FRONDITHA CARE STRATEGIC PLAN 2014 – 2016 CARE, LIFESTYLE, COMPASSION AND EXCELLENCE FOR OUR ELDERS June 2014 FRONDITHA CARE ABN 71 424 124 816 /ACN 138 152 682 HEAD OFFICE ST ALBANS – Thalpori 94 Springs Road 181 Furlong Road Clayton South Vic 3169 St Albans Vic 3021 Ph: 9552 4105 Ph: 9365 4300 COMMUNITY SERVICES LOWER TEMPLESTOWE – Storgi North: 9495 2306 11 Omar Street South: 9552 4126 Lower Templestowe Vic 3107 East: 8850 5106 Ph: 8850 5111 West: 9365 4305 MAYFIELD – Hippocrates CLAYTON – Steyi, Pronia, Galini 94 Springs Road Clayton South Vic 3169 30 Crebert Street Mayfield East, Newcastle NSW 2304 Ph: (02) 4016 4160 Ph: 9552 4100 THORNBURY – Anesi 335 Station Street Thornbury Vic 3071 Ph: 9495 2300 www.frondithacare.org Email: agedcare@fronditha.org Patron: Honourable Alex Chernov, AC QC 1. 2. 3. 4. President of the Board of Directors and Chief Executive Officer message 4 Fronditha Care vision, mission and values 6 The Fronditha Care role: Victoria wide, Australia wide, Diaspora wide 8 Our challenges – current and future 12 2014 Our Major Plans and beyond 17 Our Four Strategic Priorities 19 Excel in the provision of resident and client focused culturally appropriate quality care services Lead as an employer of first choice and support staff to lead in the provision of quality professional care and enjoy job satisfaction Champion partnerships with the community that promote support and quality care and lifestyle for our elderly Build a sustainable future for Fronditha Care, for its people, its services, its finances and physical resources Chairperson/President of the Board and Chief Executive Officer message It is our pleasure to present you with the Fronditha Care Strategic Plan 2014 – 2016 detailing our strategic directions for the next three years. This strategic plan has been carefully developed by the Fronditha Care Board of Directors, Executive and staff in consultation with our key stakeholders and partners in the community. The Strategic Plan reflects the position of Fronditha Care as a leader in the provision of aged care to elderly from Greek and other Culturally and Linguistically Diverse (CALD) backgrounds in Australia. The Strategic Plan outlines the major plans and strategic priorities that will support Fronditha Care to realise its vision through the identification of its strengths and its response to the needs of the community it serves. It will provide the framework to guide operational, financial arrangements and the provision of care to our elderly across the whole organisation ensuring that we achieve the integration of our planning processes with Federal and State government aged care policies and initiatives. __________________ Fronditha Care promotes high quality culturally appropriate care and is a leader in the aged services sector. Fronditha Care has undertaken extensive work to forge its future in order to better respond to the needs of elderly from Greek and other culturally and linguistically diverse backgrounds not only in Victoria but Australia as a whole. By sharing our knowledge and our expertise and through supporting our community at times of great need, Fronditha Care will make high quality culturally appropriate aged care available to all. We are committed to achieving our vision of improving the quality of life for our elderly through caring and compassion and the provision of high quality culturally appropriate care. The Board of Directors and Staff are committed to providing leadership and ensuring that we achieve our key performance measures against our strategic priorities as outlined in this three year strategic plan. Mike Zafiropoulos, AM JP President Board of Directors Building to meeting and working towards community needs for the future and good governance is our key priority in the years ahead. George Lekakis, AO Chief Executive Officer Fronditha Care Vision, Mission and Values The development of our vision, mission and values define our organisation’s direction. These statements underpin everything we do at Fronditha Care to ensure we provide the best care for our elderly. The Strategic Plan continues a journey that Fronditha Care began in 1976 seeking to position the organization as an agency of first choice for residents, clients, staff and volunteers. To establish Fronditha Care as a provider of high quality services, a partner with the Greek community in Victoria and Newcastle and the rest of Australia in responding to the needs of older people and value adding to all our activities; and to initiate other flexible service delivery options for the care of the Community. __________________ Our vision To continue to be a leader in the provision of residential and community aged care services in Australia Our commitment Our mission Promoting the wellbeing of older people by: excellence in care, support and lifestyle providing care which is consistent with people’s linguistic and cultural identity Our values Compassion Equality Integrity Respect Supporting social pluralism and cultural diversity Continuous learning Open communication Teamwork and excellence Developing best practice in aged care Acknowledging the historical legacy of looking after Greek speaking elderly Being a leader and innovator in multicultural quality aged care service delivery Building a culture of continuous quality improvement Being consultative, collaborative and working in partnership with other service providers and CALD communities Fronditha Care role: Victoria wide, Australia wide, Diaspora wide Fronditha Care provides residential and home care and community services in four Melbourne Metropolitan regions in Victoria and in the Central Coast of New South Wales. It is an aged care service provider offering residential and community services. Fronditha Care has Ageing in Place facilities (residential care) which provide care to residents with increased dependency. This ensures continuity of care in a familiar environment. __________________ Residential Care Facilities High Care Staff at all of Fronditha Care facilities are trained in the development of care plans to ensure that needs are identified and goals are met. Residents and their families are encouraged to be involved in the caring process. All facilities have registered nurses and personal carers on duty 24 hours per day. Additional support services are provided by physiotherapists, occupational therapists, podiatrists and palliative care workers. High care caters for those residents greatly dependent on others for daily tasks in a safe environment with registered nurses and personal care workers providing 24 hours per day care. High care facilities are located in all regions of Melbourne and in Newcastle. Each facility provides high care accommodation, a higher level of support including nursing care, and other necessary clinical care and allied health services. Meals are prepared by cooks in on-site kitchens, and cleaning, laundry, hairdressing and other health services are also provided. The mobility of residents is encouraged through daily activities, and residents are assisted to enjoy the social atmosphere of their home. Memory Support Units Lifestyle A range of lifestyle activities are also offered at Fronditha Care facilities which meet the social, recreational and cultural needs of residents. Low Care Low care caters for residents needing a certain level of assistance yet who are capable to participate independently in facility activities and benefit from the social connections provided within the home. Low care services provide accommodation and support with personal care and daily tasks. Low care facilities are located at Clayton, Lower Templestowe, Thornbury, St Albans and Newcastle. Memory support units provide person-centered care to the elderly with dementia in a secure and structured environment. Dementia is a progressive condition with many causes and the disease can manifest itself in a variety of ways. No two people display exactly the same symptoms. The rate of the disease is increasing and there is currently no cure. Fronditha staff