September 2016 BETTER PRACTICE AWARDS THE WINNERS ARE ANNOUNCED! In this issue Page 2 Message from the CEO Page 3 Better Practice 2017 Call for papers now open Page 4-10 Award Winners MESSAGE FROM THE CEO I was pleased to announce this year’s Better Practice Award winners at our Better Practice conference on 18 August. The 28 Award winners programs show what is possible and highlight better practice and innovation across residential aged care and home care services. The Better Practice Awards are an ideal opportunity to highlight the positive programs in action for older Australians, and to reward staff, management, clients and organisations alike for the hard work they do. All nominations are assessed by an independent panel against nomination selection criteria including a focus on quality of care and quality of life outcomes for consumers. This is our way of recognising and showcasing aged care services that have consumer focus at their core. The stand-out providers spend time finding out what their consumers want, and then find a way to make it happen. The planning, the research and most importantly, the results of the programs make them stand out. And the fact that the consumers are driving the benefits rather than ‘receiving’ them. It was particularly pleasing to see an increased number of nominations coming from home care providers. While the majority of winners are still from residential aged care, eight of the winners are from home care. It’s great to see home care getting on board this awards program. Many of the programs have aspects that could be adopted by other aged care providers. Have a read of the full profiles of the award winning programs on our website. You will be inspired. Planning is underway for next year’s Better Practice conferences, with a call for papers now open. Better Practice Award winners will automatically be included in our selection process for speakers for next year’s conferences. Nick Ryan Chief Executive Officer Quality Standard | ISSN 2204-437X (online) Visit our website to add your email to our mailing list – www.aacqa.gov.au Send us an email if you have a story – [email protected] from the Australian Aged Care Quality Agency 2 CALLING ALL PAPERS FOR BETTER PRACTICE 2017 We have had a great response to our Better Practice conferences this year and we want to do it all again next year… but we need you! We have set up a simple and easy submission process through our website and all you have to do is follow the prompts. We are on the lookout for speakers for our 2017 conferences. Know of someone who has a great story to tell? Let us know – email [email protected] or prompt them to submit a paper online. We would love to hear from you. The theme for 2017 is Re-thinking Disrupt, Connect, Create. Aged Care – This theme is about shaping a new response to care for aged care consumers in Australia. As part of this we want to explore what do we mean by the term ‘ageing well?’ Who currently defines this? What implication does this hold for quality service delivery that is grounded firmly in individual needs and expectations of consumers? And, what does it mean to be an empowered consumer of aged care services within this context. How do we enable consumers to exercise real choice and control? These questions go to the heart of achieving partnerships between service providers, consumers and their communities in designing and delivering customised, aged care support. Presentation sub-themes: 1. Ageing – changing mindsets 2. Organisational leadership and culture change 3. Workforce development and staffing 4. The consumer voice and CDC 5. Innovative lifestyle and food 6. Personal, medical and clinical care 7.Dementia 8. Diversity – we would particularly like to focus on CALD in 2017 9. The rural and remote challenge in service delivery 10.Indigenous aged care and We want to explore current concepts of ‘ageing’. We want to challenge ourselves to consider what is needed to deliver on expectations about quality of life in aged care – for both those delivering support and those receiving it. How do we provide a ‘voice’ to consumer expectations? What barriers may prevent us moving into a culture of support based on expressed goals and expectations of our consumers? 11. Protecting elder rights e.g. sexuality in aged care, elder abuse and ageing and disability Call for papers open Tuesday, 13 September and close on Friday, 14 October. More information is available on our website. Visit www.aacqa.gov.au for details. You don’t need to be a professional or seasoned speaker to be a part of Better Practice 2017. If you have a story to tell, we want to hear it. Better Practice conferences are positive, enthusiastic and collaborative environments. You are among friends and colleagues who want to hear your practical strategies and experiences and make a difference. Practical evidence based case studies are encouraged. from the Australian Aged Care Quality Agency 3 RESIDENT CENTERED HANDOVER Monash Health AW BE AR TTE D RP 20 R 16 AC W TIC IN E NE RS A.G. Eastwood Hostel, Cheltenham Vic. A resident centred approach to enhanced communication between staff and residents at shift change, to mitigate risk, and to provide an opportunity for the resident to be included in their care. IMPROVING ACCESSIBILITY THROUGH CULTURAL SAFETY Annecto Inc, NSW Creating a safe cultural space for Aboriginal aged care recipients by exploring the ramification of cultural safety as the highest barrier for older Aboriginal people accessing aged care in urban regions, and more specifically in western Sydney. A LIFE WITH MEANING Vasey RSL Care Ltd ANZAC Hostel, Brighton, Vic. Creating a sense of meaning and purpose in life by