DAA SURVEILLANCE REPORT

DAA Group Limited
P.O. Box 172
Tai Tapu 7645
Christchurch
Ph : 03 329 6477
Fax: 03 329 6577
Mobile: 0292 347 500
Email: janicem@daagroup.co.nz

20 November 2008


Sonia Pratt
Laura Fergusson Centre
279 Ilam Road
Christchurch


SURVEILLANCE REPORT

Dear Sonia

A Surveillance Audit was conducted on 12 November 2008 at Laura Fergusson Trust.  Please find enclosed our Surveillance Report.  The audit was based on the following criteria:

•    Ministry of Health requirements for surveillance audit
•    Follow up on corrective actions raised at the certification audit

Dr Jaki Horn from the DAA Group led this audit.

I would like to thank staff for the open and candid way in which they approached this audit.  We appreciated the welcome our team received and the flexibility staff demonstrated during the audit.

METHODOLOGY

The audit team used a common checklist for the audit, which was based on the Standards New Zealand Sector Standard Audit Tools.

A sampling method was used.  The audit findings are based on objective evidence.  Interviews with staff occurred and records, policies and procedures were reviewed.


Findings have been determined into attainment levels that are identified in each criteria of the report:
•    CI    Continued Improvement.  Having fully attained the criterion the service can in addition clearly demonstrate a review process including analysis and reporting of findings, evidence of action taken based on those findings, and improvements to service provision and consumer safety, or satisfaction as a result of the review process.
•    FA    Fully Attained.  The service can clearly demonstrate implementation (practice evidence, training, records, visual evidence, etc) of the process, systems or structures in order to meet the required outcome of the criterion.
•    PA    Partially Attained.  
 1.  There is evidence of appropriate process (policy/procedure/guidelines      etc.), system or structure implementation without the required                        documentation.
2.  Or a documented process (policy/procedure/guideline.), system or structure is evident but the organisation or service is unable to demonstrate implementation where this is required.
•    UA      Unattained.  The organisation or service is unable to demonstrate appropriate processes, systems or structures to meet the required outcome of the criterion.

Corrective Actions
Congratulations, there were no corrective actions.

Your surveillance report will be completed on the Ministry of Health website.  The report will then be reviewed by the Ministry of Health in order to meet your Certification conditions.

If you require any further clarification, please do not hesitate to contact me at 0292 347 500.

Thank you for selecting the DAA Group Limited for this Certification process.  

Yours sincerely,
DAA GROUP LTD.
Janice McEwan
Client Manager