Change Log

Std 5 Clinical Care Policies & Procedures

• Medication prompting in a home care setting V3 – updated

Care Management Tools

Intake, Assessment & Agreements

• CHSP Aged Care Recipient Agreement V1 – new

Monitoring

• Guide – Writing community behaviour support plans V1 – new

Medication Forms and Guidance

• Completing a medication incident form – Work Instructions V1 – new
• Medication competency record V1 – new
• Medication consent form V1 – new
• Medication guidance in a home care setting V1 – new
• Medication record sheet V1 – new
• Medication training register V1 – new

Program & Reform Resources

Programs

Reform Resources

• Guide -Implementing the Statement of Rights for Aged Care – Provider Action Checklist V1 – new
• Guide -Managing Responsible Persons in GPMS V1 – new

Std 5. Clinical Care Policies & Procedures

• Antimicrobial stewardship in medications procedure V2 – updated
• Clinical assessment and reassessment procedure V1 – new
• Clinical deterioration and escalation procedure V1 – new
• Clinical governance policy (residential care) V3 – updated
• Comprehensive clinical care and coordination policy V1 – new
• NATSIFACP Medication Management policy (residential care) V1 – new

Care Management Tools

Intake & Assessment Resources

• NATSIFACP Aged Care Recipient Agreement V3 – updated (formerly CHSP_NATSIFACP Aged Care Recipient Agreement V2)

Human Resource Tools & Forms

• Aged Care Position Description Development Guide V1 – new
• Induction Checklist (Example) V1 – new
• Police Checks in Aged Care Guide V1 – new

Program & Reform Resources

Programs

Support at Home

• Guide – Assistive Technology and Home Modifications (AT-HM) funding clothing purchases  V1 – new
• Guide for Providers – Supplying assistive technology (AT-HM) under Support at Home V1 – new

Quality & Compliance Tools

Compliance Tools

• Audit Evidence Collection Tool Example with Document list and Standard One V1 – new

Registers

• External Training Register V2 – updated

Training & Education Resources

Toolbox Talks – Quality Care

• Trauma Aware and Healing Informed Care V3 – updated

Human Resource Tools & Forms

• Support Worker Position Description (Example) V2 – updated

Quality & Compliance Tools

Audit Tools

• Audit Tool User Guide V1 – new
• Building and Maintenance Audit V6 – updated
• Chemical Safety and Management Audit V2 – updated (formerly Chemicals Management Audit V1)
• Cleaning and Infection Control Audit V3 – updated (formerly Cleaning, Laundry and Infection Control Audit V2)
• Client Documentation, Rights and Care Planning Audit V4 – updated (formerly Client Documentation Audit V3)
• Client File Audit Review – Template V2 – updated
• Emergency and Fire Safety Audit V2 – updated
• Governance and Executive Management Audit V6 – updated
• Human Resources Audit (Management) V5 – updated
• Information Technology and Security Audit V3 – updated (formerly Information Technology Audit V2)
• Meals, Nutrition and Food Service Audit V3 – updated (formerly Meals and Food Safety Audit V2)
• Operational Management Audit V7 – updated
• Vehicle/Fleet Audit V3 – updated (formerly Vehicle Audit V2)
• Work Health and Safety Audit (Management) V3 – updated
• Work Health and Safety Audit (Service) V2 – updated

Human Resource Tools & Forms

• Internal Stakeholder Responsibilities Map (Matrix) V2 – updated (formerly Community Aged Care and Internal Stakeholder Responsibilities Map V1)

Training & Education Resources

Storyboards

• Supporting safe and quality care V1 – new
• I can speak up to make aged care better V1 – new
• I get the care and support I need to live safe and well at home V1 – new
• Making aged care spaces welcoming and safe V1 – new
• Supporting me with the right people for my care needs V1 – new
• How aged care helps with my clinical and personal care V1 – new
• I can live the life I choose V1 – new
• Open disclosure V1 – new
• My care provider partners with me to make my life better V1 – new
• What I need to live well at home V1 – new
• Person-Centred Care V1 – new
• My advance care plan V1 – new
• Keeping me safe from infectious disease V1 – new
• Social and Physical Distancing V1 – new

