single aged care quality framework (sacqf)

Single Aged Care Quality Framework (SACQF) -

what you need to know

What will you get out of today?

An understanding of the new guidelines

Why we have a new quality framework

How the standards work together

What’s the same and what’s different

What you need to do now

What you don’t need to do now

Objectives of Masterclass

A change in direction

The Australian Government is committed to high quality care for older Australians and considers the health, safety and welfare of aged care

recipients a high priority.

As part of reforms to the Aged Care system, the Government is developing an end-to-end, market-based system with the sector where the consumer drives

quality. This includes a Single Aged Care Quality Framework.

Commitment

The quality standards for aged care are an important part

of the broader aged care systemthey promote consumer

confidence that Australian Government funded aged care

is safe and of a consistent quality. The standards support

consumers by setting out core expectations for the safety

and quality of care and services. Organisations can then

demonstrate their performance against the standards and

their performance can be assessed.

Quality Standards for aged care

The Single Quality Framework will:

Increase the focus on quality outcomes for consumers

Recognise the diversity of service providers and consumers

Better target assessment activities based on risk

Reflect best practice regulation

It is hoped that the new framework will encourage innovation and excellence in care provision

What the framework will DO!

There are currently four sets of AGED CARE STANDARDS

Accreditation Standards (Residential Aged Care & STRC delivered in a residential setting)

Home Care Standards (Home Care, STRC delivered in a home setting and care delivered under the CHSP)

National Aboriginal & Torres Strait Islander Flexible Aged Care Program Quality Framework – NATSIFACPQFS (for care delivered under the National Aboriginal & Torres Strait Islander Flexible Aged Care Program, NATSIFACP)

Transition Care Standards (for flexible care providers delivering transition care)

Consider the now..

The SACQF is intended to build on 3 pillars

A single set of aged care standards operating across ALL aged care services

A streamlined approach to assessing Provider performance against the Standards

Improved information on quality to assist consumers to make choices regarding the care and services they need

The future – why the change?

There will be flexibility in how the standards are applied

Different service types will attract different measures within the standards

The standards have been structured so that aged care providers will only have to meet the standards that are relevant to the type of care and services they provide and the environment in which services are delivered.

How will the framework apply

CONSUMER FOCUSED

QUALITY STANDARDS

GOAL

The NEW Aged Care Quality Standards will FOCUS on QUALTY outcomes for CONSUMERS rather than provider focus…..

Why & What?

Standard 1 – Consumer dignity and choice

Standard 2 – Ongoing assessment and planning with consumers

Standard 3 – Personal care and clinical care

Standard 4 – Services and supports for daily living

Standard 5 – Organisation’s service environment

Standard 6 – Feedback and Complaints

Standard 7 – Human Resources

Standard 8 – Organisational governance

THE STANDARDS

Consumer Dignity and Choice

I am treated with dignity and respect, and can

maintain my identity. I can make informed

choices about my care and services, and live the

life I choose.

Services and supports for daily living

I get the services and supports that are important

for my health and wellbeing and that enable me

to do the things I want to do.

Organisational Governance

I am confident the organization is well run.

I am a partner in improving the delivery of care

and services.

Ongoing assessment and planning

with consumers

I am a partner in ongoing assessment and

planning that helps me get the care and services

I need for my health and wellbeing.

Feedback and Complaints

I feel safe and am encouraged and supported to

give feedback and complaints. I am engaged in

processes to address my feedback and

complaints, and appropriate action is taken.

All providers need to comply with:

Human Resources

I get quality care and services when I need

them, from people who are knowledgeable,

capable and caring

Standards 3 & 5

Personal Care and Clinical Care

I get personal care and/or clinical care that is safe and right for me

This standard will only apply to organisations that provide personal and/or clinical care

Organisation’s service environment

I feel I belong and I am safe and comfortable in the organisation’s service

environment

This standard will only apply where the provider is delivering care and services in the

organisations environment – ie, Residential Aged Care Facility. An organisation’s

service environment DOES NOT include a person’s privately owned/occupied home.

What you already have

P&P’s you should already have!!

Quality Improvement Internal Assessments

Business Planning Financial Management

Human Resources Education

Staff Development Information Management

Social Media Supplier

Asset Management Office Equipment

Professional Care Practice ACFI

Medication Management Palliative Care

Continence Management Behaviour Management

Skin Care Diabetes

Mobility Wound Management

Sensory Loss Mandatory Education

Pain Management Dietary requirements

P&P’s you should already have!!