undergo continuous training ensuring they are equipped with appropriate resources and strategies to care. Memory Support Units are located at Clayton (Galini), Thornbury (Anesi) and St Albans (Thalpori). Independent Living Units Independent Living Units are an affordable alternative to public housing. The program offers individual accommodation to Australian citizens over 58 years of age residing in Victoria that are financially or socially disadvantaged as assessed by the Office of Housing. The units allow residents the freedom to manage their own daily lifestyles in peaceful and safe surroundings. Forty units are located at St Albans. Fronditha Care Community Services programs aim to maintain the independence of elders to remain in their homes. Home Care Packages (HCP) are funded by the Australian government and assist care recipients to continue living in their own homes for as long as possible. The community services that are provided through home care packages, host home programs, planned activity groups and education seminars on health and ageing, keep elders informed, independent and connected. __________________ Home Care Packages (HCP) A valuable component of the HCP is case management, which means that there will be one person who will act as a single point of contact, assist to navigate the service system and oversee all services accessed by the care recipient. An agreed package of services will be individually tailored to respond to the care recipient’s needs. Examples of the assistance that may be provided include: Case management and service coordination Personal care such as bathing and dressing Light home care duties such as vacuuming, laundry Shopping in the local area Meal preparation Transportation in the local area Companionship Outings Lifestyle In-home respite Assistance to participate in activities of interest Fronditha Care currently manages 125 Level 2 HCP in Victoria and will be seeking to expand this type of care in the future. Host Home Program The Host Home Program is a weekly respite service for carers providing a day of leisure and social activities for a small group of Greek speaking elderly who are experiencing early stages of dementia. The program takes place in the home of a Greek speaking personal care worker assisted by a support worker. This respite option enables carers to have a regular, planned break and opportunities to attend to other priorities including their own interests and wellbeing. Individuals with dementia may experience an overwhelming sense of confusion and ‘feel lost’ in a bigger activity group setting, particularly where other participants may not share their language. In contrast, the Host Home is in a familiar environment with known sights and sounds, offering a smaller group setting where staff are able to provide a person-centered approach. This results in feelings of security, comfort and belonging, with staff sharing the participant’s language and culture. The Planned Activity Group (PAG) Maintaining connection to our community is paramount at each stage of life. Fronditha Care continues to cultivate the socialisation of the elderly living at home through PAG. The program is funded by Home and Community Care services, a joint State and Commonwealth Government initiative. Activities include gentle exercise, discussion groups, games, musical programs and day trips. All these activities are consistent with the Active Service Model. The underlying principle of the Active Service Model is ‘working with’ the client rather than ‘working for’. Staff act as facilitators rather than helpers, and in practical terms this allows and provides opportunities for the client to do what they can independently. By doing this, it is expected that the individual will maintain and even improve their level of functioning. Culturally this may initially seem to be unusual because of the traditional expectations to work for the elderly. However, in time and with small changes, participants are reaping the health and physical benefits of this approach to care. Home Care Program Community Partners Program Fronditha Care’s Home Care Program offers bi-lingual and bi-cultural staff to assist agencies to provide culturally and linguistically appropriate care to Greek speaking elderly. Fronditha Care’s Community Partners Program enhances the cultural awareness of service providers. Through partnerships, access to services is facilitated. This in turn, improves choice and builds capacity for clients to make informed decisions about aged care services. This program is effective because it provides support for elderly with activities for daily living. By working together with various agencies it allows home care services to be coordinated and individually tailored for clients. Supported Access Pilot Project Volunteer Visitation Program Fronditha Care’s Volunteer Visitation Program offers companionship and comfort to those most isolated in the community. Volunteers visit and provide support to clients by sharing interests, conversation and a cup of coffee. Volunteers give their time generously and the experience provides them with immense personal satisfaction. Clients also enjoy the companionship and support that is extended to them by these volunteers. Fronditha Care’s Supported Access Pilot Project aims to work with the community to negotiate and increase access to services for clients in the community. It provides support to generic agencies enabling them to provide culturally appropriate service responses, which is a major factor of service provision to elderly of CALD backgrounds. Our challenges – current and future Aged Care Providers face a number of challenges in the future. Although Fronditha Care faces these challenges, it also has to meet other unique challenges into the future. An increasingly ageing population and the Greek born 80+ years continuing to age at a faster rate than their Australian born counterparts until 2026 will pose significant challenges on the capacity of Fronditha Care to provide care and services for these persons into the future The Federal Government‘s ‘Living Longer, Living Better’ aged care reform package in April 2012 did encompass a range of reforms and some new opportunities for aged care service providers, particularly in home care where there will be a significant increase in the number of community packages. The Federal Government’s ‘Living Longer, Living Better’ reform package involved measures with an estimated cost of $3.7 billion over five years. The reforms ushered in a range of changes to the aged care sector. _________________ Overall the announced Federal Government reforms brought about a base for future growth to the sector (both residential and at home). The ‘Living Longer Living Better’ reforms include: The removal of distinction between low level and high level residential care Changes to the calculation of subsidies and fees Residents will be able to choose how they will pay their accommodation costs The Income Tested Fees (ITF) will be replaced by a new means test combining income and assets; New annual and lifetime caps on means tested fees will apply. The reforms ushered in new supplements such as the Dementia and Severe Behaviour Supplement, Homeless and Veterans’ supplements. Residential Care It is acknowledged that the reforms ushered in increases in costs of care, which will increase demand for consumer choices. Therefore expectations about care arrangements will be heightened. Fronditha Care will have to position itself as a provider of hotel and nursing care services. Flexible pricing for rooms and alternative payment avenues for residents must be established and advertised. The non-exemption to the asset test for bonds for high care may also potentially decrease demand for care (as opposed to the current surge in demand). Future admissions for residential care (post 1 July 2014) will increase demand for higher and palliative care nursing services. Community Services There will be a heightened expectation from the community for more home care