualifications or equivalent training in abortion counselling. People can access these services at all stages before, during, and after treatment.

• Implementation of intervention where appropriate includes:
  1. monitoring charts and escalation as required
  2. continence management
  3. wound care management
  4. pressure injury prevention and management
  5. nutrition
  6. weight management
  7. falls prevention strategies
  8. maintaining and supporting independence and meeting individualised goals
  9. documenting acute changes in health status on short-term care or support plans or updating long-term care or support plans.
• Where services provide dementia or psychogeriatric services:
  1. behaviour monitoring charts are established as a short-term strategy to identify triggers that threaten the person’s wellbeing
  2. the charts are reviewed after a prescribed period of time and changes are linked into the care or support plan
  3. the person’s whānau are involved in the process where relevant.

• Where possible, service providers offer people choice over the accessible format of the care or support plan and where it is located.
• Relevant information about a person receiving services is available and accessible by support workers before they enter the person’s home. This may include the full care or support plan.

• Implementation of intervention where appropriate includes:
  1. monitoring charts and escalation as required
  2. continence management
  3. wound care management
  4. pressure injury prevention and management
  5. nutrition
  6. weight management
  7. falls prevention strategies
  8. maintaining and supporting independence and meeting individualised goals
  9. documenting acute changes in health status on short-term care or support plans or updating long-term care or support plans.
• Where services provide dementia or psychogeriatric services:
  1. behaviour monitoring charts are established as a short-term strategy to identify triggers that threaten the person’s wellbeing
  2. the charts are reviewed after a prescribed period of time and changes are linked into the care or support plan
  3. the person’s whānau are involved in the process where relevant.
• Where possible, service providers offer people choice over the accessible format of the care or support plan and where it is located.
• Relevant information about a person receiving services is available and accessible by support workers before they enter the person’s home. This may include the full care or support plan.

• Implementation of intervention where appropriate includes:
  1. monitoring charts and escalation as required
  2. continence management
  3. wound care management
  4. pressure injury prevention and management
  5. nutrition
  6. weight management
  7. falls prevention strategies
  8. maintaining and supporting independence and meeting individualised goals
  9. documenting acute changes in health status on short-term care or support plans or updating long-term care or support plans.
• Where services provide dementia or psychogeriatric services:
  1. behaviour monitoring charts are established as a short-term strategy to identify triggers that threaten the person’s wellbeing
  2. the charts are reviewed after a prescribed period of time and changes are linked into the care or support plan
  3. the person’s whānau are involved in the process where relevant.

• Implementation of intervention where appropriate includes:
  1. monitoring charts and escalation as required
  2. continence management
  3. wound care management
  4. pressure injury prevention and management
  5. nutrition
  6. weight management
  7. falls prevention strategies
  8. maintaining and supporting independence and meeting individualised goals
  9. documenting acute changes in health status on short-term care or support plans or updating long-term care or support plans.
• Where services provide dementia or psychogeriatric services:
  1. behaviour monitoring charts are established as a short-term strategy to identify triggers that threaten the person’s wellbeing
  2. the charts are reviewed after a prescribed period of time and changes are linked into the care or support plan
  3. the person’s whānau are involved in the process where relevant.

• Service providers meet evaluation time frames according to aged residential care contracts and other contracts held.
• Service providers seek multidisciplinary input as appropriate to the needs of a person receiving services.
• Care or support plan evaluations identify progress to meeting goals.
• Acute changes in health status are documented on short-term care or support plans or updated on long-term care or support plans.
• When a person’s needs change, the service provider completes a reassessment.
• Where service providers provide dementia or psychogeriatric services, they:
  • seek a reassessment when a person’s needs change to consider if the person continues to require secure care as the least restrictive option
  • involve the person’s whānau in the process where relevant.

• Service providers meet evaluation time frames according to aged residential care contracts and other contracts held.
• Service providers seek multidisciplinary input as appropriate to the needs of a person receiving services.
• Care or support plan evaluations identify progress to meeting goals.
• Acute changes in health status are documented on short-term care or support plans or updated on long-term care or support plans.
• When a person’s needs change, the service provider completes a reassessment.
• Where service providers provide dementia or psychogeriatric services, they:
  • seek a reassessment when a person’s needs change to consider if the person continues to require secure care as the least restrictive option
  • involve the person’s whānau in the process where relevant.

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.
• Align visiting and social activity policies with the Six Principles for Safe Visiting and Social Activities in Aged Residential Care

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.
• Service providers consider:
  • that people receiving services may want time at home alone
  • more solutions provided by residential disability providers when obstacles are making it difficult to facilitate what the person using services wants to do.

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.
• Service providers consider:
  1. that people receiving services may want time at home alone
  2. more solutions provided by residential disability providers when obstacles are making it difficult to facilitate what the person using services wants to do.

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.

• People receiving services have input into and provide feedback on what their activity preferences are.
• Activity assessments and plans identify individual interests and consider the person’s identity.
• People have access to both group and individual activities. Service providers support this access as needed.

• Service providers:
  1. have implemented procedures for managing community activities or outings, including in terms of transportation safety and medication management
  2. consider activities suitable to the identity of the person receiving services
  3. encourage members of the person’s chosen community and community groups (for example, from local schools or religious institutions) to visit people’s homes.
• Where service providers provide dementia or psychogeriatric services, they:
  1. take a holistic 24/7 approach to activities and take into account aspects of the person’s life and past routines
  2. offer appropriate activities that provide diversion at appropriate times during the day in line with the needs identified in the person’s care or support plan
  3. provide appropriate access and support to community and external activities.

• Service providers adopt a rights-based approach when planning activities, in which they support people receiving services to be contributing and involved members of their communities.
• Activities are mainstream first.
• People have full access to indoor and outdoor activities.
• Service providers support health care and support workers to take a problem-solving approach, so that people can meet their commitments in instances where the usual solutions are not available (for example, in terms of people’s employment or appointments).
• Where people no longer wish to attend certain activities, service providers support them to attend alternatives.
• Service providers take a proactive approach to inform people of the options, entitlements, and community activities available to them.
• Service providers use wheelchair safety belts whenever people are travelling in a van.
• Service providers support people to be in contact with family and friends.
• Service providers support people to have groups of friends and to interact with them.

• Service providers adopt a rights-based approach when planning activities, in which they support people receiving services to be contributing and involved members of their communities.
• Activities are mainstream first.
• People have full access to indoor and outdoor activities.
• Service providers support health care and support workers to take a problem-solving approach, so that people can meet their commitments in instances where the usual solutions are not available (for example, in terms of people’s employment or appointments).
• Where people no longer wish to attend certain activities, service providers support them to attend alternatives.
• Service providers take a proactive approach to inform people of the options, entitlements, and community activities available to them.
• Service providers use wheelchair safety belts whenever people are travelling in a van.
• Service providers support people to be in contact with family and friends.
• Service providers support people to have groups of friends and to interact with them.

• Service providers:
  1. have implemented procedures for managing community activities or outings, including in terms of transportation safety and medication management
  2. consider activities suitable to the identity of the person receiving services
  3. encourage members of the person’s chosen community and community groups (for example, from local schools or religious institutions) to visit people’s homes.
• Where service providers provide dementia or psychogeriatric services, they:
  1. take a holistic 24/7 approach to activities and take into account aspects of the person’s life and past routines
  2. offer appropriate activities that provide diversion at appropriate times during the day in line with the needs identified in the person’s care or support plan
  3. provide appropriate access and support to community and external activities.
• Service providers adopt a rights-based approach when planning activities, in which they support people receiving services to be contributing and involved members of their communities.
• Activities are mainstream first.
• People have full access to indoor and outdoor activities.
• Service providers support health care and support workers to take a problem-solving approach, so that people can meet their commitments in instances where the usual solutions are not available (for example, in terms of people’s employment or appointments).
• Where people no longer wish to attend certain activities, service providers support them to attend alternatives.
• Service providers take a proactive approach to inform people of the options, entitlements, and community activities available to them.
• Service providers use wheelchair safety belts whenever people are travelling in a van.
• Service providers support people to be in contact with family and friends.
• Service providers support people to have groups of friends and to interact with them.

