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.
Download our self-assessment templates for:
- Existing Accreditation Standards - Self-assessment template for residential aged care services (DOC, 110 KB)
- New Aged Care Quality Standards - Self-assessment template for residential aged care for the new Standards (DOC, 568.71 KB)
Note: These are not prescribed templates and you can provide the self-assessment in your preferred format. There are fields in the documents to complete electronically.
Key changes for aged care providers
Transition to the new Aged Care Quality Standards
From 1 July 2019, the Aged Care Quality and Safety Commission will commence assessment and monitoring against the new Aged Care Quality Standards (Standards).
Please see our Transitioning to the new Standards page where you can access a transitional arrangements fact sheet about the key changes impacting providers.
Commission Act and Rules
For information about key changes impacting providers following the establishment of the Aged Care Quality and Safety Commission on the 1 July 2019, please see our Key Changes page. You can use this page to access fact sheets, including the following:
- Accreditation and Re-accreditation key changes fact sheet
- Request for specified information key changes fact sheet
Transitional arrangements for re-accreditation
A residential aged care reminder notice for submission of an application for re-accreditation will indicate whether a service can expect to have a site audit against the Accreditation Standards or new Standards. This is based on the service’s accreditation expiry date.
The Commission will schedule unannounced site audits based on expiry dates. There may be exceptional circumstances where this changes and services are assessed against different Standards than originally expected, for example where there is an influenza outbreak at the service.
The Commissioner has specified the self-assessment information that is to be provided with an application for re-accreditation as follows:
|ACCREDITATION EXPIRY DATE||ARRANGEMENTS AND REQUIREMENTS FOR RE-ACCREDITATION|
|Expiry dates up to 22 September 2019||
• Site audit expected to be against Accreditation Standards.
• Self-assessment against Accreditation Standards to be completed and submitted with an application for re-accreditation.
|Expiry dates from 23 September 2019||
• Site audit expected to be against new Standards.
• Providers are not required to submit a self-assessment with an application for re-accreditation.
• Assessment teams can request self-assessment information under the new Standards during a site audit from 1 July 2019. Providers are encouraged to use the new self-assessment tool (DOC, 568.71 KB) to assist with their preparation for the new Standards.
|Expiry dates from 20 January 2020||
• Site audit expected to be against new Standards.
• Self-assessment against new Standards to be completed and submitted with an application for re-accreditation.
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 relevant Standards. Self-assessment enables you to 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 signpost 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 nominated representatives 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 well-being.
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 on 1800 951 822.