services. Funding control to customers via mechanisms of Consumer Directed Care (CDC) will place significant pressure on Fronditha Care. It is imperative that Fronditha Care secures higher care that is level 3 & 4 HCP, to meet the care needs of the community. Our responsiveness to the environment (customer focus a priority) Attractive ethno-cultural care provisions will give Fronditha Care an advantage in the aged care market share. Fronditha Care will continue to develop better processes to convey information to potential residents and the community with improved marketing and a more up to date website. The need to create an improved pathway /integration from community care to residential care will be a priority. Flexible service delivery to respond to changing needs Fronditha Care’s service offerings need to reflect the needs of local customers. To demonstrate enhanced value over competitors, Fronditha Care will: Improve links with local community groups and actively try to be visible contributors to the local community. This will provide: Direct paths for customer attainment and the ability to better understand customer needs Partner with local community service providers to deliver services, ensuring better outcomes for clients /residents Investing in technology systems will significantly improve workforce productivity. Route planning, workforce tracking and online staff training can lead to efficient improvements. Other Challenges include: Dementia An ageing population Chart 2 shows that in 2011 an estimated 1580 people aged 65 and over had dementia within Victoria’s Greek community, and these are expected to increase to 2066 by 2021. The majority of these people require residential care or extended care at home. The ageing of Australia’s population predicts that Greek born (& other overseas born) Greek-speaking population aged 65+ years will peak in 2016, although those aged 80+ years will continue ageing at a faster rate than their Australian counterparts until 2026. Chart 1 depicts the demand patterns for Greek born (& other overseas born) Greek-speaking people living in the Melbourne metropolitan area: an estimated 29,438 older people of Greek-speaking background living in the Melbourne metropolitan area aged 65 years and over in 2011 of those, approximately 4,718 were aged 80 years and over in 2011. Based on the general rule of approximately one in four persons over 80 requiring residential aged care, this amounts to a total catchment pool of around 1,180. In 2026 this is expected to increase to 2,188 and by 2031 will decrease to 1,961. No. of older people 30000 25000 20000 85+ χρόν ων 80 - 84 χρόν ων 10000 The above indicates that the services offered by Fronditha Care and others will be inadequate to meet the demand for dementia specific care in the future. Chart 2: Greek-speaking people aged 65 and over with dementia 2011 - 2031 2500 Chart 1: Greek-speaking older people in Victoria, 2011 - 2031 35000 15000 If we take into account the combined number of dementiaspecific beds offered by Fronditha Care and other Greek specific providers, then there are 54 beds to meet the needs of an estimated 1580 older people with dementia within Victoria’s Greek community. 65+ χρόν ων No. of people with dementia Currently, Fronditha Care provides residential care to 161 persons with dementia, even though it only has 60 dementia specific beds. 2000 1500 85+ χρόν ων 80 - 84 χρόν ων 65+ χρόν ων 1000 500 0 5000 2011 2016 2021 2026 2031 0 2011 2016 2021 2026 2031 Community Expectations and Relationships A range of factors will impact on the available pool of Greek speaking older people, ranging from changes to medical treatment that could significantly increase and maintain the client pool, through to competition from other service providers that could significantly reduce that pool, and of course Federal Australian Government policies. Based on this analysis, Fronditha Care, as a Greek-specific provider has the potential for significant growth over the next 15 to 20 years. Community expectations for culturally specific aged care have grown. In particular there is a growing demand by the community for residential high and dementia care and community aged care packages. Fronditha Care has developed strategies to manage demand for care into the future. Fronditha Care will endeavour to acquire in level 3 & 4 Home Care Packages (currently it has 125 level 2 Home Care Packages). The aim should be to acquire 500 packages to meet the surge in future demand. Fronditha Care must also provide leadership in the community to develop responses to community needs and develop other appropriate services. Fronditha Care’s Workforce The current workforce climate in aged care in Victoria is a reflection of the challenges facing the aged care sector across Australia. Shortages in appropriately qualified bilingual /bicultural staff and our ageing workforce add to the ever increasing workload. To attract and retain staff to Fronditha Care it is imperative that Fronditha Care maintains its leadership position as a high quality care provider of aged care. Fronditha Care must also consider and develop responses to the challenges of recruiting persons with fluency in the Greek language, technology, professional development and training, employee assistance and initiatives, staff development and retention strategies. By responding in concrete ways to these challenges Fronditha Care should become an employer of choice for its workforce. ‘cash-flow’ business rather than one of a ‘lump sum accommodation bond’ recipient. This will give rise to issues of securing payments, tighter contracts, bad debts and other operational matters. There is nothing in the Commonwealth Government’s Aged Care Reform package that clarifies the powers the Commonwealth Government would give to aged care providers to recover unpaid fees. In addition, operational models may have to be changed to account for the changing methods of payment by residents. Having regard to the increased age of residents entering residential aged care at a later stage of life, and often with more acute needs, there may be a growing trend towards periodic payments. This may result in significant impacts on operators that have borrowings, as it will in most cases, take longer to repay their debts. Fronditha Care will continue to improve financial management arrangements to manage budgetary constraints, invoicing charges and costs, increasing cost of living expenses and future capital works which are key priorities for Fronditha Care’s financial future. Providers will not be allowed to choose between residents on the basis of how that person intends to pay for their accommodation, and residents will not need to decide how they intend to pay for their accommodation until they have entered residential care and are protected by the security of tenure arrangements. Fronditha Care’s budgetary processes will continually consider the delivery of services in the context of accommodation and service costs, and the need to refurbish and build new infrastructure. Aged care providers will also be required to publish the level of accommodation payment they charge (both as a daily accommodation charge or bond). The Federal Government’s Aged Care Reforms provide for a substantial but controlled expansion in funded aged care places, including a significant relaxation of supply controls. From July 2014, the high/ low distinction in residential care will be removed from the capacity of providers to receive an accommodation bond or periodic payment and/or both for high care residents. The sector views the abolition of the distinction as being positive. The income and assets test for eligibility of residents will be strengthened but there will continue to be strong protections around the level of income and assets residents retain. Current protections for a resident’s former principal residence where it continues to be occupied by a protected person will also continue. Financial Constraints All residents will have the choice of paying for their