• Opportunities for Māori to participate in te ao Māori include:
  1. activities that promote whanaungatanga, such as whānau reunions, whānau events, and tangihanga
  2. local Matariki, kapa haka, and sport events, such as waka ama competitions
  3. leadership training, te reo Māori, and ngā tikanga Māori courses
  4. national iwi-specific events such as Te Matatini, poukai, koroneihana, and iwi sports.
• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Opportunities for Māori to participate in te ao Māori include:
  1. activities that promote whanaungatanga, such as whānau reunions, whānau events, and tangihanga
  2. local Matariki, kapa haka, and sport events, such as waka ama competitions
  3. leadership training, te reo Māori, and ngā tikanga Māori courses
  4. national iwi-specific events such as Te Matatini, poukai, koroneihana, and iwi sports.
• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Opportunities for Māori to participate in te ao Māori include:
  1. activities that promote whanaungatanga, such as whānau reunions, whānau events, and tangihanga
  2. local Matariki, kapa haka, and sport events, such as waka ama competitions
  3. leadership training, te reo Māori, and ngā tikanga Māori courses
  4. national iwi-specific events such as Te Matatini, poukai, koroneihana, and iwi sports.
• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Opportunities for Māori to participate in te ao Māori include:
  1. activities that promote whanaungatanga, such as whānau reunions, whānau events, and tangihanga
  2. local Matariki, kapa haka, and sport events, such as waka ama competitions
  3. leadership training, te reo Māori, and ngā tikanga Māori courses
  4. national iwi-specific events such as Te Matatini, poukai, koroneihana, and iwi sports.
• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Opportunities for Māori to participate in te ao Māori include:
  1. activities that promote whanaungatanga, such as whānau reunions, whānau events, and tangihanga
  2. local Matariki, kapa haka, and sport events, such as waka ama competitions
  3. leadership training, te reo Māori, and ngā tikanga Māori courses
  4. national iwi-specific events such as Te Matatini, poukai, koroneihana, and iwi sports.

• Opportunities for Māori to participate in te ao Māori include following tikanga such as:
  1. kawa
  2. blessing of rooms
  3. rākau rongoā
  4. mirimiri
  5. karakia.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.
• To support their medication management system, service providers can consult the Ministry of Health’s (2011) Medicines Care Guides for Residential Aged Care.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.

• The guiding document to support medication management is Ministry of Health (2019) Medication Guidelines for the Home and Community Support Services Sector.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.
• Where a person cannot manage their own medication, a competent health care or support worker administers it.
• Service providers use the appropriate medication guidelines to support medication management. See Ministry of Health (2013) Medicines Management Guide for Community Residential and Facility-based Respite Services – Disability, Mental Health and Addiction.
• Service providers use other available resources to support medication; for example, the Health Quality & Safety Commission’s guidelines on medication safety.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.
• Where a person cannot manage their own medication, a competent health care or support worker administers it.
• Service providers use the appropriate medication guidelines to support medication management. See Ministry of Health (2013) Medicines Management Guide for Community Residential and Facility-based Respite Services – Disability, Mental Health and Addiction.
• Service providers use other available resources to support medication; for example, the Health Quality & Safety Commission’s guidelines on medication safety.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.
• Where a person cannot manage their own medication, a competent health care or support worker administers it.
• Service providers use the appropriate medication guidelines to support medication management. See Ministry of Health (2013) Medicines Management Guide for Community Residential and Facility-based Respite Services – Disability, Mental Health and Addiction.
• Service providers use other available resources to support medication; for example, the Health Quality & Safety Commission’s guidelines on medication safety.

• Service providers’ medication management systems reflect an end-to-end process.
• Service providers have implemented policies that describe the medication management system, covering:
  1. prescribing
  2. administration (including use and management of as needed (PRN) medicines, remote (including telephone) orders, standing orders)
  3. review
  4. monitoring
  5. adverse reactions
  6. reconciliation on admission and on transfers of care
  7. clinical decision support
  8. procurement
  9. supply
  10. dispensing
  11. safe storage
  12. disposal
  13. management and use of people’s own medication.
• Service providers demonstrate a holistic approach to understanding a person’s needs without making assumptions, such as for gender and sex characteristics.
• Where a person cannot manage their own medication, a competent health care or support worker administers it.
• Service providers use the appropriate medication guidelines to support medication management. See Ministry of Health (2013) Medicines Management Guide for Community Residential and Facility-based Respite Services – Disability, Mental Health and Addiction.
• Service providers use other available resources to support medication; for example, the Health Quality & Safety Commission’s guidelines on medication safety.

• Service providers have implemented policies and procedures on prescribing oxygen and nitrous oxide. 

• Service providers have implemented policies and procedures on prescribing oxygen and nitrous oxide. 

• Service providers have implemented policies and procedures on prescribing oxygen and nitrous oxide. 

• Service providers have implemented policies and procedures on prescribing oxygen and nitrous oxide. 

• The responsible registered nurse undertakes annual training and competency assessments of health care and support workers in regard to managing medication.
• Service providers clearly state the role of support workers in medication management.
• Training and annual competency assessments determine the breadth of health care and support workers’ role, which may include:
  1. administering pre-packed regular medication
  2. high-risk medication (as outlined in the Ministry of Health (2011) Medicines Care Guides for Residential Aged Care).
• Service providers have an implemented process for using registered nurse-initiated medication such as that classified as over-the-counter or ‘pharmacy-only’ medication.
• Service providers orientate agency staff to the facility or home and medication processes.
• Service providers adopt a risk-based approach to the use of PRN medication that is evidenced in policy and practice.

• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.

• The responsible registered nurse undertakes annual training and competency assessments of health care and support workers in regard to managing medication.
• Service providers clearly state the role of support workers in medication management.
• Training and annual competency assessments determine the breadth of health care and support workers’ role, which may include:
  1. administering pre-packed regular medication
  2. high-risk medication (as outlined in the Ministry of Health (2011) Medicines Care Guides for Residential Aged Care).
• Service providers have an implemented process for using registered nurse-initiated medication such as that classified as over-the-counter or ‘pharmacy-only’ medication.
• Service providers orientate agency staff to the facility or home and medication processes.
• Service providers adopt a risk-based approach to the use of PRN medication that is evidenced in policy and practice.
• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.

• Service providers orientate agency staff to the facility or home and medication processes.
• Service providers adopt a risk-based approach to the use of PRN medication that is evidenced in policy and practice.
• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.

• Service providers orientate agency staff to the facility or home and medication processes.
• Service providers adopt a risk-based approach to the use of PRN medication that is evidenced in policy and practice.
• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.
• Where applicable, immunisation providers managing vaccinations meet national standards. See Ministry of Health (2019) National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017 (2nd edition).

• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.
• Where applicable, immunisation providers managing vaccinations meet national standards. See Ministry of Health (2019) National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017 (2nd edition).

• Service providers orientate agency staff to the facility or home and medication processes.
• Service providers adopt a risk-based approach to the use of PRN medication that is evidenced in policy and practice.
• Service providers have implemented policies and procedures that include the management of:
  1. controlled drugs, including register checking and six-monthly reconciliation, where applicable
  2. medication storage and disposal
  3. medication when a person receiving services is on an incremental dosing regimen.
• Where applicable, immunisation providers managing vaccinations meet national standards. See Ministry of Health (2019) National Standards for Vaccine Storage and Transportation for Immunisation Providers 2017 (2nd edition).

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers consider using a pharmacist to support people’s understanding of medications and how they interact.

• Service providers inform people about who to contact after hours for medical-abortion-specific advice.
• Service providers make available contraceptive supplies and any prescriptions given on the day of prescribing.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• Service providers have implemented policies and procedures to describe processes for the use and safe storage of complementary and alternative medicines (for example, rongoā).
• The prescriber considers, as part of the person’s medication, medications and supplements purchased over the counter and given, or prescribed, by alternative health practitioners.
• Providers consider alternatives in consultation with the person receiving services, pharmacy, and members of the multidisciplinary team as required, and taking account of the prescriber’s scope of practice. Holistic considerations may include:
  1. dosing
  2. interactions
  3. content
  4. side effects
  5. the person’s health condition
  6. pregnancy and breastfeeding.

