Assessment procedures objectives and means contracts (CPOM) of day care services and retirement homes. These• I n Portugal, public authorities, social security establishments. In 2024, 79 external evaluations two bodies ensure that the dignity and rights regional health administration, food safety, etc., To ensure compliance with applicable regulations were carried out, 66% of which demonstrated of those in care are respected, paying particular carry out checks at a frequency ranging from one to and DomusVi standards, regular and unannounced compliance with the mandatory criteria (compared attention to their independence and ability to parti- six visits per year, or whenever there is a complaint checks are carried out in our facilities. These checks with 25% at sector level, 2023 figure). The overall cipate in decisions that affect their lives. In 2024, or request for avisit by any of the authoriti es. enable us to identify any malfunctions and put score for these evaluations was 3,91/4 (compared these bodies carried out 148 inspctions in advita An internal audit is carried out at a frequency e corrective action plans in place. to 3,68 at the sector level in 2023), with increasingly establishments, resulting in recommendations linked to theidentification of internal needs and Several levels of checks, both internal and external, stringent requirements from evaluators in 2024. which, where necessary, were the subject of an ad the annual audit plan, either quarterly or monthly, are planned: As part ofthe government’s EHPAD control plan hoc remedial plan. focusing on the areas of compliance assessment launched in 2022, the Regional Health Authorities targeted by the public authorities. This ensures a • Self-assessment: the management committees (ARS) and Departmental Councils (CD) found • I n Chile, the Regional Ministerial Secretariat comprehensive audit every six months. of the establishments (or agencies) carry out that no Domusvi establishments were amon theg (SEREMI), under the supervision of the Ministry self-assessments under the supervision of the approximately 11% of establishments considered of Health, carries out inspections to ensure Country Quality Departments. These assess- to be in a deteriorated state, and none were compliance with health standards to verify that ments cover regulatory obligations and Domu isV among the 40 establishments that were reported facilities and operations comply with Supreme standards on the following topics: quality of service to the Public Prosecutor. ISO certification is not Decree No. 14 DS n( No. 20 of October 2025) o and care, human resources, health & safety (staff, mandatory in France. long-term care facilities for the elderly. buildings, food) and accommodation. The results The internal audit plans carried out by the Quality are systematically analysed by the country’s• I n Spain, establishments are required to be ISO 9001 certified, an international standard Department of Acalis cover critical care processes Quality Departments. and good manufacturing practices in food processing defining theprinciples of quality management • Quality audits: in the event of non-compliance (customer focus, management commitment, plants, in accordance with internal control processes with regulations, norms or DomusVi standards, process approach and continuous improvement). and audit requirements set by the Chilean Safety and at least once a year, the Country Quality Inspections by public authorities mainly focus on Association (ACHS) and the Mutual de Seguridad Departments conduct quality audits to determine, issues relating to social welfare, health and work. (Sociedad Mutual de Seguridad). in collaboration with the management committees During 2024, 886 inspections (837 in 2023) were • I n the Netherlands, the General Inspectorate of the establishments (or agencies), the regional carried out by the Spanish public authorities. of Health and Youth (IGJ), a department of the directors and the directors of operations, the The audits carried out by the Quality & Environment Ministry of Health, Welfareand Sport, is responsible action plans to be implemented. A quality audit is Department respond to non-compliance identified for monitoring the quality, safety and accessi- systematically triggered when a facility is taken either by the Department or following inspec- bility of health and youth care services in the over, following a complaint or material clai ,m tions and include (in addition to compliance with Netherlands. The IGJ carries out announced and or after a satisfaction survey whose results are regulations and our internal procedures) d visits to healthcare institutio. unannounce ns insufficient in relation to the Group’s standards. verification of compliance with the requirements During these inspections, it assesses whether the • Specific internal audits: the Group may also of ISO 9001 and ISO 14001 environmental standards. care provided meets legal and professional stan- conduct an internal audit on specific topics based • I n Germany, the medical service (‘Medizinischer dards. Inspectors may interview staff and clients, on the Group’s risk mapping or at the request of Dienst’), an independent assessment body for examine files and observe practices on site. the management of a country. In 2024, four internal health and long-term care insurance, carries out • I n Ireland, the Health Information and Quality audits were conducted on cross-functionalannual inspections of the care facilities managed Authority (HIQA) conducts at least one general operational topics. by advita. inspection per year and, in some cases, In addition, in every country where we operate, public These inspections mainly focus on the quality half-yearly inspections of regulations and authorities regularly carry out their own checks. of care and its compliance with professional standards, or thematic inspections in the area standards. Inspection reports are published and of coercive practices. In 2024, inspections • I n France, the evaluation framework of the Haute specific to infection control were carried o.ut Autorité de Santé (HAS) defines a five-yearmade available toclients and their families. In some Länder (autonomous regions or cities), a Compliance plans are submitted to the Authority evaluation cycle, aligned, where applicab,le for all significant non-compliant areas, within time with the evaluation schedule set out in thesupervisory authority for accommodation facilities - (‘Heimaufsicht’) is responsible for monitoring frames prescribed by the Authority. 120 121 4202 TROPER YTILIBANIATSUSSEGNELLAHC ECNANREVOG RUO