{
  "entity_id": "B-003936",
  "folder": "Aged-Care-Quality-and-Safety-Advisory-Council",
  "name": "Aged Care Quality and Safety Advisory Council",
  "type": "Statutory Body",
  "jurisdiction": "Commonwealth",
  "portfolio": "Health, Disability and Ageing",
  "website": "https://www.agedcarequality.gov.au/about-us/aged-care-quality-and-safety-advisory-council",
  "data_status": "rich",
  "completeness": {
    "has_strategy_brief": true,
    "has_strategy_structured": true,
    "has_vision": true,
    "has_kpi_targets": true,
    "has_kpi_results": true,
    "has_strategy_overview": true,
    "has_legislation_text": true,
    "has_legislation_structured": false,
    "has_global_initiatives_text": false,
    "has_ideas": true,
    "has_artifacts": true,
    "n_ideas": 12,
    "n_legislation": 0,
    "n_artifacts": 15,
    "n_kpi_targets": 8,
    "n_kpi_results": 8,
    "n_outcomes": 2,
    "verified_own_data": true
  },
  "strategy_profile": {
    "status": "published",
    "confidence": "high",
    "summary": "To protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia [AR p.20]",
    "official_site_url": "https://www.agedcarequality.gov.au/about-us/aged-care-quality-and-safety-advisory-council",
    "source_documents": [
      {
        "type": "annual_report",
        "title": "Aged Care Quality and Safety Commission Annual Report 2024-25",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "period": "2024-25",
        "confidence": "high"
      },
      {
        "type": "annual_report",
        "title": "Aged Care Quality and Safety Commission Annual Report 2023-24",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf",
        "period": "2023-24",
        "confidence": "high"
      },
      {
        "type": "annual_report",
        "title": "acqsc-annual-report-2022-23.pdf",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf",
        "period": "2022-23",
        "confidence": "high"
      },
      {
        "type": "annual_report",
        "title": "Aged Care Quality and Safety Commission Annual Report 2021-22",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf",
        "period": "2021-22",
        "confidence": "high"
      },
      {
        "type": "annual_report",
        "title": "Annual Report 2020–21",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf",
        "period": "2020-21",
        "confidence": "high"
      },
      {
        "type": "corporate_plan",
        "title": "ACQSC 2025-26 Corporate Plan",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "period": "2025-26",
        "confidence": "high"
      },
      {
        "type": "corporate_plan",
        "title": "2024-25 Corporate Plan",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf",
        "period": "2024-25",
        "confidence": "high"
      },
      {
        "type": "corporate_plan",
        "title": "ACQSC Corporate Plan 2023-24",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf",
        "period": "2023-24",
        "confidence": "high"
      },
      {
        "type": "corporate_plan",
        "title": "Corporate Plan 2022–23",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf",
        "period": "2022-23",
        "confidence": "high"
      },
      {
        "type": "corporate_plan",
        "title": "Corporate Plan 2021–22",
        "url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf",
        "period": "2021-22",
        "confidence": "high"
      }
    ],
    "purpose": {
      "text": "To protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia [AR p.20]",
      "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
      "source_page": 20,
      "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=20"
    },
    "vision": {
      "text": "Older Australians trust and have confidence that aged care services protect and enhance their safety, health, wellbeing and quality of life [AR p.23]",
      "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
      "source_page": 23,
      "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=23"
    },
    "strategic_priorities": [
      {
        "title": "protect older people receiving funded aged care services",
        "description": "protect older people receiving funded aged care services",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": 19,
        "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19"
      },
      {
        "title": "drive continuous improvement in the aged care sector",
        "description": "drive continuous improvement in the aged care sector",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": 19,
        "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19"
      },
      {
        "title": "build public confidence and trust in the aged care system",
        "description": "build public confidence and trust in the aged care system",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": 19,
        "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19"
      }
    ],
    "values": [
      {
        "name": "Impartial",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      },
      {
        "name": "Accountable",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      },
      {
        "name": "Ethical",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      },
      {
        "name": "Respectful",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      },
      {
        "name": "Committed to service",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      },
      {
        "name": "Stewardship",
        "description": "",
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": null
      }
    ],
    "outcomes": [
      {
        "name": "Outcome 1: Protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia",
        "description": "Through this outcome, the Commission regulates providers’ responsibilities set out in the Aged Care Act 1997 and the principles made under that Act – including the Quality of Care Principles, User Rights Principles and Accountability Principles.",
        "activities": [
          "inform older people and their supporters about their right to quality and safe care",
          "educating and guiding providers on their responsibilities to deliver quality and safe care",
          "regulating providers by accrediting residential services, conducting quality reviews of home services, and monitoring the quality of care and services",
          "responding to provider non-compliance with their aged care responsibilities and taking regulatory and enforcement action as appropriate",
          "dealing with complaints or information given to the Commissioner about a provider’s responsibilities under the Aged Care Act or funding agreement",
          "dealing with reportable incidents under the Serious Incident Response Scheme",
          "publishing data and insights on sector and provider performance"
        ],
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": 21,
        "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21"
      },
      {
        "name": "Outcome 2: Build public confidence and trust in the aged care system",
        "description": "Public confidence and trust in the aged care system begins with who is allowed to enter and participate in the government-funded aged care market. Through our registration functions, we decide who enters the aged care market and the conditions that apply to them when they do. We monitor providers and workers so older people can trust and have confidence in funded aged care services.",
        "activities": [
          "register providers of aged care, as well as renew and revoke registrations (from 1 November 2025)",
          "monitor compliance with the Aged Care Code of Conduct and Aged Care Quality Standards",
          "promote confidence in how we regulate the aged care system"
        ],
        "source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "source_page": 21,
        "source_deep_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21"
      }
    ],
    "performance_measures": [
      {
        "code": "CCE01",
        "measure": "Decrease in non-compliance by provider cohort under the Aged Care Act 2024",
        "target": "Establish a baseline of non-compliance by provider cohort under the Aged Care Act 2024",
        "latest_result": "1,166 audits conducted, 451 site audits and 715 quality audits",
        "status": "Substantially achieved",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 53
      },
      {
        "code": "CCE02",
        "measure": "80% of decisions in response to escalated referrals are made within 7 days",
        "target": "Demonstrates the Commission’s effective supervision activities and ability to respond swiftly to escalated referrals",
        "latest_result": "100%",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 53
      },
      {
        "code": "CCE03",
        "measure": "80% of escalated referrals requiring active supervision are remediated within 5 months",
        "target": "Demonstrates the Commission’s effective oversight and supervision to ensure risks are promptly addressed",
        "latest_result": "74%",
        "status": "Substantially achieved",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 54
      },
      {
        "code": "CCE04",
        "measure": "80% of surveyed older people receiving aged care express confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024",
        "target": "Provides an indicator of aged care recipients’ confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024",
        "latest_result": "94%",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 55
      },
      {
        "code": "CCE05",
        "measure": "80% of surveyed aged care providers express trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024",
        "target": "Provides an indicator of aged care provider trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024",
        "latest_result": "70%",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 57
      },
      {
        "code": "CCE06",
        "measure": "80% of participants report satisfaction with engagement and education activities",
        "target": "Provides an indicator of how well engagement activities meet the needs and expectations of stakeholders, encourages ongoing evaluation and improvement among the sector",
        "latest_result": "81%",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 58
      },
      {
        "code": "CCE07",
        "measure": "20% of providers placed under targeted and active supervision result from proactive risk profiling or risk detection",
        "target": "Demonstrates the proficiency of the Commission’s risk management, profiling and detection processes, assists in addressing risks and issues promptly",
        "latest_result": "92%",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 59
      },
      {
        "code": "CCE08",
        "measure": "Complete an annual review and evaluation of risk profiling methodologies for continuous improvement",
        "target": "Demonstrates the Commission is accountable, transparent and strives for best practice, and has a proactive approach to managing provider and sector risk",
        "latest_result": "Met",
        "status": "Met",
        "target_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf",
        "target_source_page": 54,
        "result_source_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
        "result_source_page": 60
      }
    ],
    "document_alignment_terms": {
      "must_support": [
        "To protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia [AR p.20]",
        "Older Australians trust and have confidence that aged care services protect and enhance their safety, health, wellbeing and quality of life [AR p.23]",
        "protect older people receiving funded aged care services",
        "drive continuous improvement in the aged care sector",
        "build public confidence and trust in the aged care system"
      ],
      "watch_terms": [
        "Decrease in non-compliance by provider cohort under the Aged Care Act 2024",
        "80% of decisions in response to escalated referrals are made within 7 days",
        "80% of escalated referrals requiring active supervision are remediated within 5 months",
        "80% of surveyed older people receiving aged care express confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024",
        "80% of surveyed aged care providers express trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024",
        "80% of participants report satisfaction with engagement and education activities",
        "20% of providers placed under targeted and active supervision result from proactive risk profiling or risk detection",
        "Complete an annual review and evaluation of risk profiling methodologies for continuous improvement"
      ],
      "avoid_claiming_without_evidence": []
    },
    "review_note": ""
  },
  "strategy_brief_md": "# Aged Care Quality and Safety Advisory Council — Strategy Brief\n\n**Reporting period**: 2024-25\n**Corporate plan in force**: 2025-26\n**Annual Report**: [2024-25](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)\n**Corporate Plan**: [2025-26](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)\n\n## Vision\n\n> Older Australians trust and have confidence that aged care services protect and enhance their safety, health, wellbeing and quality of life [AR p.23](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=23) [[CP p.23](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=23)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=23)]\n\n## Our purpose / purposes\n\n> To protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia [AR p.20](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=20) [[CP p.20](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=20)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=20)]\n\n## How we deliver\n\n> We undertake our work in a way that is consistent with the Australian Public Service (APS) values, outlined in the Public Service Act 1999. Impartial Accountable Ethical Respectful Committed to service Stewardship [CP p.15](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=15) [[CP p.15](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=15)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=15)]\n\n## Government priorities for this department\n\n- protect older people receiving funded aged care services [[CP p.19](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)]\n- drive continuous improvement in the aged care sector [[CP p.19](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)]\n- build public confidence and trust in the aged care system [[CP p.19](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=19)]\n\n## Outcomes\n\n### Outcome 1: Protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia\nThrough this outcome, the Commission regulates providers’ responsibilities set out in the Aged Care Act 1997 and the principles made under that Act – including the Quality of Care Principles, User Rights Principles and Accountability Principles. [[CP p.21](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21)]\n\n**Key activities:**\n- inform older people and their supporters about their right to quality and safe care\n- educating and guiding providers on their responsibilities to deliver quality and safe care\n- regulating providers by accrediting residential services, conducting quality reviews of home services, and monitoring the quality of care and services\n- responding to provider non-compliance with their aged care responsibilities and taking regulatory and enforcement action as appropriate\n- dealing with complaints or information given to the Commissioner about a provider’s responsibilities under the Aged Care Act or funding agreement\n- dealing with reportable incidents under the Serious Incident Response Scheme\n- publishing data and insights on sector and provider performance\n\n### Outcome 2: Build public confidence and trust in the aged care system\nPublic confidence and trust in the aged care system begins with who is allowed to enter and participate in the government-funded aged care market. Through our registration functions, we decide who enters the aged care market and the conditions that apply to them when they do. We monitor providers and workers so older people can trust and have confidence in funded aged care services. [[CP p.21](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=21)]\n\n**Key activities:**\n- register providers of aged care, as well as renew and revoke registrations (from 1 November 2025)\n- monitor compliance with the Aged Care Code of Conduct and Aged Care Quality Standards\n- promote confidence in how we regulate the aged care system\n\n## Values and principles\n\n_APS Values_\n\n- Impartial\n- Accountable\n- Ethical\n- Respectful\n- Committed to service\n- Stewardship\n\n## What they will measure themselves on this year (targets from 2025-26 corporate plan)\n\n| Code | Measure | Target | Source |\n|---|---|---|---|\n| CCE01 | Decrease in non-compliance by provider cohort under the Aged Care Act 2024 | Establish a baseline of non-compliance by provider cohort under the Aged Care Act 2024 | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE02 | 80% of decisions in response to escalated referrals are made within 7 days | Demonstrates the Commission’s effective supervision activities and ability to respond swiftly to escalated referrals | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE03 | 80% of escalated referrals requiring active supervision are remediated within 5 months | Demonstrates the Commission’s effective oversight and supervision to ensure risks are promptly addressed | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE04 | 80% of surveyed older people receiving aged care express confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024 | Provides an indicator of aged care recipients’ confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024 | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE05 | 80% of surveyed aged care providers express trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024 | Provides an indicator of aged care provider trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024 | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE06 | 80% of participants report satisfaction with engagement and education activities | Provides an indicator of how well engagement activities meet the needs and expectations of stakeholders, encourages ongoing evaluation and improvement among the sector | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE07 | 20% of providers placed under targeted and active supervision result from proactive risk profiling or risk detection | Demonstrates the proficiency of the Commission’s risk management, profiling and detection processes, assists in addressing risks and issues promptly | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n| CCE08 | Complete an annual review and evaluation of risk profiling methodologies for continuous improvement | Demonstrates the Commission is accountable, transparent and strives for best practice, and has a proactive approach to managing provider and sector risk | [CP p.54](https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf#page=54) |\n\n## How they performed last year (results from 2024-25 annual report)\n\n| Code | Measure | Result | Status | Source |\n|---|---|---|---|---|\n| CCE01 | Conduct 1,370 audits of aged care services comprising 730 site audits and 640 quality audits | 1,166 audits conducted, 451 site audits and 715 quality audits | Substantially achieved | [AR p.53](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=53)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=53) |\n| CCE02 | 100% of banned workers are included on the Commission’s Register of Banning Orders | 100% | Met | [AR p.53](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=53)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=53) |\n| CCE03 | 80% of complaints about providers are finalised within published service standards | 74% | Substantially achieved | [AR p.54](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=54)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=54) |\n| CCE04 | 80% of enquires are responded to within published service standards | 94% | Met | [AR p.55](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=55)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=55) |\n| CCE05 | 65% of complainant and provider survey responses have an overall rating of satisfied or higher with the complaints process in line with published service standards | 70% | Met | [AR p.57](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=57)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=57) |\n| CCE06 | 80% of complaints finalised achieve a positive outcome for older people | 81% | Met | [AR p.58](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=58)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=58) |\n| CCE07 | 80% of initial assessments of priority 1 Serious Incident Response Scheme notifications are completed within 7 business days | 92% | Met | [AR p.59](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=59)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=59) |\n| CCE08 | Decrease in year-on-year non-compliance by provider cohort | Met | Met | [AR p.60](https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=60)(https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf#page=60) |",
