Standard 3. Personal care and clinical care
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(1) I get personal care, clinical care, or both personal care and clinical care, that is safe and right for me.
(2) The organisation delivers safe and effective personal care, clinical care, or both personal care and clinical care, in accordance with the consumer’s needs, goals and preferences to optimise health and well-being.
Click on the links below each Requirement to view the Guidance material, including:
- Intent of the Requirement
- Reflective questions
- Examples of actions and evidence
(3) The organisation demonstrates the following:
(a) Each consumer gets safe and effective personal care, clinical care, or both personal care and clinical care, that:
(ii) tailored to their needs; and
(c) The needs, goals and preferences of consumers nearing the end of life are recognised and addressed, their comfort maximised and their dignity preserved.
(e) Information about the consumer’s condition, needs and preferences is documented and communicated within the organisation, and with others where responsibility for care is shared.
(g) Minimisation of infection-related risks through implementing:
(ii) practices to promote appropriate antibiotic prescribing and use to support optimal care and reduce the risk of increasing resistance to antibiotics.
Purpose and scope of the Standard
Consumers and the community expect the safe, effective and quality delivery of personal and clinical care. The Standard applies to all services delivering personal and clinical care specified in the Quality of Care Principles, 2014.
Personal and clinical care and services can include:
- supervising or helping with bathing, showering, personal hygiene and dressing
- providing personal mobility aids and communication assistance for consumers with impaired hearing, sight or speech
- nursing services, such as catheter care and wound management
- services aimed at getting back or improving a consumer’s independence or daily living activities
- specialised therapy services, such as support for consumers living with cognitive impairment.
Most aged care organisations deliver good outcomes for consumers. However, consumers don’t always receive care from organisations in a safe and effective way. Harmful events that organisations could have prevented continue to happen in aged care service delivery. This Standard highlights several key areas where organisations need to do more to make sure they keep consumers safe and that they receive the best possible care and services.
The guidance in this Standard is not clinical guidance. It doesn’t include instructions or ‘how to’ information on the different aspects of care. Organisations need to develop and implement an approach that makes sure they are providing safe and effective personal and clinical care to consumers. This approach needs to be in line with best practice evidence and meet the consumer’s needs, goals and preferences. The organisation is expected to then have policies and procedures that support the workforce to deliver care and treatment in line with this approach.
Assessment against this Standard
For each of the requirements, organisations need to demonstrate that they:
understand the requirement
- apply the requirement, and this is clear in the way they provide care and services
- monitor how they are applying the requirement and the outcomes they achieve
- review outcomes and adjust their practices based on these reviews to keep improving.
Standard 3 links to:
Standard 1 – All aspects of personal and clinical care need to treat consumers with dignity and respect and support them to make choices. It’s also important that personal and clinical are delivered in a way that is culturally safe.
Standard 2 – Assessment and the development of a care and services plan that reflects the consumer’s needs, goals and preferences supports the delivery of tailored personal and clinical care. The consumer’s advance care and end of life care wishes can be delivered if these are planned.
Standard 7 – Workforce interactions with consumers need to be kind, caring and respectful of each consumer’s identity, culture and diversity. In particular, the workforce needs to have the competency, qualifications and knowledge to deliver safe and effective personal and clinical care and promote consumers’ health, well-being and cultural safety.
Standard 8 – The organisation’s governing body is accountable for the delivery of safe and quality care. Including the effectiveness of clinical governance and risk management systems and practices, to manage high-impact and high-prevalence risks associated with the care of consumers.
Aged Care Act 1997 (Cth), Schedule 1 User Rights Principles 2014. Charter of Rights and Responsibilities-Residential Care
- Aged Care Act 1997 (Cth), Schedule 2 User Rights Principles 2014. Charter of Rights and Responsibilities – Home Care
- Aged Care Act 1997 (Cth), Schedule 3 User Rights Principles 2014. Charter of Rights and Responsibilities – Short-term restorative Care
- Privacy Act 1988 (Cth), Schedule 1, Australian Privacy Principles
- State and Territory work health and safety legislation
- State and Territory mental health, guardianship and administration, enduring power of attorney and medical directive/advance care planning legislation
Resources and references
- Alzheimer’s Australia 2014, The use of restraints and psychotropic medications in people with dementia, Alzheimer’s Australia, Melbourne
- Australian Commission on Safety and Quality in Health Care, Antimicrobial Stewardship Clinical Care Standard, Sydney: ACSQHC, 2016
- Australian Commission on Safety and Quality in Health Care, Delirium Clinical Care Standard, Sydney: ACSQHC, 2016
- Australian Commission on Safety and Quality in Health Care, Guidebook for Preventing Falls and Harm From Falls in Older People, 2009
- Australian Commission on Safety and Quality in Health Care, National Model Clinical Governance Framework, Sydney, ACSQHC, 2017
- Australian Commission of Safety and Quality in Health Care, National consensus statement: essential elements for safe and high-quality end-of-life care, Sydney, 2015.
- Australian Government, Department of Health & Department of Agriculture 2015, Responding to the threat of antimicrobial resistance: Australia’s first National Antimicrobial Resistance Strategy 2015-2019, Commonwealth of Australia, Canberra
- Australian Wound Management Association 2012, Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury
- Deafness Forum Australia 2018, Good Practice Guide, Reference Resources for Aged Care Hearing Assistance Programs
- Department of Health and Ageing 2012, Decision-making tool: supporting a restraint-fee environment in residential aged care, Commonwealth of Australia, Canberra
- Department of Health and Ageing 2012, Guiding principles for medication management in residential aged care facilities, Commonwealth of Australia, Canberra
- Department of Health and Ageing 2016, National Aged Care Quality Indicator Program | Resource manual for residential aged care facilities, Commonwealth of Australia, Canberra
- Guideline Adaptation Committee 2016, Clinical Practice Guidelines and Principles of Care for People with Dementia, Sydney, Guideline Adaptation Committee NHMRC Partnership Centre for Dealing with Cognitive and Related Functional Decline in Older People
- Guiding principles for medication management in residential aged care facilities – 2012, Department of Health
- National Ageing Research Institute – Resources for Health Professionals – Falls and balance
- National Framework for Action on Dementia 2015–2019
- NSW Health – central coast local health district, Best Practice Food and Nutrition Manual for Aged Care Facilities, 2nd Edition, 2015
- National Health and Medical Research Council 2010, Australian guidelines for the prevention and control of infection in healthcare, Commonwealth of Australia, Canberra
- The Australian Pain Society, Pain in Residential Aged Care, Management Strategies, 2nd Edition, 2018
- Victorian Government, Department of Health, Nutrition and swallowing
- Victorian Government, Department of Health, Recognising and Responding to Clinical Deterioration, 2014