Std 1. The Person Policies & Procedures

• Mapping Tool
• Advocacy and registered supporters policy V2 – updated
• Choice, autonomy and dignity of risk policy V1 – new
• CHSP Client Contribution Procedure V1 – new
• Diversity, Inclusivity and Cultural Safety Policy V4 – updated
• Fees, contributions and financial transparency policy V1 – new
• Financial hardship management procedure V1 – new
• Independence and quality of life policy V1 – new
• Intimacy, sexuality and relationships policy – residential V3 – updated (formerly known as Sexuality and Intimacy Policy Residential V2)
• Emotional, Spiritual and Psychological Wellbeing Policy V5 – updated
• Home Care Recipient Agreement Procedure V1 – new
• NATSIFACP funding and contributions procedure V1 – new
• Person-centred care policy V1 – new
• Privacy, Confidentiality and Dignity of Care policy V6 – updated
• Restrictive practices and behaviour support policy V1 – new
• Restrictive practices and behaviour support procedure V1 – new
• Support at Home fees and charges procedure V1 – new
• Supported decision-making and cognitive capacity procedure V1 – new
• Supporting older people living with a disability policy V1 – new
• Working with family carers and support persons policy V2 – updated

Std 2. The Organisation Policies & Procedures

• Mapping Tool
• Abuse, neglect and exploitation response procedure V1 – new
• Aged care human resource management policy V1 – new
• Associated providers and agency staff policy V2 – updated
• Board induction and ongoing governance capability procedure V2 – updated
• Bullying, harassment, discrimination and violence – workplace behaviour policy V1 – new
• Child safety compliance policy V3 – updated
• Companion animals and pets in aged care policy V3 – updated (formerly known as Companion Animals (Residential Care) V2)
• Conflict of interest policy V2 – updated
• Data breach response procedure V2 – updated
• Emergency, contingency and disaster management policy V5 – updated (formerly known as Contingency and emergency management V4)
• Emergency, contingency and disaster response procedure V1 – new
• Employment of family carers in aged care policy V2 – updated
• Environment sustainability policy V5 – updated
• Equal Employment Opportunity Policy V2 – updated
• Feedback and complaints (aged care workers) V1 – new
• Feedback and complaints (individual) V1 – new
• Financial management and delegations policy V1 – new
• Financial management procedure V1 – new
• Food safety, hygiene and pest control V2 – updated (formerly known as Food hygiene and pest control V1)
• Governance framework, quality systems and accountable management policy V2 – updated
• Incident management systems policy V2 – updated
• Incident Management Procedure – Home Care V4 – updated
• Incident Management Procedure – Residential Care V3 – updated
• Managing workplace bullying, harassment, discrimination and violence procedure V1 – new
• Manual handling and safe movement procedure V1 – new
• Misconduct and workplace grievance management procedure V1 – new
• Motorised mobility aids procedure V2 – updated
• Open Disclosure policy V3 – updated
• Operational sustainability policy V3 – updated
• Police and other background checks policy V6 – updated
• Prudential management and financial governance policy – residential care V1 – new
• Quality and Continuous Improvement and Advisory Bodies policy V4 – updated
• Quality, safety and inclusion culture policy V2 – updated
• Regulatory reporting and compliance policy V1 – new
• Responding to a serious incident (SIRS) procedure V5 – updated (now covers both home care and residential care)
• Risk management policy V3 – updated
• Smoking, vaping and tobacco use in aged care safety procedure V1 – new
• Staff induction and orientation procedure V3 – updated
• Staff recruitment and selection procedure V3 – updated
• Staff training, performance review and professional development policy V2 –updated
• Storage, Archiving and Destruction of Sensitive Information Procedures V3 – updated
• Stress management after an incident procedure V1 – new
• Unexplained absence (missing care recipient) procedure V2 – updated (now covers both home care and residential care)
• Whistleblower protection policy V3 – updated (formerly Whistleblower Policy and Procedure V2 – policy is now in this separate stand alone document)
• Whistleblower reporting and investigation procedure V3 – updated (formerly Whistleblower Policy and Procedure V2 – procedure is now in this separate stand alone document)
• Work, health and safety policy V2 – updated
• Worker safety and violence prevention procedure V1 – new
• Workforce planning and competency policy V1 – new