  "strategy_overview_evidence_md": null,
  "internal_strategy_evidence_md": "# Aged Care Quality and Safety Advisory Council - Strategy, Performance, and Operating Profile\n\n**Generated at**: 2026-05-09T22:09:50.660675+00:00\n**Entity ID**: B-003936\n**Entity type**: Statutory Body\n**Jurisdiction**: Commonwealth\n**Portfolio**: Health, Disability and Ageing\n**Website**: https://www.agedcarequality.gov.au/about-us/aged-care-quality-and-safety-advisory-council\n\n> Draft generated from scraped source material. Treat this as an evidence pack for editorial review, not a final judgement.\n\n## Source Coverage\n\n| Source type | Count |\n|---|---:|\n| annual-reports | 5 |\n| corporate-plans | 5 |\n| other-pdfs | 5 |\n| pages | 43 |\n\n## Executive Readout\n\n### Purpose\n\n- [Page 187]\nReferences\nand indexes\nsurveyed, express trust and confidence in the\nCommission’s oversight and support, 56\nAged Care Quality and Safety Advisory Council,\n26–32, 67\nadvice to the Minister and Commissioner, 29–30\nCapability Review and Aged Care Act 2024, 31\nfinancial information and secretariat services, 32\nmeeting schedule, 29\nmembership, 27–8\nrole and functions, 26\nstakeholder engagement, 31–2\nAged Care Quality and Safety Commission\nAccountable Authority, 34, 66, 126\ncorporate governance, 66–83\nCorporate Plan 2024–25, 35, 37, 42\nfunctions and powers, 17–18\nobjectives, 133\norganisational structure, 24–5\noverview, 11–32\npurpose, 12–13, 14\nrole, 16\nvalues, 18–19\nvision, 15\nAged Care Quality and Safety Commission Act 2018,\niii, 12, 16, 17, 26, 36, 66, 76, 80, 154\nAged Care Quality and Safety Commission Rules\n2018, 12, 19, 80, 83\nAged Care Quality Standards, 3, 7, 45, 156\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 7]\nContents\nMessage from the Commissioner 4\nIntroduction 5\nOur purpose 6\nOur vision 6\nAbout us 6\nOur role 6\nOur values 7\nOur functions 8\nOur Corporate Plan is a plan for reform 9\nStrategic priorities 10\nOperating context 11\nOur environment 12\nOur capability 14\nCorporate governance arrangements 15\nRisk oversight and management 16\nCo-operation 20\nKey activities 22\nDelivery against the Government’s five pillars of reform 23\nPerformance 24\nPerformance framework 25\nSummary of changes to performance measures 32\nAged Care Quality and Safety Commission Operational Plan 2021–2022 33\nAppendix 1: list of requirements 38\n  Source: `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)`\n- [Page 4]\nContents\nStrategic priorities 13\nOur operating environment 14\nOur people and capability 15\nRisk oversight and management\nwithin the Commission 17\nOur regulatory approach 20\nCo-operation 23\nContents 4\nPerformance 24\nMessage from the Commissioner 5\nPerformance framework 24\nPerformance measures 25\nPlanning framework 7\nKey activities 25\nAbout the Commission 8\nSummary of changes to performance measures 33\nOur purpose 8\nOur vision 8\nOperational plan 2022–23 34\nAbout us 8\nOur values 9 Appendix 1: List of requirements 39\nOur functions 10\nOur structure 11\nOur Ministers and portfolio 12\nRegulator performance 12\nAged Care Quality and Safety Commission\nCorporate Plan 2022–23 4\n  Source: `corporate-plans/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf)`\n- Planning, performance and reporting framework\nHow we measure our performance\n2023–24 Portfolio Budget Statements\n36 Corporate Plan 2023–24\nod\new\ntahW\nPBS Outcome 1 2023–24 Corporate Plan Annual Operational Plan\nProtect and enhance the\nsafety, health, wellbeing\nand quality of life of aged\nOur purpose Group business plan\ncare consumers, including\nthrough effective To protect and enhance the\nengagement with them, safety, health, wellbeing\nregulation and education and quality of life of aged\nSection business plan\nof Commonwealth- care consumers\nfunded aged care service\nproviders and resolution\nof aged care Individual performance\nagreement\nti\nod\new\nwoH\nOur key activities to deliver our purpose\n1 2 3\nProtect the safety, health, Contribute to enhancing Contribute to aged care\nwellbeing and quality of life of confidence and trust in the reform through our\n  Source: `corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)`\n\n### Role and Functions\n\n- [Page 225]\nReferences and appendices Alphabetical index\nperformance reporting framework, 63, see also performance results\npowers, 36, 48, 114\npurpose, 15, 63, 67\nregulatory approach, 10–11, 19, see also risk-based approach\nrole, responsibilities and functions, 10–12, 16–18, 121\nsee also compliance and enforcement; performance results; regulatory action\nAged Care Quality and Safety Commission Act 2018, 3, 14, 16, 18, 36, 114, 121, 187\nAged Care Quality and Safety Commission Consultative Forum, 79, 134\nAged Care Quality and Safety Commission Rules 2018, 14, 16, 18, 121, 122, 177\nAged Care Quality and Safety Commissioner, 122, 152\naccountable authority, 23\ndelegation of functions or powers, 114\nmessage from, 10–12\nparliamentary committee hearings attendance, 165\npowers, 36, 48, 114\nremuneration, 153\nrole, 122\nAged Care Quality Bulletin, 60\nAged Care Quality Standards\n  Source: `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)`\n- [Page 193]\nAged Care Learning Information Solution (Alis), 121, see also information resources\naged care providers see providers\nAged Care Quality and Safety Advisory Council, 3, 48–50, 95\nAged Care Quality and Safety Commission, 15, 38–52\nAccountable Authority, 38, 94\nCommissioner see Aged Care Quality and Safety Commissioner\nestablishment, 38\ngovernance structure, 95\nIndependent Capability Review, 2–3, 4, 35, 112\norganisational structure, 46–47\npowers, 4, 5, 17, 41–42, 94\npurpose, 2, 38, 39\nregulatory approach, 40, 41–42\nrole, responsibilities and functions, 15, 17, 38, 40–42\nstrategic priorities, 44–45\nvalues, 43\nvision, 39\nsee also performance results; regulatory action\nAged Care Quality and Safety Commission Act 2018, iii, 38, 40, 41, 48, 55, 94, 95, 107\nAged Care Quality and Safety Commission Consultative Forum, 51\nAged Care Quality and Safety Commission Rules 2018, 38\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- The Commission\nAO PSM, we are further strengthening our\nuses education, information\ncapabilities, including our corporate enabling\nand targeted communications\nfunctions, to ensure that we are best placed\nto promote best practice and\nto meet our role and responsibilities as the\nnational aged care regulator. as key preventative tools\n10 Corporate Plan 2024–25 Corporate Plan 2024–25 11\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 181]\nList of requirements\nnon-corporate Commonwealth entities\nPGPA Rule Page\nReference Description Requirement number/s\n17AD(g) Letter of transmittal\n17AI A copy of the letter of transmittal signed and Mandatory iii\ndated by accountable authority on date final\ntext approved, with statement that the report\nhas been prepared in accordance with section\n46 of the Act and any enabling legislation that\nspecifies additional requirements in relation\nto the annual report\n17AD(h) Aids to access\n17AJ(a) Table of contents (print only) Mandatory iv–vi\n17AJ(b) Alphabetical index (print only) Mandatory 184–205\n17AJ(c) Glossary of abbreviations and acronyms Mandatory 170–1\n17AJ(d) List of requirements Mandatory 174–83\n17AJ(e) Details of contact officer Mandatory ii\n17AJ(f) Entity’s website address Mandatory ii\n17AJ(g) Electronic address of report Mandatory ii\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- [Page 177]\nReferences\nand indexes\nList of requirements\nfor non-corporate\nCommonwealth entities\nPGPA Rule\nReference Description Requirement Pages\n17AD(g) Letter of transmittal\n17AI A copy of the letter of transmittal signed and Mandatory iii\ndated by accountable authority on date final\ntext approved, with statement that the report\nhas been prepared in accordance with section\n46 of the Act and any enabling legislation that\nspecifies additional requirements in relation\nto the annual report\n17AD(h) Aids to access\n17AJ(a) Table of contents (print only) Mandatory v–vi\n17AJ(b) Alphabetical index (print only) Mandatory 179–94\n17AJ(c) Glossary of abbreviations and acronyms Mandatory 166–7\n17AJ(d) List of requirements Mandatory 170–6\n17AJ(e) Details of contact officer Mandatory ii\n17AJ(f) Entity’s website address Mandatory ii\n17AJ(g) Electronic address of report Mandatory ii\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [pages 177,178,179,180]\ns to access\n17AJ(a) Table of contents (print only) Mandatory v–vi\n17AJ(b) Alphabetical index (print only) Mandatory 179–94\n17AJ(c) Glossary of abbreviations and acronyms Mandatory 166–7\n17AJ(d) List of requirements Mandatory 170–6\n17AJ(e) Details of contact officer Mandatory ii\n17AJ(f) Entity’s website address Mandatory ii\n17AJ(g) Electronic address of report Mandatory ii\n17AD(a) Review by accountable authority\n17AD(a) A review by the accountable authority Mandatory 1–10\nof the entity\n17AD(b) Overview of the entity\n17AE(1)(a)(i) A description of the role and functions Mandatory 16–18\nof the entity\n17AE(1)(a)(ii) A description of the organisational Mandatory 24–25\nstructure of the entity\n17AE(1)(a)(iii) A description of the outcomes and programmes Mandatory 13\nadministered by the entity\n170\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n\n### Strategic Priorities\n\n- [Page 7]\nContents\nMessage from the Commissioner 4\nIntroduction 5\nOur purpose 6\nOur vision 6\nAbout us 6\nOur role 6\nOur values 7\nOur functions 8\nOur Corporate Plan is a plan for reform 9\nStrategic priorities 10\nOperating context 11\nOur environment 12\nOur capability 14\nCorporate governance arrangements 15\nRisk oversight and management 16\nCo-operation 20\nKey activities 22\nDelivery against the Government’s five pillars of reform 23\nPerformance 24\nPerformance framework 25\nSummary of changes to performance measures 32\nAged Care Quality and Safety Commission Operational Plan 2021–2022 33\nAppendix 1: list of requirements 38\n  Source: `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)`\n- Requirement Page(s) Requirement Page(s)\nIntroduction Set out the action the\n33–37\nCommissioner intends to take\n• Statement of preparation\nduring the period to give effect Refer also to\n• the reporting period for which the to, or further, the objectives set key activities\nplan is prepared out in the plan at page 22\n• the reporting periods covered by the\nplan 5 Set out the Commissioner’s 23, 33\npriorities for work to be\nCommissioner’s\nPurposes 6 undertaken during the period\nstrategic priorities\nat page 10\nKey activities 22\nSet out how the Commissioner\nOperating context 11\nwill apply the resources of the\n• Environment 12–13 Commission to achieve those 14–15, refer also\nobjectives to pages 33–37\n• Capability 14–15\n• Risk oversight and management 16–17 An assessment of risks faced by\n• Cooperation 20–21 the Commission for the period\ntogether with a plan to manage\n  Source: `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)`\n- [Page 4]\nContents\nStrategic priorities 13\nOur operating environment 14\nOur people and capability 15\nRisk oversight and management\nwithin the Commission 17\nOur regulatory approach 20\nCo-operation 23\nContents 4\nPerformance 24\nMessage from the Commissioner 5\nPerformance framework 24\nPerformance measures 25\nPlanning framework 7\nKey activities 25\nAbout the Commission 8\nSummary of changes to performance measures 33\nOur purpose 8\nOur vision 8\nOperational plan 2022–23 34\nAbout us 8\nOur values 9 Appendix 1: List of requirements 39\nOur functions 10\nOur structure 11\nOur Ministers and portfolio 12\nRegulator performance 12\nAged Care Quality and Safety Commission\nCorporate Plan 2022–23 4\n  Source: `corporate-plans/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf)`\n- Requirement Page(s) Requirement Page(s)\nIntroduction 5–6 Set out the action the Commissioner 34–38\n• Statement of preparation intends to take during the period\nto give effect to, or further, the\n• Reporting period for which the plan\nobjectives set out in the plan\nis prepared\n• Reporting periods covered by the plan Set out the Commissioner’s priorities\nfor work to be undertaken during\nPurposes 8\nthe period\nKey activities 25\n• Commissioner’s strategic priorities 13\nOperating context\n• Commissioner’s focus areas for 34\n• Environment 14 the year\n• Capability 15–17 Set out how the Commissioner 15–17,\nwill apply the resources of the 34–38\n• Risk oversight and management 17–19\nCommission to achieve those\n• Cooperation 23 objectives\n• Subsidiaries (where applicable) N/A An assessment of risks faced by the 17–19\nCommission for the period together\nPerformance 24–33\n  Source: `corporate-plans/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf)`\n- [Page 5]\nContents\nMessage from the Commissioner 5 Operating context 19\nEnvironment 19\nAbout the Commission 8\nCapability 21\nFunctions and powers 11\nRisk oversight and management 25\nValues 12\nRegulatory approach 28\nMinisters and portfolio 13\nCooperation 34\nCorporate structure and governance 14\nPerformance 35\nStrategic priorities 16\nPerformance framework 36\nKey activities 37\nPerformance measures 37\nAnnual Operational Plan 2023–24 49\nAppendix 1: List of requirements 72\nProtecting and enhancing the safety, health, wellbeing and quality of life of aged care consumers 3\n  Source: `corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)`\n- Requirement Page(s) Requirement Page(s)\nIntroduction Set out the action the Commissioner\n• Statement of preparation intends to take during the period to give\neffect to, or further, the objectives set\n• Reporting period for which the plan\nout in the plan 49–71\nis prepared\n• Reporting periods covered by the plan 5–7 Set out the Commissioner’s priorities for\nwork to be undertaken during the period\nPurposes 8\n• Commissioner’s strategic priorities 16–17\nKey activities 37\n• Commissioner’s focus areas for the year 49–71\nOperating context 19–34\nSet out how the Commissioner will\n• Environment 19–20 apply the resources of the Commission 21–4\n• Capability 21–4 to achieve those objectives 49–71\n• Risk oversight and management 25–7 An assessment of risks faced by the\n• Cooperation 34 Commission for the period together with\na plan to manage those risks 25–7\n• Subsidiaries (where applicable) na\n  Source: `corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)`\n- [Page 5]\nContents\nMessage from Strategic priorities Performance\nthe Commissioner\n5 14 38\nKey activities 40\nPerformance measures 41\nMessage from the\nAdvisory Council\n7\nAbout the Operating context Annual Operational\nCommission Plan 2024–25\n9 16 52\nPurpose 9 Environment 16\nFunctions and powers 10 Capability 19\nValues 11 Risk management 25 Appendix 1:\nList of requirements\nMinisters and portfolio 12 Regulatory approach 29\nCorporate structure Cooperation 36 74\nand governance 13\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 40]\nPerformance\nOur annual planning, performance\nand reporting framework – of which Expectations and intent\nthis Corporate Plan is a key component\nThe Hon Anika Wells MP, Minister for\n– connects our strategic direction and\nAged Care issued the Commission\npriorities, key activities, risk management,\nwith a Statement of Expectations,\nresource allocation, and performance\non 25 September 2024.\nmeasurement and monitoring.\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 4]\nCorporate Plan 2025–26 4\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\nContents\nMessage from the Commissioner 5\nMessage from the Advisory Council 8\nAbout the Commission 11\nRegulatory approach 17\nRegulatory priorities 19\nRegulatory approach 22\nOperating context 28\nEnvironment 30\nCapability 32\nRisk management 38\nCooperation 42\nPerformance 44\nKey activities 47\nPerformance measures 48\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 4]\nContents\nAnnual performance statements\nAbout this report 2\nCopyright 2\nIntroductory Statement 78\nContact 2\nIntroduction 78\nLetter of transmittal 3\nOverview of performance 85\nContents 4\nStrategic Priority 1:\nList of tables 6\nPlacing the consumers at the centre\nMessage from the Commissioner 8\nat all times 87\nStrategic Priority 2:\nMaturing our regulatory response\nOverview\nto strengthen quality and safety 97\nStrategic Priority 3:\nAbout the Commission 12 Advancing responsive, intelligence-led,\nrisk-based regulation 109\nThe sector at a glance 18\nStrategic Priority 4:\nThe year in review 19\nBecoming ‘One Commission,\nOur regulatory strategy 37 One Culture, One Voice’ 123\nBecoming an approved provider: Financial activities 133\nentry to the system 42\nBalance sheet 133\nQuality assessment and monitoring 44\nManaging non-compliance 56\nComplaints resolution 60\nEducation and engagement 67\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n\n## KPIs, Targets, and Where They Are At\n\n- [Page 33]\nAged Care Quality and Safety Commission\nKey Activity 4: We protect the safety, wellbeing, and interests of aged care consumers\nthrough our regulatory activities and decisions\nYear\nPerformance measure\n2021–22 2022–23 2023–24 2024–25\n9 Resolve complaints about 80% Increase of 1% Increase of 1% Increase of 1%\naged care service providers on previous year on previous year on previous year\nwithin 60 days result result result\n2021–22 ACQSC Portfolio Budget\nStatements, p140\n10 Monitor aged care 2257 assessment Target to be set Target to be set Target to be set\nprovider quality and safety contacts at 2021–22 activity at 2022–23 activity at 2023–24 activity\nperformance (against the conducted level + growth level + growth level + growth\nAged Care Quality Standards) (all providers)\n2021–22 ACQSC Portfolio Budget\nStatements, p140\n11 Increase the number of 2151 Target to be\n  Source: `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)`\n- [Page 67]\nPerformance measure Result\nPM 7: Improve the use of intelligence and enhance our risk-profiling and\nassessment to effectively target our regulatory responses Met\nPM 8: Consumer feedback and engagement used to inform the design and focus\nof our activities Met\nPM 9: Support and promote best practice in quality use of medicines through\nstakeholder engagement, including extending pharmacy outreach activities\nto more aged care services Met b\nPM 10: Underpin the Commission’s activities with focused communications,\ninformation and education to support capability uplift and behavioural change\nin the sector Met\nPM 11: Expand the Serious Incident Response Scheme and Quality Indicator\nprogram into home services Met\nPM 12: Build organisational and clinical governance capability of leaders and\ngoverning bodies of Commonwealth-subsidised residential and home care\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- Enhance the Commission’s A whole of Commission Quality Not achieved\nQuality Assurance Framework Assurance Framework adopted\na 4,730 assessment contacts conducted (see Performance Measure 3).