• The principles and requirements of medication management apply.
• Service providers have implemented policies and procedures that describe blood transfusion and blood management, including:
  1. prescribing
  2. gaining informed consent for administration
  3. receiving, collecting, and labelling blood samples for pre-transfusion testing
  4. administering the transfusion
  5. managing and reporting adverse reactions
  6. ensuring traceability through accurately recording all cases of administration
  7. receiving, storing, handling, and returning blood.
• Service providers verify that training and competency assessments are completed for all the activities listed above so that health care workers can manage transfusion of blood components.
• Service providers have, if relevant, blood storage equipment that complies with, and is maintained in accordance with, AS 3864 Medical Refrigeration Equipment for the Storage of Blood and Blood Products, and New Zealand Blood Service requirements.
• The service provider provides access to the following resources to support blood management:
  1. clinical information about blood transfusion from the New Zealand Blood Service
  2. for DHB hospitals, the hospital’s blood resource folder on its intranet
  3. information about blood and blood products in the New Zealand Blood Service’s (2016) Transfusion Medicine Handbook
  4. information about adverse reaction reporting from the New Zealand Blood Service
  5. information for patients from the New Zealand Blood Service.

• The principles and requirements of medication management apply.
• Service providers have implemented policies and procedures that describe blood transfusion and blood management, including:
  1. prescribing
  2. gaining informed consent for administration
  3. receiving, collecting, and labelling blood samples for pre-transfusion testing
  4. administering the transfusion
  5. managing and reporting adverse reactions
  6. ensuring traceability through accurately recording all cases of administration
  7. receiving, storing, handling, and returning blood.
• Service providers verify that training and competency assessments are completed for all the activities listed above so that health care workers can manage transfusion of blood components.
• Service providers have, if relevant, blood storage equipment that complies with, and is maintained in accordance with, AS 3864 Medical Refrigeration Equipment for the Storage of Blood and Blood Products, and New Zealand Blood Service requirements.
• The service provider provides access to the following resources to support blood management:
  1. clinical information about blood transfusion from the New Zealand Blood Service
  2. for DHB hospitals, the hospital’s blood resource folder on its intranet
  3. information about blood and blood products in the New Zealand Blood Service’s (2016) Transfusion Medicine Handbook
  4. information about adverse reaction reporting from the New Zealand Blood Service
  5. information for patients from the New Zealand Blood Service.

• The principles and requirements of medication management apply.
• Service providers have implemented policies and procedures that describe blood transfusion and blood management, including:
  1. prescribing
  2. gaining informed consent for administration
  3. receiving, collecting, and labelling blood samples for pre-transfusion testing
  4. administering the transfusion
  5. managing and reporting adverse reactions
  6. ensuring traceability through accurately recording all cases of administration
  7. receiving, storing, handling, and returning blood.
• Service providers verify that training and competency assessments are completed for all the activities listed above so that health care workers can manage transfusion of blood components.
• Service providers have, if relevant, blood storage equipment that complies with, and is maintained in accordance with, AS 3864 Medical Refrigeration Equipment for the Storage of Blood and Blood Products, and New Zealand Blood Service requirements.
• The service provider provides access to the following resources to support blood management:
  1. clinical information about blood transfusion from the New Zealand Blood Service
  2. for DHB hospitals, the hospital’s blood resource folder on its intranet
  3. information about blood and blood products in the New Zealand Blood Service’s (2016) Transfusion Medicine Handbook
  4. information about adverse reaction reporting from the New Zealand Blood Service
  5. information for patients from the New Zealand Blood Service.

• The principles and requirements of medication management apply.
• Service providers have implemented policies and procedures that describe blood transfusion and blood management, including:
  1. prescribing
  2. gaining informed consent for administration
  3. receiving, collecting, and labelling blood samples for pre-transfusion testing
  4. administering the transfusion
  5. managing and reporting adverse reactions
  6. ensuring traceability through accurately recording all cases of administration
  7. receiving, storing, handling, and returning blood.
• Service providers verify that training and competency assessments are completed for all the activities listed above so that health care workers can manage transfusion of blood components.
• Service providers have, if relevant, blood storage equipment that complies with, and is maintained in accordance with, AS 3864 Medical Refrigeration Equipment for the Storage of Blood and Blood Products, and New Zealand Blood Service requirements.
• The service provider provides access to the following resources to support blood management:
  1. clinical information about blood transfusion from the New Zealand Blood Service
  2. for DHB hospitals, the hospital’s blood resource folder on its intranet
  3. information about blood and blood products in the New Zealand Blood Service’s (2016) Transfusion Medicine Handbook
  4. information about adverse reaction reporting from the New Zealand Blood Service
  5. information for patients from the New Zealand Blood Service.

• The principles and requirements of medication management apply.
• Service providers have implemented policies and procedures that describe blood transfusion and blood management, including:
  1. prescribing
  2. gaining informed consent for administration
  3. receiving, collecting, and labelling blood samples for pre-transfusion testing
  4. administering the transfusion
  5. managing and reporting adverse reactions
  6. ensuring traceability through accurately recording all cases of administration
  7. receiving, storing, handling, and returning blood.
• Service providers verify that training and competency assessments are completed for all the activities listed above so that health care workers can manage transfusion of blood components.
• Service providers have, if relevant, blood storage equipment that complies with, and is maintained in accordance with, AS 3864 Medical Refrigeration Equipment for the Storage of Blood and Blood Products, and New Zealand Blood Service requirements.
• The service provider provides access to the following resources to support blood management:
  1. clinical information about blood transfusion from the New Zealand Blood Service
  2. for DHB hospitals, the hospital’s blood resource folder on its intranet
  3. information about blood and blood products in the New Zealand Blood Service’s (2016) Transfusion Medicine Handbook
  4. information about adverse reaction reporting from the New Zealand Blood Service
  5. information for patients from the New Zealand Blood Service.

• Service providers follow the principles and requirements for medication management.
• Service providers implement policies and procedures specific to fractionated plasma (this includes Anti-D) that describe:
  1. gaining informed consent for administration
  2. managing and reporting adverse reactions.

• Service providers follow the principles and requirements for medication management.
• Service providers implement policies and procedures specific to fractionated plasma (this includes Anti-D) that describe:
  1. gaining informed consent for administration
  2. managing and reporting adverse reactions.

• Service providers follow the principles and requirements for medication management.
• Service providers implement policies and procedures specific to fractionated plasma (this includes Anti-D) that describe:
  1. gaining informed consent for administration
  2. managing and reporting adverse reactions.

• Service providers follow the principles and requirements for medication management.
• Service providers implement policies and procedures specific to fractionated plasma (this includes Anti-D) that describe:
  1. gaining informed consent for administration
  2. managing and reporting adverse reactions.

• Service providers follow the principles and requirements for medication management.
• Service providers implement policies and procedures specific to fractionated plasma (this includes Anti-D) that describe:
  1. gaining informed consent for administration
  2. managing and reporting adverse reactions.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers follow relevant guidelines, such as the Ministry of Health’s (2020) Eating and Activity Guidelines for New Zealand Adults. Updated 2020.

• Service providers offer people choice in the meals available.
• Service providers monitor people for signs and symptoms of dehydration and malnutrition, and implement interventions as needed.
• Where people require special or modified diets, service providers support them to meet these needs.
• Service providers with specific training and demonstrated competencies meet the needs of people with enteral feeding tubes.
• Service providers provide food that has been stored and prepared safely so that people are at no risk of disease caused by unsafe storage and preparation practices, and support workers are oriented to safe food-handling practices.
• Service providers have a mechanism to consult with health professionals when needed to support the needs of people receiving services.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers use supported decision making as an integral part of menu planning.
• Menu planning is individualised, takes likes and dislikes into consideration, and makes alternatives available.
• Nutritional information of food is available for people receiving services.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers follow relevant guidelines, such as the Ministry of Health’s (2020) Eating and Activity Guidelines for New Zealand Adults. Updated 2020.
• Service providers have implemented policies and procedures covering:
  1. accessibility, such as to hot drinks
  2. menu development and consultation with people receiving services
  3. strategies to keep food at an appropriate temperature
  4. consideration of environmentally friendly practices for waste management.
• Service providers undertake engagement surveys to seek feedback on the menu and food services. Based on the results, they develop and implement corrective actions plans.
• Audit of food services is part of the annual internal audit programme.
• Service providers can accommodate dietary requirements at short notice.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers follow relevant guidelines, such as the Ministry of Health’s (2020) Eating and Activity Guidelines for New Zealand Adults. Updated 2020.
• Service providers have implemented policies and procedures covering:
  1. accessibility, such as to hot drinks
  2. menu development and consultation with people receiving services
  3. strategies to keep food at an appropriate temperature
  4. consideration of environmentally friendly practices for waste management.
• Service providers undertake engagement surveys to seek feedback on the menu and food services. Based on the results, they develop and implement corrective actions plans.
• Audit of food services is part of the annual internal audit programme.
• Service providers can accommodate dietary requirements at short notice.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers have implemented policies and procedures covering:
  1. accessibility, such as to hot drinks
  2. menu development and consultation with people receiving services
  3. strategies to keep food at an appropriate temperature
  4. consideration of environmentally friendly practices for waste management.
• Service providers undertake engagement surveys to seek feedback on the menu and food services. Based on the results, they develop and implement corrective actions plans.
• Audit of food services is part of the annual internal audit programme.
• Service providers can accommodate dietary requirements at short notice.

