Specific results for criterion where corrective actions are required 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 Audit Evidence Audit Finding Corrective action outcome Rating required and timeframe for completion (days) Criterion 1.3.12.1 PA Moderate The standing orders policies and procedures i) The standing orders form i) Ensure that standing in place meet legislative requirements, but that was in use had not been orders are signed by A medicines management the standing orders form had not been signed by the GP the GP system is implemented to signed by the GP. Medications were stored manage the safe and ii) CD register weekly ii) Ensure that CD safely in line with legislation, however, appropriate prescribing, medication checks were not register medication weekly CD register checks were not dispensing, administration, evidenced on eight occasions checks are completed consistently carried out. review, storage, disposal, and in the past 12 weeks. according to medicine reconciliation in order organisational and to comply with legislation, legislative protocols, and guidelines. requirements. 30 days Criterion 1.3.13.5 PA Low Food temperatures were monitored and Dry goods are not stored Ensure that all dry recorded before food was transported to appropriately in the kitchen goods and pantry All aspects of food procurement, Sunningdale. All staff involved in food pantry. items are stored production, preparation, storage, preparation have received food safety appropriately. transportation, delivery, and training. All food stored in the fridge was
Specific results for criterion where corrective actions are required 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 Audit Finding Corrective action required and timeframe for completion (days) Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines. PA Moderate The standing orders policies and procedures in place meet legislative requirements, but the standing orders form had not been signed by the GP. Medications were stored safely in line with legislation, however, weekly CD register checks were not consistently carried out. i) The standing orders form that was in use had not been signed by the GP ii) CD register weekly medication checks were not evidenced on eight occasions in the past 12 weeks. i) Ensure that standing orders are signed by the GP ii) Ensure that CD register medication checks are completed according to organisational and legislative requirements. 30 days Criterion 1.3.13.5 All aspects of food procurement, production, preparation, storage, transportation, delivery, and PA Low Food temperatures were monitored and recorded before food was transported to Sunningdale. All staff involved in food preparation have received food safety training. All food stored in the fridge was Dry goods are not stored appropriately in the kitchen pantry. Ensure that all dry goods and pantry items are stored appropriately.
AuditSummary_PRMS_CommunicatePublish_000002724001.docx