Lifestyle Restraint

Volunteer Program Culturally Appropriate Care

WH&S Maintenance

Infection Control Emergency

Manual Handling Catering

Food Safety Program Laundry

Cleaning

Complaints & Compliments

Referrals

Standards Overview

How the standards work together

EACH STANDARD HAS:

Consumer Outcome

Statement of outcome for the consumer

Organisation Statement

Statement of expectation for the organisation

Requirements

Organisational requirements to demonstrate the Standard

The Standards

needs are intended to reflect the care and service requirements of the consumer

goals are intended to reflect the future needs or ambitions of the consumer

preferences are intended to reflect how the consumer wishes to have care and services delivered.

For example, a consumer may:

need support to shower

have a goal to shower as independently as possible

have a preference to be supported to shower in the morning by a staff member of the same gender

Consumer – needs, goals & preferences

If I get dementia, I want my friends and family to embrace my realityIf I get dementia, I don’t want to be treated like a child. Talk to me like the adult that I am.If I get dementia, I still want to enjoy the things that I’ve always enjoyed. Help me find a way to exercise, read, and visit with friends.If I get dementia, ask me to tell you a story from my past. If I get dementia, and I become agitated, take the time to figure out what is bothering me.If I get dementia, treat me the way that you would want to be treated.If I get dementia, make sure that there are plenty of snacks for me in the house. Even now if I don’t eat I get angry, and if I have dementia, I may have trouble explaining what I need.If I get dementia, don’t talk about me as if I’m not in the room.If I get dementia, don’t feel guilty if you cannot care for me 24 hours a day, 7 days a week. It’s not your fault, and you’ve done your best. Find someone who can help you, or choose a great new place for me to live.If I get dementia, and I live in a dementia care community, please visit me often.If I get dementia, don’t act frustrated if I mix up names, events, or places. Take a deep breath. It’s not my fault.If I get dementia, make sure I always have my favourite music playing within earshot. If I get dementia, and I like to pick up items and carry them around, help me return those items to their original places.If I get dementia, don't exclude me from parties and family gatherings.If I get dementia, know that I still like receiving hugs or handshakes.If I get dementia, remember that I am still the person you know and love

If I get dementia

Standard 1 – Consumer dignity and choice

CONSUMER OUTCOME

I am treated with dignity and respect, and can maintain my identity.

I can make informed choices about my care and services, and live the life I choose.

ORGANISATION STATEMENT

The organisation:

• Has a culture of inclusion and respect for consumers

• Supports consumers to exercise choice and independence

• Respects consumers’ privacy

Standard 1

CONSUMER

a person who purchases goods and services for personal use

DIGNITY

the state or quality of being worthy of honour or respect

CHOICE

an act of choosing between two or more possibilities

the right or ability to choose

a range of possibilities from which one or more may be chosen

Standard 1

What is CARE?

• Noun: the provision of what is necessary for the health, welfare, maintenance, and protection of someone or something.

• Synonyms: safe keeping, supervision, custody, charge, protection, keeping, keep, control, management, ministration, guidance

Standard 1

REQUIREMENTS

The organisation demonstrates the following:

1.1.Each consumer is treated with dignity and respect, with their identity, culture and diversity valued.

1.2.Care and services are culturally safe.

1.3.Each consumer is supported to exercise choice and independence, including to:

a) make decisions about their own care and the way care and services are delivered

b) make decisions about when family, friends, carers or others should be involved in their care

c) communicate their decisions

d) make connections with others and maintain relationships of choice, including intimate relationships.

1.4. Each consumer is supported to take risks to enable them to live the best life they can.

1.5. Information provided to each consumer is current, accurate and timely, and communicated in a way that is clear, easy to understand and enables them to exercise choice.

1.6. Each consumer’s privacy is respected and personal information kept confidential.

Standard 1

Where does Standard 1 currently sit?

RESIDENTIAL CARE

Standard 1

1.4 Continuous Improvement 1.8 Information Systems

1.2 Regulatory Compliance 1.6 Human resource management

1.3 Education 1.4 Comments and Complaints

1.5 Planning and Leadership

3.4 Emotional Support

3.5 Independence 3.6 Privacy & Dignity

3.7 Leisure interests & Activities 3.8 Cultural & Spiritual Life

3.9 Choice & Decision Making


HOME CARE

Standard 1

1.1 Corporate Governance 1.2 Regulatory compliance

1.4 Community understanding and

engagement

1.5 Continuous Improvement

1.7 Human Resource management

2.1 Service access

3.1 Information provision 3.2 Privacy and confidentiality

3.4 Advocacy 3.5 Service User independence

Standard 2 – Ongoing assessment and planning with consumers

CONSUMER OUTCOME

I am a partner in ongoing assessment and planning that helps me get the care and services I need for my health and wellbeing.

