Standard 3: Oral and Dental Care
The consumer’s oral and dental health is maintained. - PLEASE NOTE: Some content in these examples may be out of date. The purchased products are up to date.

Audit Report
Date of audit: Enter a date.	Report completed by: Designation:
Audit areas (Tick as appropriate):	Sample Size	Overall Rating	Rating Breakdown (G >= 80%; A 60 to 79%; R < 60%)
Consumer Interviews/Observations	-	-	-	-
Staff Interviews/Record Reviews	-	-	-	-
Processes	-	Yes -	No -	N/A -
Go To Audit Checklists on next page Summary of the results:

Improvements/actions:	Who	By When	Date Completed
Audit Item:
Enter a date.	Enter a date.

d

Closure
Evaluation (If appropriate, describe how action/improvements were evaluated and the result): Outcome or end result: (Tick applicable boxes) Policies and procedures revised Staff training Changes communicated to appropriate stakeholders Other (Describe):
Closed out by:	Date: Enter a date.

Consumer Interviews/Observations

Audit Outcome Criteria INPUT: Y or 1 = Yes N or 2= No NA or 9 = Not Applicable	Score	Consumer 1	Consumer 2	Consumer 3	Consumer 4	Consumer 5	Consumer 6	Consumer 7	Consumer 8	Consumer 9	Consumer 10
Consumer Initials or Room Reference
Consumers state they are provided with adequate oral and dental equipment
Consumers state they are provided with adequate assistance to maintain their oral and dental health
Consumers state care is provided in line with their personal preferences regarding oral and dental hygiene (eg time of oral care)
Consumers state they have timely access to a dentist
Consumers/representatives state they are consulted regarding their oral and dental needs through an assessment
Each consumer has an oral and dental assessment (less than 1 year old)
Each consumer has an oral and dental support plan suitable to their current needs
Observation of oral and dental equipment shows it is available and suitable to the consumer’s needs (refer support plan)
Observation of the consumer’s mouth demonstrates oral and dental care is provided

Staff Interviews/Record Reviews

Audit Outcome Criteria INPUT: Y or 1 = Yes N or 2= No NA or 9 = Not Applicable	Score	Staff 1	Staff 2	Staff 3	Staff 4	Staff 5	Staff 6	Staff 7	Staff 8	Staff 9	Staff 10
Staff Interviewed Initials
Staff state they are trained in providing oral and dental care for consumers
Staff state they are provided with adequate oral and dental equipment to provide oral and dental support to consumers
Staff state that adequate time to provide oral and dental care as per the support plan is available

Processes Audit

Read your policies and procedures first. Add new audit elements or change elements to reflect your P&P. In rating your responses consider if the processes have been adequately implemented.
Processes to Achieve Requirements	Tick	Commentary/Audit Trail Provide commentary/evidence of audit trail as required to highlight areas of improvement or clarify findings
There are policies/practices describing oral and dental care that have been revised in the last three years	Yes No N/A
Specialist products (e.g. mouth washes/gels, mouth toilet equipment) are provided if necessary. Observe storage area.	Yes No N/A
Assessments occur on admission and at least annually	Yes No N/A
A replacement schedule to ensure oral and dental equipment is replaced in a timely manner?	Yes No N/A
Other health professionals (e.g. dentists, dental technicians) are consulted and complete assessments and provide support plans when necessary	Yes No N/A
Are there strategies and/or interventions you implement to provide support to consumers with poor oral health, consumers receiving palliative care, people with dementia or swallowing difficulties (e.g. health professional referral, use of non-invasive oral care techniques such as mouthwash if able, mouth toilets etc)	Yes No N/A
An effective process is in place when there is a change in consumers’ needs (e.g. notification to supervisor, referral to other health professionals and medical personnel, informing of representatives)	Yes No N/A
An internal audit for oral and dental care is scheduled and the audit repeated if required	Yes No N/A
Care practices are evaluated (e.g. audits, support plan review, feedback from staff, consumers and representatives, reviewing assessment tools, consulting with staff about how effective processes are, using evidence-based practice etc).	Yes No N/A
The oral and dental assessment tool has been reviewed and/or evaluated in the last three years	Yes No N/A
Once complete, summarise your findings on the audit report by pressing the ‘Process Results’ button on Page 1

Notes

The ratings breakdown shows how many and what percentage of audit items were rated Green, Amber and Red, by default this is: Green >= 80%, Amber >= 60 %, Red < 60%

The Import: Interviews (Red, Amber), Processes (No). Audit Items will automatically be added when you ‘Process Results’, See GGJ Audit Tools User Guide 3.4 for more information. Right click to add an additional Improvement or Item.

Right click to add an additional Audit Item or add the current item to the Improvements table.

Scores are rated: Green >= 80%, Amber >= 60 %, Red < Amber.

Right click to add an additional Audit Item or add the current item to the Improvements table.

Scores are rated: Green >= 80%, Amber >= 60 %, Red < Amber.

Right click to add an additional Audit Item or add the current item to the Improvements table.