accommodation through a fully Refundable Accommodation lump sum Deposit (RAD) (accommodation bond); a periodic payment; Daily Accommodation Payment (DAP); or a combination of the two. The Aged Care Reforms will also allow greater scope for the provision of ‘extra services’ to residents. The alternative business streams of ‘extra services’ and periodic payments tend to make the approved provider’s business more of a For residential care, there will be an annual cap on care fees of $25,000, but there will be a lifetime cap of $60,000 on care fees. When the $60,000 care fee is exceeded the Commonwealth will pay the subsidy. The annual and life time caps on care fees will be indexed in line with movements in the basic Age Pension commencing from September 2014. Removal of caps on bed licences The Federal Government’s Aged Reforms continues with the balance of care ratios, Aged Care Approval Round (ACAR) processes and licences. The Aged Care Financing Authority will review current measures to protect access for older Australians with limited financial means, including the supported resident ratios that apply in each planning region. The Authority will also examine the ongoing appropriateness of the current supported resident arrangements, whereby the level of the accommodation supplement payable in respect of residents in an aged care facility is higher, if more than 40 per cent of the residents in the facility are supported residents. The announcement of the Aged Care Reforms for aged care facilities that are built or significantly refurbished after 1 July 2014, the maximum level of the accommodation supplement that the Government will pay in respect of supported care residents will be increased significantly. Fronditha Care will recover a portion of these costs associated with the capital works undertaken at Thornbury and Clayton in this regard. However, the cost of past investments will overshadow any income generated through this measure. From 1 July 2014, the maximum level of the accommodation supplement that the Government will pay in respect of post-2008 residents who are post-2014 residents and who cannot meet their own accommodation costs will be increased from $32.58 to around $50 per day (in current prices) or around $52.84 a day (based upon expected 2014 prices). Under the Aged Care Reforms, all aged care facilities will be given the capacity to charge for additional services and amenities over and above the minimum standard required by the Schedule of Specified Care and Services, on an opt-in/opt-out basis, with residents able to opt-in or opt-out any time after they enter care. The two levels of additional charges for amenities and hotel services above the basic specified care and services will be for optional extra services such as food and entertainment services and dedicated extra services which apply in a wing or entire service (effectively the current Extra Service). Where providers seek to dedicate facilities or rooms or wings to providing additional services, and require all residents to agree to higher charges as a condition of entry to these services, they will need to seek approval from the Aged Care Financing Authority. The implementation of the new reforms will set forth new responses by Fronditha Care’s corporate and financial services operational centre. Annual budget plans and a seven year ‘forward look’ cash projection plan is already in place to accommodate Fronditha Care’s future business activity and will also provide understanding of which items could be more sensitive to any risks arising from Federal government policy changes. 2014 Major Plans and beyond Fronditha Care has entered a phase in its development which requires the future expansion of its facility at Clayton to meet community demand for residential care. Other major initiatives including the acquisition of a 60 bed nursing home interstate or locally in Victoria and the granting of Home Care packages will ensure that Fronditha Care remains viable in the future and responds to increasing needs in the Community. Major Plans We require completion and commissioning of the Clayton facility from the current 103 bed to 150 bed licenses. The total cost of the project is estimated at $15 million (excluding GST). Fronditha Care will consider acquiring additional residential care beds which are interstate or in Victoria in the next three years. Fronditha Care will also pursue the acquisition of up to 500 home care packages (currently 125) including levels 2, 3 and 4 home care packages to provide support for an ageing population in the community to respond to the total care needs of the ageing community living at home. __________________ Other Major Initiatives Fronditha Care will undertake a feasibility study into the future use of the land at 335 Station Street, Thornbury. The likely use of the land may be for multiple purposes, including a retirement village, residential aged care facility and other services. Fronditha Care is also striving to achieve the highest level of culturally appropriate quality aged care and is always open to continuous quality improvements that are central to the care of our residents and clients. For that reason small capital works and refurbishments will also be central to our physical infrastructure improvement program across all of our facilities. Four Strategic Priorities Fronditha Care’s four strategic priorities consider and reflect on the priorities of both the federal and state government policies and initiatives. In addition, Fronditha Care’s strategic priorities build on discussion with relevant stakeholders, staff, residents / clients and the families, volunteers and other community representatives. These strategic priorities capture Fronditha Care’s direction over the next three years. __________________ The four strategic priorities are: 1. 2. 3. 4. Excel in the provision of resident and client focussed culturally appropriate quality care services. Lead as an employer of first choice and support staff to lead in the provision of quality professional care and enjoy job satisfaction. Encourage and procure partnerships with the community that promotes support, quality care and lifestyle for our elderly. Continue to maintain a sustainable future for Fronditha Care, for its clients, its services, its finances and physical resources. Measuring Success Fronditha Care will measure its success in achieving its strategic priorities through the development of key performance indicators or ‘measures of success’. These will be examined and reviewed and refreshed as required. Fronditha Care’s measures of success are detailed in the following sections. Strategic priority 1 EXCEL IN THE PROVISION OF RESIDENT AND CLIENT FOCUSED CULTURALLY APPROPRIATE QUALITY CARE SERVICES Given the expected increase in demand for aged care services by the community, Fronditha Care must consider its capacity to provide quality services to its current and future residents and clients. __________________ Residential Services It is critical for Fronditha Care to maintain and continue to improve quality of care principles and provide amenities and services to care for the elderly with increased dependency. This ensures continuity of care in a familiar and culturally appropriate environment. A significant factor of this model of care is to provide person centered care through individually designed care plans to ensure that a person’s needs are met. Residents and their families are encouraged to be involved in the caring process. All facilities have registered nurses on duty 24 hours per day. Additional services are provided through leisure and activities officers, physiotherapists, occupational therapists, podiatrists and palliative care workers. Meals are prepared by cooks in on-site kitchens, and health services along cleaning, laundry and hairdressing are also provided. The mobility of all residents is encouraged through daily activities and residents will be assisted to enjoy the social atmosphere and cultural activities on offer at the homes. Maintaining