ORGANISATION STATEMENT:

The organisation undertakes initial and ongoing assessment and planning for care and services in partnership with the consumer. Assessment and planning has a focus on optimising health and wellbeing in accordance with the consumer’s needs, goals and preferences.

Standard 2

ASSESS

evaluate or estimate the nature, ability or quality of

ASSESSMENT

the action of assessing someone or something

PLANNING

the process of making plans for something

CONSUMER

a person who purchases goods and services for personal use

Standard 2

REQUIREMENTS


2.1 Assessment and planning, including consideration of risks to the consumer’s health and wellbeing, informs the delivery of safe and effective care and services

2.2 Assessment and planning identifies and addresses the consumer’s current needs, goals and preferences, including advance care planning and end of life planning if the consumer wishes

2.3 Assessment and planning:

a) Is based on ongoing partnership with the consumer and others that they wish to involve in assessment, planning and review of their care and services

b) Includes other providers, organisations and individuals involved in the care of the consumer

Standard 2

REQUIREMENTS


2.4 The outcomes of assessment and planning are effectively communicated to the consumer and documented in a care and services plan that is readily available to the consumer, and where care and services are provided

2.5 Care and services are reviewed regularly for effectiveness, and when circumstances change or when incidents impact on the needs, goals or preferences of the consumer

Standard 2


RESIDENTIAL CARE

Standard 2

Continuous Improvement 1.8 Information Systems

2.4 Clinical Care 2.5 Specialised nursing care needs

2.6 Other health and related services All of the 2s

3.4 Emotional Support 3.5 Independence

3.6 Privacy and Dignity 3.9 Choice & Decision Making

3.8 Cultural & Spiritual Life

4.7 Infection Control


HOME CARE

Standard 2

1.3 Information management systems

2.2 Assessment 2.3 Care plan development and

delivery

2.4 Service user reassessment 2.5 Service user referral

3.1 Information provision 3.2 Privacy and confidentiality

3.4 Advocacy 3.5 Service user independence

Standard 3 – Personal care and clinical care

CONSUMER OUTCOME

I get personal care and clinical care that is safe and right for me


Personal care and clinical care is safe and effective and delivered in accordance with the consumer’s needs, goals and preferences to optimise health and wellbeing

Standard 3

PERSONAL

referring to or directed at a particular person

CLINICAL

Relating to the observation and treatment of actual patients

CARE

the provision of what is necessary for the health, welfare, maintenance, and protection of someone or something.

Standard 3

REQUIREMENTS


3.1 Each consumer gets safe and effective personal care and/or clinical care that is:

a) Best practice

b) Tailored to their needs

c) Optimises their health and wellbeing

3.2 Effective management of high-impact or high-prevalence risks associated with the care of each consumer

3.3 The needs, goals and preferences of consumers nearing the end of life are recognised and addressed, their comfort maximised and their dignity preserved

3.4 Deterioration or change of a consumer’s mental health, cognitive or physical function, capacity or condition is recognised and responded to in a timely manner

Standard 3

REQUIREMENTS


3.5 Information about the consumer’s condition, needs and preferences is documented and communicated within the organisation, and with others where responsibility for care is shared

3.6 Timely and appropriate referrals to other providers, organisations and individuals

3.7 Minimisation of infection-related risks through implementing:

a. standard and transmission- based precautions to prevent and control infection

b. practices to promote appropriate antibiotic prescribing and use to support optimal care and reduce the risk of increasing resistance to antibiotics

Standard 3


RESIDENTIAL CARE

Standard 3

Continuous Improvement 1.5 Planning and Leadership

1.7 Inventory and Equipment 1.8 Information Systems




3.6 Privacy and Dignity 3.9 Choice & Decision Making


4.7 Infection Control


HOME CARE

Standard 3

1.3 Information management systems 1.6 Risk management

1.7 Human Resource management 1.8 Physical resources

2.3 Care plan development and

delivery

2.5 Service user referral

3.5 Service user independence

Standard 4 – Services and supports for daily living*

CONSUMER OUTCOME:

I get the services and supports that are important for my health and wellbeing and that enable me to do the things I want to do


The organisation provides safe and effective services and supports that optimise the consumer’s independence, health, wellbeing and quality of life

*Services and supports for living include, but are not limited to, food services, domestic assistance, home maintenance, transport, recreational and social activities

Standard 4

SERVICES

Intangible products such as accounting, banking, cleaning, consultancy, education, insurance, expertise, medical treatment, or transportation.

