Mambourin_2024-25 Annual Report

ANNUAL REPORT : 2024/2025

SAFEGUARDING • Partnership with VALID Advocacy services. • Development of a new Mambourin Charter of Rights and Responsibilities. • New consent and privacy agreements for participants. • Training designed to enhance employees’ skills in human rights, risk management, and professional boundaries. • Collaboration in partnerships with participants and carer representatives. GOVERNANCE 1. Policy statements and procedures – 100% review and rewrite with new document control system. 2. Governance and risk – development of Emergency and Disaster Management Business Continuity Plan, Risk Management Framework and Crisis Management Communication Strategy, revision of care and support plans, all to align to best practice governance. 3. Mambourin Clinical Governance Framework developed. 3.

Total number of training hours across the organisation

Total number of e-Learning training modules

Total number of hours of face-to-face training

4,973 HOURS

3,256 HOURS

1,587 HOURS

Quality Safeguarding and Governance QUALITY With a robust Quality Management System (QMS) incorporating our audit program, internal and external benchmarking, compliance registers, document reviews and controls, and a reporting schedule, we support a transparent and inclusive process. Our QMS aligns with NDIS standards, ensuring high-quality and safe supports for participants. Our focus is on providing information that is easy to read and understand, promoting clarity and accessibility for all stakeholders.

We are listening : surveys Total number of surveys completed

Audits

31 internal audits completed over the year

31 MOA audits completed over the year

Participant survey

Staff culture and sentiment survey

Employee and participant pulse surveys conducted

Annual participant and carer representative

Per YEAR 1

Per YEAR 1

Per YEAR 2

Per YEAR 1

23

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