accreditation through meeting the four standards and forty four outcomes as a result of accreditation auditing is a major and most important aspect of Fronditha Care’s residential services operations. Increase demand for consumer choices will increase the cost of care. Expectations about care arrangements will be heightened. Fronditha Care will have to position itself as both provider of hotel and nursing care services. Flexible pricing for rooms and payment avenues for residents must be established and advertised as required by federal legislation. Future admissions for residential care will increase demand for high care and palliative care nursing services. Fronditha Care must be suitably staffed and equipped to cater for these residents into the future. Community Services Fronditha Care also aims to maintain independence of elderly to remain in their homes. Community services will equip elderly to continue to remain at home for as long as possible. Assistance will be provided through Home Care Packages, Host Home Programs, Planned Activity Groups and Educational Seminars on health and ageing which keeps elderly informed, independent and connected. Maintaining accreditation is also another major and most important aspect of Fronditha Care’s community services operations. There will be a heightened expectation from the community for more home care services. Funding controls to customers via mechanisms of Consumer Directed Care (CDC) will be addressed as Fronditha Care continues to improve its systems. Fronditha Care aims to secure higher care that is level 3 & 4 packages to meet the increasing care needs of the community into the future. Excel in the Provision of Resident and Client focused culturally appropriate Care Services Strategies Actions Measures of Success 1.1 Provide resident and client focused culturally appropriate care 1.1.1 Maintain and improve quality care principles and a person centered model of care for all residents Maintain care plans for each resident fulfilling their care needs 1.1.2 Provide flexible pricing for rooms and payment avenues for residents 1.2 Retain and attract the best quality staff to provide key quality services at Fronditha Care 1.3 Maintain & improve a professional development programs across Fronditha Care to equip staff with the necessary skills to ensure practice of the highest standard in all areas of service delivery 1.2.1 Maintain and improve a program to retain and attract high quality, bilingual staff 1.2.2 A labour agreement proposal will be submitted to the Department of Immigration & Citizenship to enable Fronditha Care to recruit Greek-speaking personal care staff 1.3.1 Continue with the induction program for all staff to emphasise the ‘heart and soul’ of the organisation’s mission, values and history in order to encourage their ongoing role in achieving goals and forming directions and future developments 1.3.2 Maintain an internal leadership development program for the senior management team 1.3.3 Maintain a learning and development program with enhancements via the Fronditha Care Intranet site and additional onsite training for direct care staff Timeframe Year 1 Year 2 Develop a schedule for flexible pricing of rooms and services Year 3 Fronditha Care will employ an increased number of appropriately qualified and experienced Greek – speaking people in 2014 and beyond at all levels across the organisation Year 1 A census of Fronditha Care staff will be undertaken in March 2015 to establish a benchmark against which to measure the increase. In July 2015, at least 10 per cent more Greek –speaking staff will be employed and benchmarked against March 2015 Year 2 Implement the induction program on a quarterly basis for all new staff, emphasising organisation values, mission, strategic plan, policies and procedures Implement a Building Leadership and Management Capabilities Program to raise the professional standards of managers and administrators Produce a six monthly report to the CEO and Board on professional practice training, evaluation and recommendations for future planning The completion of an annual review and evaluation of all training in January of each year (to be part of the six monthly report) incorporating criteria to measure and evaluate success of training programs Year 3 Strategies Actions Measures of Success 1.4 Maintain at all times the organisation’s accreditation and certification as an aged care service provider to ensure compliance with all standards and legislation of the Commonwealth Department of Health and Ageing 1.4.1 Regularly review all policies across the organisation to ensure continual compliance with standards for residential and community based aged care services Compliance with standards and reinforce the values of Fronditha Care for: 1.5 Fronditha Care will deliver services that offer choice, value for money and individualised person centered care 1.5.1 Fronditha Care will provide information to residential clients and their families to support their choice of Fronditha Care as their provider. To achieve this Fronditha Care will: 1.4.2 Monitor and update, if required, Fronditha Care’s Emergency Management Plans and protocols in place to protect the health, safety and wellbeing of care recipients Include clear information about the services it provides, at what cost and level of quality Demonstrate that it can provide the levels of care expected by clients and their families that are value for money Adopt a flexible building design that can accommodate the changed preferences of elderly, the need for complex care, as well as transitional and respite care Fronditha Care will initiate a new wing to care for sufferers of Multiple Sclerosis (MS) at its new Clayton residential facility Residential Aged Care Services Community services – HCPs and HACC services Social Housing Maintain updated Emergency Management Plans Fronditha Care wants to increase the number of clients and the services it provides to ensure: The majority of Greeceborn people will choose Fronditha Care as their provider Timeframe Year 1 Year 2 Year 3 Year 1 Year 2 A significant proportion of elderly from selected CALD communities will choose Fronditha Care as their provider Knowledge of the preferences of second generation Greek ancestry elderly would help facilitate a seamless transition to service delivery models that more appropriately meet the needs of future generations Sufferers of MS will utilise specialised care options Year 3 Year 3 Strategic priority 2 Lead as an Employer of first choice and support staff to lead in the provision of quality professional care and enjoy job satisfaction Strategies Actions Measures of Success 2.1 All staff of Fronditha Care continue to be adequately informed and supported in order to undertake their functions 2.1.1 Maintain systems for comprehensive information management Systems where appropriate to improve productivity and improve service quality 2.1.2 Maintain a range of relevant professional development programs 2.1.3 Maintain adequate staffing levels 2.1.4 Ensure that work facilities and the work environments within Fronditha Care continue to be maintained to an appropriate high standard with all the necessary equipment and support available Timeframe Year 1 The reporting of services and goods in kind to Fronditha Care including the dollar value of volunteer services Evaluate annually technologies and work systems that support effective communication An improved learning and development strategy will be in place for staff of Fronditha Care by December 2014 and reviewed annually That staffing levels and skills are commensurate with the needs of Fronditha Care services Work environments within Fronditha Care are maintained to appropriate high standards at all sites, including: Administration and aged care facilities All staff work areas, reception areas, meeting rooms and staff rooms Equipment to assist staff will be maintained and replaced as necessary Year 2 Year 3 Strategies Actions Measures of Success 2.2 Continue to actively seek and recruit staff