Better health and ageing for all Australians

Quality Framework for the National Aboriginal and Torres Strait Islander Flexible Aged Care Program

Appendix 1: Self-Assessment Tool

Up to Office of Aged Care Quality and Compliance (OACQC)

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National Aboriginal and Torres Strait Islander Flexible Aged Care Program

Service Provider Self-Assessment

Service Name
Service Provider
Service ID
Site Address
Contact Name
Due Date
Date Submitted
Submitted to
Assessment Matrix
Expected OutcomesPlace a tick (3) in the appropriate box:MetPart MetNot MetNot Applicable
Standard 1: Care Delivery and Information
1.1 Assessment
1.2 Care Planning
1.3 Review
1.4 Clinical Care
1.5 Information
Standard 2: Management and Accountability
2.1 Governance
2.2 Management Systems
2.3 Risk Management
2.4 Human Resources
Assessment
result:
The Assessment Matrix is a summary of the findings of the self-assessment, and allows services to identify their organisation’s overall performance against the standards. The Assessment Matrix should be completed at the end of the self-assessment. Completing the matrix requires you to first insert the rating against each expected outcome, reflecting the self-assessment findings. The following ratings apply:
Met: written and verbal evidence clearly demonstrates that the service provider meets all the requirements of the expected outcome
    • Part Met: written and verbal evidence clearly demonstrates that the service provider only meets part of the requirements of the expected outcome
    • Not Met: written and verbal evidence clearly demonstrates that the service provider does not meet the requirements of the expected outcome
    • Not Applicable: a not applicable rating may apply, for example, where a service does not provide clinical care to service users (refer to expected outcome 1.4).
Once each expected outcome has been rated, the overall Assessment Result can be determined. The Assessment Result is applied as follows:
    • Met: all the requirements of each expected outcome have been met
    • Part Met: the requirements of one or more expected outcomes have not been fully met
    • Not Met: the requirements of no expected outcomes have been met.
      Standard 1: Care Delivery and Information
      Expected Outcome 1.1: Assessment
      Evidence Examples
      Self-assessment Findings
      Self-Assessment Rating:
      Quality Improvement Actions
      Action required to meet the Expected Outcome:
      Optional action to support Continuous Quality Improvement
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Standard 1: Care Delivery and Information

Expected Outcome 1.2: Care Planning
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 1: Care Delivery and Information
Expected Outcome 1.3: Review
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 1: Care Delivery and Information
Expected Outcome 1.4: Clinical Care
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
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Standard 1: Care Delivery and Information
Expected Outcome 1.5: Information
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 2: Management and Accountability
Expected Outcome 2.1: Governance
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 2: Management and Accountability
Expected Outcome 2.2: Management Systems
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 2: Management and Accountability
Expected Outcome 2.3: Risk Management
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Standard 2: Management and Accountability
Expected Outcome 2.4: Human Resources
Evidence Examples
Self-assessment Findings
Self-Assessment Rating:
Quality Improvement Actions
Action required to meet the Expected Outcome:
Optional action to support Continuous Quality Improvement
Self-assessment Checklist
Please ensure you have completed the following information before submitting your self-assessment
Your service provider
*
The Assessment Matrix
*
Your Evidence Examples for each applicable Expected Outcome (Please save your actual Evidence Examples for the on-site review)
*
Self-assessment Findings for each applicable Expected Outcome
*
A Self-assessment Rating for each applicable Expected Outcome
*
The Quality Improvement 'Actions Required to meet the Expected Outcome' where you have rated an expected outcome as part Met or Not Met.
*
The Quality Improvement Plan 'Optional Action to support Continuous Quality Improvement' where you have rated an expected outcome as Met, but identified improvement opportunities
*

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