Senate debates

Wednesday, 12 September 2007

Matters of Public Importance

Belvedere Park Nursing Home

4:34 pm

Photo of Judith AdamsJudith Adams (WA, Liberal Party) Share this | Hansard source

I would say in reply to those on the other side of the chamber that I think it is important for you to note—and this is not about the blame game—that, in 1996, there was no independent oversight of the quality of aged-care homes. Now there is an independent agency, the Aged Care Standards and Accreditation Agency, which accredits every aged-care home—and all homes will receive at least one unannounced visit every year. I too am very disappointed with what has come up from the investigation into the two aged-care homes, which my colleagues, Senator Ellison in answering a question in question time today, and those opposite have described very adequately.

I think it is important for me to be positive about where we are going and what is available at the moment. This government has certainly recognised the failings. It is very upsetting to know that these things happen in some of our aged-care homes. We have put different measures in place to ensure that these things do not happen but, if they do, that they are rectified very, very quickly—as has happened with this last incident. As at the end of June 2006, almost 3,000 residential aged-care homes had been accredited. The Australian government has acted to protect people in aged-care homes from sexual and serious physical assault. The Australian government’s response to abuse allegations totals more than $100 million over four years. With legislation passed this year, 2007, we have also strengthened protection for accommodation bonds paid by aged-care residents, which I think is a very important issue—and it also prevents abuse.

The Australian government has in place a quality framework for residential aged-care homes which includes accreditation, building certification, the Aged Care Complaints Investigation Scheme and user rights programs. Residential aged-care services are required to be accredited to receive subsidies from the Australian government. As at 30 June 2007, only 2.9 per cent—85 homes—were identified as having some noncompliance. Aged-care homes are monitored by the department and the agency.

In 2006-07, a total of 6,329 visits were undertaken by the agency, including 3,627 unannounced visits—otherwise known as spot checks. The agency makes at least one unannounced visit to each home every year. Issues of concern are acted upon promptly and monitored until compliance is achieved. Poor care is never acceptable whatever the circumstances and in these cases sanction action may be taken. We have had a number of examples of that from earlier speakers.

There are currently sanctions imposed in respect of 14 residential aged-care homes out of a total of nearly 3,000 aged-care homes around Australia. The care and safety of residents at all aged-care homes remains the highest priority for this government. Concerning increased protections, recent amendments to the Aged Care Act 1997 put in place a more robust aged-care complaints investigation process and established a new independent Aged Care Commissioner from 1 May 2007. They also require compulsory reporting of incidents of sexual and serious physical assault in residential aged care, with protections for approved providers and staff who report from 1 July 2007. It is important that those opposite understand the new Aged Care Complaints Investigation Scheme, which has the scope to investigate any possible breach of an approved provider’s responsibilities and take action where approved providers fail to meet their responsibilities.

On 1 May 2007, the Minister for Ageing appointed a new Aged Care Commissioner, Rhonda Parker, who will provide an independent review mechanism. I know Rhonda Parker personally. She is from Western Australia. She has a very long history in aged care and in her former employment was as a minister in the Court government covering the portfolio of Families and Children’s Services, Seniors and Women’s Interests. We could not have a better person to act as the commissioner. As the new Aged Care Commissioner, she has the capacity to examine complaints about decisions of the department under the investigation scheme and, as a result of a complaint or on her own initiative, the department’s processes for handling matters under the investigation principles. This is very important. This system is certainly going to improve any problems we have had in the past.

Also, on 21 December 2006, the Australian government amended the Aged Care Principles 1997 to give effect to police check arrangements that require approved providers to ensure that certain staff and volunteers in Australian government subsidised aged-care services who have unsupervised access to care recipients are screened every three years for any criminal history. This is certainly a big improvement too.

We go on to compulsory reporting and whistleblower protection. From 1 July 2007, approved providers must have systems in place to ensure staff report allegations of sexual and serious physical assault to the approved provider. Providers are required to report this information to the police and to the Department of Health and Ageing.

The Australian government is providing an additional $8.6 million over four years to increase the number of spot-check visits by the agency. Since 1 July 2006, every home has received at least one unannounced visit a year and the average number of overall visits was increased to 1.75 visits per home per year. I do believe that this government is doing the right thing for aged care. (Time expired)

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