identifying their needs and developing a complete activitiy program, offering programs specifically designed to promote purpose, with choices to suit residents. THE MEASUREMENT OF CLIENT EXPERIENCE Baptcare Karana Nursing Home Hedley Sutton Nursing Home Karingal Nursing Home Baptcare Northern Metropolitan Home Care Packages Through the exploration of innovative approaches to engage clients to ask what truly matters, and the development of new ways to test and measure their experience, Baptcare have commenced a journey to improve and design services that will not only meet their needs, but exceed expectations. ENABLING BETTER QUALITY OF LIFE Bucklands Residential Care, North Plimpton, SA A Health and Wellness Officer to specifically support resident quality of life by identifying a resident’s goals and designing personalised exercise program to help them achieve their goals through enhanced physical and functional capacity, while also providing an opportunity for social engagement and mental wellbeing. EMBEDDING PERSON FIRST Bupa Care Services, Woodville SA Adopting a specialised learning and development program based on adult learning theory and focused on experiential learning, to support and encourage team members to appreciate the uniqueness of each resident living with dementia. PIE - POSITIVE INTERACTIVE ENGAGEMENT AnglicareSA Canterbury Close, Elizabeth East, SA Based on research and Montessori principles, this structured after hours activity program offers a range of activities for individuals with dementia and aims to create a positive environment; to increase interaction and engagement; and to reduce unsettled behaviour in the evenings and times of reduced activities. from the Australian Aged Care Quality Agency 4 AW BE AR TTE D RP 20 R 16 AC TARGETED MEN’S SOCIAL INCLUSION PROGRAM W TIC IN E City of Burnside Commonwealth Home Support Programme Tusmore, SA NE RS Moving beyond the ‘Men’s Shed’ model of social inclusion for men, by offering a broad range of options to give older men choice about how they do their socialising – helping them retain their sense of identity, making new friends and trying something new. IMPLEMENTING PERSON CENTRED APPROACHES City of Parramatta Council NSW A training approach for personal care attendants that focuses on and measures people’s achievement of personal goals, meaningful relationships, new skills, valued roles and access to mainstream community. MAINTAINING MATURE MOUTHS UTILISING TELEDENTISTRY Darling Downs Hospital and Health Service - Rural Aged Care Facilities, Qld Mt Lofty Nursing Home EAF McDonald Rural Aged Care Facility Millmerran Multi Purpose Health Services Milton House Rural Aged Care Facility An innovative model of care enabling residents to have oral checks and dental reviews via a live streaming videoconference appointment with a dentist. from the Australian Aged Care Quality Agency 5 AW BE AR TTE D RP 20 R 16 AC MODEL RAILWAY CLUB W TIC IN E Sapphire Care Grossard Court, Cowes, Vic. NE RS The model railway project has been a life changing experience for a number of men at the home. The project has attracted attention from the local model railway club and provided a sense of community participation with residents attending from all areas within the home including the memory support unit. ABORIGINAL PEOPLE: CULTURALLY VALID CARE Hall and Prior Windsor Park Nursing Home, Carlisle, WA A specialised Aboriginal cultural care program that is a respectful, culturally valid care model and is delivered on a strong foundation of partnerships and trust between academic, Aboriginal, and aged care communities. COMMUNITY OUTREACH IN PUBLIC HOUSING Healthy Living for Seniors Chatswood Sydney, NSW Established in partnership with a Department of Housing Estate, the Project design was developed to promote social participation and connection through group activities which promote health, wellbeing and independence. “STAYING STRONG” REGIONAL TELEHEALTH INITIATIVE integratedliving Australia Muswellbrook, NSW Regional Telehealth Initiative delivered – either in the home or at a local community hub – via a nurse-led model of care, with older Aboriginal and Torres Strait Islander peoples in regional locations in NSW and Queensland. STAYING CONNECTED IPAD PROGRAM integratedliving Australia Muswellbrook, NSW Enhancing social connections, reducing loneliness and improving health and wellbeing among older people and informal carers in rural and remote communities through the use of iPads. A TRULY INTEGRATED SUPPORTED LIVING Good Shepherd Lodge Ltd Kerrisdale Gardens, Beaconsfield, Qld Residents of apartments, admitted under the Retirement Village Act, can remain in their apartment and receive care and services if and when needed under the Residential Care Act. Staff, having undertaken a specifically designed customer service training program, provide a high level of customer focused care and services in a strong team environment. IMPROVING SOCIAL CONNECTEDNESS THROUGH TECHNOLOGY KinCare Health Services Pty Ltd, NSW A tablet device, data, social connection platform, coaching and IT support to improve the social connectedness of older Australians at risk of social isolation. from the Australian Aged Care Quality Agency 6 AW BE AR TTE D RP 20 R 16 AC FIT FOR THE FUTURE W TIC IN E Mercy Health Residential Aged Care Richmond, Vic. NE RS The introduction of a new falls indicator, together with tools for recording falls data, which were used to raise awareness and reduce the number of falls. FINDING MEANING THROUGH SPIRITUALITY - NOT JUST RELIGION The Salvation Army NSW Property Trust Pacific Lodge Aged Care Plus Centre, Dee Why, NSW A spiritual assessment and care planning approach for residents