\nb 1,583 reaccreditation site audits conducted (see Performance Measure 4).\nc 1,484 quality audits and assessment contacts completed (see Performance Measure 5).\nd 5 8% of complaints about aged care service providers resolved within 60 days (see Performance Measure 2).\ne The evaluation of the Governing for Reform in Aged Care Program has been deferred until 2024 owing\nto the program’s 6-month extension to December 2023.\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- Summary of performance against anticipated measures/targets,\n2023–24\nPerformance measure Result\nPM 1: Protect the safety, wellbeing and interests of Commonwealth-\nsubsidised aged care consumers through regulatory activities (PBS measure) Met\nPM 2: Provide an efficient, effective and accessible complaint-handling\nservice (PBS measure) Partially met *\nPM 3: Monitor aged care provider quality and safety performance against the\nAged Care Quality Standards (PBS measure) Met\nPM 4: Conduct audits of aged care services in accordance with legislative\nprovisions in the residential, home care and National Aboriginal and\nTorres Strait Islander Flexible Aged Care Provider (NATSIFACP) sub-sectors\n(PBS measure) Met\n* S ignificant progress was made towards meeting the target, but final achievement is anticipated\noutside the reporting period.\n  Source: `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)`\n- [Page 85]\nAnnual performance statements\nPerformance measure Result\nPM 5: Monitor and take appropriate action in response to individual\nproviders and provider groups with potential or actual non-compliance with\nfinancial and prudential responsibilities including the Prudential Standards Met\nPM 6: Improve the use of intelligence and enhance risk profiling and\nassessment to effectively target regulatory responses Met\nPM 7: Use consumer feedback and engagement to inform the design\nand focus of Commission activities Partially met *\nPM 8: Support and promote best practice in quality use of medicines through\nstakeholder engagement, including extending pharmacy outreach activities\nto more aged care services Met\nPM 9: Underpin the Commission’s activities with focused communications,\ninformation and education to support capability uplift and behavioural\nchange in the sector Met\n  Source: `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)`\n- Summary of results against performance measure targets, 2024–25\nPerformance measures and targets Result\n1 Enable older people to receive high-quality and safe care by regulating the entry, exit and\nongoing suitability of providers and workers delivering government-subsidised aged care\nservices [pbs target]\n1.1 Conduct 1,370 audits of aged care services comprising\n730 site audits and 640 quality audits [pbs target] Substantially met\n1.2 100% of banned workers are included on the Commission’s\nRegister of Banning Orders Met\n2 Protect and improve the quality, safety and experience of older people receiving care\nthrough an efficient and effective complaints handling service, management of serious\nincidents, and the processing of provider reporting and notifications [pbs target]\n2.1 80% of complaints about providers are finalised within\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 52]\nAnnual Performance\nStatements\nPerformance Measure 1\nEnable older people to receive high-quality and safe care by regulating the entry,\nexit and ongoing suitability of providers and workers delivering government-\nsubsidised aged care services [pbs measure]\nRelates to: key activity 2\nSource: Health Portfolio Budget Statements 2024–25, page 135;\nCorporate Plan 2024–25, page 45\nRationale: serves as an indicator of the Commission’s effectiveness in regulating ongoing\nprovider and worker suitability to protect and enhance the safety, health, wellbeing and\nquality of life of older people accessing aged care\nTarget 1.1\nConduct 1,370 audits of aged care services comprising Result: 1,166 audits conducted,\n730 site audits and 640 quality audits [pbs target] comprising 451 site audits and\n715 quality audits\nDiscussion and analysis\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 54]\nAnnual Performance\nStatements\nPerformance Measure 2\nProtect and improve the quality, safety and experience of older people receiving\ncare through an efficient and effective complaints handling service, management\nof serious incidents, and the processing of provider reporting and notifications\n[pbs measure]\nRelates to: key activities 3 and 4\nSource: Health Portfolio Budget Statements 2024–25, page 135;\nCorporate Plan 2024–25, pages 46–7\nRationale: serves as an indicator of how (and how well) regulatory tools and processes\n– including complaints handling, the Serious Incident Response Scheme and provider\nreporting – are used to protect and enhance the safety, health, wellbeing and quality of life\nof older people accessing aged care\nTarget 2.1\n80% of complaints about providers are finalised within Result: 74%\npublished service standards [pbs target]\nDiscussion and analysis\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 60]\nAnnual Performance\nStatements\nPerformance Measure 3\nRespond to risks in aged care service delivery, supporting provider compliance and\ntaking enforcement actions where necessary [pbs measure]\nRelates to: key activity 4\nSource: Health Portfolio Budget Statements 2024–25, page 136;\nCorporate Plan 2024–25, page 48\nRationale: evaluates the effectiveness of the Commission’s ability to ensure providers\nand workers comply with their obligations and responsibilities and, if required, take\ncorrective measures to assist providers continuously improve towards the delivery of safe\nand high-quality aged care\nTarget 3.1\nDecrease in year-on-year non-compliance Result: Met\nby provider cohort [pbs target]\nDiscussion and analysis\nThere are more than 3,000 providers of aged care in Australia.\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 63]\nAnnual Performance\nStatements\nPerformance Measure 4\nDeliver aged care regulation with transparency, trust and confidence that safeguards,\nprotects and enhances outcomes for older people receiving care in Australia\nRelates to: key activities 1, 2, 3 and 4\nSource: Corporate Plan 2024–25, page 49\nRationale: measures how well the Commission operates in a transparent manner and\nembeds internal accountability across all its activities to provide trust and confidence\nin executing regulatory activities to safeguard older people receiving care\nTarget 4.1\n80% of surveyed older people receiving aged care Result: Deferred\nexpress confidence in the Commission’s ability\nto safeguard their rights and quality of care\nDiscussion and analysis\nDuring 2024–25, older people accessing aged care were subject to greater than usual\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 64]\nAnnual Performance\nStatements\nPerformance Measure 5\nDeliver targeted engagement and education initiatives and materials that support\ncapability uplift and behavioural change across providers, workers and the sector\nRelates to: key activity 1\nSource: Corporate Plan 2024–25, page 50\nRationale: serves as an indicator of how well engagement and education initiatives uplift\nthe quality and safety of aged care services, and promote continuous improvement\ntowards the delivery of safe and high-quality care\nTarget 5.1\n80% of surveyed stakeholders report satisfaction with Result: 88%\nengagement activities\nDiscussion and analysis\nThe Commission engages with the aged care sector to support capability uplift and\ncontinuous improvement towards the delivery of safe and high-quality care.\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 66]\nAnnual Performance\nStatements\nPerformance Measure 6\nUse risk profiling and detection to enable regulatory risk management that\nis appropriate and proportionate to the level of risk of harm to older people\nin Australia\nRelates to: key activity 4\nSource: Corporate Plan 2024–25, page 48\nRationale: measures the effectiveness of the Commission’s risk profiling capabilities\nto identify and assess risk, and to initiate appropriate and risk-proportionate\nregulatory responses\nTarget 6.1\nOf providers placed under active supervision, 20% Result: 24%\nresult from proactive risk profiling or risk detection\nDiscussion and analysis\nThe Commission holds a large volume of information about provider performance, worker\nconduct and older people’s experiences of aged care.\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [Page 32]\nAged Care Quality and Safety Commission\nKey Activity 3: We provide information and education about quality care and services\nthat is responsive, fit-for-purpose and targeted to providers, consumers and the public\nYear\nPerformance measure\n2021–22 2022–23 2023–24 2024–25\n7 Deliver information and 85% of Increase of 1% Increase of 1% Increase of 1%\neducation programs to participants on previous year on previous year on previous year\nproviders and consumers are satisfied result result result\n8 Underpin the Commission’s Establish program Analyse feedback Evaluate Update and\nregulatory campaigns with and adjust program(s) implement\nfocused communications campaign program(s)\nand information to support approach as\nbehavioural change in the needed\nsector\nWe will continue to educate, engage with and provide information for each stakeholder group on provider\n  Source: `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)`\n\n## Key Metrics\n\n| Values found | Evidence | Source |\n|---|---|---|\n| $30.8 million, $4.0 million, 30.8 million, 4.0 million | Explanation of major variances Affected line item\nSupplier\nSupplier expenses were $30.8 million lower than the original Supplier costs – Statement\nbudget estimate mainly as a result of the budgeted volume of comprehensive income\nof accreditation activities provided by third parties not Cash used for suppliers\nundertaken due to the risks presented by COVID-19. – Statement of cash flows\nOwn source income\nRevenue from own source revenue was $4.0 mil | `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)` |\n| $6.6 million, $8.3 million, 6.6 million, 8.3 million | Explanation of major variances Affected line item\nTotal expenses were $6.6 million lower than the original budget estimate Statement of comprehensive income -\nmainly as a result of lower than budgeted employee benefits of $8.3 million employee benefits\nprimarily in relation to delays in staff recruitment. | `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)` |\n| $3.3m | The variance\nin the capital budget represents projects delayed due to the effects of COVID-19\n‡ It is anticipated that the Department of Finance will withhold $3.3m from the previously proposed\n2022–23 Budget Measure – Ageing and Aged Care, under section 51 of the PGPA Act in 2022–23\nUntil this occurs, the Commission is legally entitled to the appropriation and it has been included\nin the 2021–22 financial statements\n§ Departmental capital budget | `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)` |\n| $4.7m, $0.9m, $0.8m, $2.0m, $3.1m | This was offset by an increase in Statement of cash flows –\nsupplier expenses as detailed below. cash used for employees\nSuppliers expenditure was $4.7m higher than original budget.The major Statement of comprehensive income\ndrivers of this increase are costs to recruit staff ($0.9m) and use of – suppliers\nlabour hire contractors ($0.8m) which is reflective of the staff turnover Statement of cash flows –\nand ongoing recruitment activity in the Co | `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)` |\n| $22.7m, $24.0m, $1.3m, $60.2m | Statement of cash flows –\nsale of goods and rendering of services\nTotal revenue from government was higher than original budget Statement of comprehensive income\nestimate by $22.7m because of additional $24.0m appropriations – revenue from Government\nreceived through the 2023–24 Portfolio Additional Estimate\nStatements (PAES) and a reduction of $1.3m for appropriations\nquarantined under section 51 of the PGPA Act. (See note 9)\nTotal assets were $ | `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)` |\n| 15 Staff, 2021 APS | [Page 35]\nAged Care Quality and Safety Commission\nKey Activity 5: We continue to build our capability, ensuring a high impact Commission\nnow and into the future\nYear\nPerformance measure\n2021–22 2022–23 2023–24 2024–25\n15 Staff engagement and Baseline Increase of 1% Increase of 1% Increase of 1%\nwellbeing improves on previous year on previous on previous year\n2021 APS Employee\nresult year result result\nCensus wellbeing\nand engagement\nscores\n16 A s | `corporate-plans/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf)` |\n\n## Key Achievements\n\n- [Page 166]\nAppendixes\nAction Deliverable Result\nFocus Area 6: Maximise the potential of the Commission’s workforce\nA22 Develop a knowledge D22.1 Commission has a knowledge management Achieved\nmanagement strategy framework and supporting capability\nA23 Develop a Clinical D23.1 Deliver a Clinical Governance Framework Partially\nGovernance Framework achieved\nA24 Deliver improved D24.1 Implementation of 2024–26 People Strategy Achieved\nworkforce management well progressed\ncapabilities,\norganisational culture and D24.2 People Capability Framework implemented Partially\nachieved\nemployee experience\nD24.3 Strategic Workforce Plan implemented Partially\nachieved\nA25 Strengthen digital D25.1 Digital workforce strategy and skills Achieved\ncapability uplift delivered\nFocus Area 7: Evolve the Commission’s ICT systems to be robust and user-focused\nA26 Update the Commission’s D26.\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- Learning and development achievements during the reporting period include:\n• implementation of learning to support aged care sector reforms, delivered\nto 853 people across multiple learning activities\n• revision of the Lifting Leadership course to a 6-module program aimed at increasing\nthe leadership capability at the Commission, delivered to 206 current and\nfuture leaders\n• completion of the Cultural Learning Needs Analysis project, with recommendations\nbeing implemented through the Commission’s Reconciliation Action Plan, and Diversity\nand Inclusion Strategy\n• delivery of mandatory APS training, comprising 11 e-learning modules\n• revamp of the Commission’s orientation program\n• upgrade of the Quality Assessor Training Program in line with contemporary practice\n• support of employee professional qualifications through the Study Assistance\nProgram;\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- [Page 217]\nAppendix 1\nAction Deliverable Result\nA12 Undertake regulatory D12.1 Regulatory Strategy reviewed Achieved\nreview activities and implement and communicated with the sector\nagreed improvements\nD12.2 Review of Serious Incident Achieved\nResponse Assessment Operating\nModel completed\nD12.3 Exceptional Circumstances Achieved\nModel developed with the Department\nof Health and Aged Care m\nD12.4 Providers’ right to seek a review Achieved\nof regulatory decisions formalised\n– as far as possible under current\nlegislation and (through work with the\nDepartment of Health and Aged Care)\nthe new Aged Care Act\nD12.5 Monitoring and Investigations Achieved\nFramework delivered\nD12.6 Home Services Regulation Achieved\nProject implemented\nD12.7 National Residential Care Achieved\nCompliance Transformation Program\ncommenced\nD12.8 Provider governance Achieved\noperational policies implemented\n  Source: `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)`\n- [Page 57]\nAnnual Operational Plan 2023–24\nAction Deliverable Accountable officer Timeframe Key activity Corporate Plan link Capability\nA12 Undertake regulatory review activities D12.1 Regulatory Strategy reviewed Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory\nand implement agreed improvements and communicated with the sector Policy and Intelligence\nD12.2 Review of Serious Incident Response Complaints Commissioner March 2024 KA1 RBPP2 Regulatory\nAssessment Operating Model completed\nExecutive Director, Approvals and\nSerious Incident Notifications\nD12.3 Exceptional Circumstances Model Executive Director, Quality December 2023 KA1 RBPP2 Regulatory\ndeveloped with the Department of Health Assessment and Monitoring\nand Aged Care\nD12.4 Providers’ right to seek a review Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory\n  Source: `corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)`\n- [Page 59]\nAnnual Operational Plan 2024–25\nCapability\nreview\nAccountable Time- Key Corporate recommen\nAction Deliverable Lead business area officer frame activity Plan -dation Capability\nD3.4 Complaints Commissioner Complaints June KA4 PM2 Enterprise-\nNew Case Management Division Commissioner 2025 wide\nRBPP2\nSystem implemented\nDeputy Commissioner,\nCorporate\nD3.5 Sector Capability and Senior Director, June KA4 PM4 Strategic\nTransition data, intelligence Regulatory Strategy Division Intelligence and 2025\nRBPP2\nand reporting products to align Analysis\nwith ROM and new Aged Care\nAct requirements\nD3.6 Sector Capability and Deputy Commissioner, June KA1 PM4 Strategic\nDevelop a sector readiness Regulatory Strategy Division Sector Capability and 2025\nRBPP3\nframework to support Regulatory Strategy\npreparation for the new\nregulatory framework\nD3.\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 53]\nCorporate Plan 2025–26 53\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\n2025–26 2026–27 2027–28 2028–29\nData source: records of SIRS Priority 1 notifications submitted (as assessed\nby providers), with receipt date (to establish commencement of the 7-business\nday period) and completion date of initial assessment; logged and held in the\nCommission’s case management systems\nMethodology: percentage of initial assessments completed within 7 business days\nis calculated using a predetermined and approved process and formula\nThe Commission’s Data, Analytics and Intelligence group oversees data governance\nfor this target and provides appropriate data extracts to facilitate reporting\nNote: under the Serious Incident Response Scheme, a Priority 1 incident is one that\nhas caused, or could reasonably have been expected to have caused, a physical\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 67]\nPerformance measure Result\nPM 7: Improve the use of intelligence and enhance our risk-profiling and\nassessment to effectively target our regulatory responses Met\nPM 8: Consumer feedback and engagement used to inform the design and focus\nof our activities Met\nPM 9: Support and promote best practice in quality use of medicines through\nstakeholder engagement, including extending pharmacy outreach activities\nto more aged care services Met b\nPM 10: Underpin the Commission’s activities with focused communications,\ninformation and education to support capability uplift and behavioural change\nin the sector Met\nPM 11: Expand the Serious Incident Response Scheme and Quality Indicator\nprogram into home services Met\nPM 12: Build organisational and clinical governance capability of leaders and\ngoverning bodies of Commonwealth-subsidised residential and home care\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- [pages 67,68,69,70]\nmmunications,\ninformation and education to support capability uplift and behavioural change\nin the sector Met\nPM 11: Expand the Serious Incident Response Scheme and Quality Indicator\nprogram into home services Met\nPM 12: Build organisational and clinical governance capability of leaders and\ngoverning bodies of Commonwealth-subsidised residential and home care\nservices through targeted education and engagement Met\nPM 13: Deliver a campaign on minimising restrictive practices including\nbehaviour support Met\nPM 14: Establish regulatory arrangements for new Code of Conduct Met\na Significant progress was made towards meeting the target, but final achievement is anticipated\noutside of the reporting period.