Self-assessment

What is self-assessment?
Self-assessment is an internal process whereby a home looks at how it does things and what it achieves. During the process strengths, weaknesses, and opportunities for improvement are identified. This ensures resident care and services are always provided at the highest possible standard.

The process helps the home:

  • gain an up-to-date picture of its achievements
  • identify any gaps or opportunities for improvement
  • plan to address the gaps.

What is the relationship to continuous improvement?
Self-assessment can drive continuous improvement in the home because it helps to:

  • pause and think about the way the home works and what results are being achieved for the benefit of residents
  • identify the things the home is doing well
  • identify areas where the home can perform exceptionally
  • identify areas where the home is not performing well enough for residents
  • identify areas where the home is not performing as well as it would like
  • identify the activities to be incorporated into an improvement plan.

Self-assessment also enables the home to:

  • provide feedback about the home to residents, representatives, staff and other stakeholders
  • deepen understanding of improvement principles
  • better understand how the home functions and performs for the benefit of residents
  • gain experience in applying assessment and improvement tools
  • develop and strengthen a sense of shared goals
  • contribute to ongoing improvements for residents.

More information on continuous improvement.

How should self-assessment be conducted?
Self-assessment can be carried out in many ways. The approved provider and the managers of the home must decide what process is best for them. Involving the staff who carry out the process being assessed is often a valuable way of learning what is really done in the home.

Residents, their representatives or relatives, visiting health professionals and other stakeholders should also contribute and learn about the home’s assessment processes, and how the home is run.

Regular self-assessment ensures up-to-date information about performance is available. The results of self-assessment can be used to plan improvement activities, and in turn the results of these activities can be evaluated and fed into the next self-assessment. So the process continues.

Importantly, self-assessment is an opportunity for the home to check:

  • how it meets each of the 44 expected outcomes
  • what residents are gaining from the care and services provided
  • whether what is intended to happen actually happens (such as whether policies and procedures are followed)
  • whether the effectiveness of past improvements has been evaluated
  • whether newly identified improvements are planned and can be managed and implemented.

How can self-assessment tool be demonstrated?
We require homes to conduct a self-assessment in preparation for re-accreditation and the approved provider must either submit self-assessment documentation with its application for re-accreditation or make it available at the re-accreditation audit. Approved providers may use their own approach or use our self-assessment tool.

A self-assessment record should be a living document. This ensures:

  • the home is measuring its performance against the Accreditation Standards and seeking improvements for the benefit of residents
  • a structured approach to self-assessment is being undertaken
  • results between self-assessments can be compared to measure progress
  • gaps are identified before we visit
  • the submission of the self-assessment is a simple process, without intensive work being conducted over a short period.

Please be aware that providing false or misleading information is an offence under the Criminal Codes Act 1995.

Where can I get more information?
We have produced a self-directed learning package which can be downloaded free of charge.