• Service providers:
  1. demonstrate menu planning that takes into account likes and dislikes and makes alternatives available
  2. adopt the International Dysphagia Diet Standardization Initiative in menu development and food service provision
  3. consider survey feedback during menu development.
• Service providers have implemented policies and procedures covering:
  1. accessibility, such as to hot drinks
  2. menu development and consultation with people receiving services
  3. strategies to keep food at an appropriate temperature
  4. consideration of environmentally friendly practices for waste management.
• Service providers undertake engagement surveys to seek feedback on the menu and food services. Based on the results, they develop and implement corrective actions plans.
• Audit of food services is part of the annual internal audit programme.
• Service providers can accommodate dietary requirements at short notice.

• Service providers encourage people receiving services and, where appropriate, their whānau to be involved in food preparation. This may include:
  1. baking or similar activities
  2. setting tables before meals
  3. preparing a hāngi or equivalent
  4. supporting people to have culturally appropriate food
  5. growing and preparing vegetables
  6. pre-cooking preparation
  7. preparing for celebrations.

• Service providers encourage people receiving services and, where appropriate, their whānau to be involved in food preparation. This may include:
  1. baking or similar activities
  2. setting tables before meals
  3. preparing a hāngi or equivalent
  4. supporting people to have culturally appropriate food
  5. growing and preparing vegetables
  6. pre-cooking preparation
  7. preparing for celebrations.
• Where applicable, service providers encourage people receiving services to manage the preparation of food independently or with the support of whānau.
• If a person is dependent on food preparation, the service provider offers solutions that may include:
  1. Meals on Wheels options
  2. people being involved in meal planning
  3. pre-cooking preparation
  4. cooking simple nutritious meals
  5. working alongside each person to meet cultural food preferences and preparation practices
  6. giving people access to food and drink if they wish at any time unless clinically contraindicated
  7. working alongside the person to prepare food.

• Service providers encourage people receiving services and, where appropriate, their whānau to be involved in food preparation. This may include:
  1. baking or similar activities
  2. setting tables before meals
  3. preparing a hāngi or equivalent
  4. supporting people to have culturally appropriate food
  5. growing and preparing vegetables
  6. pre-cooking preparation
  7. preparing for celebrations.
• People who live in the house are involved in all aspects of food purchase, meal preparation, and planning.
• People who live in the house choose what they eat.
• Health care and support workers help choose healthy food options.
• People have access to food and drink when they wish and at any time, unless clinically contraindicated.
• Service providers offer choices in the person’s preferred communication method. This may include pictures.

• Service providers encourage people receiving services and, where appropriate, their whānau to be involved in food preparation. This may include:
  1. baking or similar activities
  2. setting tables before meals
  3. preparing a hāngi or equivalent
  4. supporting people to have culturally appropriate food
  5. growing and preparing vegetables
  6. pre-cooking preparation
  7. preparing for celebrations.
• People who live in the house are involved in all aspects of food purchase, meal preparation, and planning.
• People who live in the house choose what they eat.
• Health care and support workers help choose healthy food options.
• People have access to food and drink when they wish and at any time, unless clinically contraindicated.
• Service providers offer choices in the person’s preferred communication method. This may include pictures.

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.
• In relation to the dining experience of people receiving services, service providers should consider:
  1. providing a meal that is aesthetically pleasing and seen as consistent with meals eaten outside of the service
  2. supplying appropriate equipment to support independence
  3. using respectful processes around assisted feeding
  4. respecting a person’s choice (for example, if they do not want to go to the dining room or want clothing protectors)
  5. making the menu visible to the people
  6. maintaining a good standard of meal presentation for various food models
  7. making soft or pureed food visually appealing
  8. providing a suitable space for dining; this may include access to a table that is suited to the individual’s needs. 

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.
• In relation to the dining experience of people receiving services, service providers should consider:
  1. providing a meal that is aesthetically pleasing and seen as consistent with meals eaten outside of the service
  2. supplying appropriate equipment to support independence
  3. using respectful processes around assisted feeding
  4. respecting a person’s choice (for example, if they do not want to go to the dining room or want clothing protectors)
  5. making the menu visible to the people
  6. maintaining a good standard of meal presentation for various food models
  7. making soft or pureed food visually appealing
  8. providing a suitable space for dining; this may include access to a table that is suited to the individual’s needs. 

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.
• In relation to the dining experience of people receiving services, service providers should consider:
  1. providing a meal that is aesthetically pleasing and seen as consistent with meals eaten outside of the service
  2. supplying appropriate equipment to support independence
  3. using respectful processes around assisted feeding
  4. respecting a person’s choice (for example, if they do not want to go to the dining room or want clothing protectors)
  5. making the menu visible to the people
  6. maintaining a good standard of meal presentation for various food models
  7. making soft or pureed food visually appealing
  8. providing a suitable space for dining; this may include access to a table that is suited to the individual’s needs. 

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.

• Service providers are aware of and have mechanisms to monitor nutritional intake and address insufficiency.
• Service providers consider the kind of support people need when they eat.

• Two different levels of nutritional value are considered by service providers:
  1. the overall menu for the facility
  2. specialised dietary requirements for individuals.

• Two different levels of nutritional value are considered by service providers:
  1. the overall menu for the facility
  2. specialised dietary requirements for individuals.
• Service providers have implemented a healthy eating policy.
• Service providers follow relevant guidelines, such as the Ministry of Health’s (2020) Eating and Activity Guidelines for New Zealand Adults. Updated 2020.
• Service providers consult with appropriately qualified personnel if required.
• Service providers have a policy that defines the period of review required.
• An appropriate dietitian, for example, a paediatric dietitian for child health services, reviews the nutritional value of meals.

• Service providers have a policy that defines the period of review required.
• An appropriate dietitian, for example, a paediatric dietitian for child health services, reviews the nutritional value of meals.

• Service providers have a policy that defines the period of review required.
• An appropriate dietitian, for example, a paediatric dietitian for child health services, reviews the nutritional value of meals.

• Service providers have a policy that defines the period of review required.
• An appropriate dietitian, for example, a paediatric dietitian for child health services, reviews the nutritional value of meals.

• For guidance and applicability, see New Zealand Food Safety’s ‘Food safety rules’.

• For guidance and applicability, see New Zealand Food Safety’s ‘Food safety rules’.

• For guidance and applicability, see New Zealand Food Safety’s ‘Food safety rules’.

• For guidance and applicability, see New Zealand Food Safety’s ‘Food safety rules’.

• Dishwashers are available in the home.
• Food is stored properly and use-by dates noted.
• Fridge and freezer temperatures are checked at defined intervals. 

• Dishwashers are available in the home.
• Food is stored properly and use-by dates noted.
• Fridge and freezer temperatures are checked at defined intervals. 

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Menu development may cover:
  1. sharing of drink and food after formal activities
  2. choices of food available.
• The following basic Māori practices rely on an understanding of tapu and noa – key concepts that underpin many practices. Tapu and noa are entirely consistent with a logical Māori view of hygiene and align with good health and safety practices.
  1. Never pass food over the head.
  2. Use tea towels only for the purpose of drying dishes and wash them separately from all other soiled linen.
  3. For microwaves that are used for food, do not use them for heating anything that has come into contact with the body.
  4. Keep anything that comes into contact with the body or body fluids separate from food and do not place it on surfaces where food is placed.
  5. Use receptacles for drinking water only for that purpose.
  6. Health care and support workers should not sit on tables or workbenches and particularly on surfaces used for food or medication.
  7. Never take food or drink into a room containing a tūpāpaku (deceased person).
     For more information, see Glover M, Wong SF, Taylor RW, et al (2019) ‘The complexity of food provisioning decisions by Māori caregivers to ensure the happiness and health of their children’. Nutrients 11(5): 994.

