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 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 Rating Audit Evidence Finding Corrective action required outcome and timeframe for completion (days) Criterion 1.2.9.9 PA Low All residents’ files sampled were legible Five of five resident files Ensure that entries in and entries were signed and dated by sampled (two rest home and resident files meet required All records are legible and the registered nurse, caregiver, doctor three hospital level) has guidelines and do not use the name and designation of or other person making the entry. All entries blocked out with correction fluid. the service provider is files sampled had correction fluid in the correction fluid. identifiable. care plans. 90 days
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 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 Finding Corrective action required and timeframe for completion (days) Criterion 1.2.9.9 All records are legible and the name and designation of the service provider is identifiable. PA Low All residents’ files sampled were legible and entries were signed and dated by the registered nurse, caregiver, doctor or other person making the entry. All files sampled had correction fluid in the care plans. Five of five resident files sampled (two rest home and three hospital level) has entries blocked out with correction fluid. Ensure that entries in resident files meet required guidelines and do not use correction fluid. 90 days
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