• Definitions

    Residential care is defined in section 195-1 of A New Tax System (Good and Services Tax) Act 1999 (GST Act) as having 'the meaning given by section 41-3 of the Aged Care Act 1997. Residential care can include respite care'.

    Residential care is defined in section 41-3 of the Aged Care Act 1997 as:

    Residential care is personal care or nursing care, or both personal care and nursing care, that is provided to a person in a residential facility in which the person is also provided with accommodation that includes:

    • appropriate staffing to meet the nursing and personal care needs of the person
      • meals and cleaning services, and
      • furnishings, furniture and equipment for the provision of that care and accommodation, and
      • meets any other requirements specified in the Residential Care Subsidy Principles.
       

    Home care is defined in section 195-1 as having 'the meaning given by section 45-3 of the Aged Care Act 1997'..

    Home care is defined in section 45-3 of the Aged Care Act 1997 as:

    Home care is care consisting of a package of personal care services and other personal assistance provided to a person who is not being provided with residential care.

    Item 2.1 of Part 2 of Schedule 1 to the Quality of Care Principles:

    Personal assistance, including individual attention, supervision and physical assistance, with:

    • bathing, showering, personal hygiene and grooming
    • maintaining continence or managing incontinence and using aids and appliances designed to assist continence management
    • eating and eating aids and using eating utensils and eating aids (including actual feeding if necessary)
    • dressing and undressing and using dressing aids
    • moving, walking, wheelchair use and using devices and appliances designed to aid mobility, including fitting of artificial limbs and other personal mobility aids, and
    • communication, including to address difficulties arising from impaired hearing, sight or speech or lack of common language (including fitting sensory communication aids) and checking hearing aid batteries and cleaning spectacles.

    This excludes hairdressing.

    Item 3.8 of Part 3 of Schedule 1 to the Quality of Care Principles:

    Nursing services carried out by a registered nurse, or other professional appropriate to the service (for example, medical practitioner, stoma therapist, speech pathologist, physiotherapist or qualified practitioner from a palliative care team).

    Services may include, but are not limited to, the following:

    • establishment and supervision of a complex pain management or palliative care program, including monitoring and managing any side effects
    • insertion, care and maintenance of tubes, including intravenous and naso-gastric tubes
    • establishing and reviewing a catheter care program, including the insertion, removal and replacement of catheters
    • establishing and reviewing a stoma care program
    • complex wound management
    • insertion of suppositories
    • risk management procedures relating to acute or chronic infectious conditions
    • special feeding for care recipients with dysphagia (difficulty with swallowing)
    • suctioning of airways
    • tracheostomy care,
    • enema administration.

    Schedule 1 to GST-free Supply (Care) Determination 2000:

    Item Service

    1

    Home service

    2

    Personal care

    3

    Home maintenance

    4

    Home modifications

    5

    Provision of food

    6

    Provision and delivery of meals at home or at a day care or similar centre

    7

    Respite care

    8

    Transport to and from day care or similar centres and for shopping trips, social outings and for health-related purposes

    9

    Community paramedical services

    10

    Community nursing

    11

    Assessment of the person's care needs

    12

    Referral to other community care services

    13

    Training in the use of aids and appliances and in how to get the most out of the other services mentioned in this Schedule

    14

    Individual care planning or case management

    15

    Provision of basic equipment for social support, excluding the provision of aids and appliances under paragraph 7 (3) (b) of the Schedule to the Home and Community Care Act 1985

    16

    Day care

    17

    Linen services

    18

    Counselling

    19

    Community advocacy for a purpose mentioned in section 8-1 of the Aged Care Act 1997

    20

    Medication management

    21

    Provision and monitoring of personal alert systems

    22

    Provision of therapeutic supplies and services under the program known as the Psychogeriatric Unit Program administered by the Commonwealth

    23

    Continence management

    Schedule 1 of the Quality of Care Principles

    Part 1

    Hotel services – To be provided for all residents who need them

    Item Service Content

    1.1

    Administration

    General operation of the residential care service, including resident documentation.

    1.2

    Maintenance of buildings and grounds

    Adequately maintained buildings and grounds.

    1.3

    Accommodation

    Utilities such as electricity and water.

    1.4

    Furnishings

    Bed-side lockers, chairs with arms, containers for personal laundry, dining, lounge and recreational furnishings, draw-screens (for shared rooms), resident wardrobe space, and towel rails.

    Excludes furnishings a resident chooses to provide.

    1.5

    Bedding

    Beds and mattresses, bed linen, blankets, and absorbent or waterproof sheeting.

    1.6

    Cleaning services, goods and facilities

    Cleanliness and tidiness of the entire residential care service.

    Excludes a resident's personal area if the resident chooses and is able to maintain it himself or herself.

    1.7

    Waste disposal

    Safe disposal of organic and inorganic waste material.

    1.8

    General laundry

    Heavy laundry facilities and services, and personal laundry services, including laundering of clothing that can be machine washed.

    Excludes cleaning of clothing requiring dry cleaning or another special cleaning process, and personal laundry if a resident chooses and is able to do this himself or herself.

    1.9

    Toiletry goods

    Bath towels, face washers, soap, and toilet paper.

    1.10

    Meals and refreshments

    (a) Meals of adequate variety, quality and quantity for each resident, served each day at times generally acceptable to both residents and management, and generally consisting of 3 meals per day plus morning tea, afternoon tea and supper.

    (b) Special dietary requirements, having regard to either medical need or religious or cultural observance.

    (c) Food, including fruit of adequate variety, quality and quantity, and non-alcoholic beverages, including fruit juice.

    1.11

    Resident social activities

    Programs to encourage residents to take part in social activities that promote and protect their dignity, and to take part in community life outside the residential care service.

