Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message data to display” instead of a table, then no corrective actions were required as a result of this audit. “no Criterion with desired Attainment Audit Evidence Audit Finding Corrective action outcome Rating required and timeframe for completion (days) Criterion 1.3.13.1 PA Low The current menu has been reviewed by a The menu has not been The menu is re-reviewed dietitian within the last two years and is in use for re-reviewed to ensure it to ensure the needs of Food, fluid, and nutritional the rest home and dementia service residents. meets the additional hospital level care needs of consumers are This requires further review to ensure it reflects nutritional requirements residents will be met. provided in line with the needs for residents receiving hospital level of hospital residents. recognised nutritional care. guidelines appropriate to the Prior to occupancy days consumer group. Criterion 1.4.1.1 PA Low A sluice room has been constructed as part of the The equipment for the Sluice room equipment in new facility. Personal protective equipment is sluice room has not yet the new facility has been Service providers follow a available. been installed. installed and there is documented process for the evidence of all other safe and appropriate necessary equipment and storage and disposal of supplies being available. waste, infectious or hazardous substances that complies with current Prior to occupancy days legislation and territorial authority requirements.
Specific results for criterion where corrective actions are required Where a standard is rated partially attained (PA) or unattained (UA) specific corrective actions are recorded under the relevant criteria for the standard. The following table contains the criterion where corrective actions have been recorded. Criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1: Service providers demonstrate knowledge and understanding of consumer rights and obligations, and incorporate them as part of their everyday practice relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights. If there is a message “no data to display” instead of a table, then no corrective actions were required as a result of this audit. Criterion with desired outcome Attainment Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.3.13.1 Food, fluid, and nutritional needs of consumers are provided in line with recognised nutritional guidelines appropriate to the consumer group. PA Low The current menu has been reviewed by a dietitian within the last two years and is in use for the rest home and dementia service residents. This requires further review to ensure it reflects the needs for residents receiving hospital level care. The menu has not been re-reviewed to ensure it meets the additional nutritional requirements of hospital residents. The menu is re-reviewed to ensure the needs of hospital level care residents will be met. Prior to occupancy days Criterion 1.4.1.1 Service providers follow a documented process for the safe and appropriate storage and disposal of waste, infectious or hazardous substances that complies with current legislation and territorial authority requirements. PA Low A sluice room has been constructed as part of the new facility. Personal protective equipment is available. The equipment for the sluice room has not yet been installed. Sluice room equipment in the new facility has been installed and there is evidence of all other necessary equipment and supplies being available. Prior to occupancy days