Sometimes services are difficult to identify because they are closely associated with a good; such as the combination of a diagnosis with the administration of a medicine. No transfer of possession or ownership takes place when services are sold, and they (1) cannot be stored or transported, (2) are instantly perishable, and (3) come into existence at the time they are bought and consumed.

SUPPORTS

Give assistance to

Standard 4

http://www.businessdictionary.com/definition/accounting.html

http://www.businessdictionary.com/definition/education.html

http://www.businessdictionary.com/definition/insurance.html

http://www.businessdictionary.com/definition/expertise.html

http://www.businessdictionary.com/definition/transportation.html

http://www.businessdictionary.com/definition/associated.html

http://www.businessdictionary.com/definition/combination.html

http://www.businessdictionary.com/definition/diagnosis.html

http://www.businessdictionary.com/definition/administration.html

http://www.businessdictionary.com/definition/transfer.html

http://www.businessdictionary.com/definition/possession.html

http://www.businessdictionary.com/definition/ownership.html

http://www.businessdictionary.com/definition/perishable.html

http://www.businessdictionary.com/definition/bought.html

REQUIREMENTS


4.1 Each consumer gets safe and effective services and supports for daily living that meet the consumer’s needs, goals and preferences and optimise their independence, health, wellbeing and quality of life

4.2 Services and supports for daily-living promote each consumer’s emotional, spiritual and psychological wellbeing

4.3 Services and supports for daily living assist each consumer to:

a) Participate in their community within and outside the service

b) Have social and personal relationships

c) Do the things of interest to them

Standard 4

REQUIREMENTS


4.4 Information about the consumer’s condition, needs and preferences is communicated within the organisation, and with others where responsibility for care is shared

4.5 Timely and appropriate referrals to other providers, organisations and individuals

4.6 Where meals are provided, they are varied and of suitable quality and quantity

4.7 Where equipment is provided, it is safe, suitable, clean and well maintained

*Services and supports for living include, but are not limited to, food services, domestic assistance, home maintenance, transport, recreational and social activities.

Standard 4


RESIDENTIAL CARE

Standard 4


1.7 Inventory and Equipment 1.8 Information Systems




3.7 Leisure interests & activities 3.9 Choice & Decision Making


2.10 Nutrition and Hydration

4.4 Living Environment 4.8 Catering, cleaning and Laundry


HOME CARE

Standard 4

1.3 Information management systems 1.6 Risk management

1.7 Human resource management 1.8 Physical resources

2.3 Care plan development and

delivery

2.5 Service user referral

3.5 Service user independence

Standard 5 – Organisation’s service environment*

CONSUMER OUTCOME:

I feel I belong and I am safe and comfortable in the organisation’s service environment


The organisation provides a safe and comfortable service environment that promotes the consumer’s independence, function and enjoyment

*An organisation’s service environment DOES NOT include a person’s privately owned/occupied home through which in-home services are provided

Standard 5

ORGANISATION

A social unity of people that is structured and managed to meet a need

SERVICE

A system supplying a public need

ENVIRONMENT

The surroundings or conditions in which a person, lives or operates

Standard 5

REQUIREMENTS


5.1 A service environment that is welcoming and easy to understand, and optimises each consumer’s sense of belonging, independence, interaction and function

5.2 The service environment:

a) Is safe, clean, well maintained and comfortable

b) Enables consumers to move freely, both indoors and outdoors

5.3 Furniture, fittings and equipment are safe, clean, well maintained and suitable for the consumer

*An organisation’s service environment refers to the physical environment through which care and services are delivered, including aged care homes, cottage style respite services and day centres. An organisation’s service environment does not include a person’s privately owned/occupied home through which in-home services are provided.

Standard 5


RESIDENTIAL CARE

Standard 5


1.7 Inventory and Equipment 1.9 External Services

3.5 Independence 3.7 Leisure Interests & Activities


4.4 Living Environment 4.5 OH&S

4.6 Fire, Security and other

Emergencies

CHSP service types such as cottage respite and day centre respite will need to be assessed against this standard similar to residential care even though these services are classified as home care rather than residential care services

Standard 5 – Home care

Standard 6 – Feedback and complaintsCONSUMER OUTCOME

I feel safe and am encouraged and supported to give feedback and make complaints. I am engaged in processes to address my feedback and complaints, and appropriate action is taken


Regular input and feedback from consumers, carers, the workforce and others is sought and is used to inform individual and organisation-wide continuous improvement

Standard 6

FEEDBACK

Information about reactions to a product, a person’s performance of a task etc, which is used as a basis for improvement

