Response 868573351

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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
Ticked 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

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

Please select all that apply
Ticked 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.

Please select all that apply
Metropolitan
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
Yes, mostly
Ticked Yes, sometimes
No
Don't know

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

Please select one item
Yes, always
Yes, mostly
Yes, sometimes
Ticked No
Don't know
Suggestions - are organisational statements and requirements achievable
Ratio of staff to clients - in particular dementia units not able to offer the social support and interaction required. Limited R/O program across with too few staff across too many people. Additional support staff available from 7am to 10pm to engage with residents assist with activity and stimulation. Not enough resources available for dementia residents - i.e. large print books, music options, games and activities, access to domestic or shed/garden activities that could relieve boredom and agitated behaviour that can be available out of R/O program

12. Are the draft standards measurable?

Please select one item
Yes, always
Yes, mostly
Yes, sometimes
No
Ticked Don't know

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
Standards of Care for people with Dementia who may not be able to express their own requirements

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

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
Staff to resident ratio does not allow choices

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
This should be a key component of each persons care plan. It should consider the social and inclusion components as a high priority not just the medical or health issues. The Plans need to cover what the person's requirements and needs are over 24 hours every day - not just a couple of hours each day of basic care - personal care, meals, medication. Plans for 'Sundown behaviour' in dementia care, activities for public holidays when staff may be limited, social engagement for residents who do not choose to go to bed until 10pm and do not want to watch TV.

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
Recreational, social and activities to engage and stimulate residents in residential care the whole day including group and individual sessions. Provision of self activities Wellbeing and quality of life is not sitting on your own for hours and hours with nothing to do and not having any options.

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
Provide guidance on noise levels to residential care. Provide better guidelines for consumers to personalise their environment How - suggestions, hire options if items not available from previous home, let consumer choose items from a 'pool of resources' i.e choose a picture for the wall, bed quilt, comfy chair - items can not always be taken from former home especially if partner continues to reside, a 'special' bed cover from a queen bed at home does not fit a single bed

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
Scheduled feedback meetings with carer/families to hear and address any concerns

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
Ratio of staff to consumers not adequate. I am currently visiting as a family carer a high level dementia unit in a residential care facility with 18 consumers who have two care staff on duty to serve the evening meal, assist with eating, manage behaviour and agitated people who are getting up and down. The service is provided by staff in a way to 'just get this over and done with' no real observation if the meal is being eaten let alone enjoyed! This level of staff is not sufficient to provide a safe, respectful, quality service.

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
Governance should be observing the service as it is provided on a day-to-day basis as the gaps in the level and quality of service are obvious. Governance should take action to make immediate changes to service delivery when areas of concern are observed. Governance should interact with the service provided i.e. sit down and eat 'party pies' for dinner at 5pm with no support staff to assist social inclusion. Governance need to look through the eyes of a family member 'how their loved one is being cared for'. Many residents have come from a family home where they have contact and support from someone 24 hours a day to a facility where they are on their own or unsupported for a large part of the day and all night.

Other Comments

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

Text box - any other comments or suggestions
Best Practice models should be adopted by all facilities and services. Care Plans should be developed and implemented. Additional resources for social engagement and stimulation. More accountability by governance.