Std 3. Care and Services Policies & Procedures

• Mapping Tool
• Assessment and care planning policy V1 – new
• Assessment and care planning procedure V1 – new
• Coordination, transitions and referrals policy V1 – new
• Coordination, transitions and referrals procedure V1 – new
• End of life care and advance care planning policy V4 – updated (formerly End of life care and advanced care plans V3)
• In-Home Meal Provision V3 –updated
• Service delivery and documentation policy V1 – new

Std 4. The Environment Policies & Procedures

• Mapping Tool
• Cleaning and environmental hygiene procedure V1 – new
• Environment safety and infrastructure policy V1 – new
• Equipment and aids management procedure V1 – new
• Home environment risk assessment procedure V1 – new
• Infection prevention and control policy V1 – new
• Infection prevention and control procedure V1 – new
• Infection surveillance and outbreak management procedure V1 – new
• Service environment safety procedure V1 – new

Std 5. Clinical Care Policies & Procedures

• Mapping Tool
• Clinical safety policy V1 – new
• Palliative and end-of-life care policy V1 – new
• Supporting individuals living with cognitive impairment policy V1 – new

Std 6. Food and Nutrition Policies & Procedures

• Mapping Tool
• Food, nutrition and dining policy – residential V1 – new
• Food safety and kitchen operations procedure – residential V1 – new
• Meal service and dining support procedure – residential V1 – new
• Menu planning and dietician review procedure – residential V1 – new
• Nutrition assessment and monitoring procedure – residential V1 – new

Std 7. The Residential Community Policies & Procedures

• Mapping Tool
• Activities of daily living and residential service delivery procedure V1 – new
• End of Life and After Death Residential Procedure V1 – new
• Residential community and services policy V1 – new
• Residential transitions and hospital return procedure V1 – new

Care Management Tools

Monitoring

• Financial Hardship – Manager Decision Checklist (Example) V1 – new
• Financial Hardship Request Form (Example) V1 – new

Quality & Compliance Tools

Registers

• Continuous Improvement Register V1 – new

Audit Tools

• Building and Maintenance Audit (Community Care) V5 – updated
• Chemicals Management Audit V1 – new
• Cleaning, Laundry and Infection Control Audit V2 – updated
• Client Documentation Audit V3 – updated
• Emergency and Fire Safety Audit V1 – new
• Governance and Executive Management Audit V5 – updated
• Human Resources Audit (Management) V4 – updated
• Information Technology Audit V2 – updated
• Meals and Food Safety Audit V2 – updated
• Operational Management Audit V6 – updated
• Service Documentation Audit V2 – updated
• Vehicle Audit V2 – updated
• Work Health and Safety Audit (Management) V3 – updated
• Work Health and Safety Audit (Service) V2 – updated

Governance Resources

Governance Fact Sheets

• Governing body clinical representation (Fact Sheet) V1 – new

Board Resources

• Financial delegations schedule (Example) V1 – new
• Liquidity and Investment Management Strategy (Example) V1 – new

Program & Reform Resources (can also be found under Training and Education Resources)

• Aged Care Compliance Checklist – new
• Aged Care Compliance Guide – new

Std 1. The Person Policies & Procedures

• Choice, Autonomy and Dignity of Risk (Residential Care) V1 – new

Std 2. The Organisation Policies & Procedures

• Information Management Policy V3 – replaces Information and Records Management Policy V2
• Partnering with individuals Policy V1 – new
• Quality, safety and inclusion culture policy V1 – new

