Response 69572576

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Introduction

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

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Yes
No

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

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(Required)
Yes
No

More detail about you

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

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Aged care consumer, including family and/or carer
Aged care service provider
Aged care worker/professional
Aged care advocate
Peak body - consumer
Peak body - provider
Peak body - professional
Other - please specify below
GP

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

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NSW
VIC
QLD
WA
SA
TAS
ACT
NT

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

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Metropolitan
Regional
Rural/Remote

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
Yes, sometimes
No
Don't know
Allowing for funding for changes in staffing for fluctuationg care needs when a resident is ill. We are encouraged as GPs to keep people out of hospital but this provides a strain on staffing levels and this is not accounted for in funding asessments. It is my understanding that people are assessed yearly only unless they have had a 28 day hospital admission. The increase in care needs puts an unacceptable strain on the nursing home and other residents if extra time is needed for a sick or more confused patient. I am very concerned that thewre is inadequate tiime for feeding the dependant residents during these times as there is only a short window of time where the food is available and it is not allowed to be reheated .

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

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

12. Are the draft standards measurable?

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

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

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Yes
No
As above - the standards that take into account fluctuating care needs. This also needs a suitable adjustment to aged care funding to allow the home flexibilty

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

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

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?

no

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

"is reviewed regularly and when circumstances change or when incidents
impact on the needs, goals or preferences of the consumer"

- enable this to be supported by adequate funding

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?


3.4 Sudden or unexpected deterioration or change of a consumer’s function,
capacity or physical condition is recognised and responded to in a timely
manner
I am concerned that where elderly vulnerable patients who are at risk of deterioration are under care of AIN s after hours because no RN is on site an appropriate response is not obtained- esp pain management. These facilities need 24 hour Registered nurses with an adequate patient to nurse ratio.
Again- as clinets needs change staffing ratios and assocoated aged care funding needs to increase

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

no

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

no

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

Involvement in the decision makers of funding allocation as the nursing homes I see are doing there best with what is available

22. Do you have any specific suggestions in relation to draft Standard 7: Human resources? If so, what are they?

7.1.Sufficient workforce to deliver and manage safe and quality care and services
More staffing esp in dementia wings. The staff need time to approach clints and coax them for personal care- they can't be rush ed as it results in unwanted behaviours and agggression. When there is a confused wanderer staff do not have time to sit and settle long term. They cannot be always watching that patient when they wander intop other patients rooms upsetting and sometimes scaring them - as the staff may well be attending other patients.

Sufficient workforce also are needed to feed the totally dependant clients - and allowing for the temporarily ill client that usualluy self feeds but is unable to in the short term. Unfortunately thiis can be missed when AINs are running as per care plan

23. Do you have any specific suggestions in relation to draft Standard 8: Organisational governance? If so, what are they?

no

Other Comments

24. Do you have any other comments or suggestions about the draft standards?

Adequate Funding! Adequate Funding! Adequate Funding allowing for changing personal clinical needs.