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Aged Care

Your Guide to Transitioning Residential Aged Care to the NDIS

November 21, 2022

This is a Residential Aged Care transition guide to the NDIS written by professional NDIS consultants at Provider+. This guide should be used as a resource tool along with NDIS resources linked to this article.

I Am a Residential Aged Care Provider. Do I Need to Register For The NDIS?

On 1 December 2020, Residential Aged Care (RAC) providers supplying services to NDIS participants in their facilities automatically became registered NDIS providers. If this describes your circumstances, you must now decide whether to renew your registration or stop providing services to NDIS participants.

If you are a Residential Aged Care provider that has acquired NDIS participants after 1 December 2020, you may also need to register with the NDIS Commission. For more information please go HERE.

Commonalities Between RAC and NDIS Standards

General

Around half of the NDIS Practice Standards requirements in the Core Module are the same as those of the Aged Care Quality Standards.

There are several broad commonalities across both sets of standards, which include the requirements for:

Organisational systems covering:

  • Feedback and complaints
  • Incidents management
  • Compliance
  • Risk
  • Continuous improvement
  • Governance
  • Information management
  • Human resource management


Support provision processes including:

  • Assessment
  • Planning
  • Review of supports
  • Management of individual risks


Support and respect for:

  • Individual choice
  • Independence
  • Privacy
  • Dignity
  • Culture and diversity
  • Infection control processes
  • Safe environments

Audit Processes

Commonalities across the aged care and NDIS audit processes include:

  • Both approaches require providers to demonstrate compliance with quality standards.
  • Both processes require an assessment of provider and key personnel suitability.
  • Both processes require providers to demonstrate knowledge of quality standards, legislation, policy, and procedures.
  • General audit processes and methodology.Assessment against quality standards and quality indicators, review of policy and procedures, interviews with staff and participants, site sampling, review and outcome findings by the relevant Commission.
  • 3-year audit cycle.

Comparison Tables

Comparison table of Aged Care and NDIS terminology. Compares consumer to participant, quality assessors to approved quality auditor, accreditation to registration, Aged Care Quality and Safety Commission to NDIS Quality and Safeguards Commission, Residential Aged Care Provider to NDIS Provider, Key Personnel definitions, and Care and Services Plan to Support Plan.
Comparison table of Aged Care and NDIS costs. Compares one-off application fee with no auditing costs to auditor costs every 18 or 36 months, no audit fee to auditor costs paid by provider, and application fee paid when lodging application to no set audit costs and no application fee.
Comparison table of Aged Care and NDIS site visits. Compares site visits as per service accreditation to a sampled site visit as per NDIS (Approved Quality Auditors Scheme) Guidelines 2018.
Comparison table of Aged Care and NDIS audit ratings. Compares assessment ratings of Met or Not Met against Quality Standards to the NDIS numerical rating system of 0 for major non-conformity, 1 for minor non-conformity, 2 for conformity, and 3 for conformity with Elements of Best Practice.
Comparison table of Aged Care and NDIS audit report availability. Compares Aged Care audit reports as publicly available to NDIS audit reports as not publicly available.
Comparison table of the Aged Care Code of Conduct with the NDIS Code of Conduct. Highlights shared principles including respect for rights, dignity, privacy, safe and competent care, integrity, acting on concerns, and preventing violence, neglect, exploitation, and misconduct.
Comparison table of Aged Care and NDIS modules. Lists the Aged Care Modules: High-Intensity Personal Daily Activities, Severe dysphagia management, Subcutaneous injection, and Module 2a Implementing Behaviour Support Plans. Notes that the entire policy and procedure must be built to meet standards.

Similarities

Table listing areas Aged Care providers need to review to meet NDIS compliance requirements for Standard 1 Rights and Responsibilities. Lists specifics for person-centred supports, individual values and beliefs, privacy and dignity, independence and informed choice, and violence, abuse, neglect, exploitation and discrimination.
Table listing areas Aged Care providers need to review to meet NDIS compliance requirements for Standard 2 Governance and Operational Management. Lists specifics for governance, risk management, quality management, information management, feedback and complaints, incident management, human resource management, continuity of supports, and emergency and disaster management.
Table detailing areas Aged Care providers need to review to meet NDIS compliance requirements for Standard 3 Provision of Support, Standard 4 Provision Environment, and Module 1 High-Intensity Daily Personal Activities. Lists specifics for access to supports, support planning, service agreements, responsive support provision, transitions, safe environment, participant money, medication and mealtime management, waste management, and high-intensity personal care activities.
Table detailing areas Aged Care providers need to review to meet NDIS compliance requirements for Module 2A Implementing Behaviour Support Plans (BSPs). Lists requirements for behaviour support, regulated restrictive practices, supporting assessment and development of behaviour support plans, plan implementation, monitoring the use of regulated restrictive practices, behaviour support plan review, reportable incidents, and interim BSPs.

The ACQS and NDIS Practice Standards Comparison Tool

The ACQS and NDIS Practice Standards Comparison Tool can help determine how the Aged Care Quality Standards link to the NDIS Practice Standards (and each Quality Indicator).

Please Note:

All applicable Quality Indicators for an NDIS Practice Standard are considered during an NDIS audit, it is vital to look at these individually.

We highly advise you to refer to the Evidence Guide (Part I) for suggested ways to demonstrate these requirements.

The following Standards Comparison Tool will enable RAC providers to pinpoint where further evidence may be required to gain the assurance they need to meet the NDIS Practice Standards.

The following ratings (and colour coding) have been used in the Standards Comparison Tool:

Infographic explaining a key for comparing Aged Care and NDIS requirements. Shows a green box with an equals sign for "Same", a yellow box with a similar icon for "Some similarities", and a red box with an exclamation mark for "Differences". Explains the level of alignment for each category.
Table showing a comparison tool for NDIS Practice Standards and Aged Care Quality Standards. Uses a colour-coded system to indicate where requirements are the same, have some similarities, or are different across various standards including Rights and Responsibilities and Governance and Operational Management.
Table showing a comparison tool for NDIS Practice Standards and Aged Care Quality Standards. Uses a colour-coded system to compare requirements for Provision of Supports, Support Provision Environment, and High-Intensity Daily Personal Activities - Module 1.
Table showing a comparison tool for NDIS Practice Standards and Aged Care Quality Standards. Uses a colour-coded system to compare requirements for Implementing Behaviour Support Plans - Module 2A.
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The Essential NDIS Audit Readiness Checklist
A comprehensive guide to helpyou with your first NDIS audit.
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The Essential NDIS Audit Readiness Checklist
A comprehensive guide to helpyou with your first NDIS audit.
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Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to help you with your first NDIS audit.
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Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to help you with your first NDIS audit.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to help you with your first NDIS audit.
Download Now
Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to helpyou with your first NDIS audit.
Download Now
Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to help you with your first NDIS audit.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Free Download
The Essential NDIS Audit Readiness Checklist
A comprehensive guide to help you with your first NDIS audit.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

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