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NDIS corrective action plan and non-conformity rectification

Strengthening NDIS compliance to support quality, accountability and continuous improvement

Client:
For profit provider

A registered NDIS provider that had recently completed a Stage 2 audit to expand its registration groups, including supported independent living (SIL), specialist disability accommodation (SDA) and high-intensity supports. The Stage 2 audit identified a number of non-conformances requiring structured remediation and validation against the NDIS Practice Standards. A large number of non-conformities with the NDIS Practice Stardards were reported.

HealthQ used our experience and understanding as NDIS consultants to identify the root cause for each non-conformance and developed a comprehensive action plan comprising 35 discrete actions.  We supported the completion of actions, attended the follow-up audit and were instrumental in registration being achieved.

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Activities Included

  • Development of a Corrective Action Plan
  • Developing a tailored internal audit framework aligned to the NDIS Practice Standards
  • Reviewing policies, procedures and key service agreement templates
  • Supporting evidence collation and alignment to audit requirements
  • Assisting with the progression and closure of identified non‑conformances with the external auditor
  • Embedding a clear, prioritised action plan to guide implementation

Process

The work followed a structured process that began with developing a clear and actionable roadmap to systematically address audit findings and strengthen compliance. This was supported by a detailed review and alignment of policies, procedures and service agreements to ensure they reflected NDIS requirements in a consistent and practical way. As implementation progressed, the organisation built confidence in managing audit obligations and engaging with auditors, supported by clearer evidence, improved documentation and a more coordinated approach. The process concluded with the establishment of a sustainable internal audit framework, embedding ongoing monitoring and continuous improvement as part of day to day practice

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Outcome

This project enabled the NDIS provider to move beyond responding to audit findings toward building a proactive, internally driven compliance system. By focusing on both immediate actions and longer-term capability, the organisation was better positioned to maintain registration, manage future audits and deliver high-quality, compliant supports.

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