who share Fronditha Care’s mission and values 2.2.1 Succession planning for key staff positions and review succession plans for key positions and employing skilled and specialist people in these positions Maintain & Review Succession Plans 2.3 Develop a strategy to position Fronditha Care as an employer of first choice incorporating: 2.3.1 Continue to provide Greek language classes to non Greek –speaking staff Greek language classes will commence in 2015. These will be conducted by the Victorian School of Languages and run from Fronditha Care’s sites. Greek language courses Cultural training Leadership training Understanding, in relation to the challenging nature of our work Care for people including work /life balance arrangements Strategies to continue to encourage the employment of mature aged workers 2.3.2 Continue to run cultural training workshops for non Greek –speaking staff, facility based social activities and important community events, such as Harmony day and International Women’s day 2.3.3 Improve the training and education program through closer relationships with Registered Training Organisations, Universities and Technical and Further Education (TAFE), to deliver courses, mandatory and non- mandatory training and seminars and assist staff to adjust to change and agency response 2.3.4 Continue to improve present induction program to ensure better familiarity with the value base of the agency by all staff 2.3.5 Run an evaluation and reflection day twice yearly on changes occurring in the internal work environment and the external environment 2.3.6 Maintain and improve a job evaluation system to ensure all positions are appropriately rated and paid according to their grading Reward and recognition programs 2.3.7 Continue to review and improve the employment policies to enable the company to position itself as an employer of choice in the notfor-profit community sector 2.3.8 Continue to encourage creativity in service development by supporting and encouraging staff to suggest more effective ways of delivering support services Timeframe Year 1 Year 2 Year 3 Fronditha Care staff of non Greek –speaking background will gain an awareness and understanding of the history, values, traditions, religion and customs of Greek –speaking residents. This will: Facilitate greater affinity and connectedness towards Greek speaking residents Greater affinity and connectedness between staff, and Contribute to cross cultural understanding Staff to have access to quality training and new skills development A yearly written evaluation of staff’s response to training and development Ensuring maintenance of all position descriptions to reflect the actual position Year 1 Year 2 Year 3 Strategies Actions Measures of Success (cont.,) 2.3 2.3.9 Continue to encourage participation by senior staff in national conferences for the purposes of professional learning and to present the work of Fronditha Care The conduct of annual professional development /reviews for all staff 2.3.10 Continue to monitor staff participation in training to ensure staff avail themselves of learning opportunities 2.3.11 Continue to regularly consult on the needs of staff in areas of professional practice and report regularly to the executive team as part of the annual budget preparation An effective Enterprise Agreements for residential and community services staff 2.3.12 Maintain an effective Fronditha Care ANMF and HSU Enterprise Agreement for residential and administration staff and Fronditha Care Community Services Employee Enterprise Agreement for the community services staff 2.4 Continue reviewing and updating existing recruitment strategies and position descriptions 2.4.1 Review current policies, processes and practices to establish contemporary recruitment practices that are cost effective and enhance Fronditha Care’s reputation in the industry and community 2.4.2 Review as required position descriptions, incorporating organisational overview, position objectives, key responsibilities, relationships, key selection criteria and Occupational Health & Safety responsibilities Timeframe Year 1 Year 2 Regular reporting through the senior management team of HR matters Year 3 A regular review of remuneration strategy Establish both Enterprise Agreements for the period of the Plan ensuring industrial harmony Maintain and improve internal recruitment and retention processes and continue to attract quality applicants for positions advertised by Fronditha Care Year 1 Year 2 Strategies Actions Measures of Success 2.5 Fronditha Care will continue to improve the attraction and retention of its workforce 2.5.1 Continue to provide language and cultural training to existing and new staff Fronditha Care will attract and retain the right mix of well educated and appropriately skilled workers that closely align to Fronditha Care’s values and mission Year 1 Continue to recruit as appropriate bilingual care workers Year 3 2.5.2 Continue overseas recruitment program for qualified bilingual nurses 2.6 Improve outcome measures for Human Resources 2.5.3 Continue to include improvements in quality of vocational education and training in forward planning Fronditha Care will develop well articulated career paths and succession plans 2.6.1 Developing better articulated career paths and succession plans in the organisation Human Resources will better identify and define its outcomes measures and revise annual targets for each outcome measure 2.6.2 Develop better outcome measures to enable the development of an integrated data collection system. This will assist Human Resources to inform the executive and management team on a range of human resource issues and to better ensure with meeting their legislative and regulatory compliance and accounting requirements WorkCover premiums are reduced to meet best practice Timeframe Year 2 Year 1 Year 2 2.6.3 Continue to improve Occupational Health & Safety systems and processes 2.6.4 Continue to monitor WorkCover claims including return to work activities WorkCover claims are reduced to minimum levels through improved Occupational Health & Safety practices and the continual improvement return to work program Year 3 Strategic priority 3 Encourage and procure Partnerships in the Community that Promote Support, Quality Care and lifestyle for our Elderly Strategies Actions Measures of Success 3.1 Continue to engage with rigour and vision in debates on the wellbeing of older people and their carers with the aim to influence community attitudes and government policies 3.1.1 Continue to use the resources of Fronditha Care’s network to promote the value of older people from diverse cultural and linguistic backgrounds Conduct research to ascertain the experiences of older people, and their representatives or carers who are residing in aged care facilities or at home 3.1.2 Continue to engage with ministers of the federal government and members of parliament to promote the issues of ageing within multicultural communities at the federal level 3.1.3 Continue to work with partner organisations, other aged care agencies and government to create a safe and healthy environment for frail older people Continued participation in peak bodies lobbying to address the needs of frail older people from diverse cultural and linguistic backgrounds Timeframe Year 1 Year 1 Year 2 Continue to participate in forums and other processes by Fronditha Care on improving the wellbeing of frail older people Maintain membership of industry boards and committees such as the Aged Care Association of Australia, Leading Aged Services of Australia, Aged Care Services Australia Group 3.2 Continue to work with community partners to develop a robust and credible aged care sector and to continue to seek a civil society where the principles of equity and justice are a given 3.2.1 The CEO or his delegate to continue to work with the Aged Care Association of Australia, Leading Aged Services of Australia, Aged Care Services Australia Group and other peak bodies to ensure a robust and professional aged care sector (to