Fewer than 10 per cent of aged care operators are using the Federal Government’s voluntary standards for resident care, according to a report in The Australian.
The National Aged Care Quality Indicator Program was introduced two years ago as a voluntary program for aged care providers with the aim of providing “transparent, comparable information about quality in aged care.”
The Program allows facilities to provide data on three measurable quality indicators – pressure injuries, use of physical restraint, and unplanned weight loss.
“Data about whether they [the standards] have been met is still not public, the report in The Australian said.
It’s unclear where The Australian’s journalist, Rick Morton, who wrote the article, obtained the information about the low rate of take-up for the voluntary quality indicator program.
However, Aged & Community Services CEO Pat Sparrow provided HelloCare with a statement based on her experience with members of ACSA.
Operators already monitoring care, are highly regulated: ACSA
Ms Sparrow said some aged care providers already have their own clinical and care measures in place.
“Many aged care providers already have effective programs in place actively monitoring areas covered in The National Aged Care Quality Indicator Program (QI Program) covering clinical areas such as the management of falls and unplanned weight-loss,” she said.
The aged care industry is regulated by the Australian Aged Care Quality Agency according to the Agency’s quality standards, said Sparrow.
“A provider’s clinical and care outcomes are assessed and monitored through the current Aged Care Quality Standards (via the Australian Aged Care Quality Agency),” she said.
Ms Sparrow said the industry is moving towards a single quality framework.
“Going forward, providers are focused on the changes to aged care quality assessment following the Carnell Review, the development of the new aged care single quality framework and the announcement of the Aged Care Quality and Safety Commission.”
“With the change to a single quality framework comes an enhanced focus on a patient’s psycho-social wellbeing beyond the purely clinical focus of the voluntary code.”
What consumers think of the aged care they receive, or a loved one receives, is the most important assessment of aged care, Ms Sparrow said.
“The most important indicator in aged care is what consumers and their families think of the care they receive.
“The increased focus on consumer feedback is facilitated through Consumer Experience Reports (Australian Aged Care Quality Agency) which has so far canvassed the views of 55,000 consumers and their families. Further work is being done by COTA through their own consumer-lead consultations on the future of quality indicators and this too will be informative and important.”
Comment from Nick Ryan, CEO AACQA
Mr Nick Ryan, CEO, Australian Aged Care Quality Agency, confirmed with Hellocare that in the current financial year to date, as at 31 May 2018, the AACQA had made 48 findings of Serious Risk.
He also confirmed the data is not available online.
Mr Ryan provided the following statement:
“The Australian Aged Care Quality Agency is the Government body responsible for accrediting Commonwealth funded aged care residential homes against Accreditation Standards set by Government.
“In instances where the Australian Aged Care Quality Agency finds a residential aged care home fails to meet one or more of the expected outcomes of the Accreditation Standards, it considers whether that failure has placed, or may place the safety, health or wellbeing of a care recipient of the service at Serious Risk.
“Serious Risk is a decision made at a point in time – it is not an ongoing state. A home is given details of why the Quality Agency has made a finding of serious risk in order to take urgent action to rectify the area of poor care.
“A timetable for improvement is set and in most cases, homes demonstrate they have addressed the identified issues.
“The Quality Agency will notify the Department of Health when a Serious Risk finding is made. The Department of Health makes a decision on whether there is immediate and severe risk to care recipients and whether to impose sanctions on the approved provider of the service.
“The Quality Agency publishes a notification of a Serious Risk decision on its website. The notification includes information about the failure to meet an expected outcome of the applicable standards and the date that the Serious Risk decision was made.
“Services where Serious Risk decisions are made are monitored through the Quality Agency’s compliance monitoring activities including through unannounced visits.”
This article was updated on 25 June with a statement from AACQA.