Specific results for criterion 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 Audit Evidence Audit Finding Corrective action outcome required and Rating timeframe for completion (days) Criterion 1.2.1.1 PA Low There is a 2010-2015 risk There is no transition plan or link to the business plan Ensure a transition management plan, a pandemic in regards to the new building and increase in bed/staff plan around the The purpose, values, health plan and a 2014-2015 numbers increase in service is scope, direction, and business plan. The business plan included as part of goals of the organisation for Summerset in the Sun includes the business plan are clearly identified and six business goals. regularly reviewed. Summerset has a audit, ‘clinical 90 Days training and compliance’ calendar that is being implemented at Summerset in the Sun. The calendar schedules the training and audit (etal) requirements for the month and the village manager completes a practice’ sheet ‘best
Specific results for criterion 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 Rating Audit Evidence Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.2.1.1 The purpose, values, scope, direction, and goals of the organisation are clearly identified and regularly reviewed. PA Low There is a 2010-2015 risk management plan, a pandemic health plan and a 2014-2015 business plan. The business plan for Summerset in the Sun includes six business goals. Summerset has a ‘clinical audit, training and compliance’ calendar that is being implemented at Summerset in the Sun. The calendar schedules the training and audit (etal) requirements for the month and the village manager completes a ‘best practice’ sheet There is no transition plan or link to the business plan in regards to the new building and increase in bed/staff numbers Ensure a transition plan around the increase in service is included as part of the business plan 90 Days
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