Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Criterion 1.2.1.3 (HDS(C)S.2008:1.2.1.3) The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Standard 1.2.3: Quality And Risk Management Systems (HDS(C)S.2008:1.2.3) The organisation has an established, documented, and maintained quality and risk management system that reflects continuous quality improvement principles. ARC A4.1; D1.1; D1.2; D5.4; D10.1; D17.7a; D17.7b; D17.7e; D19.1b; D19.2; D19.3a.i-v; D19.4; D19.5 ARHSS A4.1; D1.1; D1.2; D5.4; D10.1; D16.6; D17.10a; D17.10b; D17.10e; D19.1b; D19.2; D19.3a-iv; D19.4; D19.5 Attainment and Risk: FA Evidence: Leslie Groves Home and Hospital has a current operation quality programme for 2014, which includes the mission and philosophy of service, a quality policy statement and objectives. The quality programme objectives consists of, care services, human resources, health and safety, risk management, building and maintenance, marketing, quality and financial. Hazard management for the facility and include health and safety, staff safety, resident safety, external environment, chemical storage, kitchen, laundry and cleaning. Progress with the operations quality plan (OpQual plan) is monitored through the twice monthly management meetings, monthly unit staff meetings, and various monthly staff meetings. A three monthly progress report is conducted by the quality manager (March 2014) and an annual comprehensive review is conducted (last conducted Jan 2014). The annual review involves review of objectives and updates on the actions taken.
Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Criterion 1.2.1.3 (HDS(C)S.2008:1.2.1.3) The organisation is managed by a suitably qualified and/or experienced person with authority, accountability, and responsibility for the provision of services. Attainment and Risk: FA Evidence: Finding: Corrective Action: Timeframe (days): (e.g. for 1 week choose 7, for 1 month choose 30, for 6 months choose 180, etc.) Standard 1.2.3: Quality And Risk Management Systems (HDS(C)S.2008:1.2.3) The organisation has an established, documented, and maintained quality and risk management system that reflects continuous quality improvement principles. ARC A4.1; D1.1; D1.2; D5.4; D10.1; D17.7a; D17.7b; D17.7e; D19.1b; D19.2; D19.3a.i-v; D19.4; D19.5 ARHSS A4.1; D1.1; D1.2; D5.4; D10.1; D16.6; D17.10a; D17.10b; D17.10e; D19.1b; D19.2; D19.3a-iv; D19.4; D19.5 Attainment and Risk: FA Evidence: Leslie Groves Home and Hospital has a current operation quality programme for 2014, which includes the mission and philosophy of service, a quality policy statement and objectives. The quality programme objectives consists of, care services, human resources, health and safety, risk management, building and maintenance, marketing, quality and financial. Hazard management for the facility and include health and safety, staff safety, resident safety, external environment, chemical storage, kitchen, laundry and cleaning. Progress with the operations quality plan (OpQual plan) is monitored through the twice monthly management meetings, monthly unit staff meetings, and various monthly staff meetings. A three monthly progress report is conducted by the quality manager (March 2014) and an annual comprehensive review is conducted (last conducted Jan 2014). The annual review involves review of objectives and updates on the actions taken.
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