    1.12

    Emergency assistance

    At least 1 responsible person is continuously on call and in reasonable proximity to render emergency assistance.

    Part 2

    Care and services – To be provided for all residents who need them

    Item Care or service Content

    2.1

    Daily living activities assistance

    Personal assistance, including individual attention, individual supervision, and physical assistance, with:

    (a) bathing, showering, personal hygiene and grooming

    (b) maintaining continence or managing incontinence, and using aids and appliances designed to assist continence management

    (c) eating and eating aids, and using eating utensils and eating aids (including actual feeding if necessary)

    (d) dressing, undressing, and using dressing aids

    (e) moving, walking, wheelchair use, and using devices and appliances designed to aid mobility, including the fitting of artificial limbs and other personal mobility aids

    (f) communication, including to address difficulties arising from impaired hearing, sight or speech, or lack of common language (including fitting sensory communication aids), and checking hearing aid batteries and cleaning spectacles.

    Excludes hairdressing.

    2.2

    Meals and refreshments

    Special diet not normally provided.

    2.3

    Emotional support

    Emotional support to, and supervision of, residents.

    2.4

    Treatments and procedures

    Treatments and procedures that are carried out according to the instructions of a health professional or a person responsible for assessing a resident's personal care needs, including supervision and physical assistance with taking medications, and ordering and reordering medications, subject to requirements of State or Territory law.

    2.5

    Recreational therapy

    Recreational activities suited to residents, participation in the activities, and communal recreational equipment.

    2.6

    Rehabilitation support

    Individual therapy programs designed by health professionals that are aimed at maintaining or restoring a resident's ability to perform daily tasks for himself or herself, or assisting residents to obtain access to such programs.

    2.7

    Assistance in obtaining health practitioner services

    Arrangements for aural, community health, dental, medical, psychiatric and other health practitioners to visit residents, whether the arrangements are made by residents, relatives or other persons representing the interests of residents, or are made direct with a health practitioner.

    2.8

    Assistance in obtaining access to specialised therapy services

    Making arrangements for speech therapy, podiatry, occupational or physiotherapy practitioners to visit residents, whether the arrangements are made by residents, relatives or other persons representing the interests of residents.

    2.9

    Support for residents with cognitive impairment

    Individual attention and support to residents with cognitive impairment (eg dementia, and other behavioural disorders), including individual therapy activities and specific programs designed and carried out to prevent or manage a particular condition or behaviour and to enhance the quality of life and care for such residents and ongoing support (including specific encouragement) to motivate or enable such residents to take part in general activities of the residential care service.

    Part 3

    Care and services – To be provided for residents receiving a high level of residential care

    Item Care or service Content

    3.1

    Furnishings

    Over-bed tables.

    3.2

    Bedding materials

    Bed rails, incontinence sheets, restrainers, ripple mattresses, sheepskins, tri-pillows, and water and air mattresses appropriate to each resident's condition.

    3.3

    Toiletry goods

    Sanitary pads, tissues, toothpaste, denture cleaning preparations, shampoo and conditioner, and talcum powder.

    3.4

    Goods to assist residents to move themselves

    Crutches, quadruped walkers, walking frames, walking sticks, and wheelchairs

    Excludes motorised wheelchairs and custom made aids.

    3.5

    Goods to assist staff to move residents

    Mechanical devices for lifting residents, stretchers, and trolleys.

    3.6

    Goods to assist with toileting and incontinence management

    Absorbent aids, commode chairs, disposable bed pans and urinal covers, disposable pads, over-toilet chairs, shower chairs and urodomes, catheter and urinary drainage appliances, and disposable enemas.

    3.7

    Basic medical and pharmaceutical supplies and equipment

    Analgesia, anti-nausea agents, bandages, creams, dressings, laxatives and aperients, mouthwashes, ointments, saline, skin emollients, swabs, and urinary alkalising agents.

    Excludes goods prescribed by a health practitioner for a particular resident and used only by the resident.

    3.8

    Nursing services

    Nursing services carried out by a registered nurse, or other professional appropriate to the service (eg medical practitioner, stoma therapist, speech pathologist, physiotherapist or qualified practitioner from a palliative care team).

    Services may include, but are not limited to, the following:

    (a) establishment and supervision of a complex pain management or palliative care program, including monitoring and managing any side effects

    (b) insertion, care and maintenance of tubes, including intravenous and naso-gastric tubes

    (c) establishing and reviewing a catheter care program, including the insertion, removal and replacement of catheters

    (d) establishing and reviewing a stoma care program

    (e) complex wound management

    (f) insertion of suppositories

    (g) risk management procedures relating to acute or chronic infectious conditions

    (h) special feeding for care recipients with dysphagia (difficulty with swallowing)

    (i) suctioning of airways

    (j) tracheostomy care

    (k) enema administration.

    3.10

    Medications

    Medications subject to requirements of State or Territory law.

    3.11

    Therapy services, such as, recreational, speech therapy, podiatry, occupational, and physiotherapy services

    (a) Maintenance therapy delivered by health professionals, or care staff as directed by health professionals, designed to maintain residents' levels of independence in activities of daily living

     

     

    (b) More intensive therapy delivered by health professionals, or care staff as directed by health professionals, on a temporary basis that is designed to allow residents to reach a level of independence at which maintenance therapy will meet their needs

    Excludes intensive, long-term rehabilitation services required following, for example, serious illness or injury, surgery or trauma.

    3.12

    Oxygen and oxygen equipment

    Oxygen and oxygen equipment needed on a short-term, episodic or emergency basis.

      Last modified: 18 Nov 2013QC 27139