Standard 1 - Requirement (3) (b)
Care and services are culturally safe.
Intent of this requirement
Delivering culturally safe care and services is about recognising, respecting and supporting the unique cultural identities of consumers by meeting their needs and expectations and recognising their rights. An understanding of a consumer’s cultural identity can lead to better care and service outcomes for consumers. What is culturally safe for one consumer can be different to what is culturally safe for another consumer. This can be true even among people who identify as being from the same group.
Delivering care and services that are culturally safe, means working with the consumer, and any other people they want to involve, so that their cultural preferences and needs can be understood. It goes further than just respecting diversity. It means that organisations know what to do to make each consumer feel respected, valued and safe.
Achieving culturally safe care and services means that an organisation must demonstrate its inclusive care and support for cultural diversity for each consumer throughout the Aged Care Quality Standards.
- How does the organisation consider family and community connections, and support cultural customs, beliefs, needs and practices when planning care and services?
- How does the management of the organisation communicate to the workforce about culturally safe service practices in relation to the unique needs of their consumers?
- Is the organisation’s commitment to cultural safety clear to consumers, potential consumers and the workforce?
- How has the organisation embedded safe and inclusive practices in how it delivers care and services and within its service environment?
- Do forms, surveys and information use inclusive and gender-neutral language?
- Do forms, surveys and information provide options that allow people to share their identity and their health and support needs?
Examples of actions and evidence
- Consumers say members of the workforce delivering care and services understand their needs and preferences and know what to do to make sure they feel respected, valued and safe.
- Consumers can give examples of ways that members of the workforce have delivered care so that they feel comfortable and safe (for example, respecting their ethnicity, spirituality, culture, sexuality and relationship status).
- Consumers say the workforce make all their visitors feel welcome. Consumers feel that people who are significant in their life are also comfortable displaying affection and support in front of the workforce and others.
- Consumers say they have been asked to share their experiences of care and services, and they have given feedback on whether the organisation has met their expectations of cultural safety.
Workforce and others
- The workforce can describe how they adapt the way care and services are offered so they are culturally safe for each consumer.
- The workforce can describe how they address misconceptions, bias, stereotypes and other barriers to delivering culturally safe care and services.
- Management of the organisation shows a clear understanding of events and preferences that may affect what is culturally safe for people with special needs, as identified in the Aged Care Act.
- Workforce orientation, training or other records that show how the organisation supported the workforce deliver culturally safe care and services and to meet this requirement.
- Evidence that strategic documents, policies and procedures have an inclusive, consumer-centred approach to organisational practices and care and service delivery.
- Evidence that the organisation is proactive rather than responsive to cultural safety issues and supports the workforce to work in cross-cultural settings in a positive way.
- Management of the organisation has asked for and considered the opinions of consumers and their representatives when reviewing how they can improve the cultural safety of care and services.
- Records show that the organisation has delivered care and services in a way that reflects what culturally safe care means for individual consumers. For example, demonstrate the steps taken to meet the consumer’s preference for the gender of the care worker to deliver the care or service.