• Where applicable, discharge planning starts when a person enters a service.

• Service providers have processes to:
  1. transition people between public and private services (and vice versa) to support them through the change
  2. provide continuous care following a procedure. This process can include people who choose to self-discharge.

• Where applicable, discharge planning starts when a person enters a service.

• Where applicable, discharge planning starts when a person enters a service.

• Where applicable, discharge planning starts when a person enters a service.

• Service providers have processes to:
  1. transition people between public and private services (and vice versa) to support them through the change
  2. provide continuous care following a procedure. This process can include people who choose to self-discharge.
• Where applicable, discharge planning starts when a person enters a service.

• Service providers have processes to:
  1. transition people between public and private services (and vice versa) to support them through the change
  2. provide continuous care following a procedure. This process can include people who choose to self-discharge.
• Where applicable, discharge planning starts when a person enters a service.

• Service providers have processes to:
  1. transition people between public and private services (and vice versa) to support them through the change
  2. provide continuous care following a procedure. This process can include people who choose to self-discharge.
• Where applicable, discharge planning starts when a person enters a service.

• People who are completing treatment at home remain under the service provider’s care until documentation confirms that the treatment is complete. The person receiving services understands this arrangement.
• Where service providers do not have appropriate facilities for inpatient services, they have an implemented policy for transferring people to an appropriate alternative facility.

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• When no further treatment is planned or likely to be considered, service providers plan further care or support that meets the needs of the person receiving services and, when appropriate, of their whānau. This may include:
  1. referral to counselling
  2. liaising with advocates or lived experience support services
  3. liaising with community support services, including Māori specialist services where appropriate
  4. advising people what to do if they wish to reconsider assisted reproductive technology services later
  5. referral to a different health service
  6. referral for appointments.

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:
  1. referral to other agencies
  2. equipment needs
  3. needs reassessment (for example, through a Needs Assessment and Service Coordination service).

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Service providers keep a record of this process. 

• Information is complete to the ‘point of discharge’. For example, if a person is going home to whānau, the information is sufficiently clear and comprehensive to allow the person to receive the appropriate care or support (for example, medication management) from whānau.
• Service providers’ medication management policy includes discharge risk mitigation and considers time frames and supply of medications (for example, whether daily methadone pickups are necessary, the day of the week on which discharge occurs, and whether the location is rural or urban).
• Service providers take a risk mitigation approach when returning people’s property. For example, if a person enters the service with sharps and these are removed on admission, a risk assessment determines whether to return them on discharge.

• Information is complete to the ‘point of discharge’. For example, if a person is going home to whānau, the information is sufficiently clear and comprehensive to allow the person to receive the appropriate care or support (for example, medication management) from whānau.
• Service providers’ medication management policy includes discharge risk mitigation and considers time frames and supply of medications (for example, whether daily methadone pickups are necessary, the day of the week on which discharge occurs, and whether the location is rural or urban).
• Service providers take a risk mitigation approach when returning people’s property. For example, if a person enters the service with sharps and these are removed on admission, a risk assessment determines whether to return them on discharge.

• Service providers make reasonable efforts to follow up with the person receiving services.
• Service providers make reasonable efforts to verify their referral is acknowledged.

• Service providers make reasonable efforts to follow up with the person receiving services.
• Service providers make reasonable efforts to verify their referral is acknowledged.

• Service providers make reasonable efforts to follow up with the person receiving services.
• Service providers make reasonable efforts to verify their referral is acknowledged.

• External areas are independently accessible.
• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
• The external environment of the home shows that the service provider:
  1. maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
  2. considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
  3. makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces.
• Service providers provide shade in the outside space.
• The physical environment supports the independence of people receiving services, such as through appropriately placed handrails.
• When people need to be transported or transferred between rooms or services in beds or wheelchairs, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed or wheelchair, attached equipment, and any escorts.

• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.

• External areas are independently accessible.
• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
• The external environment of the home shows that the service provider:
  1. maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
  2. considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
  3. makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces.
• Service providers provide shade in the outside space.
• The internal environment of the home shows:
  1. the service provider’s office equipment is not in the living space unless the space can be used by everyone in the house
  2. it has adequate task and general lighting, dimmer switches for low vision, handrails, and other supporting features as required.
• The home has safety locks on windows to allow safety as well as security.

• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
• The external environment of the home shows that the service provider:
  1. maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
  2. considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
  3. makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces.
• Service providers provide shade in the outside space.

• When designing (or redesigning) services, service providers consider:
  1. the impact of the facility design on service delivery models
  2. versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
  3. accommodation that meets particular cultural or identity needs of people
  4. a co-design approach.
• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.

• When designing (or redesigning) services, service providers consider:
  1. the impact of the facility design on service delivery models
  2. versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
  3. accommodation that meets particular cultural or identity needs of people
  4. a co-design approach.
• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.

• When designing (or redesigning) services, service providers consider:
  1. the impact of the facility design on service delivery models
  2. versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
  3. accommodation that meets particular cultural or identity needs of people
  4. a co-design approach.
• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.

• Service providers consider:
  1. minimising environmental hazards
  2. using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
  3. providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.

• The home has adequate space for equipment, individual, and group activities, and quiet space for people receiving services and their whānau.
• Service providers consider relevant resources when renovating, including Lifemark standards and Homestar standards.
• Where services provide dementia and psychogeriatric services, they consider relevant resources when renovating – for example. Lifemark standards, Homestar standards, and the Ministry of Health’s (2016) Secure Dementia Care Home Design: Information resource.

• The people in the household have the ultimate authority about how spaces are used and set up.
• Service providers provide visual prompts and cues in homes as needed to enhance communication.
• Houses have adequate room for the people who live in them.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.
• When designing services for people with dementia or psychogeriatric needs, service providers consider available resources; for example, Ministry of Health (2016) Secure Dementia Care Home Design: Information resource.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.
• No toilet doors have signs stating, ‘staff toilet only’.
• Showers are accessible to all people.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.
• No toilet doors have signs stating, ‘staff toilet only’.
• Showers are accessible to all people.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.

• Gender-neutral toilets are available in shared spaces.
• Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
• Processes are in place to assure privacy.

• People who use mobility aids are able to safely manoeuvre with their aid within their personal space/bed area.
• Where people need to be transported or transferred between rooms or services, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed, attached equipment, and any escorts.

• People who use mobility aids are able to safely manoeuvre with their aid within their personal space/bed area.
• Where people need to be transported or transferred between rooms or services, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed, attached equipment, and any escorts.

• The external window can be opened, allowing fresh air into the room, and is suitable to the environment of the person’s room. For example, the room may have an external ranch slider.
• Service providers monitor the environmental temperature.
• Service providers have implemented processes to manage significant temperature changes. 

• The external window can be opened, allowing fresh air into the room, and is suitable to the environment of the person’s room. For example, the room may have an external ranch slider.
• Service providers monitor the environmental temperature.
• Service providers have implemented processes to manage significant temperature changes.
• Service providers supply effective heating for healthy and enjoyable lives. 

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
• Evidence shows service providers seek comprehensive feedback from Māori and their whānau.

• Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.

• Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.

• Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.

• Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.

• Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.

• Relevant health care and support workers have first aid training appropriate to the service.
• A health care and support worker who is trained in first aid works on each shift.
• Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.

• Relevant health care and support workers have first aid training appropriate to the service.
• A health care and support worker who is trained in first aid works on each shift.
• Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.

• Relevant health care and support workers have first aid training appropriate to the service.
• A health care and support worker who is trained in first aid works on each shift.
• Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.

• Relevant health care and support workers have first aid training appropriate to the service.
• A health care and support worker who is trained in first aid works on each shift.
• Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.

• Relevant health care and support workers have first aid training appropriate to the service.
• A health care and support worker who is trained in first aid works on each shift.
• Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.

• Service providers monitor their call system’s response time and take action to enhance its responsiveness.
• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Service providers monitor their call system’s response time and take action to enhance its responsiveness.
• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Service providers monitor their call system’s response time and take action to enhance its responsiveness.
• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Service providers monitor their call system’s response time and take action to enhance its responsiveness.
• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
• Service providers have a call system for use as required, which health care and support workers understand clearly and use.

• Service providers have implemented policies for:
  1. the safe handling and storage of keys
  2. securing the home.

