Accreditation quality assurance

What is the accreditation quality assurance program?
The accreditation quality assurance program is a program of activities and processes designed to maintain conformance with set processes and to find better ways of performing accreditation activities. It sits within our broader quality assurance program and ensures information on how residential aged care homes provide care and services to residents is accurate.

Implementation of the quality assurance program reflects:

  • our commitment to performing high quality work in a way that is consistent with our values, code of conduct, and approved audit methodology
  • our commitment to effective and accurate assessment and decision-making of residential aged care homes’ care and services to residents
  • our commitment to providing information about performance and better practice in a way that promotes quality improvement of resident care and services.

What underpins the accreditation quality assurance program?

  1. Policy
    The quality assurance program relating to accreditation activities begins with a strong foundation of policy. Underneath these policies sits a framework of procedures and associated documentation such as templates for sending correspondence, and assessment tools. Adherence to requirements as set out in policies and other Accreditation Agency documentation ensures a consistent approach.
  2. Education
    The quality assurance program is underpinned by initial and ongoing education and training of our staff and contractors. This ensures all personnel are familiar with requirements as set out in accreditation policies and procedures.

Outcomes of quality assurance program activities contribute to the design of further education and training to homes and to our staff and contractors.

What is the quality assurance program?
The quality assurance program itself is made up of:

  • data analysis of activities
  • quality assurance programs
  • quality assurance projects.

Data analysis of activities includes, amongst other things, review of adherence to timeframes (for example, decision-making), and rates of occurrence (for example failure to meet Accreditation Standards). The results of some of these analysis are reported on in our annual report.

Set programs include:

  • complaints analysis
  • feedback questionnaires
  • observation visits
  • review of decisions and reports.

Various projects are conducted on a regular basis. These may be in response to:

  • research conducted
  • legislative change
  • improvement requests and suggestions
  • outcomes of other quality assurance activities
  • outcomes of case management activities
  • identification of issues relating to Accreditation Agency processes and outcomes
  • the decision to conduct a dedicated review of one particular area of activity to seek improvement or new approaches.

From time to time results of our quality assurance program are published in The Standard and the annual report.