Std 4. The Environment Policies & Procedures

• Purchase of client aids and equipment (Home Care) – procedure V3 – updated

Std 5. Clinical Care Policies & Procedures

• Admission medication management procedure V1 – new
• Allergy and adverse drug reaction (ADR) V1 – new
• Antimicrobial stewardship in medications V1 – new
• Ceasing and or alteration of medication orders procedure V1 – new
• Clinical Governance Policy (Home Care) V4 – updated
• Continuity of medicine administration – exceptional circumstances procedure V1 – new
• Cytotoxic medication management procedure V1 – new
• Dose administration aids (DAAs) V1 – new
• Electronic, fax, email and telephone order procedure V1 – new
• Electronic medication management system (eMMS) diagnosis V1 – new
• Emergency medication orders after hours procedure V1 – new
• Identifying and handling expired medicines V1 – new
• Management of high risk medicines procedure V1 – new
• Management of Schedule 8 controlled drugs procedure V1 – new
• Medication administration – alteration of solid dose forms procedure V1 – new
• Medication administration – general principles V1 – new
• Medication administration – intramuscular or subcutaneous routes procedure V1 – new
• Medication administration PRN as required procedure V1 – new
• Medication administration staff competency procedure V1 – new
• Medication advisory committee (MAC) procedure V1 – new
• Medication chart reconciliation V1 – new
• Medication incident procedure (residential care) V1 – new
• Medication information procedure V1 – new
• Medication management during transitions of care (residential care) V1 – new
• Medication Management Review (RMMR) V1 – new
• Medication orders and charting V1 – new
• Medication prompting in a home care setting – procedure V2 – updated
• Medication storage and disposal V1 – new
• Nurse initiated medication (NIM) procedure V1 – new
• Oxygen therapy procedure V1 – new
• Provider Pharmacy Procedure V1 – new
• Psychotropic Medication and Chemical Restrictive Practices V1 – new
• Self-administration of medication by residents V1 – new
• Voluntary assisted dying (VAD) medicines governance and management V1 – new
• Warfarin Management Procedure V1 – new

Care Management Tools

Intake & Assessment Resources

• CHSP_NATSIFACP Aged Care Recipient Agreement V2 – updated
• Service Plan (Care Recipient) V5 – updated (formerly Support Plan (Care Recipient) V4)

Health Condition Planning Guides

Assessment and Planning Guides – For Case Managers

• Diverticulitis – Assessment and Planning Guide V1 – new

Care Provision Information – For Care Staff

• Diverticulitis – Care Provision Information  V1 – new

Quality & Compliance Tools

Registers

• Multi-Site PCI Data Capture Register v3 – replaces Continuous Quality Improvement Register V2

Std 1. The Person Policies & Procedures

• CHSP Client contribution policy V3 – updated
• Residential agreement – policy V1 – new
• Residential agreement – procedure V1 – new

Std 2. The Organisation Policies & Procedures

• Board induction and ongoing governance capability V1 – new
• Code of Conduct V5 – updated
• Incident Management Policy V5 – replaces Incident Management Systems Policy Home Care V4

Std 3. Care and Services Policies & Procedures

• In-home meal provision V2 – updated

Management & Planning Tools

Reporting

• Home Care Management Report V4 – updated

Std 1. The Person Policies & Procedures

• Choice and Dignity of Risk (Home Care) V4 – updated

Std 2. The Organisation Policies & Procedures

• Reporting Requirements in Home Care V1 – new; replacing “Service Reporting in Aged Care”
• Work Health and Safety Policy V1 – new

Std. 3 Care & Services Policies & Procedures

• Medication Prompting in a Home Care Setting V1 – new

Governance Resources

• Fact Sheet for Non-Government Providers – Responsible Persons V1 – new
• Fact Sheet for Local Government Providers – Responsible Persons V1 – new

Program & Reform Resources

Support at Home

• Guide – Simple Calculation of Care Management Hours available under Support at Home V1 – new
• Support at Home Care Management Hours Schedule Based V1 – new
• Guide – Support at Home – Care Partner Responsibilities V1 – new
• Guide – Case Loads for Care Partners under Support at Home V1 – new

NATSIFACP

• Information for people receiving NATSIFACP services V1 – new

Reform Resources

• Guide – Associated Providers V1 – new
• Guide – Amending Your Aged Care Registration Category V2 – updated
• Associated Provider Compliance – Checklist V1 new

