Auditors test a control twice. Design effectiveness asks whether the control, as written, would address the risk if it were followed. Operating effectiveness asks whether it was followed, every time it should have been, across the period under review. The first is tested by reading the policy. The second is tested by sampling the records the control should have produced.
For AI the gap between the two is often wide. A model monitoring procedure can be well designed and never run, or run once at launch and not since. ISO/IEC 42001 is built around the second test: its clauses on documented information, monitoring, internal audit and corrective action all ask for evidence of operation, which a policy document alone cannot supply.
A useful rule of thumb: if a control has never produced a record you could hand to an auditor, it has only been designed. If it has never produced a finding, check whether anyone is looking before concluding that nothing is wrong.