\nb Baseline criteria established for prioritising outreach visits.\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- [Page 85]\nKey activity 2 | Contribute to enhancing confidence and trust\nin the aged care system, empowering older Australians and promoting\nbest practice service provision through engagement, information\nand education\nPM 8: Consumer feedback and engagement are used\nMet\nto inform the design and focus of our activities\nSource\n2022–23 Corporate Plan, page 29\nRationale\nTo protect and enhance the safety, health, wellbeing and quality of life of Australians\naccessing aged care services by using feedback and information to help identify risks,\nunderstand the needs of the sector and inform consumer choice\nAnticipated result Actual result\n6-monthly report on progress against 6-monthly report completed a\nConsumer Engagement Plan\nDiscussion and analysis\nThe Consumer Engagement Plan has been incorporated into the Commission’s broader\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- [pages 122,123,124,125,126]\ng\nthe leadership capability at the Commission, delivered to 206 current and\nfuture leaders\n• completion of the Cultural Learning Needs Analysis project, with recommendations\nbeing implemented through the Commission’s Reconciliation Action Plan, and Diversity\nand Inclusion Strategy\n• delivery of mandatory APS training, comprising 11 e-learning modules\n• revamp of the Commission’s orientation program\n• upgrade of the Quality Assessor Training Program in line with contemporary practice\n• support of employee professional qualifications through the Study Assistance\nProgram; 22 staff accessed study assistance and 82 days of study leave were approved\n• funding of external learning opportunities, including short courses and professional\nconferences; accessed by 160 staff.\n  Source: `annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)`\n- Summary of performance against anticipated measures/targets,\n2023–24\nPerformance measure Result\nPM 1: Protect the safety, wellbeing and interests of Commonwealth-\nsubsidised aged care consumers through regulatory activities (PBS measure) Met\nPM 2: Provide an efficient, effective and accessible complaint-handling\nservice (PBS measure) Partially met *\nPM 3: Monitor aged care provider quality and safety performance against the\nAged Care Quality Standards (PBS measure) Met\nPM 4: Conduct audits of aged care services in accordance with legislative\nprovisions in the residential, home care and National Aboriginal and\nTorres Strait Islander Flexible Aged Care Provider (NATSIFACP) sub-sectors\n(PBS measure) Met\n* S ignificant progress was made towards meeting the target, but final achievement is anticipated\noutside the reporting period.\n  Source: `annual-reports/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf)`\n\n## Key Issues, Risks, and Recommendations\n\n- From the commencement of the COVID-19\npandemic, we adjusted our regulatory We established a referral process for state\nresponse with more direct engagement and territory governments and public\nwith providers of aged care services. health units to report concerns with\nThis included: infection control practices, and retained\n• undertaking an Infection Control Spot the capacity to undertake infection control\nCheck Program from August 2020 spot checks where there is an elevated risk\nand completing 2,807 spot checks and circumstances prevent a site audit.\nat residential services to review infection The implementation of spot checks\ncontrol practices significantly increased our ability to engage\n• conducting 6,481 phone assessment with more providers by monitoring services\ncontacts with residential, home care on a specific targeted topic and escalating\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- [Page 8]\nTables and figures\nOverview\nTable 1: Details of accountable authority during 2021–22 23\nTable 2: Residential services by state and remoteness 28\nFigure 1: Aged care services in Australia 28\nFigure 2: Aged care services by state and territory 29\nTable 3: Regulatory activity 2021–22 33\nTable 4: Most frequent COVID-19 complaint issues raised 2021–22 34\nTable 5: Proposed residential aged care market segmentation model 57\nAnnual performance statements\nFigure 3: Relationship between Portfolio Budget Statements,\ncorporate plan and annual performance statements 63\nTable 6: Summary of the Commission’s overall performance 67\nFigure 4: Complaints resolved 90\nTable 7: Summary of the Commission’s Portfolio Budget Statement performance 109\nTable 8: Entity resource statement for the year ended 30 June 2022 112\nManagement and accountability\n  Source: `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)`\n- [Page 179]\nReferences\nand indexes\nPGPA Rule\nReference Description Requirement Pages\n17AD(d) Management and accountability\nCorporate governance\n17AG(2)(a) Information on compliance with section Mandatory 74\n10 (fraud systems)\n17AG(2)(b)(i) A certification by accountable authority that Mandatory 73\nfraud risk assessments and fraud control plans\nhave been prepared\n17AG(2)(b)(ii) A certification by accountable authority Mandatory 73\nthat appropriate mechanisms for preventing,\ndetecting incidents of, investigating or otherwise\ndealing with, and recording or reporting fraud\nthat meet the specific needs of the entity are\nin place\n17AG(2)(b)(iii) A certification by accountable authority that all Mandatory 73\nreasonable measures have been taken to deal\nappropriately with fraud relating to the entity\n17AG(2)(c) An outline of structures and processes in place Mandatory 66–83\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- [pages 7,8,9,10]\nannually 2022–23 reviewed annually\nInternal\nGovernance\nGroup Business Plans\nRisk\nInternal\nmanagement\nIndividual performance agreements\nAudit and\nExternal External\nassurance\nAnnual Performance Statement Annual Financial Statement\nreviewed quarterly reviewed annually\nProject\nmanagement\nExternal\nAnnual Report\nRisk and Audit\nCommittee\nInternal\n(external)\nEnabling strategies\nICT, business systems and digital development – intelligence and analytics –\ncommunications – finance and budget management – people and culture\nFigure 1.\n  Source: `corporate-plans/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf)`\n- [Page 61]\nAnnual Operational Plan 2024–25\nCapability\nreview\nAccountable Time- Key Corporate recommen\nAction Deliverable Lead business area officer frame activity Plan -dation Capability\nD9.3 Compliance Management Executive Director, June KA1 PM3 Regulatory\nAction taken to address non- Group Compliance 2025\nRBPP2\ncompliance with approved Management\nprovider responsibilities under\nthe Aged Care Act 1997\nA10 D10.1 Complaints Commissioner Executive Director, June KA1 PM2 CRR 5.8 Regulatory\nStrengthen the operating Implement recommendations Division Approvals and Serious 2025\nRBPP2\nmodel for receiving from the SIRA Operating Incident Notifications\nand actioning Serious Model Review\nIncident Response\nScheme notifications\nA11 D11.1 Sector Capability and Executive Director, June KA1 PM5 Engagement\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 55]\nCorporate Plan 2025–26 55\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\n2025–26 2026–27 2027–28 2028–29\n3.3 80% of escalated referrals requiring active supervision are remediated within\n5 months\nRationale: demonstrates the Commission’s effective oversight and supervision\nto ensure risks are promptly addressed\nData source: records of escalated referrals requiring active supervision extracted\nfrom the Commission’s case management systems, including receipt date (to mark\nthe commencement of the 5-month period) and date when the provider returned\nto satisfactory conformance and the case was closed\nMethodology: percentage of escalated referrals requiring active supervision\nremediated within 5 months is calculated using a predetermined and approved\nprocess and formula\nChange from previous year: the time period for remediation has changed from ‘within\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 58]\nCorporate Plan 2025–26 58\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\nPerformance Measure 6\nUse risk profiling and detection to enable regulatory risk management\nthat is appropriate and proportionate to the level of risk of harm\nto aged care recipients\nKey Activity 2 – Register entities to deliver Commonwealth-funded aged care services,\nmonitor their ongoing suitability to be a registered provider, and manage the process\nfor renewal, variation and/or revocation of registration\nKey Activity 4 – Hold providers accountable for high-quality care, and deter poor\nperformance through monitoring, compliance and enforcement activities\nRegulator Best Practice Principle 2 – Risk based and data driven\n2025–26 2026–27 2027–28 2028–29\n6.1 Of providers placed under targeted and active supervision, 20% result from\nproactive risk profiling or risk detection\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 59]\nCorporate Plan 2025–26 59\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\n2025–26 2026–27 2027–28 2028–29\nData source:\n• Risk model and risk profiling data outputs such as risk ratings (as a point in time\nsnapshot), including underlying data elements to allow reproduction and verification\n• Description of the underlying data elements and algorithms used to derive\nrisk ratings\n• Data outputs from the automated review and evaluation tools used\nto measure accuracy\n• Evidence of actions taken to enhance risk profiling methodologies following the\nreview and evaluation process\n• Data from survey and consultation processes on the effectiveness of risk\nprofiling methodologies\nMethodology:\n• Conduct statistical testing to measure the effectiveness and accuracy of risk\nprofiling methodologies\n• Gather evidence of initiatives to improve risk models\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 5]\nContents\nManagement and accountability Other accountability reporting\nCorporate governance 136 ISQua accreditation 188\nExecutive Leadership Group (ELG) 137 Freedom of Information 189\nRisk and Audit Committee 138 Complaints about our service 190\nFraud control 140 Advertising campaigns 190\nOrganisational chart 141 Corrections 190\nEnabling legislation 142\nOur leadership team 143\nFinancial statements\nAged Care Quality and Safety\nAdvisory Council 152\nTable of contents 192\nManagement of human resources 154\nIndependent auditor’s report 193\nWorkplace arrangements 173\nAccountable authority statement 195\nWork Health and Safety (WHS) 176\nFinancial statements 196\nDiversity 178\nExternal scrutiny 181\nAssessment of effectiveness\nReferences and appendices\nof assets management 183\nPurchasing 183\nConsultancies 184 Glossary 238\nAustralian National Audit Office Alphabetical Index 241\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- [Page 6]\nList of tables and figures\nOverview Management and accountability\nTable 1: Details of Accountable Table 7: Membership of the Risk\nAuthority during 2020–21 17 and Audit Committee 139\nTable 2: Provider applications 43 Table 8: All ongoing employees\ncurrent report period (2020–21) 155\nTable 3: Summary of feedback\nreceived from the confidential site Table 9: All non-ongoing\nvisit feedback form, 2020–21 55 employees current report period\n(2020–21) 156\nTable 4: Regulatory activities\nundertaken 2020–21 57 Table 10: All ongoing employees\nprevious report period (2019–20) 157\nFigure 1: The Commission’s\nregulatory pyramid 39 Table 11: All non-ongoing employees\nprevious report period (2019–20) 158\nTable 12: Australian Public Service\nAct ongoing employees current\nAnnual performance statements report period (2020–21) 159\nTable 13: Australian Public Service\nAct non-ongoing employees current\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- [Page 52]\nOverview | Quality assessment and monitoring\nRisk-based responsive assessment\ncontacts may be conducted where issues Assessment contacts\nare identified in information provided\nby consumers or their representatives, 12,295\nthe public, or if regulatory intelligence\nabout the service or provider (for example,\nResidential care 11,233\ncomplaints or compulsory reporting\ninformation) identifies risk of harm\nHome services 1,009\nto consumers or issues with the quality\nof care and services.\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- Flexible care 53\nIf a provider has been found non-compliant\nwith one or more requirements of the\nQuality Standards, an assessment contact\ncan also be used to monitor a provider’s\nprogress against a plan for continuous\nimprovement or assess the provider’s Where there is non-compliance with\nperformance against the Quality Standards the Quality Standards, our response will\nto determine if the provider has remedied be risk-based and proportionate to ensure\nthe non-compliance. the service achieves compliance and\naddresses any risks to the safety, health\nTargeted assessment contacts may also\nand wellbeing of consumers.\nbe used as a quality and monitoring\ncomponent of a Commission-wide In 2020–21, we conducted:\nregulatory campaign, or in response • 11,233 assessment contacts at residential\nto certain areas of potential non- aged care services\ncompliance or risk identified through\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- [Page 6]\nContents\nManagement and accountability\nCorporate governance 114\nExecutive Leadership Group (ELG) 115\nRisk and Audit Committee 116\nFraud control 118\nInternal audit 119\nExecutive organisational structure 120\nEnabling legislation 121\nOur leadership team 122\nAged Care Quality and Safety Advisory Council 133\nManagement of human resources 135\nWorkplace arrangements 156\nWork Health and Safety (WHS) 160\nDiversity 162\nExternal scrutiny 165\nAssessment of effectiveness of assets management 167\nPurchasing 167\nConsultancies 168\nAustralian National Audit Office access clauses 171\nExempt contracts 171\nProcurement initiatives to support small business 172\nAnnual Report 2021–22 6 agedcarequality.gov.au\n  Source: `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)`\n- [pages 8,9,10]\negmentation model 57\nAnnual performance statements\nFigure 3: Relationship between Portfolio Budget Statements,\ncorporate plan and annual performance statements 63\nTable 6: Summary of the Commission’s overall performance 67\nFigure 4: Complaints resolved 90\nTable 7: Summary of the Commission’s Portfolio Budget Statement performance 109\nTable 8: Entity resource statement for the year ended 30 June 2022 112\nManagement and accountability\nTable 9: Membership of the Risk and Audit Committee 117\nFigure 5: Executive organisational structure 120\nTable 10: All ongoing employees, current report period (2021–22) 136\nTable 11: All non-ongoing employees, current report period (2021–22) 137\nTable 12: All ongoing employees, previous report period (2020–21) 138\nAnnual Report 2021–22 8 agedcarequality.gov.au\n  Source: `annual-reports/2021-22.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf)`\n\n## Corporate Values and Operating Culture\n\n- Planning, performance and reporting framework\n38 Corporate Plan 2024–25 Corporate Plan 2024–25 39\nod\new\ntahW\nPBS Outcome 1 2024–25 Corporate Plan Annual Operational Plan\nProtect and enhance the\nsafety, health, wellbeing\nand quality of life of older\nOur purpose Group business plan\nAustralians receiving\naged care services, To protect and enhance the\nincluding through effective safety, health, wellbeing\nengagement with them, and quality of life of older\nSection business plan\nregulation and education people receiving aged care\nof Commonwealth-\nfunded aged care service\nproviders and resolution Individual performance\nof aged care complaints\nagreement\nti\nod\new\nwoH\nOur key activities to deliver our purpose\n1 2 3 4\nUplift the quality and Oversee the Establish targeted and Hold providers\nsafety of aged care entry of entities risk-proportionate accountable for\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- Key activities\nKey activity 1 Uplift the quality and safety of aged care service through active\ncollaboration and engagement with, and education of, older people,\naged care providers, workers and the sector\nKey activity 2 Oversee the entry of entities becoming aged care providers and\ntheir ongoing suitability to continue delivering aged care services\nto older people\nKey activity 3 Establish targeted and risk-proportionate obligations for providers\nto respect and support the rights of older people, and enhance their\nprotection and safeguarding through service delivery\nKey activity 4 Hold providers accountable for high-quality care, and deter\npoor performance through monitoring, compliance and\nenforcement activities\n40 Corporate Plan 2024–25 Corporate Plan 2024–25 41\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 164]\nAppendixes\nAction Deliverable Result\nFocus Area 4: Increase understanding, trust and respect with stakeholders through\nenhanced engagement\nA13 Improve understanding D13.1 The effectiveness of communication and Partially\nand connection with education channels and activities is measured using achieved\nkey stakeholders an evaluation framework\nD13.2 Improved mechanisms and processes for Achieved\nengagement and communications with CALD and\nFirst Nations key stakeholders\nStronger corporate capabilities\nFocus Area 5: Strengthen the Commission’s governance and funding arrangements\nA14 Implement robust, D14.1 New governance structure and Achieved\ncomprehensive and processes embedded\ntransparent governance,\nintegrity, policy and quality D14.2 Implement integrated policy mechanism Deferred\nfor Commission-wide policy development\nassurance arrangements\nD14.\n  Source: `annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)`\n- Purpose Functions Operational\nfunction\nTo protect and Engagement with\nmaturity\nenhance the safety, older Australians Improve quality,\nNew Aged Care Act\nhealth, wellbeing safety and choice\nComplaints and regulatory model\nand quality of in aged care\nresolution Data and\nlife of aged care\nintelligence\nconsumers Education\nRegulation\nStronger Aged Care\nStakeholder\nStrategic Quality Standards Provide a better\nengagement\npriorities regulatory service\n‘One\nVision Workforce\nCommission’\nThat older approach management 24/7 Registered Better understand\nAustralians trust Nurse coverage and the risks to people\nand have confidence Values care minutes accessing aged\nthat aged care Governance care services\nservices protect and Impartial and funding\nenhance their safety, Committed to service\nhealth, wellbeing Additional provider\nAccountable\nand quality of life governance\nIncrease\n  Source: `corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)`\n- Purpose Functions Operational\nfunction\nTo protect and Engagement with older\nmaturity\nenhance the safety, Australians Improve quality,\nNew Aged Care Act and\nhealth, wellbeing and safety and choice\nComplaints resolution regulatory model\nquality of life of aged in aged care\ncare consumers Education Data and\nintelligence\nRegulation\nStronger Aged Care\nStakeholder\nStrategic Quality Standards Provide a better\nengagement\npriorities regulatory service\n‘One\nVision Workforce Better understand\nCommission’\nmanagement the risks to people\napproach 24/7 Registered\nThat older accessing aged\nNurse coverage and\nAustralians trust and care services\ncare minutes\nhave confidence that\nValues\naged care services Governance\nprotect and enhance Impartial and funding\ntheir safety, health,\nCommitted to service\nwellbeing and quality\nAdditional provider\nof life Accountable\ngovernance Increase\n  Source: `corporate-plans/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf)`\n- [Page 54]\nCorporate Plan 2025–26 54\nCommission\napproach\ncontext\nPerformance\nAbout\nthe\nRegulatory\nOperating\nPerformance Measure 3\nUndertake provider and worker supervision in response to risks\nand non-compliance in aged care service delivery, incentivising provider\ncompliance and taking enforcement actions where necessary\nKey Activity 4 – Hold providers accountable for high-quality care and deter poor\nperformance through monitoring, compliance and enforcement activities\nRegulator Best Practice Principle 1 – Continuous improvement and building trust\nRegulator Best Practice Principle 3 – Collaboration and engagement\nPBS performance measure\n2025–26 2026–27 2027–28 2028–29\n3.1 Establish a Decrease in non-compliance by provider cohort\nbaseline of non-\ncompliance by\nprovider cohort\nunder the Aged\nCare Act 2024\n(PBS target)\n  Source: `corporate-plans/2025-26.