Criterion 7 · Feedback and complaintsMajor non-conformityNew-entrant accommodation

Indicator 32 — Continuous improvement

You must implement improvement measures drawn from the analysis of the feedback and complaints collected, and demonstrate that this quality loop works over time.

Applies to: OF · CFA · VAE · CBC

What the auditor actually checks

Indicator 32 closes the framework and criterion 7: it verifies that the collected feedback (indicator 30) and handled complaints (indicator 31) produce real change. It is the proof-by-action indicator: the auditor does not want a quality statement of intent, they want to follow the full thread of at least one improvement:

  1. The source: a survey verbatim, a falling average, a complaint, a funder's remark, an internal finding.
  2. The analysis: why this point is a problem, which cause was identified.
  3. The action: what was changed — a rebuilt deck, an adjusted duration, a new format, a change of room or tool.
  4. The verification: the effect measured on subsequent sessions (the score rises, no further remark on that point).

At a new entrant's initial audit, the reading guide's accommodation applies: with no session history, you present the planned system (a ready improvement plan, a defined circuit). Real implementation is checked at the surveillance audit — hence the importance of making the plan live from your first sessions.

Achieving compliance, step by step

1. Create your continuous improvement plan

A single table: number, date, source (questionnaire, complaint, watch, internal audit), finding, decided action, owner, deadline, status, observed effect. It is criterion 7's central document — the auditor will ask for it within the first five minutes on this indicator.

2. Feed it at a defined rhythm

Set a quarterly review (or after each session while starting up): re-read the indicator 30 compilations and the indicator 31 register, open a row for each significant point. Three to six rows a year suffice for a small structure — what matters is that they are real and followed through to the "effect" column.

3. Close the loops

A row forever "in progress" is worth nothing. Date the closures and note the effect: "logistics score up from 3.6 to 4.4 over the next two sessions". That kind of wording turns an administrative table into proof of effectiveness.

4. Tie the whole of criterion 7 together

Before the audit, verify the cross-traceability: every improvement must trace back to its source (a specific questionnaire, a numbered complaint), and your published results (indicator 2) must reflect the claimed progress.

Field advice

The auditor often picks a row of your plan themselves and walks the thread back to the source questionnaire. So prepare two or three complete, impeccable loops rather than a twenty-row approximate table. And think beyond questionnaires: an improvement born from your watch (indicators 23-25) or a well-handled incident shows a quality system that breathes.

Evidence file

The evidence the auditor expects

  1. P.1Continuous improvement plan kept up to date (source, finding, action, owner, deadline, effect)
  2. P.2Questionnaire compilations and complaints register from which the actions derive
  3. P.3Examples of complete loops: verbatim or complaint → analysis → action → measured effect
  4. P.4Summaries of periodic quality reviews (quarterly or post-session)
  5. P.5Successive versions of a deck or programme changed after feedback
  6. P.6For a new entrant: a formalised, ready-to-use system (structured blank plan, review procedure)
Points of vigilance

Common mistakes in audits

  • Presenting a declarative quality policy with no concrete traced action
  • Keeping an improvement plan where no row is ever closed or measured
  • Being unable to trace improvement actions back to their source (questionnaire, complaint)
  • Creating the whole table the week of the audit, with dates inconsistent with the sessions
  • Ignoring the other improvement sources: watch, incidents, funders' remarks, internal audits
Frequently asked questions

FAQ — indicator 32

+How do you pass indicator 32 at the initial audit with no history?

The new-entrant accommodation applies: present your structured improvement plan, the review procedure and the planned link with questionnaires and complaints. Real application is verified at the surveillance audit, around 18 months in.

+How many improvement actions are needed per year?

No quota exists. For a small structure, three to six real, documented loops a year — at least one followed through to a measured effect — convince far more than a bulky but hollow table.

+What is the auditor's typical question on continuous improvement?

"Show me a recent improvement and where it came from." They often pick a row of your plan and walk back to the source questionnaire or complaint. Prepare two or three complete, consistent threads.

Same criterion