COMPLAINTS

A statement that something is unsatisfactory or unacceptable

Standard 6

REQUIREMENTS


6.1 Consumers, their family, friends, carers and others are encouraged and supported to provide feedback and make complaints

6.2 Consumers are made aware of and have access to advocates, language services and other methods for raising and resolving complaints

6.3 Appropriate action is taken in response to complaints and an open disclosure process is used when things go wrong

6.4 Feedback and complaints are reviewed and used to improve the quality of care and services

Standard 6


RESIDENTIAL CARE

Standard 6


1.4 Comments and Complaints

3.4 Emotional Support 3.8 Cultural and Spiritual Life


HOME CARE

Standard 6

3.3 Complaints and service user

feedback

Standard 7 – Human ResourcesCONSUMER OUTCOME

I get quality care and services when I need them from people who are knowledgeable, capable and caring


The organisation has sufficient skilled and qualified workforce to provide safe, respectful and quality care and services

Standard 7

HUMAN RESOURCES

The personnel of a business or organisation, regarded as a significant asset in terms of skills and abilities

Standard 7

REQUIREMENTS


7.1 The workforce is planned and the number and mix of staff deployed enables the delivery and management of safe and quality care and services

7.2 Workforce interactions with consumers are kind, caring and respectful of each consumer’s identity, culture and diversity

7.3 The workforce is competent and has the qualifications and knowledge to effectively perform their role

7.4 The workforce is recruited, trained, equipped and supported to deliver the outcomes required by these standards

7.5 Regular assessment, monitoring and review of the performance of each member of the workforce

Standard 7


RESIDENTIAL CARE

Standard 7


1.3, 2.3, 3.3, 4.3 Education and Staff Development

1.6 Human Resource Management


HOME CARE

Standard 7

1.7 Human resource management

Standard 8 – Organisational Governance

CONSUMER OUTCOME:

I am confident the organisation is well run. I am a partner in improving the delivery of care and services


The governing body is accountable for safe and quality care and services

Standard 8

ORGANISATION

A social unity of people that is structured and managed to meet a need

GOVERNANCE

Establishment of policies, and continuous monitoring of their proper implementation, by the members of the governing body of an organisation. It includes the mechanisms required to balance the powers of the members (with the associated accountability), and their primary duty of enhancing the prosperity and viability of the organisation

Standard 8

REQUIREMENTS


8.1 Engaging consumers in the development, delivery and evaluation of care and services (including supporting consumers to do so)

8.2 The organisation’s governing body promotes a culture of safe, inclusive and quality care and services and is accountable for their delivery

Standard 8

REQUIREMENTS


8.3.Effective organisation wide governance systems relating to:

a) Information management

b) Continuous improvement

c) Financial governance

d) Workforce governance, including to assign clear responsibilities and accountabilities

e) Regulatory compliance

f) Risk management, including but not limited to:

Managing high impact or high prevalence risks associate with the care of consumers

Identifying and responding to abuse and neglect of consumers

Supporting consumers to live the best life they can

Standard 8

REQUIREMENTS


g. feedback and complaints

h. a clinical governance framework (where clinical care is provided), including but not limited to:

Antimicrobial stewardship

Minimising the use of restraint

Open disclosure

Standard 8

"There is a complacent culture, dismissive of regulators, an ineffective board that lacked zeal and failed to provide oversight, a lack of accountability and ownership of key risks by senior executives, a remuneration framework that had no bite and they were reactive, slow, and had under resourced systems and processes internally,” Mr Morrison said.

"Being a board member was not a retirement job, it’s a very serious job".

'I have witnessed some extraordinary examples of (well-intentioned) end-of-career individuals 'winding down' into a leadership or Director role of a large for-purpose organisation, not realising how intense such roles can be. Especially when you are providing crucial services to vulnerable people’.

Importance of Governance


RESIDENTIAL CARE

Standard 8


1.2 Regulatory Compliance 1.8 Information Systems

4.7 Infection Control 4.4 Living Environment


HOME CARE

Standard 8

1.1 Corporate Governance 1.2 Regulatory compliance

1.3 Information management systems 1.5 Continuous Improvement

1.6 Risk management

How do you feel?

QUESTIONS

Sharyn McIlwain – 1300 111 636 or [email protected]

Veronica Jamison– 1300 111 636 or [email protected]

mailto:[email protected]

mailto:[email protected]

Leading Age Services Australia (LASA)

is the national peak body representing all providers of age services

across residential care, home care and retirement living.

single aged care quality framework (sacqf)

Documents