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf)`\n- [Page 5]\nContents\nManagement and accountability Other accountability reporting\nCorporate governance 136 ISQua accreditation 188\nExecutive Leadership Group (ELG) 137 Freedom of Information 189\nRisk and Audit Committee 138 Complaints about our service 190\nFraud control 140 Advertising campaigns 190\nOrganisational chart 141 Corrections 190\nEnabling legislation 142\nOur leadership team 143\nFinancial statements\nAged Care Quality and Safety\nAdvisory Council 152\nTable of contents 192\nManagement of human resources 154\nIndependent auditor’s report 193\nWorkplace arrangements 173\nAccountable authority statement 195\nWork Health and Safety (WHS) 176\nFinancial statements 196\nDiversity 178\nExternal scrutiny 181\nAssessment of effectiveness\nReferences and appendices\nof assets management 183\nPurchasing 183\nConsultancies 184 Glossary 238\nAustralian National Audit Office Alphabetical Index 241\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n- [Page 6]\nList of tables and figures\nOverview Management and accountability\nTable 1: Details of Accountable Table 7: Membership of the Risk\nAuthority during 2020–21 17 and Audit Committee 139\nTable 2: Provider applications 43 Table 8: All ongoing employees\ncurrent report period (2020–21) 155\nTable 3: Summary of feedback\nreceived from the confidential site Table 9: All non-ongoing\nvisit feedback form, 2020–21 55 employees current report period\n(2020–21) 156\nTable 4: Regulatory activities\nundertaken 2020–21 57 Table 10: All ongoing employees\nprevious report period (2019–20) 157\nFigure 1: The Commission’s\nregulatory pyramid 39 Table 11: All non-ongoing employees\nprevious report period (2019–20) 158\nTable 12: Australian Public Service\nAct ongoing employees current\nAnnual performance statements report period (2020–21) 159\nTable 13: Australian Public Service\nAct non-ongoing employees current\n  Source: `annual-reports/2020-21.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf)`\n\n## Global Ideas and Case Study Inputs\n\n_No global-intelligence source text found yet. Run `CLAUDE/global-ideas-scraper.py <entity>` to populate case-study sources._\n\n## Source Artifacts Used\n\n- `corporate-plans/2021-22.pdf` - corporate-plans - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2021-22.pdf\n- `corporate-plans/2022-23.pdf` - corporate-plans - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2022-23.pdf\n- `corporate-plans/2023-24.pdf` - corporate-plans - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf\n- `corporate-plans/2024-25.pdf` - corporate-plans - https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC%202024-25%20Corporate%20Plan%20v2.pdf\n- `corporate-plans/2025-26.pdf` - corporate-plans - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf\n- `annual-reports/2020-21.pdf` - annual-reports - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2020-21.pdf\n- `annual-reports/2021-22.pdf` - annual-reports - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc_annualreport_2021_22.pdf\n- `annual-reports/2022-23.pdf` - annual-reports - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf\n- `annual-reports/2023-24.pdf` - annual-reports - https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2023-24.pdf\n- `annual-reports/2024-25.pdf` - annual-reports - https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf\n- `pages/about.html` - pages - https://www.agedcarequality.gov.au/about-us\n- `pages/announcements-index.html` - pages - https://www.agedcarequality.gov.au/workers/statement-rights\n- `pages/annual-reports-index.html` - pages - https://www.agedcarequality.gov.au/about-us/corporate-documents#annual-reports\n- `pages/annual-reports-index__00.html` - pages - https://www.agedcarequality.gov.au/media/102140\n- `pages/annual-reports-index__01.html` - pages - https://www.agedcarequality.gov.au/media/100247\n- `pages/annual-reports-index__02.html` - pages - https://www.agedcarequality.gov.au/media/96834\n- `pages/annual-reports-index__03.html` - pages - https://www.agedcarequality.gov.au/media/93111\n- `pages/annual-reports-index__04.html` - pages - https://www.agedcarequality.gov.au/media/90905\n- `pages/annual-reports-index__05.html` - pages - https://www.agedcarequality.gov.au/media/88749\n- `pages/annual-reports-index__06.html` - pages - https://www.agedcarequality.gov.au/media/86747\n- `pages/corporate-plans-index.html` - pages - https://www.agedcarequality.gov.au/about-us/corporate-documents\n- `pages/corporate-plans-index__07.html` - pages - https://www.agedcarequality.gov.au/media/101967\n- `pages/corporate-plans-index__08.html` - pages - https://www.agedcarequality.gov.au/media/99824\n- `pages/corporate-plans-index__09.html` - pages - https://www.agedcarequality.gov.au/media/96463\n- `pages/corporate-plans-index__10.html` - pages - https://www.agedcarequality.gov.au/media/92558\n- `pages/corporate-plans-index__11.html` - pages - https://www.agedcarequality.gov.au/media/90648\n- `pages/corporate-plans-index__12.html` - pages - https://www.agedcarequality.gov.au/media/90652\n- `pages/corporate-plans-index__13.html` - pages - https://www.agedcarequality.gov.au/media/88501\n- `pages/corporate-plans-index__14.html` - pages - https://www.agedcarequality.gov.au/media/86341\n- `pages/corporate-plans-index__15.html` - pages - https://www.agedcarequality.gov.au/media/84156\n- `pages/homepage.html` - pages - https://www.agedcarequality.gov.au/about-us/aged-care-quality-and-safety-advisory-council\n- `pages/inquiries-index.html` - pages - https://www.agedcarequality.gov.au/contact-us/coroner-inquiries\n- `pages/inquiries-index__20.html` - pages - https://www.agedcarequality.gov.au/contact-us/coroner-inquiries\n- `pages/leadership.html` - pages - https://www.agedcarequality.gov.au/about-us/our-people\n- `pages/media-releases-index.html` - pages - https://www.agedcarequality.gov.au/news-publications/media-releases\n- `pages/publications-index.html` - pages - https://www.agedcarequality.gov.au/news-publications/first-nations-hub\n- `pages/reforms-index.html` - pages - https://www.agedcarequality.gov.au/older-people/reform-changes-older-people-0\n- `pages/reforms-index__21.html` - pages - https://www.agedcarequality.gov.au/older-people/reform-changes-older-people\n- `pages/reforms-index__22.html` - pages - https://www.agedcarequality.gov.au/older-people/reform-changes-older-people-0\n- `pages/reforms-index__23.html` - pages - https://www.agedcarequality.gov.au/workers/reform-changes-workers\n- `pages/reforms-index__24.html` - pages - https://www.agedcarequality.gov.au/providers/reform-changes-providers-0\n- `pages/reforms-index__25.html` - pages - https://www.agedcarequality.gov.au/for-providers/provider-governance/governing-reform-aged-care-program\n- `pages/reforms-index__26.html` - pages - https://www.agedcarequality.gov.au/for-providers/provider-governance/governing-reform-aged-care-program/governing-reform-aged-care-program-overview\n- `pages/reforms-index__27.html` - pages - https://www.agedcarequality.gov.au/for-providers/provider-governance/governing-reform-aged-care-program/governing-reform-aged-care-modules\n- `pages/reforms-index__28.html` - pages - https://www.agedcarequality.gov.au/for-providers/provider-governance/governing-reform-aged-care-program/governing-reform-aged-care-flip-guides\n- `pages/reforms-index__29.html` - pages - https://www.agedcarequality.gov.au/for-providers/provider-governance/governing-reform-aged-care-program/governing-reform-aged-care-topic-guides\n- `pages/strategies-index.html` - pages - https://www.agedcarequality.gov.au/commonwealth-child-safe-framework\n- `pages/strategies-index__16.html` - pages - https://www.agedcarequality.gov.au/commonwealth-child-safe-framework\n- `pages/strategies-index__17.html` - pages - https://www.agedcarequality.gov.au/providers/digital-platform-operators\n- `pages/strategies-index__18.html` - pages - https://www.agedcarequality.gov.au/providers/food-nutrition-dining-information-providers/residential-aged-care-food-services-discussion-paper\n- `pages/strategies-index__19.html` - pages - https://www.agedcarequality.gov.au/providers/food-nutrition-dining/food-nutrition-dining-resources-providers/residential-aged-care-food-services\n- `pages/structure.html` - pages - https://www.agedcarequality.gov.au/providers/quality-standards/previous-aged-care-quality-standards/organisational-governance\n- `pages/taskforces-index.html` - pages - https://www.agedcarequality.gov.au/about-us/aged-care-quality-and-safety-advisory-council\n- `other-pdfs/exchange_of_letters_between_hcss_and_the_acqsc_0.pdf` - other-pdfs - https://www.agedcarequality.gov.au/sites/default/files/media/exchange_of_letters_between_hcss_and_the_acqsc_0.pdf\n- `other-pdfs/exchange_of_letters_between_ihacpa_and_the_acqsc_.pdf` - other-pdfs - https://www.agedcarequality.gov.au/sites/default/files/media/exchange_of_letters_between_ihacpa_and_the_acqsc_.pdf\n- `other-pdfs/exchange_of_letters_between_the_acqsc_and_vdwc.pdf` - other-pdfs - https://www.agedcarequality.gov.au/sites/default/files/media/exchange_of_letters_between_the_acqsc_and_vdwc.pdf\n- `other-pdfs/exchange_of_letters_between_the_hcc_and_the_acqsc.pdf` - other-pdfs - https://www.agedcarequality.gov.au/sites/default/files/media/exchange_of_letters_between_the_hcc_and_the_acqsc.pdf\n- `other-pdfs/mou_-_acqsc_nsw_ageing_and_disability_commission_-_lhw_signed_241125_jos_signed.pdf` - other-pdfs - https://www.agedcarequality.gov.au/sites/default/files/media/mou_-_acqsc_nsw_ageing_and_disability_commission_-_lhw_signed_241125_jos_signed.pdf\n\n## Gaps To Fix\n\n- No global comparison/case-study sources found.",
  "legislation_md": "# Aged Care Quality and Safety Advisory Council - Acts and Legislation Discovery\n\n**Generated at**: 2026-05-09T21:03:45.959265+00:00\n**Entity ID**: B-003936\n**Jurisdiction**: Commonwealth\n**Portfolio**: Health, Disability and Ageing\n\n> This is an evidence-based discovery list from scraped department material. A mention does not always mean the department administers the legislation; high-confidence and official register links should be reviewed.\n\n## Summary\n\n- Source files scanned: 59\n- Unique legislation references found: 100\n\n| Type | Count |\n|---|---:|\n| Act | 90 |\n| Regulation | 3 |\n| Rules | 7 |\n\n## Legislation References\n\n### Aged Care Act 1997\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 49\n**Register search**: https://www.legislation.gov.au/search?query=Aged+Care+Act+1997\n\n**Sources**:\n- `pages/reforms-index.html`\n- `pages/reforms-index__21.html`\n- `pages/reforms-index__22.html`\n- `pages/reforms-index__23.html`\n- `pages/structure.html`\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- to achieve meaningful outcomes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is\n  Source: `pages/reforms-index.html`\n- to achieve meaningful outcomes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is\n  Source: `pages/reforms-index__21.html`\n- to achieve meaningful outcomes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is\n  Source: `pages/reforms-index__22.html`\n- successful implementation of the new Act.\nThe new Aged Care Act, which started from 1 November 2025, places older people at the centre of their aged care experience. It is the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018\n.\nThe new Act is very different from the previous legislation. It focuses on empowering older people and upholding their rights, needs and personal choices. A key feature of the new Act is the\nStatement\n  Source: `pages/reforms-index__23.html`\n- ements in clinical care.\nThe organisation has records of governance arrangements for clinical care that is given in non-clinical care settings, or by contracted members of the workforce, or by third parties.\nRelevant legislation\nAccountability Principles 2014\nAged Care Act 1997 (Cth), User Rights Amendment (Charter of Aged Care Rights) Principles 2019\nAnti discrimination legislation nationally\nPrivacy Act 1988\n(Cth), Schedule 1, Australian Privacy Principles\nRecords Principles 2014\nQuality of Care Principles 2019\nState and Territory\n  Source: `pages/structure.html`\n\n### Aged Care Quality and Safety Commission Act 2018\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 45\n**Register search**: https://www.legislation.gov.au/search?query=Aged+Care+Quality+and+Safety+Commission+Act+2018\n\n**Sources**:\n- `pages/reforms-index.html`\n- `pages/reforms-index__21.html`\n- `pages/reforms-index__22.html`\n- `pages/reforms-index__23.html`\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n- `corporate-plans/2021-22.pages.jsonl`\n\n**Evidence contexts**:\n- omes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is designed to:\nuphold the rights of older people under the\n  Source: `pages/reforms-index.html`\n- omes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is designed to:\nuphold the rights of older people under the\n  Source: `pages/reforms-index__21.html`\n- omes\nenables compensation if you become seriously injured or ill as a result of a provider breaching their statutory duty of care.\nThe new Act\nis the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018.\nThe new Act aims to:\nempower and improve the lives of older people accessing aged care services in their home, the community or residential aged care\nprovide a forward-looking aged care system that is designed to:\nuphold the rights of older people under the\n  Source: `pages/reforms-index__22.html`\n- of the new Act.\nThe new Aged Care Act, which started from 1 November 2025, places older people at the centre of their aged care experience. It is the main law that sets out how the aged care system operates and replaces the previous\nAged Care Act 1997\nand the\nAged Care Quality and Safety Commission Act 2018\n.\nThe new Act is very different from the previous legislation. It focuses on empowering older people and upholding their rights, needs and personal choices. A key feature of the new Act is the\nStatement of Rights\n, which clearly outlines the rights older peop\n  Source: `pages/reforms-index__23.html`\n- hard Colbeck\nMinister for Senior Australians and Aged Care Services\nParliament House\nCanberra ACT 2600\nDear Minister\nI am pleased to present the annual report for the Aged Care Quality and\nSafety Commission, prepared in accordance with the requirements of the\nAged Care Quality and Safety Commission Act 2018 (ACQSC Act) and section 46\nof the Public Governance, Performance and Accountability Act 2013 (PGPA Act).\nThis report includes information related to the functions of the Commissioner\nof the Aged Care Quality and Safety Commission, from 1 July 2020 until the e\n  Source: `annual-reports/2020-21.pages.jsonl`\n\n### Public Governance, Performance and Accountability Act 2013\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 45\n**Register search**: https://www.legislation.gov.au/search?query=Public+Governance%2C+Performance+and+Accountability+Act+2013\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n- `corporate-plans/2021-22.pages.jsonl`\n- `corporate-plans/2023-24.pages.jsonl`\n- `corporate-plans/2025-26.pages.jsonl`\n\n**Evidence contexts**:\n- e\nCanberra ACT 2600\nDear Minister\nI am pleased to present the annual report for the Aged Care Quality and\nSafety Commission, prepared in accordance with the requirements of the\nAged Care Quality and Safety Commission Act 2018 (ACQSC Act) and section 46\nof the Public Governance, Performance and Accountability Act 2013 (PGPA Act).\nThis report includes information related to the functions of the Commissioner\nof the Aged Care Quality and Safety Commission, from 1 July 2020 until the end\nof the reporting period on 30 June 2021.\nAs required by section 10 of the Public Governanc\n  Source: `annual-reports/2020-21.pages.jsonl`\n- that the\naudit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statements\nAs the Accountable Authority of the Entity, the Commissioner is responsible under the Public Governance,\nPerformance and Accountability Act 2013 (the Act) for the preparation and fair presentation of annual financial\nstatements that comply with Australian Accounting Standards – Reduced Disclosure Requirements and the rules\nmade under the Act. The Commissioner is also responsible for such internal cont\n  Source: `annual-reports/2020-21.pages.jsonl`\n- s of the Aged Care Quality and Safety Commission\nThe Aged Care Quality and Safety Commission (the Commission) is a non-corporate Commonwealth\nentity established by the Australian Aged Care Quality & Safety Commission Act 2018. The Commission\nis subject to the Public Governance, Performance and Accountability Act 2013 (PGPA Act).\nThe Commission commenced operations on 1 January 2019, bringing together the functions of the\nAged Care Quality Agency (which was abolished on 31 December 2018), the Aged Care Complaints\nCommissioner and, from 1 January 2020, the aged care regulat\n  Source: `annual-reports/2020-21.pages.jsonl`\n- g period that would significantly affect the ongoing structure\nand financial activities of the Commission.\nBasis of preparation of the financial statements\nThe financial statements are general purpose financial statements and are required by Section 42\nof the Public Governance, Performance and Accountability Act 2013.\nThe financial statements have been prepared in accordance with:\n• Public Governance Performance and Accountability (Financial Reporting) Rule 2015 (FRR); and\n• Australian Accounting Standards and Interpretations – Reduced Reporting Requirements issued\nby the\n  Source: `annual-reports/2020-21.pages.jsonl`\n- liament House\nCanberra ACT 2600\nDear Minister\nI am pleased to present the annual report for the Aged Care Quality and\nSafety Commission, prepared in accordance with the requirements of the\nAged Care Quality and Safety Commission Act 2018 and section 46 of the\nPublic Governance, Performance and Accountability Act 2013.\nThis report includes information related to the functions of the\nCommissioner of the Aged Care Quality and Safety Commission,\nfrom 1 July 2021 until the end of the reporting period on 30 June 2022.\nAs required by section 10 of the Public Governance, Performa\n  Source: `annual-reports/2021-22.pages.jsonl`\n\n### Aged Care Act 2024\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 41\n**Register search**: https://www.legislation.gov.au/search?query=Aged+Care+Act+2024\n\n**Sources**:\n- `pages/announcements-index.html`\n- `pages/annual-reports-index.html`\n- `pages/corporate-plans-index.html`\n- `pages/homepage.html`\n- `pages/leadership.html`\n- `pages/strategies-index__17.html`\n- `pages/structure.html`\n- `pages/taskforces-index.html`\n- `annual-reports/2024-25.pages.jsonl`\n- `corporate-plans/2025-26.pages.jsonl`\n\n**Evidence contexts**:\n- ith the Statement of Rights. This includes ensuring that their aged care services are delivered by aged care workers who have appropriate qualifications, skills and experience.