Audit

Inspection Details

Chef Manager

Email

Date of last Aegis Internal Audit
Number of non Compliances at last Aegis audit?

Evidence of non Compliances closed out

Details of non compliance:

Non Compliance

Type of non compliance

Date item completed
Evidence of item completed
General Requirements

Local Council Food Business Certificate is current?

Date of Local Council last audit?

Details of Local Council audit.

% of Hospitality staff who have completed Excellence in Dining training?
% of Clinical staff who have completed Excellence in Dining training?
Communication

Evidence of Facility Staff Meeting Minutes where Excellence in Dining project was discussed?

Date of Meeting

Details of Minutes

Evidence of Facility Resident Meeting Minutes where Excellence in Dining project was discussed?

Date of Meeting

Details of Minutes

Evidence of Resident Meal Satisfaction Survey before Excellence in Dining project was introduced

Date of Survey
% above Satisfactory

Details of Survey

Evidence of Resident Meal Satisfaction Survey after Excellence in Dining project was introduced

Date of Survey
% above Satisfactory

Details of Survey

Do Staff have access to Aegis Excellence in Dining Program information when the Chef Manager is not on duty?

Details of System for Access;

Environment

Servery Information

Servery

Servery Name

Level of Care
Meal Period

Are the dining tables clean and set according to Excellence in Dining standards?

Take photo of dining table settings
Dining room noise level appropriate for eating meals

Is there any music playing?

If music is playing; is it appropriate for eating meals and is the level of music suitable?

Is the TV on?

Are there any off-putting smells in the room?

Is there nice food smells in the room that entices the appetite?

Is the environment pleasant, relaxed and conducive to eating?

Is the lighting suitable for eating meals?

Food Service Delivery

Tray Service Information

Tray Service

Wing Name

Level of Care
Meal Period

Meal trays are set as per Aegis "Excellence in Dining" standard

Resident name tag with photo is on the tray? (Name tag is clean)

Correct resident meal is plated on tray?

Crockery and cutlery are clean with no chips?

AIN's are ready to collect the food trolley for meal service?

Is the plated Food Temperature within acceptable temperature range >60

Hot Food Temperature is;
Cold Food Temperature is;

Is the Food Quality to Aegis "Excellent in Dining" Standard?

Level of Food Texture

Take Photo of Plated Meal

Servery Information

Servery

Servery Name

Level of Care
Meal Period
What is the meal ordering system used?

Servery is ready for meal service; Bain Marie preheated/heat lamps on, plates preheated, servery is clean and organised

AIN's are in the Dining Room ready for service

Correct meal period menu is displayed

Crockery is clean, no chips or stains?

Cutlery is clean?

Plastic Thermal Equipment is clean?

Clearing trolley is ready with splash guard, plastic scrapper, cutlery bucket with water/detergent, wiping cloth and spray bottle

Staff Questions

Staff

What can you tell me about Excellence in Dining?

Can you explain the food items on today's menu?

Staff are in Uniform with Name Badge?

Kitchen Hand & AIN (in charge) are working together with meal delivery system (Resident Meal Ordering Form being used to check resident diet analysis)

Were residents told that meal service was due to start?

Is the resident positioned in such a way as to enable them to eat safely and promote maximum independence?

How is the resident positioned?

Is the table positioned within reach for the resident?

Were drinks within reach for the resident?

Did anyone assist the resident to set up items for their meal?

Assisted by;

Is the meal within reach?

Was the protein at 6 o'clock on the plate when served to the resident?

Did staff serve from the right?

Did staff clear from the right?

Did staff follow suitable dining room etiquette during meal service?

Did staff scrap left over food and stack dirty plates quietly?

Is the Food Quality to Aegis "Excellent in Dining" Standard?

Level of Food Texture

Take Photo of Plated Meal
Assistance

Was the resident fully independent?

Was the resident given assistance to cut food / open lids if required?

Was the resident given assistance to eat or drink as required?

Who gave assistance?

Did the staff member giving assistance with the resident meal use a chair/stool while assisting?

What did the assistance involve?

Monitoring

Did you see anyone monitor how much the resident consumed?

Who

Was an alternative offered if the meal was not eaten?

If the resident ate less than half of their meal was encouragement provided to eat more?

Activities / Staffing

Did planned regular activities occur during the meal service?

What occurred;

Were family members or carers present at the meal service?

Did their presence appear to distract the resident from eating or did it appear to encourage the resident to eat more?

Meal Interruptions

Was the resident able to eat their meal without interruptions?

Comment on what / who interrupted their meal?

How many interruptions did you observe?

What were they?

Which of those interruptions were urgent?

Resident Information

Resident Diet Analysis Records are followed?

Resident Information

Resident

Resident Name

Level of Care

Diet

Texture

Meal Size

What did you enjoy about today's meal?

What would you like to see improved with the meal service?

Additional Information

Additional Notes/Comments

Action Required

Re-inspection Required

Time before next inspection

DECLARATION: I have read this report and understand the contents

Chef Manager / Facitily Manager signature
Central Office signature

NOTE: assessment report contains findings from date/time of inspection only

Contact Details

Aegis Aged Care Group

Address: 90 Goodwood Pde Burswood Perth WA 6103

Telephone: (08) 6254 8200

Fax: (08) 6254 8299

Email: operations@aegiscare.com.au

Web: www.aegiscare.com.au


www.aegiscare.com.au

ABN: 97 377 986 723

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.