Template

Comprehensive Care Standard Audit Tool V2

by Marrianne Beaty, from the Community

20+

This Version 2 comprehensive care audit tool helps health service organisations assess compliance with NSQHS Standard 5. It covers clinical governance integration, quality improvement systems, partnering with consumers, and the development and use of individualised comprehensive care plans. The checklist guides screening and assessment of risks, discharge planning, referrals, and communication. It includes criteria for end of life care, prevention and management of pressure injuries and falls, nutrition and hydration, recognition and management of cognitive impairment and delirium, self harm and suicide risk, aggression and violence, and the minimisation of restrictive practices including restraint and seclusion.

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About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
NSQHS Standard 6 Communicating for Safety Audit Tool
Use this Version 2 audit tool to evaluate compliance with NSQHS Standard 6 Communicating for Safety. It covers clinical governance, patient identification and procedure matching, structured clinical handover, communication of critical information, partnering with consumers, and contemporaneous documentation. The checklist supports health service organisations and clinicians to define processes, monitor effectiveness, manage risks, and improve communication outcomes across care transitions and high risk situations.
by Marrianne Beaty, from the Community
Downloads: 10+
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Template
NSQHS Standard 2: Partnering with Consumers Audit Tool
Assess your health service's compliance with NSQHS Standard 2 Partnering with Consumers. This audit tool guides review of clinical governance integration, risk management, workforce training, shared decision-making, informed consent, health literacy, and consumer participation in design and governance. Capture evidence against actions 2.1-2.14, support co-design with diverse communities, and drive continuous quality improvement.
by Marrianne Beaty, from the Community
Downloads: 10+
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Template
Care Plan Audit: Lindridge Care Home
This care plan audit checklist is designed for residential care settings to review the completeness and quality of resident documentation. It covers front sheet details, allergy status, consent and best interest records, GP summary, life history, evacuation plan, and personal belongings inventory. Key risk assessments include Barthel dependency, falls, MUST nutrition, Waterlow pressure risk, oral care, continence, moving and handling, bed rails, and self medication. Sections address DoLS, daily routines and meaningful activity, nutrition and hydration, mobility and falls risk, personal care and continence, rest and sleep, tissue viability, physical health, mental health, and future planning and end of life wishes. The checklist reinforces regular evaluation, accurate record keeping in person centered software, and timely action on issues to maintain compliance and care quality.
by Claire Anderson, from the Community
Downloads: 10+
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Template
Clinical Governance Standard Audit Tool (NSQHS V2)
Assess compliance with NSQHS Standard 1 using this comprehensive clinical governance audit tool. Review governance, leadership, culture, patient safety and quality systems, risk management, incident management and open disclosure, feedback and complaints, healthcare records and My Health Record processes, performance management, credentialing and scope of practice, evidence-based care, variation monitoring, and safe environment requirements, including cultural safety for Aboriginal and Torres Strait Islander peoples.
by Marrianne Beaty, from the Community
Downloads: 30+
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Comprehensive Care Standard Audit Tool V2

With SafetyCulture you can

Digitize team workflows

Reduce manual errors

Create and share inspection reports

About author

You might also like

NSQHS Standard 6 Communicating for Safety Audit Tool

NSQHS Standard 2: Partnering with Consumers Audit Tool

Care Plan Audit: Lindridge Care Home

Clinical Governance Standard Audit Tool (NSQHS V2)

You might also like

NSQHS Standard 6 Communicating for Safety Audit Tool

NSQHS Standard 2: Partnering with Consumers Audit Tool

Care Plan Audit: Lindridge Care Home

Clinical Governance Standard Audit Tool (NSQHS V2)