include public speaking, written articles and discussions with government) Identify any changes needed in social and economic policy which have a negative effect on older people and their carers, in particular to those from diverse cultural and linguistic backgrounds 3.2.2 Continue to articulate in the media and other forums the increasing role of aged care agencies such as Fronditha Care as an independent voice in social and economic policy and as a contributor to the growth of civil society Increasing effectiveness of meetings with government ministers and local members of parliament whose electorates have Fronditha Care programs to strengthen and reinforce the role of Fronditha Care as an agency of integrity, committed to the values of equity and justice 3.2.3 Continue to act in a transparent and accountable manner to ensure compliance and good governance at all times 3.2.4 Continue to act ethically in all endeavours promoting transparency in all decision-making Year 1 Year 2 Year 3 3.2.5 Continue to work in partnership with other agencies, government and the corporate sector to deliver culturally relevant and accessible services Year 1 3.2.6 Increase the areas of cooperation with other agencies in research and policy development 3.3 Continue to plan for the long-term financial viability of the organisation by establishing a three year marketing and fundraising plan, including identifying new sources of funding 3.3.1 Review existing approaches to fundraising and develop new marketing and fundraising strategies to nurture financial support from corporations where values are in synergy 3.3.2 Continue to improve an ongoing bequest program to further develop relationships with philanthropic trusts 3.3.3 Continue to support and expand auxiliary committees and the volunteer pool To encourage additional funding from the corporate sector and other supporters Year 1 Develop a Fronditha Care marketing plan with clear objectives, strategies and performance indicators Year 2 Improved reporting of services and goods in kind to Fronditha Care, including the dollar value of volunteer services Year 3 The number of auxiliary committee and the number of available volunteers will increase Establish auxiliary committee for the Clayton facility and Community Services 3.4 Maintain and improve effective and efficient marketing communications strategy to integrate Fronditha Care’s public education, advocacy, service delivery and fundraising efforts 3.4.1 Review as required internal and external communication channels to reach staff, clients, members of the Greek community and other stakeholders. These may include: Increased use of multimedia within the organisation Redevelop Fronditha Care’s website in languages relevant to its target groups and capture our media hits Ascertaining the benefits of social media and develop approaches for use of these media to promote the organisation and its services Fronditha Care’s radio program Review and refine the marketing and communications strategy, including monthly bulletins to promote Fronditha Care as a provider of first choice to all stakeholders to generate awareness of the needs of clients and to advise of changes and directions in government policy Year 1 Strategies Actions Measures of Success (cont.,) 3.4 Fronditha Care’s regular contribution to the Greek – speaking print media Consult with management to establish: The publication of Fronditha Care’s newsletter to enable staff to showcase their programs and contribute articles of relevance to staff, residents, carers and members of the Greek community A planned six monthly broadcast program with clear criteria on how invitees to be interviewed will be chosen, giving priority to those promoting significant Fronditha Care events, such as the radiothon, community consultations, program promotion A clear outline of how speakers should be prepared for the radio interview, including the need to jointly prepare with the Public Relations, Communications and Events manager, the questions and the order these should be asked The Public Relations, Communications and Events Manager to continue to prepare articles, media briefings and advertisements for the Greek – speaking media Regular scanning of the Greek and English print media to identify issues relevant to Fronditha Care and provide an appropriate response when required Assess the strength of Fronditha Care’s brand and explore ways of further strengthening it Measurement of brand strength will assist Fronditha Care to promote its programs and services to prospective clients, consumers, donors and other stakeholders 3.5 Improve support to the Board of Directors’ Committees 3.5.1 Improve as required policies, systems and procedures for receiving, processing all work associated with the Board of Directors and committees 3.5.2 Management will continue to provide support to the Board Sub-committees including the Marketing and Fundraising Committee formerly known as Public Relations & Fundraising Committee), the Risk Management Audit and Finance Committee formerly known as the Risk Management and Finance Committee, the Governance Committee and the Policy and Research committee Timeframe Year 1 Year 2 Year 3 Year 1 Strategies Actions Measures of Success 3.6 Continue to work in partnership with government, aged care agencies, Melbourne’s and Newcastle’s Greek community and other ethnic communities to achieve the best outcomes for frail older people by providing a wide range of aged care and support services designed to address both individual and culturally disadvantaged older persons 3.6.1 Continue to work with the Aged Care Association of Australia, Leading Aged Services of Australia and the Aged Care Services Australia Group to achieve the highest standards in the development of aged care services that promote positive ageing Fronditha Care will be better prepared in: 3.7 Intensify liaison with Greek Community organisations 3.7.1 Fronditha Care will continue engagement with Greek Senior Citizens’ Groups & other community organisations 3.6.2 Investigate a closer and mutually beneficial relationship with universities for the purposes of research and practice 3.6.3 The CEO, General Manager of Operations and the Manager of Community Services and Planning to maintain their association with the relevant sector groups and organisations Expanding the supply with the increased competition Responding to the choices of elderly who are increasingly electing to stay at home longer and will tend to have higher care needs and be older when they enter care Responding to the shift in demand towards higher care needs and increased demand of community based care Timeframe Year 1 Year 2 Year 3 3.6.4 Continue to work cooperatively with peak bodies in meeting with relevant government ministers and senior public servants 3.7.2 Fronditha Care will continue providing information to the community on a regular basis about its operations, services, admission requirements, including the operation of bonds, government policy changes, what is being done to cater for the needs of the disadvantaged in our community and financial requirements. Such information provision would promote trust, shared responsibility and minimise misinformation 3.7.3 information dissemination will continue on a regular basis; it should be bilingual, utilising Greek language radio, the Greek press & special leaflets and newsletters 3.7.4 interaction with community organisations to be reviewed and improved as required Broadcast regular updates about Fronditha Care through the Greek Media Year 1 Year 2 Contact 30 community groups and key individuals per annum and enlist their support Conduct at least 20 community consultations per annum Continue to undertake annual survey of residents and families and analyse findings 3.7.5 Continue liaison and promote feedback by Fronditha Care’s service users Maintain and improve an accurate donor database and send regular requests for support 3.7.6 Fronditha Care needs to continually review and improve as required the marketing of the organisation