Response 842678521

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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
Ticked Yes
No
Organisation
Advocare Incorporated

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
Aged care worker/professional
Ticked Aged care advocate
Ticked Peak body - consumer
Peak body - provider
Peak body - professional
Other - please specify below

5. Do you identify with any special needs groups, or, does your organisation provide support or services to any special needs groups? Please select all that apply.

Please select all that apply
Ticked People from Aboriginal and/or Torres Strait Islander communities
Ticked People from culturally and linguistically diverse (CALD) backgrounds
Ticked People who live in rural or remote areas
Ticked People who are financially or socially disadvantaged
People who are veterans of the Australian Defence Force or an allied defence force including the spouse, widow or widower of a veteran
Ticked People who are homeless, or at risk of becoming homeless
Ticked People who are care leavers (which includes Forgotten Australians, Former Child Migrants and Stolen Generations)
Parents separated from their children by forced adoption or removal
Ticked People from lesbian, gay, bisexual, trans/transgender and intersex (LGBTI) communities.

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

Please select all that apply
NSW
VIC
QLD
Ticked WA
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
Ticked 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
Ticked Yes, mostly
Yes, sometimes
No
Don't know
Text box for suggestions about improving consumer outcomes
The Consultation Paper states: “There needs to be specific consultation with consumers, their families and carers…..” however, it appears that no specific effort has been made to engage with this cohort.

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

12. Are the draft standards measurable?

Please select one item
Yes, always
Ticked Yes, mostly
Yes, sometimes
No
Don't know
Text box - suggestions are draft standards measurable
They require a mixture of quantitative and qualitative performance indicators.

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
The standards contain no guidelines for staff ratios – rather than leaving it to providers to determine ratios, some guidance would be beneficial.

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

Please select one item
Yes, always
Ticked Yes, mostly
Yes, sometimes
No
Don't know
Text box for suggestions about how wording and intent could be improved
Section 2.2 does not clearly enunciate circumstances where an individual may lack capacity. As an example, where there is lack of capacity, pain management medication should be discussed with family members, the GP, the nursing facility etc so there is clarity and all understand the requirements and what is to be provided.

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
No, all are relevant and there must be consistency across all areas.

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
Change “Consumer Outcome” to read “I am treated with dignity and respect, and can maintain my identity. I can make informed choices about my care and services and how they support me to live the life I choose.”

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
Change “Consumer Outcome” to read “I am an active partner in the ongoing assessment and planning of my care and services.”

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
Change “Organisation Statement” to: “Personal care and clinical care services are delivered in accordance with the consumer’s needs and preferences to optimise health and wellbeing and maximise the way the consumer chooses to live.”

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
Change “Consumer Outcome“ to: “I get the services and supports I need to help me do the things I want to do and which maintain my dignity of risk”. The views of the consumer or their representative must be considered in preferred lifestyle versus risk situation. As an example, in regards to choking risks, it is noted that residences often, without any real medical diagnosis, place some residents onto minced-moist diets when there isn’t an indication or real risk of choking. This is particularly applicable to Dementia residents. Residents or family members/guardians who speak on their behalf should still have the right to request a normal diet, taking into account risk factors vs quality of life.

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
Change “Organisation Statement” to: “The organisation provides a safe, secure and comfortable service environment, that promotes my chosen way of living and is inclusive of independence, choice, function and enjoyment, and is welcoming of my guests.”

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
Change “Consumer Outcome” to: When I give feedback or make complaints, I see appropriate action taken. I feel safe and comfortable and am offered assistance/support to make complaints. Change “Organisation Statement” to: “Regular input and feedback from consumers, their advocates, guardians, carers, the workforce and others is sought and is used to inform individual and organisation-wide continuous improvement.” In Requirements – point 6.3 should come before 6.1 –complaints should appear before the mechanism to address them.

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

Text box suggestions in relation to draft Standard 7: Human resources
No response.

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

Text box - suggestions in relation to draft Standard 8: Organisational governance
No response.

Other Comments

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

Text box - any other comments or suggestions
The whole of the quality framework should be rights-based - this should be included in the representational diagram: consumer rights, dignity, autonomy, choice.