Failure to meet the Accreditation Standards

What is failure to meet the Accreditation Standards?
Failure to meet the Accreditation Standards is where a residential aged care home is found not to meet the requirements of one or more of the expected outcomes of the Accreditation Standards.

Homes are required to meet the Accreditation Standards at all times to ensure that a high standard of care and services is provided to residents.

We may identify a failure to meet the Accreditation Standards during any assessment of a home – re-accreditation audit , assessment contact or review audit.

We may also identify evidence of serious risk to the health, safety and wellbeing of residents.

What happens when failure to meet the Accreditation Standards is identified?
We may put a home on a timetable for improvement (TFI). A timetable for improvement sets out the improvements and maximum time allowed to address the issues we have identified.

We monitor the home’s progress in making improvements.

If the home does not meet all the expected outcomes by the end of the timetable, we may conduct a review audit, after which a decision-maker may vary or revoke the home’s accreditation.

What is serious risk?
Serious risk is simply defined as a ‘serious risk to the health, safety and wellbeing of residents’. It can take many forms, including risks related to care issues, resident rights and the physical environment.

When serious risk is identified at a home, we inform the Department of Health and Ageing, and we conduct daily visits to ensure that progress is made in resolving the serious risk.

The identification of serious risk may also result in a home not being granted accreditation, or having its accreditation revoked.

If a home has serious risk or has been given a timetable for improvement and not succeeded in meeting all the expected outcomes by the end of the set period, we must inform the Department of Health and Ageing. The Department of Health and Ageing may decide to impose sanctions on the approved provider of the home.

How are residents involved when failure to meet the Accreditation Standards or serious risk is identified?
Homes should inform residents and their representatives when serious risk or failure to meet the Accreditation Standards has been identified. They should also be informed when sanctions have been imposed by the Department of Health and Ageing. and of actions the home is taking to resolve the deficits in care and services as soon as possible.

In the case of serious risk, a meeting is usually held with the residents, resident representatives, management staff, and representatives from the Department of Health and Ageing. Representatives from the Accreditation Agency do not always attend these meetings.

How can I find out whether a home has sanctions?
When the Department of Health and Ageing imposes sanctions on a residential aged care home, we place a statement of the front page of the report on the home on this website, stating that sanctions have been imposed. This includes a link to the sanctions page of the Department’s website.