• People receiving services should, wherever possible, have their own housekey.
• Service providers have implemented policies for:
  1. the safe handling and storage of keys
  2. securing the home.

• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Automated reprocessing has continuous quality monitoring processes in place where possible.
• Service providers audit procedures for reprocessing reusable medical devices at least annually.  
• External audit is recommended for high-risk reprocessing of reusable medical devices (for example, sterile services and endoscope reprocessing) where possible.  
• The service provider has a process for critical equipment track and trace to the person receiving services.
• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Automated reprocessing has continuous quality monitoring processes in place where possible.
• Service providers audit procedures for reprocessing reusable medical devices at least annually.  
• External audit is recommended for high-risk reprocessing of reusable medical devices (for example, sterile services and endoscope reprocessing) where possible.  
• The service provider has a process for critical equipment track and trace to the person receiving services.
• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

• Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

• Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

• Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

• Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

• Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

• Service providers do not see birth as a sterile procedure, except when it involves a caesarean section. Infection prevention for the person giving birth, baby, and health care and support workers is important. For example, service providers support and encourage cultural practices such as use of muka pito ties for tying the umbilical cord.

• Service providers do not see birth as a sterile procedure, except when it involves a caesarean section. Infection prevention for the person giving birth, baby, and health care and support workers is important. For example, service providers support and encourage cultural practices such as use of muka pito ties for tying the umbilical cord.

• For a residential home or facility, prescribers are responsible for ensuring people receiving services use antimicrobials appropriately and in line with relevant evidence-based guidance, expert advice, and susceptibility findings.
• In these settings, service providers support AMS through:
  1. working to reduce inappropriate antibiotic prescribing by preventing infections in the care setting
  2. discouraging laboratory testing without a clear indication, which may otherwise drive antimicrobial use
  3. discouraging antimicrobial use, including topically, unless it is to treat a current infection for a defined period
  4. promoting appropriate antimicrobial agents for clear indications, including with the message that antimicrobials are not useful for viral illnesses and topical agents are rarely used.
• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• For a residential home or facility, prescribers are responsible for ensuring people receiving services use antimicrobials appropriately and in line with relevant evidence-based guidance, expert advice, and susceptibility findings.
• In these settings, service providers support AMS through:
  1. working to reduce inappropriate antibiotic prescribing by preventing infections in the care setting
  2. discouraging laboratory testing without a clear indication, which may otherwise drive antimicrobial use
  3. discouraging antimicrobial use, including topically, unless it is to treat a current infection for a defined period
  4. promoting appropriate antimicrobial agents for clear indications, including with the message that antimicrobials are not useful for viral illnesses and topical agents are rarely used.
• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
• Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
• Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
• Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
• Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
• Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
• Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
• Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
• Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
• Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
• Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
• Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
• Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.
• The AMS programme provides reports that include information about empirical prescribing, prophylaxis (where applicable), audit findings, and controls to manage the use of restricted antimicrobials.

• The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
• Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
• Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
• Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
• Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• A programme of surveillance, appropriate to the size and setting of the service, is in place.
• Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
• Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
• Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
• Service providers should benchmark surveillance data with comparable organisations where possible.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement. 

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
• The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
• The surveillance report identifies new, emergent, or re-emerging infection-related risks.
• The governance body provides oversight of the implementation of recommendations.
• Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
• Results of the surveillance and recommendations are easy for all people to access, understand and use.

• Cleaning products take into account embryo-toxicity risks.

• Cleaning services fit the situation of the people living in the house. 

• Cleaning services fit the situation of the people living in the house. 

• Service providers have procedures to support practice for cleaning seclusion rooms between patients. 

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
• Service providers wash all personal clothing or items separately from other linen.
• Service providers have an implemented process to manage residents’ clothing and personal items.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
• Service providers wash all personal clothing or items separately from other linen.
• Service providers have an implemented process to manage residents’ clothing and personal items.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
• Service providers wash all personal clothing or items separately from other linen.
• Service providers have an implemented process to manage residents’ clothing and personal items.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
• Service providers wash all personal clothing or items separately from other linen.

• Service providers may meet relevant laundry standards that apply to the service they are providing.
• Training is appropriate to the role.
• Service providers have an implemented process for transporting/moving dirty linen within the facility.
• Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
• Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

• The governance body’s strategic plan has an objective that:
  1. aims to eliminate restraint
  2. links to objectives operationalised in annual planning
  3. demonstrates commitment to implementing strategies to eliminate restraint
  4. includes quality improvement approaches
  5. demonstrates transparency of governance processes and links with the operational reviews.

• The governance body’s strategic plan has an objective that:
  1. aims to eliminate restraint
  2. links to objectives operationalised in annual planning
  3. demonstrates commitment to implementing strategies to eliminate restraint
  4. includes quality improvement approaches
  5. demonstrates transparency of governance processes and links with the operational reviews.
• The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
• Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
• Service providers consider environmental restraint and mitigation strategies.

• The governance body’s strategic plan has an objective that:
  1. aims to eliminate restraint
  2. links to objectives operationalised in annual planning
  3. demonstrates commitment to implementing strategies to eliminate restraint
  4. includes quality improvement approaches
  5. demonstrates transparency of governance processes and links with the operational reviews.
• The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
• Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
• Service providers consider environmental restraint and mitigation strategies.

• The governance body’s strategic plan has an objective that:
  1. aims to eliminate restraint
  2. links to objectives operationalised in annual planning
  3. demonstrates commitment to implementing strategies to eliminate restraint
  4. includes quality improvement approaches
  5. demonstrates transparency of governance processes and links with the operational reviews.
• The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
• Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
• Service providers consider environmental restraint and mitigation strategies.

• The governance body’s strategic plan has an objective that:
  1. aims to eliminate restraint
  2. links to objectives operationalised in annual planning
  3. demonstrates commitment to implementing strategies to eliminate restraint
  4. includes quality improvement approaches
  5. demonstrates transparency of governance processes and links with the operational reviews.

• Membership of the restraint oversight groups includes:
  1. Māori representation
  2. whānau representation.
• Membership of the restraint oversight group includes lived experience of restrictive practice.

• Membership of the restraint oversight groups includes:
  1. Māori representation
  2. whānau representation.
• Membership of the restraint oversight group includes lived experience of restrictive practice.

• Membership of the restraint oversight groups includes:
  1. Māori representation
  2. whānau representation.
• Membership of the restraint oversight group includes lived experience of restrictive practice.

• Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:
  1. organisational chart
  2. documented roles and responsibilities
  3. performance objectives.
• Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
• Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
• Service providers may have a restraint coordinator role or team with this responsibility.

• Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:
  1. organisational chart
  2. documented roles and responsibilities
  3. performance objectives.
• Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
• Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
• Service providers may have a restraint coordinator role or team with this responsibility.

• Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:
  1. organisational chart
  2. documented roles and responsibilities
  3. performance objectives.
• Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
• Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
• Service providers may have a restraint coordinator role or team with this responsibility.

• Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:
  1. organisational chart
  2. documented roles and responsibilities
  3. performance objectives.
• Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
• Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
• Service providers may have a restraint coordinator role or team with this responsibility.

• Operating policy determines, defines and integrates indicators relating to restraint.
• Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
• Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.

• Operating policy determines, defines and integrates indicators relating to restraint.
• Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
• Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
• The reporting includes workforce data, such as:
  1. incidents related to health care and support worker injury
  2. workforce wellbeing surveys
  3. ACC claims
  4. outcomes use data, which is used to profile the environment during an event
  5. use of the employee assistance programme by health care and support workers.
• Service providers allocate resources to address actions that minimise restrictive practices, which may include:
  1. whakawhanaungatanga
  2. karakia
  3. waiata
  4. kai
  5. duress alarms
  6. sensory rooms
  7. designing units well with good lighting, space, and access to outside areas
  8. creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
  9. occupational therapists
  10. activity programmes
  11. de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.
• Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

• Operating policy determines, defines and integrates indicators relating to restraint.
• Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
• Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
• The reporting includes workforce data, such as:
  1. incidents related to health care and support worker injury
  2. workforce wellbeing surveys
  3. ACC claims
  4. outcomes use data, which is used to profile the environment during an event
  5. use of the employee assistance programme by health care and support workers.
• Service providers allocate resources to address actions that minimise restrictive practices, which may include:
  1. whakawhanaungatanga
  2. karakia
  3. waiata
  4. kai
  5. duress alarms
  6. sensory rooms
  7. designing units well with good lighting, space, and access to outside areas
  8. creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
  9. occupational therapists
  10. activity programmes
  11. de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.
• Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

• Operating policy determines, defines and integrates indicators relating to restraint.
• Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
• Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
• The reporting includes workforce data, such as:
  1. incidents related to health care and support worker injury
  2. workforce wellbeing surveys
  3. ACC claims
  4. outcomes use data, which is used to profile the environment during an event
  5. use of the employee assistance programme by health care and support workers.
• Service providers allocate resources to address actions that minimise restrictive practices, which may include:
  1. whakawhanaungatanga
  2. karakia
  3. waiata
  4. kai
  5. duress alarms
  6. sensory rooms
  7. designing units well with good lighting, space, and access to outside areas
  8. creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
  9. occupational therapists
  10. activity programmes
  11. de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.
• Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

• Operating policy determines, defines and integrates indicators relating to restraint.
• Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
• Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.