\nTo view the full-length description of the Statement of Rights as presented in the\nAged Care Act 2024\nvisit Part 3 –\nAged care rights and principles.\nResources\n'\nAged care services and independent aged care advocates - How are they different?\n' This factsheet by the Older Persons Advocacy Network outlines the key differences between aged care service delivery\n  Source: `pages/announcements-index.html`\n- e services and independent aged care advocates - How are they different?\n' This factsheet by the Older Persons Advocacy Network outlines the key differences between aged care service delivery, independent aged care advocates and other supporters under the new Aged Care Act 2024.\nA new Aged Care Act for the rights of older people\n– This plain language fact sheet provides a summary of what rights older people have when accessing aged care services.\nA new Aged Care Act for the rights of older people – Easy Read fact sheet\n– This Easy R\n  Source: `pages/announcements-index.html`\n- MoU between the Commission and DVA\n(PDF, 226 KB)\nCommission and the Older Persons Advocacy Network\nThis updated MoU focuses on ongoing communication, lawful information sharing and opportunities for collaboration. This MoU highlights changes that align to the Aged Care Act 2024 and promotes a commitment by the Commission and OPAN to support the achievement of their respective objectives and the exercise of their functions. This collaborative relationship is focused on improving outcomes for older people receiving Commonwealth funded\n  Source: `pages/annual-reports-index.html`\n- s.\nAs a regulator, we base our decisions on the best response to non-compliance for the level of risk faced by older Australians.\nThe\nCompliance and Enforcement Policy (1 November 2025)\nensures that aged care providers fulfil their responsibilities under:\nthe\nAged Care Act 2024\nthe\nAged Care Rules 2025\ntheir funding agreements with the Australian Government.\nWe may take compliance and enforcement actions to:\nmake sure providers and workers understand and comply with their obligations under the new Aged Care Act (2024) and\nthe Aged C\n  Source: `pages/annual-reports-index.html`\n- MoU between the Commission and DVA\n(PDF, 226 KB)\nCommission and the Older Persons Advocacy Network\nThis updated MoU focuses on ongoing communication, lawful information sharing and opportunities for collaboration. This MoU highlights changes that align to the Aged Care Act 2024 and promotes a commitment by the Commission and OPAN to support the achievement of their respective objectives and the exercise of their functions. This collaborative relationship is focused on improving outcomes for older people receiving Commonwealth funded\n  Source: `pages/corporate-plans-index.html`\n\n### Public Service Act 1999\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 30\n**Register search**: https://www.legislation.gov.au/search?query=Public+Service+Act+1999\n\n**Sources**:\n- `pages/annual-reports-index.html`\n- `pages/corporate-plans-index.html`\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n- `corporate-plans/2021-22.pages.jsonl`\n- `corporate-plans/2022-23.pages.jsonl`\n- `corporate-plans/2023-24.pages.jsonl`\n\n**Evidence contexts**:\n- egy\nThe\nDiversity and Inclusion Strategy 2024-25\nsupports us to embrace the diversity of our employees, and the wider community we serve.\nProcedures for determining breaches of the Code of Conduct\nThese Procedures are established under subsection 15(3) of the Public Service Act 1999 and apply in determining whether a current or former employee of the Commission has breached the APS Code of Conduct.\nProcedures for determining breaches of the Code of Conduct\nChild Safe Framework compliance\nRead our\nAnnual Statement of Compliance with the C\n  Source: `pages/annual-reports-index.html`\n- egy\nThe\nDiversity and Inclusion Strategy 2024-25\nsupports us to embrace the diversity of our employees, and the wider community we serve.\nProcedures for determining breaches of the Code of Conduct\nThese Procedures are established under subsection 15(3) of the Public Service Act 1999 and apply in determining whether a current or former employee of the Commission has breached the APS Code of Conduct.\nProcedures for determining breaches of the Code of Conduct\nChild Safe Framework compliance\nRead our\nAnnual Statement of Compliance with the C\n  Source: `pages/corporate-plans-index.html`\n- erview | About the Commission\nOur role Our values\nAs the national regulator of aged care We undertake our work consistent with\nservices subsidised by the Australian the Australian Public Service (APS) values,\nGovernment, our role is to approve outlined in the Public Service Act 1999.\nproviders’ entry to the aged care\nImpartial\nsystem, to accredit, assess, monitor and\ninvestigate aged care services against\nWe are apolitical and provide the\nrequirements, and to hold services\ngovernment with advice that is frank,\nto account for meeting thei\n  Source: `annual-reports/2020-21.pages.jsonl`\n- gedcarequality.gov.au\n\n[page 142]\nManagement and accountability\nEnabling legislation\nThe Commission operates The Commission is an Australian Public\nindependently and objectively Service (APS) agency that engages staff\nin performing its functions and under the Public Service Act 1999 (Public\nService Act) and is subject to the PGPA Act.\nexercising its powers as set out\nin the Aged Care Quality and Safety\nCommission Act 2018 (ACQSC Act)\nand the Aged Care Quality and\nSafety Commission Rules 2018\n(the Rules).\nAnnual Report 2020–21 142 agedcar\n  Source: `annual-reports/2020-21.pages.jsonl`\n- ation model, 116–117\nprudential campaign, 30, 120\ncompliance and enforcement actions, 56–57,\nPublic Governance, Performance and\n99–100\nAccountability Act 2013, 3, 78, 138, 142, 181,\ncompliance and enforcement powers, 37–41\n184, 201\nperformance results, 97–108\nPublic Service Act 1999, 14, 142\nprovider applications, 42–43\nsection 24(1) determinations, 170, 172\nquality assessment and monitoring, 44–52\npublications see guidance material; information\nquality assessors, 53–55\nresources; websites\nregulatory decisions, 47, 105\npurchasing, 183\nri\n  Source: `annual-reports/2020-21.pages.jsonl`\n\n### Aged Care Quality and Safety Commission Rules 2018\n\n**Type**: Rules\n**Confidence**: high\n**Mentions**: 17\n**Register search**: https://www.legislation.gov.au/search?query=Aged+Care+Quality+and+Safety+Commission+Rules+2018\n\n**Sources**:\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n- `corporate-plans/2023-24.pages.jsonl`\n- `corporate-plans/2025-26.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_hcss_and_the_acqsc_0.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_the_acqsc_and_vdwc.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_the_hcc_and_the_acqsc.pages.jsonl`\n\n**Evidence contexts**:\n- and functions, 10–12, 16–18, 121\nsee also compliance and enforcement; performance results; regulatory action\nAged Care Quality and Safety Commission Act 2018, 3, 14, 16, 18, 36, 114, 121, 187\nAged Care Quality and Safety Commission Consultative Forum, 79, 134\nAged Care Quality and Safety Commission Rules 2018, 14, 16, 18, 121, 122, 177\nAged Care Quality and Safety Commissioner, 122, 152\naccountable authority, 23\ndelegation of functions or powers, 114\nmessage from, 10–12\nparliamentary committee hearings attendance, 165\npowers, 36, 48, 114\nremuneration, 153\nrole, 12\n  Source: `annual-reports/2021-22.pages.jsonl`\n- 9]\nReferences and appendices Alphabetical index\nrole, responsibilities and functions\nCommission, 10–12, 16–18, 121\nCommissioner, 122\nleadership team, 122–132\nRoss, Sally, 120\nRoyal Commission into Aged Care Quality and Safety, 12, 19, 27, 35, 45, 49\nRules see Aged Care Quality and Safety Commission Rules 2018\nS\nSafety, Rehabilitation and Compensation Act 1988, 160\nsafety at work see work health and safety\nsalaries see remuneration\nsanctions see regulatory action\nSandison, Barry, 133\nsenior executives\nemployment arrangements, 149, 151\nkey management personnel, 151,\n  Source: `annual-reports/2021-22.pages.jsonl`\n- int of contact when they want to raise a concern or access\ninformation about the performance of an aged care service against the relevant legislated standards or\nprinciples. The Commission works under the Aged Care Quality and Safety Commission Act 2018 , the Aged\nCare Quality and Safety Commission Rules 2018 and the Aged Care Act 1997 .\nThe basis of preparation\nThe financial statements are required by Section 42 of the Public Governance, Performance and\nAccountability Act 2013.\nThe financial statements have been prepared in accordance with the:\n• Public Governanc\n  Source: `annual-reports/2022-23.pages.jsonl`\n- , 38, 40–42\nstrategic priorities, 44–45\nvalues, 43\nvision, 39\nsee also performance results; regulatory action\nAged Care Quality and Safety Commission Act 2018, iii, 38, 40, 41, 48, 55, 94, 95, 107\nAged Care Quality and Safety Commission Consultative Forum, 51\nAged Care Quality and Safety Commission Rules 2018, 38\nAged Care Quality and Safety Commissioner, 46, 96\nAccountable Authority, 38, 94\ndelegation of functions or powers, 94\nmessage from, 2–3\n185 Annual Report 2022–23\n\n[page 194]\nReferences and indexes\nparliamentary committee hearings attendance, 110\npowers, 9\n  Source: `annual-reports/2022-23.pages.jsonl`\n- 8, 102\nrisk models, 32, 76\nrisk profiling, 75–76, 88\nrole, responsibilities and functions, 38\nAdvisory Council, 48\nCommission, 15, 17, 38, 40–42\nCommissioner, 96\nExecutive Leadership Group, 96–97\nRoyal Commission into Aged Care Quality and Safety, 2\nRules see Aged Care Quality and Safety Commission Rules 2018\nS\nSafety, Rehabilitation and Compensation Act 1988, 113\nsafety at work see work health and safety\nsalaries see remuneration\nSector Performance Reports, 4\nSecurity Plan 2021–24, 36, see also cyber security\nsedative use, 11, 80\nsenior executives\nemployment arra\n  Source: `annual-reports/2022-23.pages.jsonl`\n\n### Environment Protection and Biodiversity Conservation Act 1999\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 11\n**Register search**: https://www.legislation.gov.au/search?query=Environment+Protection+and+Biodiversity+Conservation+Act+1999\n\n**Sources**:\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- Results 57\nFinancial performance 90\nv Annual Report 2022–23\n\n[page 8]\nContents\nManagement and accountability 93\nCorporate governance 94\nExternal scrutiny 110\nManagement of human resources 112\nExecutive remuneration 128\nPurchasing 133\nAdvertising campaigns 137\nEnvironment Protection and Biodiversity Conservation Act 1999 138\nFinancial statements 141\nAppendix 1 165\nReport against 2022–23 Annual Operational Plan 166\nReferences and indexes 169\nGlossary 170\nList of tables and figures 171\nList of requirements – non-corporate Commonwealth entities 173\nIndex 184\nAnnual Report 2022–2\n  Source: `annual-reports/2022-23.pages.jsonl`\n- small enterprise\nparticipation statistics are available on the Department of Finance’s website.\nAdvertising campaigns\nDuring 2022–23, the Commission did not conduct any advertising campaigns.\n137 Annual Report 2022–23\n\n[page 146]\nManagement and accountability\nEnvironment Protection and\nBiodiversity Conservation Act 1999\nThe Commission is firmly committed to complying with requirements under the\nEnvironment Protection and Biodiversity Conservation Act 1999, Energy Efficiency\nin Government Operations Policy and APS Net Zero 2030 Policy.\nThe Commission is progressively decreasi\n  Source: `annual-reports/2022-23.pages.jsonl`\n- Commission did not conduct any advertising campaigns.\n137 Annual Report 2022–23\n\n[page 146]\nManagement and accountability\nEnvironment Protection and\nBiodiversity Conservation Act 1999\nThe Commission is firmly committed to complying with requirements under the\nEnvironment Protection and Biodiversity Conservation Act 1999, Energy Efficiency\nin Government Operations Policy and APS Net Zero 2030 Policy.\nThe Commission is progressively decreasing our environmental footprint\nthrough management of energy-efficient office buildings and procurement\nof environmentally sound equipment\n  Source: `annual-reports/2022-23.pages.jsonl`\n- lso complaints\nEnriching Life through Care roundtable discussions, 6, 19, 84, 85\nenterprise agreement, 112, 115, 119, 121, 128\n191 Annual Report 2022–23\n\n[page 200]\nReferences and indexes\nEnterprise Risk Management Framework, 102\nentity resource statement, 92\nEnvironment Protection and Biodiversity Conservation Act 1999, 138\nenvironmental performance, 138–140\nEssential Eight cyber security requirements, 34\nethical standards, 36, see also Code of Conduct for Aged Care; integrity\nexceptional circumstance determinations, 70\nExecutive Leadership Group, 46–47, 94, 95, 96–97\nexemp\n  Source: `annual-reports/2022-23.pages.jsonl`\n- rting framework 75\nResults 77\nFinancial performance 118\nManagement and accountability 121\nCorporate governance 122\nExternal scrutiny 142\nManagement of human resources 144\nExecutive remuneration 160\nAsset management 165\nPurchasing 165\nAdvertising campaigns 171\nEnvironment Protection and Biodiversity Conservation Act 1999 171\nv\n\n[page 7]\nContents\nFinancial statements 175\nAppendix 1 205\nReport against 2023–24 Annual Operational Plan 206\nReferences and indexes 219\nGlossary 220\nList of tables and figures 222\nList of requirements – non-corporate Commonwealth entities 225\nIndex 240\n  Source: `annual-reports/2023-24.pages.jsonl`\n\n### Safety Commission Act 2018\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 8\n**Register search**: https://www.legislation.gov.au/search?query=Safety+Commission+Act+2018\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `corporate-plans/2021-22.pages.jsonl`\n- `corporate-plans/2022-23.pages.jsonl`\n- `corporate-plans/2023-24.pages.jsonl`\n\n**Evidence contexts**:\n- ty.gov.au\n\n[page 201]\nFinancial statements\nOverview\nObjectives of the Aged Care Quality and Safety Commission\nThe Aged Care Quality and Safety Commission (the Commission) is a non-corporate Commonwealth\nentity established by the Australian Aged Care Quality & Safety Commission Act 2018. The Commission\nis subject to the Public Governance, Performance and Accountability Act 2013 (PGPA Act).\nThe Commission commenced operations on 1 January 2019, bringing together the functions of the\nAged Care Quality Agency (which was abolished on 31 December\n  Source: `annual-reports/2020-21.pages.jsonl`\n- ty.gov.au\n\n[page 187]\nFinancial statements\nOverview\nObjectives of the Aged Care Quality and Safety Commission\nThe Aged Care Quality and Safety Commission (the Commission) is a non-corporate\nCommonwealth entity established by the Australian Aged Care Quality & Safety Commission Act\n2018. The Commission is subject to the Public Governance, Performance and Accountability Act\n2013 (PGPA Act).\nThe Commission commenced operations on 1 January 2019, bringing together the functions of the\nAged Care Quality Agency (which was abolished on 31 December\n  Source: `annual-reports/2021-22.pages.jsonl`\n- ed care consumers, promote consumers’ confidence and trust in the provision of aged care\nservices, and promote engagement with consumers about the quality of their care and services.\nThe Commission applies the range of functions and powers available under the\nSafety Commission Act 2018 , Aged Care Quality and Safety Commission Rules\nand the Aged Care Act 1997 , including:\n• informing aged care consumers and their representatives about their right to quality and safe care and services\n• approving providers of aged care and assessing the suit\n  Source: `annual-reports/2022-23.pages.jsonl`\n- ed care\nconsumers, promote consumers’ confidence and trust in the provision of aged care services, and promote engagement\nwith consumers about the quality of their care and services.\nThe Commission applies the range of functions and powers available under the Safety Commission Act 2018, Aged Care\nQuality and Safety Commission Rules and the Aged Care Act 1997, including:\n• informing aged care consumers and their representatives about their right to quality and safe care and services\n• approving providers of aged care and assessing the suitab\n  Source: `annual-reports/2023-24.pages.jsonl`\n- Safety Commission as a about our functions. We also engage with\nresponse to the Review of National Aged Care Quality consumers to understand their experiences and\nRegulatory Processes. The Aged Care Quality and to advise providers about working with consumers\nSafety Commission Act 2018 (the ACQSC Act) was in designing and delivering best practice care.\npassed on 24 November 2018 and the Commission\nWe deliver regulation that is proportionate,\ncommenced operations on 1 January 2019.\nrisk-based, responsive and intelligence-led.\nThe Commission\n  Source: `corporate-plans/2021-22.pages.jsonl`\n\n### Work Health and Safety Act 2011\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 8\n**Register search**: https://www.legislation.gov.au/search?query=Work+Health+and+Safety+Act+2011\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- lated\ninjury or illness. The Commission is covered\nthe workers’ compensation\nby Comcare for the management of its\nscheme for employees of the\nworkers’ compensation liability. Within the\nAustralian Government.\nCommonwealth jurisdiction, Comcare\nadministers the Work Health and Safety\nAct 2011 (WHS Act) and Work Health and\nSafety Regulations 2011 (WHS Regulations),\nwhich implement the model work health\nand safety laws.\nWe are committed to providing and\nmaintaining a safe and healthy workplace\nand meeting our responsibilities under the\nSRC Act, WHS\n  Source: `annual-reports/2020-21.pages.jsonl`\n- on and workers’ compensation to employees covered by the\nscheme for a work-related injury or illness. The Commission is covered by Comcare\nfor the management of its workers’ compensation liability. Within the Commonwealth\njurisdiction, Comcare administers the Work Health and Safety Act 2011 (WHS Act) and the\nWork Health and Safety Regulations 2011 (WHS Regulations), which implement the model\nwork health and safety laws.\nWe are committed to providing and maintaining a safe and healthy workplace and\nmeeting our responsibilities under the SRC Act,\n  Source: `annual-reports/2021-22.pages.jsonl`\n- ’ service in the APS are acknowledged bi-annually.\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and healthy\nworkplace in accordance with its responsibilities under the Safety, Rehabilitation and\nCompensation Act 1988, Work Health and Safety Act 2011, and Work Health and Safety\nRegulations 2011. Actions and initiatives in place as part of this commitment include:\n• an early intervention strategy, which involves managing cases to support staff\nto return to work after an illness or injury through rehabilita\n  Source: `annual-reports/2022-23.pages.jsonl`\n- 212]\nReferences and indexes\nU\nurinary tract infections, 5, 11, 80\nV\nvaccines and antiviral therapies, 10\nvalues, 43\nViertmann, Lily, 100\nvision, 39\nW\nwebinar series, 26\nwebsite\naddress, ii\nrenewal, 5, 25\nWells, Hon Anika, 4, 29, 38\nwork health and safety, 113\nWork Health and Safety Act 2011, 113\nWork Health and Safety Committee, 113\nworkers’ compensation, 113\nworkforce (aged care sector)\ncode of conduct, 5, 18, 41, 57, 88–89, 105\nquality assessors, 9, 70, 118\nregister of aged care workers, 88\ntraining, 11, 79–80, 121\nAnnual Report 2022–23 204\n\n[\n  Source: `annual-reports/2022-23.pages.jsonl`\n- Enterprise Agreement 0 1,462 1,462\n146\n\n[page 154]\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and\nhealthy workplace in accordance with its responsibilities under the Safety,\nRehabilitation and Compensation Act 1988, Work Health and Safety Act 2011,\nand Work Health and Safety Regulations 2011. Actions and initiatives in place\nas part of this commitment include:\n• an early intervention approach, which involves supporting staff to return\nto work after an illness or injury through rehabilitation assessment\n  Source: `annual-reports/2023-24.pages.jsonl`\n\n### Safety, Rehabilitation and Compensation Act 1988\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 7\n**Register search**: https://www.legislation.gov.au/search?query=Safety%2C+Rehabilitation+and+Compensation+Act+1988\n\n**Sources**:\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- responsibilities and functions\nCommission, 10–12, 16–18, 121\nCommissioner, 122\nleadership team, 122–132\nRoss, Sally, 120\nRoyal Commission into Aged Care Quality and Safety, 12, 19, 27, 35, 45, 49\nRules see Aged Care Quality and Safety Commission Rules 2018\nS\nSafety, Rehabilitation and Compensation Act 1988, 160\nsafety at work see work health and safety\nsalaries see remuneration\nsanctions see regulatory action\nSandison, Barry, 133\nsenior executives\nemployment arrangements, 149, 151\nkey management personnel, 151, 152–154, 213, 214\nremuneration, 151–154\nSenior Pra\n  Source: `annual-reports/2021-22.pages.jsonl`\n- -staff online event. Staff\nwith more than 10 years’ service in the APS are acknowledged bi-annually.