Australian Aged Care Quality Agency
Self-assessment tool
Name of home:
RACS ID:
Australian Aged Care Quality Agency self-assessment tool
Introduction
You may use this self-assessment tool to assist in recording information about the performance of
your residential aged care service against the Accreditation Standards. Alternatively, you may
choose to record self-assessment information in some other form.
For guidance in completing your self-assessment, refer to the Results and processes guide.
If you wish, you may choose to provide the Quality Agency your self-assessment information with
your application for re-accreditation or have the information available for assessors during the reaccreditation audit of your residential aged care home.
All approved providers are required to conduct self-assessment against the Accreditation
Standards and to provide written self-assessment information to the assessment team during their
re-accreditation audit. Self-assessment information may be in any written form and must
demonstrate the performance of your service against the Accreditation Standards.
Self-assessment summary
Please check either Yes or No against each expected outcome.
We achieve the following:
Expected outcome
Yes No
Expected outcome
Yes
1.1 Continuous improvement
3.1 Continuous improvement
1.2 Regulatory compliance
3.2 Regulatory compliance
1.3 Education and staff
3.3 Education and staff
development
development
1.4 Comments and complaints
3.4 Emotional support
1.5 Planning and leadership
3.5 Independence
1.6 Human resource management
3.6 Privacy and dignity
1.7 Inventory and equipment
3.7 Leisure interests and
activities
1.8 Information systems
3.8 Cultural and spiritual life
1.9 External services
3.9 Choice and decision making
2.1 Continuous improvement
3.10 Resident security of tenure and
responsibilities
2.2 Regulatory compliance
4.1 Continuous improvement
2.3 Education and staff
4.2 Regulatory compliance
development
2.4 Clinical care
4.3 Education and staff
development
2.5 Specialised nursing care
4.4 Living environment
needs
2.6 Other health and related
4.5 Occupational health and
services
safety
2.7 Medication management
4.6 Fire, security and other
emergencies
2.8 Pain management
4.7 Infection control
2.9 Palliative care
4.8 Catering, cleaning and
laundry services
2.10 Nutrition and hydration
2.11 Skin care
2.12 Continence management
2.13 Behavioural management
2.14 Mobility, dexterity and
rehabilitation
2.15 Oral and dental care
2.16 Sensory loss
2.17 Sleep
Australian Aged Care Quality Agency
No
FRM-ACC-0135 v14.2
Australian Aged Care Quality Agency self-assessment tool
Standard 1: Management systems, staffing and organisations development
Provide information that describes the processes used to achieve the expected outcomes in this
Standard.
1.1, 2.1, 3.1 and 4.1 Continuous improvement
Provide information that demonstrates what you have achieved in relation to these expected
outcomes.
1.2, 2.2, 3.2 and 4.2 Regulatory compliance
Provide information that demonstrates what you have achieved in relation to these expected
outcomes.
1.3, 2.3, 3.3 and 4.3 Education and staff development
Provide information that demonstrates what you have achieved in relation to these expected
outcomes.
1.4 Comments and complaints
Provide information that demonstrates what you have achieved in relation to this expected outcome.
1.5 Planning and leadership
Provide a copy of your documented vision, values, philosophy, objectives and commitment to quality
throughout the home.
1.6 Human resource management
Provide information that demonstrates what you have achieved in relation to this expected outcome.
1.7 Inventory and equipment
Provide information that demonstrates what you have achieved in relation to this expected outcome.
1.8 Information systems
Provide information that demonstrates what you have achieved in relation to this expected outcome.
1.9 External services
Provide information that demonstrates what you have achieved in relation to this expected outcome.
Australian Aged Care Quality Agency
FRM-ACC-0135 v14.2
Australian Aged Care Quality Agency self-assessment tool
Standard 2: Health and personal care
Provide information that describes the processes used to achieve the expected outcomes in this
Standard.
2.4 Clinical care
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.5 Specialised nursing care needs
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.6 Other health and related services
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.7 Medication management
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.8 Pain management
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.9 Palliative care
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.10 Nutrition and hydration
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.11 Skin Care
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.12 Continence management
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.13 Behavioural management
Provide information that demonstrates what you have achieved in relation to this expected outcome.
Australian Aged Care Quality Agency
FRM-ACC-0135 v14.2
Australian Aged Care Quality Agency self-assessment tool
2.14 Mobility, dexterity and rehabilitation
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.15 Oral and dental care
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.16 Sensory loss
Provide information that demonstrates what you have achieved in relation to this expected outcome.
2.17 Sleep
Provide information that demonstrates what you have achieved in relation to this expected outcome.
Australian Aged Care Quality Agency
FRM-ACC-0135 v14.2
Australian Aged Care Quality Agency self-assessment tool
Standard 3: Resident lifestyle
Provide information that describes the processes used to achieve the expected outcomes in this
Standard.
3.4 Emotional support
Provide information that demonstrates what you have achieved in relation to this expected
outcome.
3.5 Independence
Provide information that demonstrates what you have achieved in relation to this expected outcome.
3.6 Privacy and dignity
Provide information that demonstrates what you have achieved in relation to this expected outcome.
3.7 Leisure interests and activities
Provide information that demonstrates what you have achieved in relation to this expected outcome.
3.8 Cultural and spiritual life
Provide information that demonstrates what you have achieved in relation to this expected outcome.
3.9 Choice and decision-making
Provide information that demonstrates what you have achieved in relation to this expected outcome.
3.10 Resident security of tenure and responsibilities
Provide information that demonstrates what you have achieved in relation to this expected
outcome.
Australian Aged Care Quality Agency
FRM-ACC-0135 v14.2
Australian Aged Care Quality Agency self-assessment tool
Standard 4: Physical environment and safe systems
Provide information that describes the processes used to achieve the expected outcomes in this
Standard.
4.4 Living environment
Provide information that demonstrates what you have achieved in relation to this expected
outcome.
4.5 Occupational health and safety
Provide information that demonstrates what you have achieved in relation to this expected
outcome.
4.6 Fire, security and other emergencies
Provide information that demonstrates what you have achieved in relation to this expected outcome.
4.7 Infection control
Provide information that demonstrates what you have achieved in relation to this expected outcome.
4.8 Catering, cleaning and laundry services
Provide information that demonstrates what you have achieved in relation to this expected outcome.
Australian Aged Care Quality Agency
FRM-ACC-0135 v14.2