• The executive leader:
  1. facilitates a restraint monitoring committee
  2. understands the different types of restraint used within their services
  3. approves and reviews restraint meeting minutes
  4. monitors progress towards meeting corrective actions in a timely manner
  5. verifies approval documents signed by registered health practitioner
  6. upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.
• Service providers develop person-centred policies and procedures to support least-restrictive best practice that:
  1. meet the requirements of the criterion
  2. provide information about restraint to the person and their whānau in a manner they understand when they enter the service
  3. include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
  4. aim to make the environment as stress-free as possible.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. frequency and extent of monitoring
  2. cultural, physical, and verbal assessment processes
  3. personal, cultural, and belief systems
  4. strategies that align with trauma-informed care principles.
• Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.

• The executive leader:
  1. facilitates a restraint monitoring committee
  2. understands the different types of restraint used within their services
  3. approves and reviews restraint meeting minutes
  4. monitors progress towards meeting corrective actions in a timely manner
  5. verifies approval documents signed by registered health practitioner
  6. upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.
• Service providers develop person-centred policies and procedures to support least-restrictive best practice that:
  1. meet the requirements of the criterion
  2. provide information about restraint to the person and their whānau in a manner they understand when they enter the service
  3. include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
  4. aim to make the environment as stress-free as possible.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. frequency and extent of monitoring
  2. cultural, physical, and verbal assessment processes
  3. personal, cultural, and belief systems
  4. strategies that align with trauma-informed care principles.
• Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.
• Policies should include the governance body’s aim to eliminate restraint wherever possible, showing clear leadership around improved assessment and health care and support worker training.
• Service providers demonstrate support that is culturally responsive. This may include instances where a cultural support worker guides the clinical team.
• Service providers give information about de-escalation to the person receiving services and their whānau in a timely and accessible manner that they all understand. This includes information on the complaints process and the opportunity for an independent review into the use of restraint on a whānau member.
• The service provider’s information pack for the person and their whānau about de-escalation may come in a variety of accessible formats and languages and may include any documented evidence the person receives, such as the admission checklist or their clinical record.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. lessons from previous restraint, such as environmental triggers
  2. alternatives to restraint such as Māori cultural sensory support, other cultural interventions, or cultural support experts, including waiata, pūrākau, and karakia
  3. restraint minimisation actions, such as positive behaviour support strategies
  4. least-restrictive, person-centred, and whānau-centred approaches, such as sensory modulation and use of whānau and other relevant support people.
• Service providers provide a timely debriefing for all parties involved in restraint, including:
  1. people who are restrained and their whānau
  2. people who witness the restraint
  3. health care and support workers who were involved.
• Assessment and risk mitigation processes support the use of alternative interventions, which may include:
  1. use of sensory modulation resources
  2. diversional therapy
  3. mindfulness
  4. peer support approaches
  5. occupational therapy
  6. low beds
  7. specialling
  8. other therapeutic approaches.
• Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

• The executive leader:
  1. facilitates a restraint monitoring committee
  2. understands the different types of restraint used within their services
  3. approves and reviews restraint meeting minutes
  4. monitors progress towards meeting corrective actions in a timely manner
  5. verifies approval documents signed by registered health practitioner
  6. upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.
• Service providers develop person-centred policies and procedures to support least-restrictive best practice that:
  1. meet the requirements of the criterion
  2. provide information about restraint to the person and their whānau in a manner they understand when they enter the service
  3. include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
  4. aim to make the environment as stress-free as possible.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. frequency and extent of monitoring
  2. cultural, physical, and verbal assessment processes
  3. personal, cultural, and belief systems
  4. strategies that align with trauma-informed care principles.
• Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.
• Policies should include the governance body’s aim to eliminate restraint wherever possible, showing clear leadership around improved assessment and health care and support worker training.
• Service providers demonstrate support that is culturally responsive. This may include instances where a cultural support worker guides the clinical team.
• Service providers give information about de-escalation to the person receiving services and their whānau in a timely and accessible manner that they all understand. This includes information on the complaints process and the opportunity for an independent review into the use of restraint on a whānau member.
• The service provider’s information pack for the person and their whānau about de-escalation may come in a variety of accessible formats and languages and may include any documented evidence the person receives, such as the admission checklist or their clinical record.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. lessons from previous restraint, such as environmental triggers
  2. alternatives to restraint such as Māori cultural sensory support, other cultural interventions, or cultural support experts, including waiata, pūrākau, and karakia
  3. restraint minimisation actions, such as positive behaviour support strategies
  4. least-restrictive, person-centred, and whānau-centred approaches, such as sensory modulation and use of whānau and other relevant support people.
• Service providers provide a timely debriefing for all parties involved in restraint, including:
  1. people who are restrained and their whānau
  2. people who witness the restraint
  3. health care and support workers who were involved.
• Assessment and risk mitigation processes support the use of alternative interventions, which may include:
  1. use of sensory modulation resources
  2. diversional therapy
  3. mindfulness
  4. peer support approaches
  5. occupational therapy
  6. low beds
  7. specialling
  8. other therapeutic approaches.
• Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

• The executive leader:
  1. facilitates a restraint monitoring committee
  2. understands the different types of restraint used within their services
  3. approves and reviews restraint meeting minutes
  4. monitors progress towards meeting corrective actions in a timely manner
  5. verifies approval documents signed by registered health practitioner
  6. upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.
• Service providers develop person-centred policies and procedures to support least-restrictive best practice that:
  1. meet the requirements of the criterion
  2. provide information about restraint to the person and their whānau in a manner they understand when they enter the service
  3. include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
  4. aim to make the environment as stress-free as possible.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. frequency and extent of monitoring
  2. cultural, physical, and verbal assessment processes
  3. personal, cultural, and belief systems
  4. strategies that align with trauma-informed care principles.
• Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.
• Policies should include the governance body’s aim to eliminate restraint wherever possible, showing clear leadership around improved assessment and health care and support worker training.
• Service providers demonstrate support that is culturally responsive. This may include instances where a cultural support worker guides the clinical team.
• Service providers give information about de-escalation to the person receiving services and their whānau in a timely and accessible manner that they all understand. This includes information on the complaints process and the opportunity for an independent review into the use of restraint on a whānau member.
• The service provider’s information pack for the person and their whānau about de-escalation may come in a variety of accessible formats and languages and may include any documented evidence the person receives, such as the admission checklist or their clinical record.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. lessons from previous restraint, such as environmental triggers
  2. alternatives to restraint such as Māori cultural sensory support, other cultural interventions, or cultural support experts, including waiata, pūrākau, and karakia
  3. restraint minimisation actions, such as positive behaviour support strategies
  4. least-restrictive, person-centred, and whānau-centred approaches, such as sensory modulation and use of whānau and other relevant support people.
• Service providers provide a timely debriefing for all parties involved in restraint, including:
  1. people who are restrained and their whānau
  2. people who witness the restraint
  3. health care and support workers who were involved.
• Assessment and risk mitigation processes support the use of alternative interventions, which may include:
  1. use of sensory modulation resources
  2. diversional therapy
  3. mindfulness
  4. peer support approaches
  5. occupational therapy
  6. low beds
  7. specialling
  8. other therapeutic approaches.
• Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