in order to publicise the valuable role it performs for the benefit of the community. Maintain a clear marketing and fundraising plan Year 3 Strategic priority 4 Build a Sustainable Future for Fronditha Care, for its People, its Services, its Finances and Physical Resources Strategies Actions Measures of Success 4.1 Continue to plan for the long-term financial viability of the agency including new sources of funding 4.1.1 Maintain a seven year cash-flow financial business plan to support both elements of the strategic plan and the long-term management of resources. At a minimum this will incorporate: The implementation of a seven year financial and business plan for the agency will: Understanding the financial implications of the recommendations of the Commonwealth Government’s aged care reform program 4.1.2 Identify new areas for expansion and prepare funding submissions to government and other funding bodies 4.1.3 Benchmark with other service providers in the CALD sector to gauge Fronditha Care’s performance and share best practice 4.2 Review the requirements of the ‘Living Longer, Living Better’ Reforms 4.2.1 Undertake a cost benefit analysis to enable Fronditha Care to: Understand its cost structures to separate what it costs to provide care services and accommodation facilities, inclusive of their respective costs of capital and any subsidisation of supported places, to ensure these services are appropriately priced and charged to residents in a transparent manner 4.2.2 Improve better systems to collect data on costs of care, accommodation and other services Assist Fronditha Care with client management, effective and efficient payment of fees and staff salary payments Improve internal processes; facilitate increased cash flow; improve reporting and accountability; improve allocation, costing and understanding of costs; and provide quality data benchmarked against available external data Improve the identification of financial risks to the agency and the adoption of a risk management strategy to enable the organisation to achieve financial sustainability Timeframe Year 1 Year 2 Year 3 Develop new services and programs at Fronditha Care for the community Provide a benchmark report to the Board of Directors Fronditha Care to determine appropriate fees and charges The actual cost of the accommodation and in-home support services, according to prevailing market conditions The different quality and features, such as building, room amenity and quality and experience of staff Year 2 Year 1 Year 2 Year 3 Strategies Actions Measures of Success 4.2 (cont.,) 4.2.3 Continue to undertake detailed modeling and planning of the implications of the aged care reforms Generate an adequate return on its capital 4.3 Fronditha Care will broaden its funding base 4.3.1 Fronditha Care will monitor the recommendations of the Commonwealth Government aged care reform program which include: Fronditha Care will in late 2014 establish whether: 4.4 Identify areas within the work and scope of Fronditha Care to initiate best practice in the areas of energy, water, waste disposal, building designs, and the provision of motor vehicles in order to reduce the impact on the environment and to create a safe workplace Palliative care and end-of-life care Culturally and linguistically diverse services Respite Disability 4.4.1 Undertake an audit of all existing properties to determine their energy efficiency and impact on the environment 4.4.2 In undertaking new and building improvement works, ensure they meet best practice wherever possible 4.4.3 Review the Fronditha Care motor vehicle fleet with the goal of reducing the impact on the environment 4.4.4 Ensure all gardens and open spaces require minimal water use 4.4.5 Investigate additional energy-efficiency compliance by reviewing all controls on heating and cooling of buildings Significant and adequate funding will be made available to deliver palliative and end-oflife care, CALD and respite services Disability services are likely to present new opportunities to expand its services to meet the needs of people with disabilities and determine whether Fronditha Care should provide services in this area It should proactively pursue opportunities for mergers or acquisitions or simply wait for opportunities to arise It can attract funding to establish level 3 & 4 Home Care Packages (HCP) Increase total pool of HCP from current 125 to 500 Completion of the audit of all existing properties to determine energy-saving actions with recommendations to be phased in over three years Timeframe Year 1 Year 2 Year 3 Year 1 Year 2 Conduct a review of Fronditha Care motor vehicles advising of change necessary: To reduce the impact on the environment To improve the efficient utilisation of the fleet To reduce administrative and overhead costs Complete an audit of all gardens and open spaces to ensure minimum maintenance and provide quality outdoor amenities to its residents Year 3 Strategies Actions Measures of Success 4.4 (cont.,) 4.4.6 Undertake actions that reduce Fronditha Care’s environmental footprint through the use of alternative sources of energy and reduced use of energy Undertake an investigation to ascertain the benefits of using solar power, energy efficient appliances and in the development of major projects and strive for a six star environmental rating Timefra me Year 3 Investigate the potential impact of climate change on older people 4.5 Oversee the completion of the major project at Clayton South 4.5.1 Monitor progress to ensure scheduled stages of the building works are completed within time and budget and where necessary take corrective action The 1st stage of the project is to be completed in June 2015 Year 2 4.6 Develop and implement an appropriate plan for accommodation and infrastructure in relation to: 4.6.1 Approve concept plans and proceed with the refurbishment and redevelopment of Pronia and head office. Monitor progress to ensure scheduled stages of the refurbishment and building works are completed within time and budget and where necessary take corrective action. The project to commence by June 2015 Year 1 Services currently provided from Pronia including the head office Develop a feasibility study into the future use of land at 335 Station Street, Thornbury 4.7 Develop an organisation information management strategy in order to identify technological solutions to further support and enhance client services and organisational systems, including software, networks and databases 4.6.2 Undertake refurbishments and monitor progress to ensure scheduled stages of the refurbishment and building works are completed within time and budget and where necessary take corrective action. Finalisation of recommendations for future accommodation needs of head office 4.7.1 Undertake a review of existing agency IT and future requirements for implementation over a three year period to meet client needs The maintenance and improvement of an efficient IT system across Fronditha Care 4.7.2 Identify the training needs of staff to ensure efficient use of IT A regular audit of IT to be completed for review by the Corporate Services Manager in time for the annual budget cycle 4.8 Maintain the Fronditha Care Bonds Policy for the Board’s regular review and endorsement 4.7.3 Assess the IT skills of all staff at induction in order to anticipate training requirements Finalise plan, seek planning approval, commence rebuilding program of Pronia Year 2 Year 2 Year 1 As required maintain annual budget plans Year 1 Year 2 Ongoing training for all staff in the use of IT Year 3 4.8.1 Maintain a detailed and informed Bonds Policy for Fronditha Care for Board endorsement & public dissemination Complete and submit Bonds Policy for endorsement to the Board of Directors annually or earlier if required Year 1 4.8.2 Ensure data on bonds continues to be used in budgetary processes and projections Improve strategies to market the understanding of bonds to prospective residents 4.7.4 Review the management of all systems to ensure quality and timely responses