Institute for Health & Ageing

Consumer Directed Care

Choice and Control: Consumer Directed Care (CDC) in residential aged care

Overcoming organisational barriers to effective implementation

The introduction of Consumer Directed Care (CDC) in home care recognises the pivotal role of personal choice and control in managing care and maximising the quality of life of older Australians. Determining the best approach to implementing CDC in the residential aged care setting will be imperative to its success.

The application of Consumer-Directed Care (CDC) to Australian Residential Aged Care Facilities (RACFs) will require a revolutionary change in the service delivery mind-set.

IHA has developed a training program to guide the implementation of CDC in the residential aged care setting. This project will support this revolution through the implementation and evaluation (efficacy and cost) of our training program, the Resident at the Centre of Care (RCC).

The Resident at the Centre of Care program

Our RCC training program provides RACFs with a model for the implementation of CDC. The program includes development of clinical skills (e.g. communications with residents) and information gathering tool (e.g. the Resident Care Form) to operationalise a consumer-directed care plan, but also, importantly, provides training to support organisational change and transformational leadership that will be required for RACFs to make the significant shift from current resident care models to CDC practices.

The 6-session RCC program has been implemented by our CDC facilitators in Melbourne and Queensland RACFs and has identified and examined barriers and enablers to:
– Improve communication between residents and staff;
– Implement a resident-driven care plan (the Resident Care Form);
– Foster transformational leadership (in senior staff); and
– Work towards organisational change to accommodate CDC.

Our project addresses these challenges by training staff in RACFs to meet the often-complex individual care needs of each care recipient, substantial regulatory burden, and mounting consumer expectations of aged care services, including consumers demanding greater choice in their care, and to be treated with dignity and have greater autonomy and independence.

The RCC program has been evaluated in terms of the resident quality of life (QoL) and satisfaction with care, RACF staff satisfaction (via stress, turnover), organisational improvements (adherence to CDC) and program cost (economic evaluation). No other program designed to implement CDC in RACFs has been delivered and evaluated in Australia. Importantly, this project will inform government on CDC implementation strategies in RACFs, and highlight the economic costs for organisations to become “CDC ready”.

Read the report launched in Canberra June 14, 2017 Older and Wiser: Putting the Consumer Voice at the Centre of Residential Aged Care


In the Media

19 October 2017 Five important questions to ask when choosing an aged care facility Starts at 60

29 September 2017 Why CDC will underpin quality in residential aged care in Australian Ageing Agenda

14 July 2017 Australia isn’t ready for aged care demand, report says in Starts at 60 digital magazine

14 June 2017 ‘First step’ on consumer-directed residential aged care in Australian Ageing Agenda

14 June 2017 RACFs underprepared for Consumer directed Care Report

14 June 2017 Funding needed to test tailored Aged Care services

21 March 2017 Marita McCabe in the Aged Care Guide

15 March 2017 “Wrapping Consumers in Cotton wool” in Australian Ageing Agenda

26 October, 2016 Marita McCabe in the Australian Ageing Agenda

12 September 2016 Marita McCabe CDC Conference blog

1 September, 2016  Marita McCabe in the Australian Ageing Agenda

20 May, 2016  Marita McCabe in the Australian Ageing Agenda


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