single aged care quality framework (sacqf)
TRANSCRIPT
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
Where does Standard 1 currently sit?
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
The organisation demonstrates the following:
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
The organisation demonstrates the following:
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
Where does Standard 2 currently sit?
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
Where does Standard 2 currently sit?
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
ORGANISATION STATEMENT
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
The organisation demonstrates the following:
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
The organisation demonstrates the following:
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
Where does Standard 3 currently sit?
RESIDENTIAL CARE
Standard 3
Continuous Improvement 1.5 Planning and Leadership
1.7 Inventory and Equipment 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
Where does Standard 3 currently sit?
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
ORGANISATION STATEMENT:
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
REQUIREMENTS
The organisation demonstrates the following:
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
The organisation demonstrates the following:
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
Where does Standard 4 currently sit?
RESIDENTIAL CARE
Standard 4
Continuous Improvement 1.5 Planning and Leadership
1.7 Inventory and Equipment 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
3.7 Leisure interests & activities 3.9 Choice & Decision Making
3.8 Cultural & Spiritual Life
2.10 Nutrition and Hydration
4.4 Living Environment 4.8 Catering, cleaning and Laundry
Where does Standard 4 currently sit?
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
ORGANISATION STATEMENT:
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
The organisation demonstrates the following:
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
Where does Standard 5 currently sit?
RESIDENTIAL CARE
Standard 5
Continuous Improvement 1.5 Planning and Leadership
1.7 Inventory and Equipment 1.9 External Services
3.5 Independence 3.7 Leisure Interests & Activities
3.8 Cultural & Spiritual Life
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
ORGANISATION STATEMENT
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
The organisation demonstrates the following:
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
Where does Standard 6 currently sit?
RESIDENTIAL CARE
Standard 6
Continuous Improvement 1.5 Planning and Leadership
1.4 Comments and Complaints
3.4 Emotional Support 3.8 Cultural and Spiritual Life
Where does Standard 6 currently sit?
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
ORGANISATION STATEMENT
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
The organisation demonstrates the following:
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
Where does Standard 7 currently sit?
RESIDENTIAL CARE
Standard 7
Continuous Improvement 1.5 Planning and Leadership
1.3, 2.3, 3.3, 4.3 Education and Staff Development
1.6 Human Resource Management
Where does Standard 7 currently sit?
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
ORGANISATION STATEMENT
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
The organisation demonstrates the following:
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
The organisation demonstrates the following:
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
The organisation demonstrates the following:
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
Where does Standard 8 currently sit?
RESIDENTIAL CARE
Standard 8
Continuous Improvement 1.5 Planning and Leadership
1.2 Regulatory Compliance 1.8 Information Systems
4.7 Infection Control 4.4 Living Environment
Where does Standard 8 currently sit?
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]
Leading Age Services Australia (LASA)
is the national peak body representing all providers of age services
across residential care, home care and retirement living.