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The quality indicator for unplanned weight loss has two categories:
• significant unplanned weight loss
• consecutive unplanned weight loss.
Further to the guidance issued by the department on 18 July 2019 on the collection of data for significant unplanned weight loss. This guidance relates to the data collection requirements for consecutive unplanned weight loss in the first quarter:
• providers must collect data for the consecutive unplanned weight loss category
• providers that did not collect data for the quarter before the start of the National Aged Care Mandatory Quality Indicator Program do not need to report the consecutive unplanned weight loss data due on 21 October 2019
• the data collected from the first quarter will be used as a comparison for the second quarter 1 October – 31 December 2019 due for submission to the Department of Health by 21 January 2020.
Quality Indicator Program: data collection for consecutive unplanned weight loss
The Royal Commission into Aged Care Quality and Safety will hold a public hearing in Brisbane from Monday 5 August 2019 to Friday 9 August 2019. The hearing will inquire into aspects of the regulation of aged care.
The Brisbane Hearing will begin by examining the sudden closure on 11 July 2019 of two residential aged care facilities at Earle Haven Retirement Village, operated by People Care Pty Ltd, located on the Gold Coast, Queensland. Sixty-eight residents, many of them old and frail and some of them living with dementia, were evacuated by state emergency services with most relocated to other residential facilities.
The Royal Commission is expected to hear from a Queensland Government witness who attended Earle Haven on 11 July 2019, and from Arthur Miller, the owner of People Care which is the approved provider of the two facilities at Earle Haven.
Brisbane Hearing – Regulation of aged care
Welcome to the latest Newsletter from the Royal Commission into Aged Care Quality and Safety.
In this edition:
• Remote and regional aged care
• Sydney hearing focuses on dementia
• Hearings in Western Australia and the Northern Territory
• Background papers hone-in on issues
• Update on community forums
• The Hub of the Royal Commission
• Submissions by state
• Accessibility and support
Royal Commission into Aged Care Quality and Safety – Newsletter – Issue 2 – August 2019 (.pdf)
The Department of Health & Human Services and Australian Centre for Evidence Based care (ACEBAC), has developed evidence-based standardised care processes (SCPs) in important areas of resident care.
The processes were developed as part of the Strengthening Care Outcomes for Residents with Evidence initiative (SCORE).
The processes help Victorian public sector residential aged care services to provide high-quality care for residents, by reducing variability and managing clinical risk.
There are 19 SCPs for priority risk areas of resident care:
• antimicrobial stewardship
• end of life care
• infection control
• oral and dental hygiene
• physical restraint
• pressure injuries
• responsive behaviours
• skin tears
• unplanned weight loss.
Standardised care processes
Community forums are another way that members of the public can engage with the Commission. Forums are taking place in a number of locations around the country.
The forums are an opportunity for members of the public to hear about the work of the Commission and to offer their ideas on the challenges and strengths of aged care. This will also be a chance for anyone to propose ideas for improvement.
Adelaide Community Forum – Monday 12 August 2019
• Location: Adelaide Town Hall, Auditorium, 128 King William Street, Adelaide SA 5000
• Date: Monday, 12 August 2019
• Time: 1:30pm to 4:00pm
Brisbane Community Forum – Monday 19 August 2019
• Location: Brisbane Convention & Exhibition Centre, Cnr Merivale & Glenelg Streets, South Brisbane, QLD 4101
• Date: Monday, 19 August 2019
• Time: 9:30am to midday
Rockhampton Community Forum – Tuesday 20 August 2019
• Location: Callaghan Park Functions and Events Centre, Reaney Street, Rockhampton, QLD 4701
• Date: Tuesday, 20 August 2019
• Time: 9:30am to midday
The new Standards have commenced and we are 1 month in.
We will do our best to keep everyone informed of what we learn as new information is made available.
If you go through a visit from the Commission or your Accreditation, then please let us know, and we can share what you learn with all our Manad Plus users.
A few early items that are being reported from those that have gone through a vist are noted below:
• Make sure you have captured and documented clearly all your resident’s preferences and choices.
• Residents will be interviewed and surveyed by the Commission, the responses they receive will then lead to further questions. The resdients responses will then be followed-up by checking you have documented these responses.
• A few of the key items may be on, diet preferences, sleep preferences, continence management preferences, cultural diversity preferences, and understanding your resident’s wishes.
• Do you have documented and know who is to be involved in care choices for the resident?
• Do all your staff know the new standards as they will be interviewed and asked questions on your homes knowledge?
• Make sure you are no longer transitioning and the new Standards are in place.
• The Commission will check Staff Ratios & Rostering, Position Descriptions, your audits of ratios/staff to ensure the correct staffing mix to be working for your residents care needs.
