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(1) I am confident the organisation is well run. I can partner in improving the delivery of care and services.
(2) The organisations’ governing body is accountable for the delivery of safe and quality care and services.
(3) The organisation demonstrates the following:
(a) Consumers are engaged in the development, delivery and evaluation of care and services and are supported in that engagement.
(b) The organisation’s governing body promotes a culture of safe, inclusive and quality care and services and is accountable for their delivery.
(c) Effective organisation wide governance systems relating to the following:
(i) information management
(ii) continuous improvement
(iii) financial governance
(iv) workforce governance, including the assignment of clear responsibilities and accountabilities
(v) regulatory compliance
(vi) feedback and complaints.
(d) Effective risk management systems and practices, including but not limited to the following:
(i) managing high-impact or high-prevalence risks associated with the care of consumers
(ii) identifying and responding to abuse and neglect of consumers
(iii) supporting consumers to live the best life they can.
(e) Where clinical care is provided – a clinical governance framework, including but not limited to the following:
(i) antimicrobial stewardship
(ii) minimising the use of restraint
(iii) open disclosure.
Purpose and scope of the Standard
The intention of this Standard is to hold the governing body of the organisation responsible for the organisation and the delivery of safe and quality care and services that meet the Aged Care Quality Standards, 2018.
The governing body sets the strategic priorities for the organisation. It’s expected to promote a culture of safety and quality, and to include this in the organisation’s governance systems. The governing body is expected to drive and monitor improvements to make sure the organisation is committed to quality care and services and the best interests of consumers.
While governance systems are a foundation for most businesses, this Standard is focused on how these systems support the delivery of safe and quality aged care services. It’s expected the organsiation has governance systems in place to assess, monitor and drive improvement in the quality and safety of the care and services they provide. This includes making sure consumers have a quality experience. Organisations are expected to plan for, and manage internal and external emergencies and disasters.
There are also particular requirements related to the following key areas:
- Managing high-impact or high-prevalence risks in the care of consumers
- Identifying and responding to abuse and neglect of consumers
- Antimicrobial stewardship
- Minimising the use of restraint
- Practicing open disclosure.
How the governing body and governance structures are organised will depend on the organisation’s setting, size and the nature of care and services being provided. It will also depend on the level of responsibility and control the organisation has for consumer outcomes and the risks involved in delivery of care and services. The evidence needed to meet this Standard will reflect these things.
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 8 supports all of the other Aged Care Quality Standards. This is because it supports how the organisation focuses on the requirements of the each standard strategically to make sure they run the organisation well.
Resources and references