Title page
Contents
Introduction 5
Consultation stages 7
Sharing your feedback on this paper 8
Overview 9
Key changes 10
Raising the quality of aged care 13
Safeguarding older people in Australia 16
Questions 17
Supporting quality care 18
Limitations of the current approach 19
A new approach to supporting quality care 19
Information for older people, their families, and carers 20
Education and engagement with providers 21
Building capability and continuous improvement 21
Incentivising high quality and safe care 22
Questions 23
Becoming a provider 24
Limitations of the current approach 24
A new approach to becoming a provider 25
Universal provider registration and re-registration 25
Registration categories 27
Considerations in allocating services to registration categories 32
Challenges 34
Assessment of provider suitability 35
Examples of registration for different providers 36
Audit against the Quality Standards 37
Questions 38
Responsibilities of a provider 39
Limitations of the current approach 39
Registration and obligations architecture 40
A new approach to responsibilities of a provider 42
Overarching obligations 42
Core conditions applied to all registered providers 45
Category-specific conditions of registration 50
Questions 53
Holding providers accountable 54
Limitations of the current approach 54
A new approach to holding providers accountable 55
Risk-based monitoring 55
Complaints management and feedback 57
Information sharing 60
Compliance 60
Enforcement 61
Compensation 62
Questions 63
Transitioning to the new model 64
Transition approach 64
Transitioning existing providers 65
Deeming 65
Requirements 65
Confirming registration categories 65
Re-registration 66
Compliance activity underway at the time of commencement 66
New providers entering aged care 66
Questions 66
Appendix A. Glossary of terms 67
Appendix B. Opportunities for harmonisation 70
Appendix C. Overview of limitations 71
Appendix D. Service types available under current home care programs 73
Table 1. The proposed six (6) provider registration categories 29
Table 2. Grades for conformance assessments 37
Table 3. The Code of Conduct for Aged Care - Extract from the Regulator's fact sheets for aged care providers and a resource for Aged Care Consumers 46
Figure 1. The safeguards and regulatory tools that support the new model 17
Figure 2. The obligations architecture for the provider registration categories 41
Figure 3. A risk-based approach to provider obligations in the new model for regulating aged care 44
Figure 4. Draft strengthened Quality Standards 51
Figure 5. Four-part complaint model 59