\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and healthy\nworkplace in accordance with its responsibilities under the Safety, Rehabilitation and\nCompensation Act 1988, Work Health and Safety Act 2011, and Work Health and Safety\nRegulations 2011. Actions and initiatives in place as part of this commitment include:\n• an early intervention strategy, which involves managing cases to support staff\nto return to work after an ill\n  Source: `annual-reports/2022-23.pages.jsonl`\n- role, responsibilities and functions, 38\nAdvisory Council, 48\nCommission, 15, 17, 38, 40–42\nCommissioner, 96\nExecutive Leadership Group, 96–97\nRoyal Commission into Aged Care Quality and Safety, 2\nRules see Aged Care Quality and Safety Commission Rules 2018\nS\nSafety, Rehabilitation and Compensation Act 1988, 113\nsafety at work see work health and safety\nsalaries see remuneration\nSector Performance Reports, 4\nSecurity Plan 2021–24, 36, see also cyber security\nsedative use, 11, 80\nsenior executives\nemployment arrangements, 128\nkey management personnel, 129–130\nAnn\n  Source: `annual-reports/2022-23.pages.jsonl`\n- exibility Agreement 0 23 23\nDetermination 10 1 11\nEnterprise Agreement 0 1,462 1,462\n146\n\n[page 154]\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and\nhealthy workplace in accordance with its responsibilities under the Safety,\nRehabilitation and Compensation Act 1988, Work Health and Safety Act 2011,\nand Work Health and Safety Regulations 2011. Actions and initiatives in place\nas part of this commitment include:\n• an early intervention approach, which involves supporting staff to return\nto work after an illness or injury\n  Source: `annual-reports/2023-24.pages.jsonl`\n- risk profiling, 31, 96–98\nrisk surveillance, 15, 16\nscheduling risk assessments, 92\nrisk-based regulatory approach, 1, 54, 83, 98, 129\nrole of the Commission, 54\nroundtables, 101\nRoyal Commission into Aged Care Quality and Safety, 1, 11, 35\nS\nsafeguarding, 54\nSafety, Rehabilitation and Compensation Act 1988, 147\nsalary and conditions (Commission staff), 144–145\nsanctions, iii, 19, 23, 82, 133, 140\nSandison, Mr Barry, 65, 69\nSector Risk Committee, 107\n260\n\n[page 268]\nself-assessment by providers, 23–24\nself-service reporting, 97\nSenior Executives\nremuneration, 14\n  Source: `annual-reports/2023-24.pages.jsonl`\n\n### Commission Act) and the Aged Care Quality and Safety Commission Rules 2018\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 6\n**Register search**: https://www.legislation.gov.au/search?query=Commission+Act%29+and+the+Aged+Care+Quality+and+Safety+Commission+Rules+2018\n\n**Sources**:\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_hcss_and_the_acqsc_0.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_the_acqsc_and_vdwc.pages.jsonl`\n- `other-pdfs/exchange_of_letters_between_the_hcc_and_the_acqsc.pages.jsonl`\n\n**Evidence contexts**:\n- entity under the Public Governance,\nPerformance and Accountability Act 2013 (the PGPA Act). We operate independently and\nobjectively in performing our functions and exercising our powers as set out in the Aged\nCare Quality and Safety Commission Act 2018 (the Commission Act) and the Aged Care\nQuality and Safety Commission Rules 2018 (the Commission Rules).\nWe are the national regulator of aged care services and the primary point of contact\nfor older Australians and providers in relation to quality and safety. The Commission\nregulates providers’ responsibilities set out in the Aged Care A\n  Source: `annual-reports/2022-23.pages.jsonl`\n- alth entity under the\nPublic Governance, Performance and Accountability Act 2013 (the PGPA Act).\nWe operate independently and objectively in performing our functions\nand exercising our powers as set out in the Aged Care Quality and Safety\nCommission Act 2018 (Commission Act) and the Aged Care Quality and Safety\nCommission Rules 2018 (Commission Rules).\n50\n\n[page 58]\nWe are the national regulator of aged care services and the primary point\nof contact for older Australians, their families and providers in relation\nto quality and safety. The Commission regulates providers’ responsibilities\n  Source: `annual-reports/2023-24.pages.jsonl`\n- onwealth entity under the Public Governance,\nPerformance and Accountability Act 2013 (PGPA\nAct). We operate independently and objectively\nin performing our functions and exercising our\npowers as set out in the Aged Care Quality and Safety\nCommission Act 2018 (Commission Act) and the Aged\nCare Quality and Safety Commission Rules 2018\n(Commission Rules). 1\n12\n\n[page 21]\nCommission\noverview\nWe are the national regulator of aged care services\nand the primary point of contact for older people,\ntheir supporters and providers in relation to quality\nand safety. The Commission regulates providers\n  Source: `annual-reports/2024-25.pages.jsonl`\n- ommission’s (ACQSC) transition to the Aged Care Act 2024 (Aged Care Act). Until\nthe Aged Care Act and the Aged Care Rules 2025 commence, the ACQSC will\ncontinue its regulatory operations in accordance with the Aged Care Quality and\nSafety Commission Act 2018 (Commission Act) and the Aged Care Quality and Safety\nCommission Rules 2018 (Commission Rules). The below information describes the\nACQSC’s role and functions under the Commission Act and Commission Rules.\nThe ACQSC is an Australian Government statutory authority within the\nDepartment of Health, Disability and Ageing. The ACQSC is th\n  Source: `other-pdfs/exchange_of_letters_between_hcss_and_the_acqsc_0.pages.jsonl`\n- ommission’s (ACQSC) transition to the Aged Care Act 2024 (Aged Care Act). Until\nthe Aged Care Act and the Aged Care Rules 2025 commence, the ACQSC will\ncontinue its regulatory operations in accordance with the Aged Care Quality and\nSafety Commission Act 2018 (Commission Act) and the Aged Care Quality and Safety\nCommission Rules 2018 (Commission Rules). The below information describes the\nACQSC’s role and functions under the Commission Act and Commission Rules.\nThe ACQSC is an Australian Government statutory authority within the\nDepartment of Health, Disability and Ageing. The ACQSC is th\n  Source: `other-pdfs/exchange_of_letters_between_the_acqsc_and_vdwc.pages.jsonl`\n\n### Aged Care Rules 2025\n\n**Type**: Rules\n**Confidence**: high\n**Mentions**: 5\n**Register search**: https://www.legislation.gov.au/search?query=Aged+Care+Rules+2025\n\n**Sources**:\n- `pages/annual-reports-index.html`\n- `pages/corporate-plans-index.html`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- ase our decisions on the best response to non-compliance for the level of risk faced by older Australians.\nThe\nCompliance and Enforcement Policy (1 November 2025)\nensures that aged care providers fulfil their responsibilities under:\nthe\nAged Care Act 2024\nthe\nAged Care Rules 2025\ntheir funding agreements with the Australian Government.\nWe may take compliance and enforcement actions to:\nmake sure providers and workers understand and comply with their obligations under the new Aged Care Act (2024) and\nthe Aged Care Rules 2025\nuphold the\n  Source: `pages/annual-reports-index.html`\n- t 2024\nthe\nAged Care Rules 2025\ntheir funding agreements with the Australian Government.\nWe may take compliance and enforcement actions to:\nmake sure providers and workers understand and comply with their obligations under the new Aged Care Act (2024) and\nthe Aged Care Rules 2025\nuphold the rights of older people under the Statement of Rights\nremedy and prevent non-compliance and promote conduct that protects the safety, health and wellbeing of older people.\nOur compliance and enforcement actions are there to protect people receiving\n  Source: `pages/annual-reports-index.html`\n- ase our decisions on the best response to non-compliance for the level of risk faced by older Australians.\nThe\nCompliance and Enforcement Policy (1 November 2025)\nensures that aged care providers fulfil their responsibilities under:\nthe\nAged Care Act 2024\nthe\nAged Care Rules 2025\ntheir funding agreements with the Australian Government.\nWe may take compliance and enforcement actions to:\nmake sure providers and workers understand and comply with their obligations under the new Aged Care Act (2024) and\nthe Aged Care Rules 2025\nuphold the\n  Source: `pages/corporate-plans-index.html`\n- t 2024\nthe\nAged Care Rules 2025\ntheir funding agreements with the Australian Government.\nWe may take compliance and enforcement actions to:\nmake sure providers and workers understand and comply with their obligations under the new Aged Care Act (2024) and\nthe Aged Care Rules 2025\nuphold the rights of older people under the Statement of Rights\nremedy and prevent non-compliance and promote conduct that protects the safety, health and wellbeing of older people.\nOur compliance and enforcement actions are there to protect people receiving\n  Source: `pages/corporate-plans-index.html`\n- s outcome the Commission is responsible\nfor deliverables in Program 1.1: Quality Aged\nCare Services.\n1 The Aged Care Quality and Safety Commission Act 2018 and\nAged Care Quality and Safety Commission Rules 2018 will\nbe superseded by the Aged Care Act 2024 and Aged Care Rules\n2025 from 1 November 2025.\n2 The Aged Care Act 1997 will be superseded by the Aged Care\nAct 2024 from 1 November 2025.\n13\n\n[page 22]\nCommission\noverview\nPurpose\nTo protect and enhance the safety,\nhealth, wellbeing and quality\nof life of older people accessing\naged\n  Source: `annual-reports/2024-25.pages.jsonl`\n\n### Auditor- General Act 1997\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 5\n**Register search**: https://www.legislation.gov.au/search?query=Auditor-+General+Act+1997\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- include the relevant independence requirements of the\nAccounting Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants\n(including Independence Standards) (the Code) to the extent that they are not in conflict with the Auditor-\nGeneral Act 1997. I have also fulfilled my other responsibilities in accordance with the Code. I believe that the\naudit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statement\n  Source: `annual-reports/2020-21.pages.jsonl`\n- include the relevant independence requirements of the\nAccounting Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants\n(including Independence Standards) (the Code) to the extent that they are not in conflict with the\nAuditor-General Act 1997. I have also fulfilled my other responsibilities in accordance with the Code. I believe\nthat the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statement\n  Source: `annual-reports/2021-22.pages.jsonl`\n- include the relevant independence requirements of the\nAccounting Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants\n(including Independence Standards) (the Code) to the extent that they are not in conflict with the\nAuditor-General Act 1997. I have also fulfilled my other responsibilities in accordance with the Code. I believe\nthat the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statement\n  Source: `annual-reports/2022-23.pages.jsonl`\n- include the relevant independence requirements of the\nAccounting Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants\n(including Independence Standards) (the Code) to the extent that they are not in conflict with the\nAuditor-General Act 1997. I have also fulfilled my other responsibilities in accordance with the Code. I believe\nthat the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statement\n  Source: `annual-reports/2023-24.pages.jsonl`\n- include the relevant independence requirements of the\nAccounting Professional and Ethical Standards Board’s APES 110 Code of Ethics for Professional Accountants\n(including Independence Standards) (the Code) to the extent that they are not in conflict with the Auditor-\nGeneral Act 1997. I have also fulfilled my other responsibilities in accordance with the Code. I believe that the\naudit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.\nAccountable Authority’s responsibility for the financial statement\n  Source: `annual-reports/2024-25.pages.jsonl`\n\n### Fair Work Regulations 2009\n\n**Type**: Regulation\n**Confidence**: high\n**Mentions**: 5\n**Register search**: https://www.legislation.gov.au/search?query=Fair+Work+Regulations+2009\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- employees is determined by the 2019–2022, which may be varied\nCommissioner in accordance with by an Individual Flexibility Arrangement\nthe Commission’s SES employees’ (IFA) as per the provisions of Schedule\nremuneration, conditions and performance 2.2 of the Fair Work Regulations 2009,\npolicy and the APS Executive Remuneration if approved by the Commissioner. An IFA\nPolicy. Their terms and conditions needs to meet the genuine needs\nof employment are provided through of the Commission and the employee,\na section 24(1) determination under th\n  Source: `annual-reports/2020-21.pages.jsonl`\n- ents (where applicable).\nOther highly paid staff are remunerated under the terms and conditions of the\nCommission’s Enterprise Agreement 2019–2022, which may be varied by an Individual\nFlexibility Arrangement (IFA) as per the provisions of Schedule 2.2 of the Fair Work\nRegulations 2009, if approved by the Commissioner. An IFA needs to meet the genuine\nneeds of the Commission and the employee, is mutually agreed, and is based\non capability, experience and qualifications of the employee.\nAnnual Report 2021–22 151 agedcarequality.gov.au\n\n[page\n  Source: `annual-reports/2021-22.pages.jsonl`\n- rangements (where applicable).\nOther highly paid staff are remunerated under the terms and conditions of the\nCommission’s Enterprise Agreement 2019–2022, which may be varied by an Individual\nFlexibility Arrangement as per the provisions of Schedule 2.2 of the Fair Work Regulations\n2009, if approved by the Commissioner. An Individual Flexibility Arrangement needs\nto meet the genuine needs of the Commission and the employee, is mutually agreed,\nand is based on capability, experience and qualifications of the employee.\nAnnual Report 2022–23 12\n  Source: `annual-reports/2022-23.pages.jsonl`\n- ere applicable).\n160\n\n[page 168]\nOther highly paid staff are remunerated under the terms and conditions\nof the Commission’s Enterprise Agreement 2024–27, which may be varied\nby an Individual Flexibility Arrangement as per the provisions of Schedule\n2.2 of the Fair Work Regulations 2009, if approved by the Commissioner.\nAn Individual Flexibility Arrangement needs to meet the genuine needs\nof the Commission and the employee, is mutually agreed, and is based\non capability, experience and qualifications of the employee.\nBasis of determining rem\n  Source: `annual-reports/2023-24.pages.jsonl`\n- arrangements (where applicable).\nOther highly paid staff are remunerated under\nthe terms and conditions of the Commission’s\nEnterprise Agreement 2024–27, which may\nbe varied by an Individual Flexibility Arrangement\nas per the provisions of Schedule 2.2 of the\nFair Work Regulations 2009, if approved by the\nCommissioner. An Individual Flexibility\nArrangement needs to meet the genuine needs\nof the Commission and the employee, is mutually\nagreed, and is based on capability, experience and\nqualifications of the employee.\nBasis of determining\nrem\n  Source: `annual-reports/2024-25.pages.jsonl`\n\n### Public Interest Disclosure Act 2013\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 5\n**Register search**: https://www.legislation.gov.au/search?query=Public+Interest+Disclosure+Act+2013\n\n**Sources**:\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- ication Scheme plan on our website. were received by the\nCommission – a significant\nincrease over the\nprevious year (59).\nAnnual Report 2022–23 106\n\n[page 115]\nPublic interest disclosure\nThe Commission complies with the legislative requirements set out in the Public\nInterest Disclosure Act 2013 (the PID Act). This Act serves to facilitate the disclosure and\ninvestigation of wrongdoing and maladministration within the Commonwealth public\nsector, and promote the integrity and accountability of agencies and public officials. The\nAct provides protection\n  Source: `annual-reports/2022-23.pages.jsonl`\n- s in accordance with the Information\nPublication Scheme requirements. We have published the Information\nPublication Scheme plan on our website.\n134\n\n[page 142]\nPublic interest disclosure\nThe Commission complies with the legislative requirements set out in the\nPublic Interest Disclosure Act 2013 (the PID Act). This Act serves to facilitate the\ndisclosure and investigation of wrongdoing and maladministration within the\nCommonwealth public sector and promote the integrity and accountability\nof agencies and public officials. The Act provides protections\n  Source: `annual-reports/2023-24.pages.jsonl`\n- proach, 1, 7, 15–17, 18, 19, 54\nProvider Supervision Model, 7\nprudential audits, 94\nprudential regulation, 11\nPrudential Standards, 56, 93–95\nPublic Governance, Performance and Accountability Act 2013 (PGPA Act), iii, 50,\n74, 126, 129, 131, 132, 165, 166, 183\nPublic Interest Disclosure Act 2013, 135, 136\npublic interest disclosures, 135, 136\nPublic Service Act 1999, 51, 58–59, 137, 160\npurchasing, 165–170\npurpose of the Commission, 50–51, 52\nQ\nQuality Assessor Training Program, 149\nquality audits, 18, 90–91\nQuality Indicators, 96, 106–108\nQuality of\n  Source: `annual-reports/2023-24.pages.jsonl`\n- ation Scheme plan\nis published on our website at agedcarequality.gov.\nau/privacy-policy.\n77\n\n[page 85]\nMMaannaaggeemmeenntt\naanndd aaccccoouunnttaabbiilliittyy\nPublic interest disclosure\nThe Commission complies with the legislative\nrequirements set out in the Public Interest\nDisclosure Act 2013. This Act serves to facilitate the\ndisclosure and investigation of wrongdoing and\nmaladministration within the Commonwealth\npublic sector and promote the integrity and\naccountability of agencies and public officials.\nThe Act provides protections for discloser\n  Source: `annual-reports/2024-25.pages.jsonl`\n- gement Register, 7, 25\nPublic Governance, Performance and Accountability\nAct 2013, iii, 12, 34, 69, 74, 114, 133\n188 189\n\n[page 197]\nReferences\nand indexes\nPublic Governance, Performance and\nAccountability Rule 2014, iii, 42, 74\npublic interest disclosure, 78\nPublic Interest Disclosure Act 2013, 78\nPublic Service Act 1999, 13\ndetermination, 89, 106\npurchasing, 114–19\npurpose (of the Commission), 12–13, 14\nQuality Assessor Training Program, 93\nQuality Assurance Framework, 72\nquality audits, 45\nQuality of Care Principles, 13\nRae, the Hon Sam, iii, 12\n  Source: `annual-reports/2024-25.pages.jsonl`\n\n### Work Health and Safety Regulations 2011\n\n**Type**: Regulation\n**Confidence**: high\n**Mentions**: 5\n**Register search**: https://www.legislation.gov.au/search?query=Work+Health+and+Safety+Regulations+2011\n\n**Sources**:\n- `annual-reports/2022-23.pages.jsonl`\n- `annual-reports/2023-24.pages.jsonl`\n- `annual-reports/2024-25.pages.jsonl`\n\n**Evidence contexts**:\n- bi-annually.