Std. 2 Governance Policies & Procedures

• Aged Care Financial Management and Delegations Policy V2 – updated
• Clinical Governance Policy (Residential Care) V2 – updated

Health and Safety Policies & Procedures

Risk Management & Service Environment

• Companion Animals (Residential Care) V2 – updated

Home Care Policies & Procedures

Service Management

• Choice and Dignity of Risk V3 – updated

Client Service Provision

• Assessment and Reassessment Policy V5 – updated
• Assessment and Reassessment Procedures V2 – updated
• Assessment of Care Recipient Home Environment V2 – replaces Assessment of the Client’s Home Environment V1
• Client Intake Procedures V3 – updated

Residential Care Policies & Procedures

Resident Service Provision

• Sexuality and Intimacy V2 – updated

Governance Policies & Procedures

• Clinical Governance Policy (Home Care) V3 – updated
• Code of Conduct V4 – updated
• Storage, Archiving and Destruction of Sensitive Information Procedures V2 – updated

Health and Safety Policies & Procedures

Risk Management & Service Environment

• Food Hygiene and Pest Control V1 – replaces Food Hygiene and Pest Control (Home Care) V2 and Food Hygiene and Safety (Residential Care) V1
• Responding to a Serious Incident (SIRS) in Home Care V4 – updated

Care Management Tools

Intake & Assessment

• Centrepay Written Deduction Authority V3 – updated
• CHSP_NATSIFACP Aged Care Recipient Agreement V1 – replaces Client Care Agreement – CHSP/NATSIFACP V1
• Client Intake & Assessment Form V7 – updated
• Consent Form (Care Recipient) V3 – replaces Client Consent Form V2
• Emergency Response Form (Care Recipient) V4 – replaces Client Emergency Response Form V3
• Incoming Referral & Consent Form – Aged Care V3 – updated
• Support at Home Agreement (Example) V1 – replaces Client Care Agreement – Home Care Package V4
• Support Plan (Care Recipient) V3 – replaces Simple Client Support Plan V2

Brokerage Services

• Contracted Services Agreement – Meals & Services V2 – updated
• Request for Services Form V2 – updated
• Working with us as an Associated Provider V2 – updated

Information Sheets for Care Recipients

• Example – Delivered Meals-Client Information Sheet V1 – new

Management & Planning Tools

Reporting

• Coordinator/Team Leader Monthly Report V1 – new
• Coordinator/Team Leader Monthly Report (Example) V1 – new
• Home Care Management Report V3 – updated

Risk Planning & Operations Guides

Operations Templates

• Delivered Meals Incident Escalation (Flow Chart) – Example V1 – new
• Delivered Meals – Quality Assurance Framework – Example V1 – new

Reform Resources

Other Reform Resources

• Fact Sheet-Working With Children Checks V1 – new

Home Care Policies & Procedures

Service Management

• Incident Management Systems Policy V4 – updated

Client Service Provision

• In-Home Meal Provision V1 – new
• Privacy, Confidentiality and Dignity of Care V5 – updated

Care Management Tools

Brokerage Services

• Working with us as an Associated Provider V1 – new

HR Policies & Procedures

• Police and Other Background Checks V5 – updated

Governance Policies & Procedures

• Quality and Continuous Improvement and Advisory Bodies V2 – updated

Governance Resources

Governance Fact Sheets

• Quality Care Advisory Body (QCAB)_Report Template (Example) V1 – new
• Quality Care Advisory Body (QCAB)_Report Template (Guide) V1 – new

Board Resources

• Terms of Reference for Aged Care, Quality Care Advisory Board (Example) V2 – updated

Other Resources

• Policy and Procedure Customisation Instruction Sheet V2 – updated

Reform Resources

Support at Home

• Fact Sheet for Support at Home-Care Partner Responsibilities V1 – new

Other Reform Resources

• Guide – Amending Your Aged Care Registration Category V1 – new

Home Care Policies & Procedures

Client Service Provision

• Emotional, Spiritual and Psychological Wellbeing V4 – updated
• End of Life Care and Advanced Care Plans V3 – updated

