Acorn Aged Care Service
Tell Us What You Think Forms
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Number of Reports	Month and Number of Forms Received												Total Forms to Date
	Jan 2002	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec 2002
	12	14	4	7	24	13							74
Focus of Feedback	Month and Number of Responses												Total to Date	% of Forms to Date
	Jan 2002	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec 2002
Positive feedback	2	3		1	2								8	11%
Staff	3		1		8	3							15	20%
Resident room	1	2		2	1	3							9	12%
Communal areas	4	3	1	2	6								16	22%
Food services		1		1	2	2							6	8%
Resident care	1				3	1							5	7%
Activities	2	1	1	2	2	4							12	16%
Other		4			3								7	9%
TOTAL	13	14	3	8	27	13							78	105%
Who Completed Form	Month and Number of Responses												Total to Date	% of Forms to Date
	Jan 2002	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec 2002
Resident/representative	5	4		3	16	7							35	47%
Family Member	1				4	2							7	9%
Staff member	6	10	4	4	3	4							31	42%
Other					1								1	1%
TOTAL	12	14	4	7	24	13							74	100%
Action Taken	Month and Number of Responses												Total to Date	% of Forms to Date
	Jan 2002	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec 2002
No action	2	3	2	4	2	5							18	24%
Reviewed procedures	4	3	2		18	4							31	42%
Staff training	2	1			4								7	9%
Repairs or maintenance	4	2											6	8%
New equipment		1			1								2	3%
Consult with resie/rep	3	3			1								7	9%
Consult with staff	2	2		3	1	4							12	16%
Other
TOTAL	17	15	4	7	27	13							83	112%
Outcome	Month and Number of Responses												Total to Date	% of Forms to Date
	Jan 2002	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec 2002
No action	2	3	2	4	2	5							18	24%
Improvement implemented	10	11	2	3	22	8							56	76%
IP Log completed	4	3		1	7	2							17	23%
TOTAL	16	17	4	8	31	15							91	123%