The information on this page is for residential aged care services and flexible care services through which short-term restorative care is provided in a residential care setting.
Approved providers are required to complete and submit self-assessment information when applying for accreditation or re-accreditation.
Your self-assessment against the Accreditation Standards must be submitted to the Aged Care Quality and Safety Commissioner at the time of your application for accreditation or re-accreditation.
Make sure your service provides high quality care and services at all times. Following a compliant application for re-accreditation an unannounced site audit will be completed by the Commission at any time prior to accreditation expiry.
To assist you with completing your self-assessment, download our template for residential aged care services (word).
Note: This is not a prescribed template and you can provide the self-assessment in your preferred format. There are fields in the documents to complete electronically
Before you complete the template, familiarise yourself with the Accreditation Standards and the Results and Processes guide.
Key changes under the new Commission Act and Rules
For information about key changes impacting providers please see our Key Changes page where you can access fact sheets including the following:
What is self-assessment?
Self-assessment is an important part of the audit process. It provides you with an opportunity to evaluate your current performance against the Accreditation Standards, review the results for care recipients, assess the effectiveness of any improvements and support processes for continuous quality improvement and risk management.
Why undertake a self-assessment?
Self-assessment is an important tool in the process of continuous improvement. It will help you to understand where change is needed and lead to better quality care and services for care recipients.
Undertaking a self-assessment will provide you with evidence that improvement has taken place and assist you with communicating your success.
How do I plan for my self-assessment?
Make self-assessment a positive mechanism to support improvement and be a sign post for good practice.
Approach the process of self-assessment as an ongoing tool rather than a task that is completed in a short or contained period of time, in between other duties.
You might find it useful to review and update your self-assessment regularly, for example monthly or quarterly so that it continues to develop over a period of time. This will also assist with updating your plan for continuous improvement.
Get organised. Wherever possible the assessment should be completed by a small team to assist with getting the evidence together and checking the accuracy of details. Involve care recipients and their representative throughout this process.
Identifying areas of risk to the standard of care and services
There are known sector-wide risks that can affect the standard of care and service.
Your self-assessment should include any risk factors that may have an impact on your service and how you are managing to ensure that your service delivers on the expected outcomes for care recipients and prevent possible harm to their safety, health or wellbeing.
Potential risk factors may include:
- relocation of service, development applications or building works
- increase in bed numbers
- the number of care recipients with an appointed public guardian
- any recommendations for improvement or adverse findings by an alternate oversight or regulatory or investigative body
- changes to key personnel for the service.
Submitting your self-assessment
Your completed self-assessment should be reviewed by peers or senior staff to check for accuracy and completeness. Once this review is complete, your self-assessment will be ready for submission to the Commission with your application for accreditation or re-accreditation.
The Commission will review self-assessment information provided with an application for re-accreditation and will use it to prepare the site audit plan. The assessment team conducting the site audit will verify information recorded in the self-assessment during the visit.
Report on the findings
Report the findings of your self-assessment within your service and to your governing body so that organisation wide strategies can be developed to support improvement.
For any further information or questions, please contact your Regional office 1800 951 822.