Service Management

• Community Engagement and Networking V2 – replaces Communication and Engagement Management V1
• Contingency and Emergency Management V4 – updated

Residential Care Policies & Procedures

Service Management

• Community Engagement and Networking V2 – replaces Communication and Engagement Management V1

Resident Service Provision

• Emotional, Spiritual and Psychological Wellbeing V4 – updated

Human Resources Policies & Procedures

• Police and Other Background Checks Policy V4 – updated

Governance Policies & Procedures

• Diversity, Inclusivity and Cultural Safety Policy V3 – updated
• Information and Records Management V2 – updated

Health and Safety Policies & Procedures

• Heat Management Plan Policy (Home Care) V4 – updated
• Outbreak Management Policy (Home Care) V2 – updated

Care Management Tools

Intake & Assessment

• Centrepay Written Deduction Authority V2 – updated
• Client Care Agreement – CHSP/NATSIFACP V1 – replaces Client Care Agreement – Commonwealth Home Support Programme V4
• Client Consent Form V2 – updated
• Client Emergency Response Form V3 – updated
• Client File Checklist V2 – updated
• Client Information Summary V4 – updated
• Client Intake & Assessment Form V6 – updated
• Incoming Referral & Consent Form – Aged Care V2 – updated
• Simple Client Support Plan V2 – updated

Monitoring

• Client Service Plan Review V2 – updated
• Tips for Writing Progress Notes V1 – new
• Vulnerable Client Check List Template (Home Care) V2 – updated
• Wellbeing Check – Home Visit V2 – updated
• Wellbeing Check – Phone Call V2 – updated
• Pictorial – When to document (Progress Note Guide) V1 – new

Contracted Services

• Delivered Meal Request Form V2 – updated
• Quote for Contracted Services V2 – updated

Quality & Compliance Tools

Audit Tools

• Building and Maintenance Audit (Community Care) V4 – updated
• Operational Management Audit V5 – updated

Related Resources

• Home Care Recipient Incident Report – Template V2 – replaces Home Care Consumer Incident Report – Template V1

Human Resource Tools & Forms (formerly Management & Planning Tools)

Staff Management (formerly Planning Tools)

• Aged Care Workforce Plan – Home Care (Example) V5 – updated

Training & Education Resources

Toolbox Talks – Quality Care

• National Aboriginal and Torres Strait Islander Program (NATSIFACP) V1 – new

Reform Resources

Commonwealth Home Support Program

• Fact Sheet for CHSP V1 – new

Support at Home

• Fact Sheet for Providers – Support at Home – Client Transition V3 – updated
• Fact Sheet for Providers – Support at Home – Grandfathered Clients & Reassessment V1 – new
• Support at Home – Fee increase text V1 – new

Other Reform Resources

• Fact Sheet for Providers – Aged Care Reform Overview V2 – new

Health & Safety Policy & Procedures

Risk Management & Service Environment

• Purchase of Client Aids and Equipment V2 – updated

Governance Policy & Procedures

• Whistleblower Policy V2 – updated

Reform Resources

Programs – Support at Home

• Work Instruction – Support at Home Claiming and Payments Preparation V2 – updated

Training & Education Resources

Toolbox Talks – Quality Care

• Whistleblower Protections V1 – new

Care Management Tools

Intake & Assessment

• Client Information Summary V3 – updated

Monitoring

• Client Emergency Response Form V2 – updated
• Personal Care & Showering Checklist V1 – new

Home Care Policies & Procedures

Client Service Provision

• Advocacy and registered supporters V1 – replaces Advocacy V3
• Working with carers and support persons V1 – replaces Working with carers V2

Governance Policies & Procedures

• Diversity, Inclusivity and Cultural Safety Policy V2 – updated

Governance Policies and Procedures

• Associated Providers and Agency Staff Policy & Procedure V2 – formerly Contract and Agency Staff Policy & Procedure V1
• Child Safety Compliance V1 – new

Reform Resources

Support at Home

• Fact Sheet for Providers – Support at Home – Client Transition V1 – new
• Work Instruction – Support at Home Claiming and Payments Preparation V1 – new