• The Commission will chcek your Continious Improvement Plan (NOTE: You can show this in Manad Plus, make sure it is up to date and detailed)
• Do you have all your Nurse Registration details for each staff member?
• Do you have an up to date version control on all documents to ensure they have been updated and changed to meet 1 July?
• Have you documented what training has been provided and undertaken regarding the new standards for all staff?
• Do you have a thorough Staff Induction program and does this include training on Manad Plus?
• Do you have evidence that you can demonstrate and identify residents on antibiotics and it has been reviewed?
• Psychotropic medications – Do you have signed consent to show?
• Are you displaying the new Charter of Aged Care Rights and how have families and residents been informed of this?
If any of our users need any assistance with Manad Plus, then please contact your dedicated Client Manager for support or via the Help Desk, 1300 62 62 32 or email@example.com
The following aged care sector performance information includes statistics about these types of services: residential aged care; home services; and National Aboriginal and Torres Strait Islander Flexible Aged Care Program.
The performance information includes data from the Commission’s aged care quality regulatory and complaints functions.
Sector Performance Data – 1 January to 31 March 2019 (.pdf)
Aged Care Employee Day is an official day to thank, honour, recognise and celebrate the hundreds of thousands of people who work in the aged care industry across Australia.
On August 7th, reach out to those who you know that work in this valuable industry and help recognise the incredible contribution they make to the lives of older Australians.
Aged Care Employee Day
In Case You Missed It – Below are links to recent articles on Aged Care and Healthcare that may be of interest:
Furious family lash out over elderly mum’s treatment during Earle Haven crisis
Inquiry to look into unexpected closure of facility
Aged care residents turned into ‘zombies’ on antipsychotics for more than 200 days at a time
Aged care worker reveals brutal reality of the job in viral post
Nursing home patient found dead in neighbour’s pool, sparking investigation
What happens when aged care operators go broke
‘We are damning ourselves’: Big problem with the way Australia treats its elderly population
Schoolboy, aged 10, vows to keep visiting 90-year-old veteran in care home
Device shows promise for preventing pressure sores
Elderly woman slapped in Goulburn aged care facility, man arrested
Antipsychotics overused in residential aged care: Study
Aged care residents returning from hospital suffer unnecessary complications
Your rights and Refundable Accommodation Deposits
Call to fix access to aged care respite
Carer of dementia sufferer had no support
A business case for ‘going up the country’: 2019 ACAR
‘How did this happen?’: Owners speak after shock nursing home closure
No aged care respite available ‘unless someone dies’
Aged Care Royal Commission: Mildura right fit for aged care royal commission
Coroner To Investigate Death At Queensland’s Newest Nursing Home
Aged Care Royal Commission: Fears for future deepening, aged care royal commission hears
Aged care royal commission hears of ‘fatal flaw’ in Australia’s aged care system
ROYAL COMMISSION: Carers know best
ROYAL COMMISSION: Carers have no support
Mum could have been saved: aged inquiry
Migrants, refugees encouraged to ‘tell their stories’ to Aged Care Royal Commission
Aged care facilities still fully accredited by quality and safety commission failing to meet standards in SA
Funding available to upskill aged care staff
Qld aged care boss ‘a bully, drunk on job’
Maggie Beer’s fight for better food in aged care homes
‘If it’s not a criminal charge, it should be’: Calls for aged-care subcontracting probe
Royal commission probes aged home closure
Strategies to reduce potentially avoidable hospitalisations among long-term care facility residents
The Royal Commission into Aged Care Quality and Safety has released its latest background paper on Australia’s current aged care system.
Background Paper 7: Legislative Framework for Aged Care Quality and Safety Regulation, summarises the key aspects and complexities of the current regulation of quality and safety in aged care.
The paper addresses a number of issues including:
• approval of providers, making them eligible to receive government subsidies and supplements to provide aged care
• the responsibilities of approved providers, including those in relation to quality of care, user rights and accountability
• accreditation and quality review processes
• enforcement and sanctions
• complaints processes
• advocacy and community visitors.
“Aged care quality and safety regulation is intended to protect and enhance the health and wellbeing of care recipients,” the paper states.
Background Paper 7 – Legislative framework for Aged Care Quality and Safety regulation (.pdf)
In this issue:
• Accounting and Business Advisory Services commencing soon
• Future of Ageing Awards 2019
• Reminder to complete home care pricing information
• Home care and the Australian Consumer Law
• ACFI review records requirement
• Residential Aged Care Funding Reform update
• MDFA SURVEY – Help evaluate the impact of digital training tools for Residential Aged Care Facilities
Information for the Aged Care Sector – Issue 2019/10 (.pdf)
The latest insights from our award-winning Aged Care legal team.
