Response 475101342

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Introduction

2. Are you answering on behalf of an organisation? If so, please provide your organisation's name.

Please select one item
Yes
Ticked No

3. Do you give consent for your submission to be published in whole or in part?

Please select one item
(Required)
Ticked Yes
No

More detail about you

4. What role best describes you? Please select all that apply.

Please select all that apply
Aged care consumer, including family and/or carer
Aged care service provider
Ticked Aged care worker/professional
Aged care advocate
Peak body - consumer
Peak body - provider
Peak body - professional
Other - please specify below

6. Where do you live, or, where does your organisation operate? Please select all that apply.

Please select all that apply
NSW
VIC
QLD
WA
Ticked SA
TAS
ACT
NT

7. What is your location, or, the location where your organisation operates. Please select all that apply.

Please select all that apply
Ticked Metropolitan
Ticked Regional
Rural/Remote

8. If you are an aged care service provider, please select all the types of care your service delivers.

Please select all that apply
Ticked Residential care
Ticked Home care
Ticked Commonwealth Home Support Programme services
Transition care
National Aboriginal and Torres Strait Islander Program services
Multi-purpose services
Innovative care services
Short term restorative care services

9. If you are an aged care service provider, which option below best describes the size of your organisation?

Please select one item
Small
Ticked Medium
Large
Very large

General questions about the draft standards

10. Do the consumer outcomes in the draft standards reflect the matters that are most important to consumers?

Please select one item
Yes, always
Yes, mostly
Ticked Yes, sometimes
No
Don't know
Text box for suggestions about improving consumer outcomes
I feel that the new standards have the potential to be a a step forward. Increasing the focus on Quality of Life, and on outcomes is a positive move - provided that this focus survives the practice and processes guide development. There is a tendency (eg the community care common service standards) to draw back from outcome towards processes when it comes time to measure the expected outcomes. Its important that this tendency is curbed, the prime example of how this become problematic is the current aged care EO 1.5 which has become the process of placing a mission statement on the wall instead of the outcome of governance, much to every one detriment

11. Are the organisation statements and requirements in the draft standards achievable for providers?

Please select one item
Yes, always
Ticked Yes, mostly
Yes, sometimes
No
Don't know
Suggestions - are organisational statements and requirements achievable
The wording could be improved but the concepts are generally sound. but i think the real question here is can a quality agency assessor measure these statements outcomes? again flagging the issue that process can be used as a poor indicator of outcome because from an assessment perspective its easier. Another concern is that the intent of how this is mapped out isn't made clear at this point (which is understandable) but the key issue is - will this new approach be more efficient and effective. Comprehensive is great, but the current burden of accreditation and the contracting funding environment, current we divert resources from better practice to compliance to meet the regulatory framework, if this becomes a 70 expected outcome system with higher compliance burden more resources will be redirected to compliance and less to genuine improvement. I'm a quality manager and despite being a progressive and innovative provider we have a backlog of evidence based improvements that I fight compliance requirements to get to in my workload.

12. Are the draft standards measurable?

Please select one item
Yes, always
Yes, mostly
Yes, sometimes
No
Ticked Don't know
Text box - suggestions are draft standards measurable
I believe that outcome based standards can be measured and that the common care standards were a significant movement in this direction from residential standards. I think this challenge is one for the agency of future contract assessors. In the end providers will be shaped in how they respond by how enlightened the assessors are and how able they are to move to outcome measures (as opposed to process)

13. Are there any gaps in the draft standards? If so, what are they?

Please select one item
Ticked Yes
No
Text Box for gaps in draft standards
I feel that the standards are reasonable but have missed the mark in some areas. I get the importance of microbiological stewardship - this will be critical population health in the next 20years. That said this topic is primarily (95%+) a GP / Prescription issue and bundling it into the standards will result in a bucket of resources being wasted on the least relevant 5%, and re-directing resources for more important but harder to demonstrate areas like Quality of Life for the aged. I accept no one wants resistant strains in facilities and more importantly resident suffering as a result. But lets face it if GP over prescription and poor hospital maintenance aren't effectively addressed efforts in aged care are farcical.

14. Is the wording and the intent of the draft standards clear?

Please select one item
Yes, always
Yes, mostly
Ticked Yes, sometimes
No
Don't know
Text box for suggestions about how wording and intent could be improved
I acknowledge the complexity of what is being undertaken and wording is such a detail. That said there is a degree of vague that isnt helpful - eg regularly is that annual or daily? The language is also fairly poor in terms of co-production concepts - refinement in this area would improve the intent to support a more collaborative interaction between providers and recipients. if this isnt addressed it actually makes it harder for those who are working in this space

15. Are any draft standards or requirements NOT relevant to the following services? If so, please provide details below.

Text box reason why stanard is not relevant
I understand the reasoning but being a provider of a number of services the fundamental differences between for example residential care and home care are radical on the ground and while the standards might be applicable if outcome focused enough the relative weights of importance will be radically different and the measures that need to be applied

Specific suggestions about each draft standard

16. Do you have any specific suggestions in relation to draft Standard 1: Consumer dignity, autonomy and choice? If so, what are they?

Text box Standard 1 Consumer dignity, autonomy and choice
Maybe consider Quality of Life which is a recipient weighted mix of all of these sorts of concepts, ie let the recipient determine if the needs important to them are being met, rather than prescribe. I would also indicate that discussion in this area has been able effective consumer CONTROL as opposed to consumer CHOICE. With the shift towards Consumer Direct Care maybe this needs an update

17. Do you have any specific suggestions in relation to draft Standard 2: Ongoing assessment and planning with consumers? If so, what are they?

Text box suggestions in relation to draft Standard 2: Ongoing assessment and planning with consumers
A junior, silent partner? Again a wording update, perhaps consider I am able to shape the planning and deliver of my care services to meet my life priorities / Quality of Life outcomes. Tighten your wording, consider CONTROL and increase measureability even if it's only from an outcomes side, consider also degree of capacity and WILLINGNESS, some consumers choose not to be n active decision maker and this is also valid if it's the expressed preference - not every individual wants to be a case manager.

18. Do you have any specific suggestions in relation to draft Standard 3: Delivering personal care and/or clinical care? If so, what are they?

Text box suggestions in relation to draft Standard 3: Delivering personal care and/or clinical care
3.8b again this sticks out as out of context - yes an very important issue but not an outcome on the same level as the rest of the standards. This needs adjusting and lets face it this needs to be applied to GPs of 95% of the outcome to be acheived

19. Do you have any specific suggestions in relation to draft Standard 4: Delivering lifestyle services and supports? If so, what are they?

Text box suggestions in relation to draft Standard 4: Delivering lifestyle services and supports
well done - I agree the focus should be on quality of Life (not quality of Care)

20. Do you have any specific suggestions in relation to draft Standard 5: Service environment? If so, what are they?

Text box - specific suggestions in relation to draft Standard 5: Service environment
this feels a bit confused is this about promotion of independence or about a safe physical environment? a rewrite of the organisation statement would seem needed

21. Do you have any specific suggestions in relation to draft Standard 6: Feedback and complaints? If so, what are they?

Text box suggestions in relation to draft Standard 6: Feedback and complaints
More pro active please - wheres the co-production at the start not the the complaint at the end this area in particular is well behind the leaders in the industry - look at input to service design, collaborative problem resoultion and collaborative problems solving / priority setting with recipeit involvment, complaints come into play in the last 5%