Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message data to display” then no continuous improvements were recorded as part of this of this “no audit. Criterion with desired Attainment Rating Evidence Audit Finding outcome Criterion 1.2.3.1 CI The quality and risk management system for the Having fully attained the criterion the service organisation is clearly understood by service can in addition clearly demonstrate a review The organisation has a providers and led efficiently by the manager. The process and analysis of involving staff in the quality and risk management quality team meets weekly to discuss facility quality and risk management system for the system which is understood matters, including those related to quality and risk service. Staff involvement was credited to the and implemented by service management. manager and the feedback from staff providers. interviewed was very positive. Staff stated it A full agenda was reviewed. Topics, such as was a team effort, increased their knowledge general business, monthly results and quality and all had a better understanding of quality improvement corrective actions, quality and risk and the significance for the areas of improvement activities, accident and incidents, service provided. complaints and compliments, activities programme, health and safety, infection control, changes to policy, procedures, legislation and standards, performance suppliers and contractors, staff training and other business is discussed. Staff interviewed felt respected and involved in the organisation and the quality improvement for all
Specific results for criterion where a continuous improvement has been recorded As well as whole standards, individual criterion within a standard can also be rated as having a continuous improvement. A continuous improvement means that the provider can demonstrate achievement beyond the level required for full attainment. The following table contains the criterion where the provider has been rated as having made corrective actions have been recorded. As above, criterion can be linked to the relevant standard by looking at the code. For example, a Criterion 1.1.1.1 relates to Standard 1.1.1: Consumer Rights During Service Delivery in Outcome 1.1: Consumer Rights If, instead of a table, these is a message “no data to display” then no continuous improvements were recorded as part of this of this audit. Criterion with desired outcome Attainment Rating Evidence Audit Finding Criterion 1.2.3.1 The organisation has a quality and risk management system which is understood and implemented by service providers. CI The quality and risk management system for the organisation is clearly understood by service providers and led efficiently by the manager. The quality team meets weekly to discuss facility matters, including those related to quality and risk management. A full agenda was reviewed. Topics, such as general business, monthly results and quality improvement corrective actions, quality improvement activities, accident and incidents, complaints and compliments, activities programme, health and safety, infection control, changes to policy, procedures, legislation and standards, performance suppliers and contractors, staff training and other business is discussed. Staff interviewed felt respected and involved in the organisation and the quality improvement for all Having fully attained the criterion the service can in addition clearly demonstrate a review process and analysis of involving staff in the quality and risk management system for the service. Staff involvement was credited to the manager and the feedback from staff interviewed was very positive. Staff stated it was a team effort, increased their knowledge and all had a better understanding of quality and risk and the significance for the areas of service provided.
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