Self-assessment for residential aged care services
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.
If applying for re-accreditation, your reminder notice will state when you are expected to have your unannounced site audit and whether the Accreditation Standards or new Standards will apply. This will determine if you need to submit your self-assessment with the application for re-accreditation and which self-assessment template you should use. Download our template for residential aged care services for the Accreditation Standards (WORD, 110 KB) or the template for residential age care for the new Standards (WORD, 670 KB).
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.
The transitional arrangements for a provider’s re-accreditation application are summarised below:
|Accreditation expiry date||Arrangements and requirements for re-accreditation applications|
|Expiry dates up to 22 September 2019||
Site audit against Accreditation Standards.
Self-assessment against Accreditation Standards to be completed and submitted with application.
|Expiry dates from 23 September 2019||
Site audit against new Standards.
Providers are not required to submit a self-assessment with application. 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 (WORD, 670 KB) to help with their preparation for the new Standards.
|Expiry dates from 20 January 2020||
Site audit against new Standards.
Self-assessment against new Standards to be completed and submitted with application.
You should ensure 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 Aged Care Quality and Safety Commission (Commission) at any time prior to accreditation expiry.
Before you complete the template familiarise yourself with the Standards relevant to your application. Services expecting to have a site audit before 1 July 2019 are encouraged to increase their awareness of the new Standards, and complete a self-assessment, to prepare for the new Standards taking effect from 1 July 2019.
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.
(Note: With the transition to the new Standards, services expected to have a site audit on or after 1 July 2019 should refer to Transitioning to the new Aged Care Quality Standards for further information.)
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.
New Aged Care Quality Standards
Assessment and monitoring against the new Standards will commence on 1 July 2019. A Self-Assessment Tool for the new Standards has been developed to assist providers to prepare for the new Standards.
For more information on the new Quality Standards see our new Standards guidance pages.
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: