Home' Australian Ageing Agenda : AAA Jul-Aug 2017 Contents “It’s very
of aged care
this in home
out in the
in helping determine the ideal way to achieve
CDC in facilities, according to an evaluation
released in mid-June.
Aged care organisations Mercy Health,
Ozcare, Beaumont Care, Carinity and IRT
Group participated in the project.
The evaluation of the program notes that
while the federal government is expected to
mandate CDC for aged care facilities in the “ver y
near future” the sector is currently without the
necessar y implementation strategies, approaches
Although some facilities have incorporated
elements of CDC in areas such as activities and
food, no comprehensive approach has been
developed or implemented that includes all
aspects of care and lifestyle, it says.
For McCabe, it all needs to start with how
staff are trained and supported.
“One of the difficulties is that residents don’t
fully understand what consumer directed care is
and that if they actually do indicate a preference
for something things can be altered so their
choice is accommodated,” McCabe tells AAA.
“Residents also don’t know what the
possibilities are because they haven’t been
presented to them.”
The program focused on enhancing the
communication between staff and residents,
as this is seen as a crucial element in effectively
facilitating greater choice within the facility.
Delivered onsite by facilitators over
six sessions, the program trained staff in
communicating with residents and gathering
information to devise and implement a
consumer-directed care plan.
It also provided training to support the
necessar y organisational change and leadership.
The training was provided to all staff including
nurses, care workers, lifestyle and kitchen staff.
The evaluation found the program increased
resident wellbeing in both training groups
compared to the care as usual group, but it found
the program had little impact on staff satisfaction
or organisational improvements.
However, the researchers said that given
the substantial upheaval in the operations of
the facilities that implemented the program,
it is not surprising that three months after the
training staff were still experiencing difficulties
in changing their ways of working, as well as the
operations of the organisation, to accommodate
the new model of care.
With increased time, it is expected that these
staff and organisational measures would improve,
‘Not in one fell swoop’
McCabe says that the adoption of CDC in
residential aged care will happen in stages.
“CDC is not going to come in one fell swoop.
The first stage is changing the mindset of facilities,
staff, residents and families. Better understanding
what choice means and then getting around the
process of how that is put in place.
“Part of that is gradually coming to an
understanding of what this means for the
functioning of the organisation, for job roles,
the relationships between staff and residents, and
how the facility does business,” she says.
McCabe also says that CDC will likely look
“different for different facilities.”
“That’s where the staff and residents need
to have ownership of it. There’s no good in a
researcher or government coming in saying this
is what it looks like. The staff, residents and
families need to be workshopped through it and
have input along the way.”
David Sinclair, a director of StewartBrown
who has been following the early development
of CDC in the residential sector, says there are
still relatively few providers who have embraced
choice in a meaningful way.
“Some are exploring extra services or optional
ser vices and looking to charge an additional fee
for that,” he tells AAA.
Bundling a package of ser vices together has
emerged as an early practical way of enhancing
choice for residents, he says.
“For instance, it might be an entertainment
package where you receive a newspaper ever y
day, a magazine once a week, a Foxtel or Netflix
subscription and a weekly trip to the cinema.”
This approach limits the practical impacts on
procurement managers who have to source and
negotiate supply contracts for the increasing
menu of offerings, he says.
“That’s why people are bundling it up rather
than saying you can have whatever you like.
Effectively you are increasing options but within
an envelope of ser vices.”
Facilitating choice for
residents is a key theme
underpinning the new
model at Benetas, the
australianageingagenda.com.au | 27
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