• The executive leader:
  1. facilitates a restraint monitoring committee
  2. understands the different types of restraint used within their services
  3. approves and reviews restraint meeting minutes
  4. monitors progress towards meeting corrective actions in a timely manner
  5. verifies approval documents signed by registered health practitioner
  6. upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.
• Service providers develop person-centred policies and procedures to support least-restrictive best practice that:
  1. meet the requirements of the criterion
  2. provide information about restraint to the person and their whānau in a manner they understand when they enter the service
  3. include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
  4. aim to make the environment as stress-free as possible.
• As part of the holistic assessment, the person’s care or support plan may include:
  1. frequency and extent of monitoring
  2. cultural, physical, and verbal assessment processes
  3. personal, cultural, and belief systems
  4. strategies that align with trauma-informed care principles.
• Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.
• Service providers have an annual training plan that includes:
  1. training that is delivered by people with lived experience of restrictive practice and their whānau
  2. involving tāngata whaikaha in the design and delivery of training
  3. training or support delivered by behaviour specialists
  4. consideration of conscious and unconscious bias
  5. how to use and introduce cultural sensory support options for Māori and other cultures.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.
• Service providers have an annual training plan that includes:
  1. training that is delivered by people with lived experience of restrictive practice and their whānau
  2. involving tāngata whaikaha in the design and delivery of training
  3. training or support delivered by behaviour specialists
  4. consideration of conscious and unconscious bias
  5. how to use and introduce cultural sensory support options for Māori and other cultures.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.
• Service providers have an annual training plan that includes:
  1. training that is delivered by people with lived experience of restrictive practice and their whānau
  2. involving tāngata whaikaha in the design and delivery of training
  3. training or support delivered by behaviour specialists
  4. consideration of conscious and unconscious bias
  5. how to use and introduce cultural sensory support options for Māori and other cultures.

• Service providers’ annual training plan includes:
  1. access to internal and external training for health care and support workers
  2. records of attendance and completed training
  3. records of competencies in different types of restraint training
  4. principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
  5. safe practice in the use of restraint within a culture of continuous learning and improvement.
• Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
• Training is available in accessible formats.

• Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example, a registered nurse, general practitioner, occupational therapist, or diversional therapist.
• Service providers have tried and documented all alternative interventions.

• Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
• Service providers have tried and documented all alternative interventions.
• Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
• Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
• Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
• Health care and support workers have read the information on each person they are working with, so they are aware of:
  1. any trauma history
  2. known strategies to support the person when they are experiencing distress.
• Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
• Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present. 

• Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
• Service providers have tried and documented all alternative interventions.
• Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
• Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
• Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
• Health care and support workers have read the information on each person they are working with, so they are aware of:
  1. any trauma history
  2. known strategies to support the person when they are experiencing distress.
• Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
• Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present. 

• Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
• Service providers have tried and documented all alternative interventions.
• Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
• Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
• Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
• Health care and support workers have read the information on each person they are working with, so they are aware of:
  1. any trauma history
  2. known strategies to support the person when they are experiencing distress.
• Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
• Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present. 

• Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
• Service providers have tried and documented all alternative interventions.
• Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
• Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
• Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
• Health care and support workers have read the information on each person they are working with, so they are aware of:
  1. any trauma history
  2. known strategies to support the person when they are experiencing distress.
• Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
• Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present.

• Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
• Post-event documentation is evident.

• Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
• Post-event documentation is evident.

• Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
• Post-event documentation is evident.

• Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
• Post-event documentation is evident.

• Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
• Post-event documentation is evident.

• Service providers meet all needs, including needs for:
  1. food and fluids
  2. hygiene
  3. elimination
  4. toilet
  5. repositioning and mobilising.

• Service providers meet all needs, including needs for:
  1. food and fluids
  2. hygiene
  3. elimination
  4. toilet
  5. repositioning and mobilising.

• Service providers meet all needs, including needs for:
  1. food and fluids
  2. hygiene
  3. elimination
  4. toilet
  5. repositioning and mobilising.

• Service providers meet all needs, including needs for:
  1. food and fluids
  2. hygiene
  3. elimination
  4. toilet
  5. repositioning and mobilising.

• Service providers meet all needs, including needs for:
  1. food and fluids
  2. hygiene
  3. elimination
  4. toilet
  5. repositioning and mobilising.

• Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
• Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
• The restraint register includes information on:
  1. documentation of de-escalation techniques and health care and support worker interventions before the event
  2. alternative interventions used before the use of restraint
  3. the person being restrained
  4. restraint type (such as prone)
  5. duration of the restraint
  6. who approved the restraint
  7. health care and support workers who were involved and their level of training
  8. details of any resulting injury.
• Physical restraint includes use of equipment such as rails.
• A register does not replace the requirement to document the restraint event in records.

• Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
• Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
• Service providers should record any personal restraint as a moderate, major, or severe adverse event.
• All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
• Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
• Service providers should constantly update behaviour care or support plans and review them along with progress notes.
• For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting.
• The restraint register includes information on:
  1. documentation of de-escalation techniques and health care and support worker interventions before the event
  2. alternative interventions used before the use of restraint
  3. the person being restrained
  4. restraint type (such as prone)
  5. duration of the restraint
  6. who approved the restraint
  7. health care and support workers who were involved and their level of training
  8. details of any resulting injury.
• Physical restraint includes use of equipment such as rails.
• A register does not replace the requirement to document the restraint event in records.

• Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
• Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
• Service providers should record any personal restraint as a moderate, major, or severe adverse event.
• All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
• Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
• Service providers should constantly update behaviour care or support plans and review them along with progress notes.
• For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting.
• The restraint register includes information on:
  1. documentation of de-escalation techniques and health care and support worker interventions before the event
  2. alternative interventions used before the use of restraint
  3. the person being restrained
  4. restraint type (such as prone)
  5. duration of the restraint
  6. who approved the restraint
  7. health care and support workers who were involved and their level of training
  8. details of any resulting injury.
• Physical restraint includes use of equipment such as rails.
• A register does not replace the requirement to document the restraint event in records.

• Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
• Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
• Service providers should record any personal restraint as a moderate, major, or severe adverse event.
• All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
• Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
• Service providers should constantly update behaviour care or support plans and review them along with progress notes.
• For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting.
• The restraint register includes information on:
  1. documentation of de-escalation techniques and health care and support worker interventions before the event
  2. alternative interventions used before the use of restraint
  3. the person being restrained
  4. restraint type (such as prone)
  5. duration of the restraint
  6. who approved the restraint
  7. health care and support workers who were involved and their level of training
  8. details of any resulting injury.
• Physical restraint includes use of equipment such as rails.
• A register does not replace the requirement to document the restraint event in records.

• Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
• Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
• Service providers should record any personal restraint as a moderate, major, or severe adverse event.
• All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
• Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
• Service providers should constantly update behaviour care or support plans and review them along with progress notes.
• For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting.
• The restraint register includes information on:
  1. documentation of de-escalation techniques and health care and support worker interventions before the event
  2. alternative interventions used before the use of restraint
  3. the person being restrained
  4. restraint type (such as prone)
  5. duration of the restraint
  6. who approved the restraint
  7. health care and support workers who were involved and their level of training
  8. details of any resulting injury.
• Physical restraint includes use of equipment such as rails.
• A register does not replace the requirement to document the restraint event in records.

• Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:
  1. what caused the distress
  2. the reason given for the restraint
  3. the way people felt before, during, and after the event
  4. giving whānau an active role in this process if they desire
  5. what could be done differently
  6. suggestions or ideas to prevent restraint events in the future
  7. the role of whānau at the onset and evaluation of restraint. 

• Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:
  1. what caused the distress
  2. the reason given for the restraint
  3. the way people felt before, during, and after the event
  4. giving whānau an active role in this process if they desire
  5. what could be done differently
  6. suggestions or ideas to prevent restraint events in the future
  7. the role of whānau at the onset and evaluation of restraint. 

• Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:
  1. what caused the distress
  2. the reason given for the restraint
  3. the way people felt before, during, and after the event
  4. giving whānau an active role in this process if they desire
  5. what could be done differently
  6. suggestions or ideas to prevent restraint events in the future
  7. the role of whānau at the onset and evaluation of restraint. 

• Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:
  1. what caused the distress
  2. the reason given for the restraint
  3. the way people felt before, during, and after the event
  4. giving whānau an active role in this process if they desire
  5. what could be done differently
  6. suggestions or ideas to prevent restraint events in the future
  7. the role of whānau at the onset and evaluation of restraint. 

• Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:
  1. what caused the distress
  2. the reason given for the restraint
  3. the way people felt before, during, and after the event
  4. giving whānau an active role in this process if they desire
  5. what could be done differently
  6. suggestions or ideas to prevent restraint events in the future
  7. the role of whānau at the onset and evaluation of restraint.