[Clinic name]
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[Address]
[Registration or licence number]
Ngā Paerewa audit checklist
1Certification
- Certificate expiry date diaried, with the audit booked inside the three months before it.
- Application lodged through the Ministry's online system, with the fee and the agency named.
- Annual declaration sent to your agency by 31 December in any year with no audit.
- Section 31 notices sent for every change of contact, location or governing body.
2Stage one documents
- Policies and procedures current, dated and owned.
- Last audit's corrective actions closed, with the evidence.
- Quality and risk minutes showing indicators reviewed.
- Complaints register up to date, with outcomes.
3Files and people
- Any file complete, signed and dated, with the author named.
- Medication records reconciled to the files.
- Staff on every shift able to say where a procedure lives.
- People and whānau told how to complain, including to HDC.
4Experience and safety
- A satisfaction survey since the last audit, with actions taken.
- SAC 1 and SAC 2 events notified to Te Tāhū Hauora within 30 working days.
- Incident reviews closed, with lessons shared with staff.
- Code of Rights visible in te reo Māori, English and New Zealand Sign Language.
5What a Ngā Paerewa inspector may ask
- How do you involve people and their whānau in care planning? What to show, a care plan written with the person, and the conversations behind it.
- Can you describe what you would do if a person had a fall? What to show, the process, and a recent example from the record.
- How do you make sure a person's privacy and dignity are respected? What to show, who can see records, and how access is controlled.
- Who would you report to if you had a concern about someone's wellbeing? What to show, a clear line of escalation, known to every shift.
- Where would you find the procedure for infection prevention and control? What to show, the procedure, and the staff member's own answer.
- What training have you recently completed that helps you in your role? What to show, training records, held by the organisation.
AAppendix, Audit day brief for staff
- A.1Audit dates ______ Agency ______
- A.2Lead auditor ______ Our audit lead ______
- A.3Where procedures are kept ______
- A.4Who to escalate a concern to ______
- A.5Closing meeting at ______ Room ______
- A.6Questions we could not answer ______