who are socially disadvantaged, often rejected by society as a result of mental illness and complex care needs from a lack of awareness and insight due to chronic alcoholism. This model was derived from an identified need that all people are inherently spiritual in nature and resulted in a paradigm shift from a medical model to the notion of caring for one’s spirit. from the Australian Aged Care Quality Agency 7 AW BE AR TTE D RP 20 R 16 AC SUB-ACUTE CARE PROGRAM W TIC IN E PresCare Alexandra Gardens North Rockhampton, Qld NE RS The model uses a simple Green-Yellow-Red traffic light system to detect, assess, report and respond early to deteriorating care recipients. It also promotes participation of care recipients and representatives in choice and decision-making while remaining at ‘home’ to receive the treatment they require, rather than being transferred to hospital. MANAGING MEDICATION RISKS (COMMUNITY SERVICES) Resthaven Incorporated Resthaven Marion Community Services Resthaven Onkaparinga Community Services Rest haven Community Respite Services Resthaven Limestone Coast Community Services Resthaven Murray Bridge Community Services Resthaven Riverland Community Services The Safe Medication Use in the Community model is focused on reablement and empowerment of the consumer to self-manage medicines for as long as possible; workforce skill development, with a good understanding of the roles of clinical and non-clinical workers in the medication management process; and co-production of systemic changes, in collaboration with consumers and staff. STAY ON YOUR FEET RSL Care WA Menora, WA An interdisciplinary approach to raise awareness of the impact of medicines on falls risk, and encourage a culture of shared care, where falls prevention was everyone’s business. The approach involved increasing education and developing a nurse-led prompt for a medication review, aimed to increase awareness and responsibility for reducing medication-related falls. DIETARY COORDINATORS BRIDGING THE GAP Sir Moses Montefiore Jewish Home, NSW Camelot Nursing Home Hunters Hill Montefiore Home The creation of a Dietary Coordinator role with a key focus being cross-departmental communication including managing resident dietary information; point-of-contact for catering and nursing teams when dietary questions arise; educating catering staff on the delivery of correct meals; auditing; managing supplements and thickened fluids; and assisting in streamlining referrals to allied health specialists. from the Australian Aged Care Quality Agency 8 MEDICAL STUDENTS LEARNING FROM US Southern Cross Care SA and NT Pines Lodge Nursing Home AW BE AR TTE D RP 20 R 16 AC W TIC IN E NE RS Pines Rehabilitation Service 4th and 5th year medical students spend one day at the aged care service to learn about exercise from older adults who embrace healthy ageing. From this one day of engagement with healthy older adults, 60% of students report an increased interest in working with older adults. OUR CHOICE Uniting Caroona Jarman Goonellabah, NSW Residents need people with the ‘right’ attitude to work in the home. Defining this ‘right’ attitude was the first step, in consultation with residents and other staff. Residents of the home actively participate as panel members in the interview process for new staff, with an increased emphasis on personality. PUTTING OUT THE WELCOMING MAT The Uniting Church in Australia Property Trust NSW A comprehensive Lesbian, Gay, Bisexual, Transgender, Intersex (LGBTI) inclusion strategy to ensure everyone, regardless of lifestyle choices, ethnicity, faith, sexual orientation and gender identity, feels welcome and safe. As part of this process , the organisation has achieved strong and successful cultural change. Two key indicators were the achievement of the Rainbow Tick for all services and the gold tier ranking status in the national, all industry annual Australian Workplace Equality Index application. from the Australian Aged Care Quality Agency 9 STRONG STEADY SAFE Uniting Home and Community Care Central Sydney, NSW The Marion AW BE AR TTE D RP 20 R 16 AC W TIC IN E NE RS Ronald Coleman Lodge A 10-week strength training program, designed by Uniting’s exercise physiology team and delivered to residents in two aged care facilities. The main goal of the program was to improve the strength, power, balance and well-being of the participating residents whilst reducing their risk of falls. HENPOWER TRIAL IN RESIDENTIAL CARE The Whiddon Group, NSW Casino Condobolin Maclean Bourke Giving older men living in the community increased purpose through henkeeping activities in aged care homes. ‘Henpower’ is an evidence-based creative ageing program created by Equal Arts in the UK. Henpower includes external community involvement, resident and staff co-design, creative activities, strengthening of internal community and resident/staff relationships and belonging to an international Henpower community. EMBEDDING PERSON FIRST Bupa Care Services, Woodville SA The Embedding Person First program was implemented to increase quality of life and care of residents. Success was benchmarked based on reduced rate of incidents; reduced frustration (and aggressive behaviour) being felt by residents; less use of psychotropics; reduced rates of employee turnover; and fewer complaints regarding behaviour management. The approach involved a specialised learning and development program based on adult learning theory and focused on experiential learning, to support and encourage team members to appreciate the uniqueness of each resident living with dementia. from the Australian Aged Care Quality Agency 10
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