In this edition:
• Update: Labour Hire Licensing July 2019
• Respite care access on the rise and residential care admissions down
• Timeframes for implementing the new Charter of Aged Care Rights
• Minimising physical and chemical restraint in residential aged care
• Additional Services and My Aged Care: some much needed clarity?
Aged Care Bulletin 1 August 2019
The Royal Commission held a public hearing in Mildura from Monday 29 July 2019 to Wednesday 31 July 2019.
The public hearing looked at the needs of family, informal and unpaid carers for older Australians, with a focus on:
• the extent to which current arrangements meet those needs
• how services and supports for carers could be improved
• respite care
29 July 2019 – Transcript (.pdf)
30 July 2019 – Transcript (.pdf)
31 July 2019 – Transcript (.pdf)
Family and friends who provide informal and unpaid care to older Australians are critical to the sustainability of the aged care system, and as the population in Australia continues to age, the reliance on informal carers is set to increase.
Background Paper 6: Carers of older Australians, released by the Royal Commission into Aged Care Quality and Safety today, explores the roles, challenges, and needs, of informal carers of older Australians. It also addresses services and supports to assist carers in their caring role.
The paper states that increasingly, older people in Australia are choosing to remain living in their own homes for as long as possible. A consequence of this has been an increasing reliance on family and friends to supplement formal home support services.
“Given the large number of family and friends providing care to people over the age of 65, it is clear that the replacement value of these services for the aged care system would be significant, critically affecting its current sustainability,” the paper notes.
Background Paper 6 – Carers of older Australians (.pdf)
The Aged Care Quality Standards require aged care services that provide clinical care to demonstrate the use of a clinical governance framework (Standard 8e).
Clinical governance is an integrated set of leadership behaviours, policies, procedures, responsibilities, relationships, planning, monitoring and improvement mechanisms that are implemented to support safe, quality clinical care and good clinical outcomes for each consumer.
The Aged Care Quality and Safety Commission has worked with a range of stakeholders to develop resources to help aged care providers understand the key concepts of clinical governance and how to apply these concepts in their service. This includes a toolkit to help aged care providers develop a clinical governance framework that fits their service.
Standard 8 – Requirement e – Where clinical care is provided – a clinical governance framework, including but not limited to the following:
i) antimicrobial stewardship
ii) minimising the use of restraint
iii) open disclosure
The Morrison Government and the Australian Medical Association (AMA) has today jointly launched a new guide that aims to better aid Australians when faced with making decisions around medical treatments.
The AMA’s Informed Financial Consent Guide; A Collaboration Between Doctors and Patients will help patients better understand medical treatment fees and out of pocket costs.
The Guide will be made available from doctors, medical practices and organisations, and the AMA website.
Informed Financial Consent Guide launched
The Royal Commission will hold a public hearing in Mildura from Monday 29 July 2019 to Wednesday 31 July 2019. The public hearing will look at the needs of family, informal and unpaid carers for older Australians, with a focus on:
Carers for older Australians
• the extent to which current arrangements meet those needs
• how services and supports for carers could be improved
• respite care.
The Royal Commission will hold a public hearing in Brisbane from Monday 5 August 2019 to Friday 9 August 2019. The public hearing will inquire into the regulation of aged care, with a focus on:
Regulation of Aged Care
• regulation of quality and safety in aged care and how aspects of the current regulatory system operate
• different approaches to regulation, including in other sectors
• how regulation and oversight of quality and safety in aged care could be improved.
Federal Member for Mayo Rebekha Sharkie has fulfilled a 2019 election commitment and introduced Private Member Bills into the 46th Parliament.
The legislation covered:
• Transparency in staffing ratios in aged care facilities, and
• A national screening program for aged care workers,
Rebekha introduces five Private Members’ Bills
Transparency in staffing ratios in aged care facilities (.pdf)
A national screening program for aged care workers (.pdf)
The VHA and the Australian Centre for Healthcare Governance have released a new framework to support healthcare providers to establish governance frameworks and mitigate risk.
Integrity Governance Framework (.pdf)
Integrity Governance Framework Action Plan (.pdf)
Integrity Governance Framework Assessment Tool (.pdf)
Integrity Governance Framework Better Practice Tool (.pdf)
The new forms are much simpler – half of the questions have been removed from the residential aged-care means test form, a quarter of the questions have been removed from the home care means test form and the number of notes pages in both forms has been reduced by 70 per cent.
There is also a new short form for means-tested pensioners to simply add relevant information Centrelink doesn’t already have about their home.
Residential Aged Care Calculation of your cost of care (SA457)
Home Care Package Calculation of your cost of care (SA456)
Residential Aged Care Property details for Centrelink and DVA customers (SA485)