\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and healthy\nworkplace in accordance with its responsibilities under the Safety, Rehabilitation and\nCompensation Act 1988, Work Health and Safety Act 2011, and Work Health and Safety\nRegulations 2011. Actions and initiatives in place as part of this commitment include:\n• an early intervention strategy, which involves managing cases to support staff\nto return to work after an illness or injury through rehabilitation assessment,\nreturn to work plans, flexib\n  Source: `annual-reports/2022-23.pages.jsonl`\n- 6\n\n[page 154]\nWork health and safety\nThe Commission is committed to providing and maintaining a safe and\nhealthy workplace in accordance with its responsibilities under the Safety,\nRehabilitation and Compensation Act 1988, Work Health and Safety Act 2011,\nand Work Health and Safety Regulations 2011. Actions and initiatives in place\nas part of this commitment include:\n• an early intervention approach, which involves supporting staff to return\nto work after an illness or injury through rehabilitation assessment, return\nto work plans, flexible working arra\n  Source: `annual-reports/2023-24.pages.jsonl`\n- 4\n\n[page 272]\nW\nwaste management, 172\nWeb Excellence awards, 39\nwebinars, 3, 13, 39, 95, 113, 148\nwebsite, 3, 8, 39–41, 43, 105, 134\nWellbeing Plan, 147\nWells, The Hon Anika, 2, 38, 50\nWork Health and Safety Act 2011, 147\nWork Health and Safety Committee, 147\nWork Health and Safety Regulations 2011, 147\nWork Level Standards, 144\nWorker Engagement register, 100\nWorker Registration, 117\nworker regulation, 26, 56, 115–117\nworkforce development\ncare staff, 115\nCommission staff, 44–45, 57, 113, 144–159\nworkforce responsibilities reform, 6, 9, 21\nworkforce st\n  Source: `annual-reports/2023-24.pages.jsonl`\n- ccountability\nWork health and safety\nThe Commission is committed to providing\nand maintaining a safe and healthy workplace\nin accordance with our responsibilities under the\nSafety, Rehabilitation and Compensation Act 1988,\nWork Health and Safety Act 2011, and Work Health\nand Safety Regulations 2011. Actions and initiatives\nin place as part of this commitment include:\n• an early intervention approach, which involves\nsupporting staff to safely remain at work\nor to return to work after an illness or injury\nThe Commission through rehabilitation assessment,\n  Source: `annual-reports/2024-25.pages.jsonl`\n- es (of the Commission), 18–19\nViertmann, Lily, 71\nvision (of the Commission), 15\nwaste management, 161\nwebsite, 7\nWellbeing Plan, 90\nWells, the Hon Anika, 12\nwork health and safety, 90–1\nWork Health and Safety Act 2011, 90\nWork Health and Safety Committee, 91\nWork Health and Safety Regulations 2011, 90\nworkforce statistics, 99–105\nWroth, Melanie, 27, 109, 110\n119944\n\n[page 202]\nReferences\nand indexes\n194 195\n\n[page 203]\n1800 951 822\nagedcarequality.gov.au\n  Source: `annual-reports/2024-25.pages.jsonl`\n\n### ACQSC Act) and the Aged Care Quality and Safety Commission Rules 2018\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 4\n**Register search**: https://www.legislation.gov.au/search?query=ACQSC+Act%29+and+the+Aged+Care+Quality+and+Safety+Commission+Rules+2018\n\n**Sources**:\n- `annual-reports/2020-21.pages.jsonl`\n- `annual-reports/2021-22.pages.jsonl`\n- `corporate-plans/2021-22.pages.jsonl`\n\n**Evidence contexts**:\n- bjectively Service (APS) agency that engages staff\nin performing its functions and under the Public Service Act 1999 (Public\nService Act) and is subject to the PGPA Act.\nexercising its powers as set out\nin the Aged Care Quality and Safety\nCommission Act 2018 (ACQSC Act)\nand the Aged Care Quality and\nSafety Commission Rules 2018\n(the Rules).\nAnnual Report 2020–21 142 agedcarequality.gov.au\n\n[page 143]\nManagement and accountability\nOur leadership team\nAged Care Quality and Safety\nCommissioner\nJanet Anderson PSM\nJanet Anderson PSM has held leadership\npositions in Commonwealth and State\n  Source: `annual-reports/2020-21.pages.jsonl`\n- ary point\nof contact for consumers and providers in relation to quality and safety.\nThe Commission operates independently and objectively in performing its functions\nand exercising its powers as set out in the Aged Care Quality and Safety\nCommission Act 2018 (ACQSC Act) and the Aged Care Quality and Safety\nCommission Rules 2018 (Rules).\nThe Commission is responsible for the following outcome\nin the 2021–22 Portfolio Budget Statements:\nProtect and enhance the safety, health, wellbeing and\nquality of life of aged care consumers including through\neffective engagement with them, regulat\n  Source: `annual-reports/2021-22.pages.jsonl`\n- edcarequality.gov.au\n\n[page 121]\nManagement and accountability\nEnabling legislation\nThe Commission operates independently and objectively in performing its functions and\nexercising its powers as set out in the Aged Care Quality and Safety Commission Act 2018\n(ACQSC Act) and the Aged Care Quality and Safety Commission Rules 2018 (Rules).\nThe Commission is an Australian Public Service (APS) agency that engages staff under\nthe Public Service Act 1999 (Public Service Act) and is subject to the Public Governance,\nPerformance and Accountability Act 2013 (PGPA Act).\nAnnual Report 2021–22 1\n  Source: `annual-reports/2021-22.pages.jsonl`\n- of our\nAct 2013 (PGPA Act).\nregulatory activities to promote greater transparency\nThe Commission operates independently and and accountability, and highlighting best practice.\nobjectively in performing its functions and\nexercising its powers as set out in the ACQSC Act\nand the Aged Care Quality and Safety Commission\nRules 2018 (the ACQSC Rules).\nTo achieve our purpose and vision in a rapidly\nchanging environment, we focus on continuously\nimproving to ensure we are a high-performing\norganisation and achieve our aim of being a\nworld-class aged care regulator.\n6 Corporate Plan 2021–22\n  Source: `corporate-plans/2021-22.pages.jsonl`\n\n### Freedom of Information Act 1988\n\n**Type**: Act\n**Confidence**: high\n**Mentions**: 4\n**\n\n_…truncated, open the .md file for the full content._",
  "global_initiatives_md": null,
  "strategy": {
    "reporting_period": "2024-25",
    "corporate_plan_period": "2025-26",
    "vision": "Older Australians trust and have confidence that aged care services protect and enhance their safety, health, wellbeing and quality of life [AR p.23]",
    "vision_source_page": 23,
    "purposes": "To protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia [AR p.20]",
    "purposes_source_page": 20,
    "how_we_deliver": "We undertake our work in a way that is consistent with the Australian Public Service (APS) values, outlined in the Public Service Act 1999. Impartial Accountable Ethical Respectful Committed to service Stewardship [CP p.15]",
    "how_we_deliver_source_page": 15,
    "government_priorities": [
      {
        "text": "protect older people receiving funded aged care services",
        "source_page": 19
      },
      {
        "text": "drive continuous improvement in the aged care sector",
        "source_page": 19
      },
      {
        "text": "build public confidence and trust in the aged care system",
        "source_page": 19
      }
    ],
    "outcomes": [
      {
        "name": "Outcome 1: Protect and enhance the safety, health, wellbeing and quality of life of older people accessing aged care services in Australia",
        "description": "Through this outcome, the Commission regulates providers’ responsibilities set out in the Aged Care Act 1997 and the principles made under that Act – including the Quality of Care Principles, User Rights Principles and Accountability Principles.",
        "key_activities": [
          "inform older people and their supporters about their right to quality and safe care",
          "educating and guiding providers on their responsibilities to deliver quality and safe care",
          "regulating providers by accrediting residential services, conducting quality reviews of home services, and monitoring the quality of care and services",
          "responding to provider non-compliance with their aged care responsibilities and taking regulatory and enforcement action as appropriate",
          "dealing with complaints or information given to the Commissioner about a provider’s responsibilities under the Aged Care Act or funding agreement",
          "dealing with reportable incidents under the Serious Incident Response Scheme",
          "publishing data and insights on sector and provider performance"
        ],
        "source_page": 21
      },
      {
        "name": "Outcome 2: Build public confidence and trust in the aged care system",
        "description": "Public confidence and trust in the aged care system begins with who is allowed to enter and participate in the government-funded aged care market. Through our registration functions, we decide who enters the aged care market and the conditions that apply to them when they do. We monitor providers and workers so older people can trust and have confidence in funded aged care services.",
        "key_activities": [
          "register providers of aged care, as well as renew and revoke registrations (from 1 November 2025)",
          "monitor compliance with the Aged Care Code of Conduct and Aged Care Quality Standards",
          "promote confidence in how we regulate the aged care system"
        ],
        "source_page": 21
      }
    ],
    "values": [
      "Impartial",
      "Accountable",
      "Ethical",
      "Respectful",
      "Committed to service",
      "Stewardship"
    ],
    "values_framework_name": "APS Values",
    "kpi_targets_2025_26": [
      {
        "code": "CCE01",
        "measure": "Decrease in non-compliance by provider cohort under the Aged Care Act 2024",
        "target": "Establish a baseline of non-compliance by provider cohort under the Aged Care Act 2024",
        "source_page": 54
      },
      {
        "code": "CCE02",
        "measure": "80% of decisions in response to escalated referrals are made within 7 days",
        "target": "Demonstrates the Commission’s effective supervision activities and ability to respond swiftly to escalated referrals",
        "source_page": 54
      },
      {
        "code": "CCE03",
        "measure": "80% of escalated referrals requiring active supervision are remediated within 5 months",
        "target": "Demonstrates the Commission’s effective oversight and supervision to ensure risks are promptly addressed",
        "source_page": 54
      },
      {
        "code": "CCE04",
        "measure": "80% of surveyed older people receiving aged care express confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024",
        "target": "Provides an indicator of aged care recipients’ confidence in the Commission’s ability to safeguard their rights and quality of care under the Aged Care Act 2024",
        "source_page": 54
      },
      {
        "code": "CCE05",
        "measure": "80% of surveyed aged care providers express trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024",
        "target": "Provides an indicator of aged care provider trust and confidence in the Commission’s oversight and support under the Aged Care Act 2024",
        "source_page": 54
      },
      {
        "code": "CCE06",
        "measure": "80% of participants report satisfaction with engagement and education activities",
        "target": "Provides an indicator of how well engagement activities meet the needs and expectations of stakeholders, encourages ongoing evaluation and improvement among the sector",
        "source_page": 54
      },
      {
        "code": "CCE07",
        "measure": "20% of providers placed under targeted and active supervision result from proactive risk profiling or risk detection",
        "target": "Demonstrates the proficiency of the Commission’s risk management, profiling and detection processes, assists in addressing risks and issues promptly",
        "source_page": 54
      },
      {
        "code": "CCE08",
        "measure": "Complete an annual review and evaluation of risk profiling methodologies for continuous improvement",
        "target": "Demonstrates the Commission is accountable, transparent and strives for best practice, and has a proactive approach to managing provider and sector risk",
        "source_page": 54
      }
    ],
    "kpi_results_2024_25": [
      {
        "code": "CCE01",
        "measure": "Conduct 1,370 audits of aged care services comprising 730 site audits and 640 quality audits",
        "result": "1,166 audits conducted, 451 site audits and 715 quality audits",
        "status": "Substantially achieved",
        "source_page": 53
      },
      {
        "code": "CCE02",
        "measure": "100% of banned workers are included on the Commission’s Register of Banning Orders",
        "result": "100%",
        "status": "Met",
        "source_page": 53
      },
      {
        "code": "CCE03",
        "measure": "80% of complaints about providers are finalised within published service standards",
        "result": "74%",
        "status": "Substantially achieved",
        "source_page": 54
      },
      {
        "code": "CCE04",
        "measure": "80% of enquires are responded to within published service standards",
        "result": "94%",
        "status": "Met",
        "source_page": 55
      },
      {
        "code": "CCE05",
        "measure": "65% of complainant and provider survey responses have an overall rating of satisfied or higher with the complaints process in line with published service standards",
        "result": "70%",
        "status": "Met",
        "source_page": 57
      },
      {
        "code": "CCE06",
        "measure": "80% of complaints finalised achieve a positive outcome for older people",
        "result": "81%",
        "status": "Met",
        "source_page": 58
      },
      {
        "code": "CCE07",
        "measure": "80% of initial assessments of priority 1 Serious Incident Response Scheme notifications are completed within 7 business days",
        "result": "92%",
        "status": "Met",
        "source_page": 59
      },
      {
        "code": "CCE08",
        "measure": "Decrease in year-on-year non-compliance by provider cohort",
        "result": "Met",
        "status": "Met",
        "source_page": 60
      }
    ],
    "_source_urls": {
      "annual_report_url": "https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf",
      "corporate_plan_url": "https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2025-26.pdf"
    }
  },
  "ideas": [
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Data & Performance",
      "scale": "small",
      "title": "KPI evidence register with named owners",
      "idea": "Create a simple register mapping each KPI to source data, owner, frequency, target, and last result.",
      "quote": "Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "Executives / Parliament / public",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Data & Performance",
      "scale": "large",
      "title": "Outcome dashboard linking budget, delivery, and public impact",
      "idea": "Build a public-facing outcome dashboard showing spend, outputs, outcomes, and delivery confidence.",
      "quote": "Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "Executives / Parliament / public",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Regulation & Policy",
      "scale": "small",
      "title": "Regulatory burden scan for forms, guidance, and reporting",
      "idea": "Identify the top 10 highest-friction reporting obligations and simplify guidance, forms, or evidence requirements.",
      "quote": "[Page 57]\nAnnual Operational Plan 2023–24\nAction Deliverable Accountable officer Timeframe Key activity Corporate Plan link Capability\nA12 Undertake regulatory review activities D12.1 Regulatory Strategy reviewed Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory\nand implement agreed improvements and communicated with the sector Policy and Intelligence\nD12.2 Review of Serious Incident Response Complaints Commissioner March 2024 KA1 RBPP2 Regulatory\nAssessment Operating Model completed\nExecutive Director, Approvals and\nSerious Incident Notifications\nD12.3 Exceptional Circumstances Model Executive Director, Quality December 2023 KA1 RBPP2 Regulatory\ndeveloped with the Department of Health Assessment and Monitoring\nand Aged Care\nD12.4 Providers’ right to seek a review Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "Regulated entities / policy teams",
      "source": "corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Regulatory capture",
        "Over-automation of judgement"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Regulation & Policy",
      "scale": "large",
      "title": "Adaptive regulation program with live feedback loops",
      "idea": "Create an adaptive regulation model using sandboxes, industry data, risk scoring, and regular rule updates.",
      "quote": "[Page 57]\nAnnual Operational Plan 2023–24\nAction Deliverable Accountable officer Timeframe Key activity Corporate Plan link Capability\nA12 Undertake regulatory review activities D12.1 Regulatory Strategy reviewed Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory\nand implement agreed improvements and communicated with the sector Policy and Intelligence\nD12.2 Review of Serious Incident Response Complaints Commissioner March 2024 KA1 RBPP2 Regulatory\nAssessment Operating Model completed\nExecutive Director, Approvals and\nSerious Incident Notifications\nD12.3 Exceptional Circumstances Model Executive Director, Quality December 2023 KA1 RBPP2 Regulatory\ndeveloped with the Department of Health Assessment and Monitoring\nand Aged Care\nD12.4 Providers’ right to seek a review Executive Director, Regulatory March 2024 KA1 RBPP2 Regulatory",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "Regulated entities / policy teams",
      "source": "corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Regulatory capture",
        "Over-automation of judgement"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Risk & Assurance",
      "scale": "small",
      "title": "Recommendation tracker for audits, reviews, and inquiries",
      "idea": "Publish a single internal tracker for audit/review recommendations, owners, due dates, and implementation evidence.",
      "quote": "[Page 44]\nPerformance\nPerformance 2023–24\nmeasure anticipated result 2024–25 2025–26 2026–27\nPM6\nImprove the use Use of risk profiling Use of risk profiling Use of risk profiling Use of risk profiling\nof intelligence expanded, and embedded and embedded and embedded and\nand enhance risk assessment risk assessment risk assessment risk assessment\nrisk profiling enhanced, enhanced enhanced enhanced\nand assessment to effectively to effectively to effectively to effectively\nto effectively target regulatory target regulatory target regulatory target regulatory\ntarget regulatory responses responses responses responses\nresponses\nIncludes targeted A proportion An increased An increased\nrisk-based of all regulatory proportion proportion\nmonitoring of home decisions made of all regulatory of regulatory\ncare providers using risk profiling decisions made decisions made",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "Executives / assurance teams",
      "source": "corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Regulatory capture",
        "Over-automation of judgement"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Risk & Assurance",
      "scale": "large",
      "title": "Integrated assurance and lessons-learned system",
      "idea": "Create an assurance system that connects audit findings, risk registers, delivery reviews, and investment decisions.",
      "quote": "[Page 44]\nPerformance\nPerformance 2023–24\nmeasure anticipated result 2024–25 2025–26 2026–27\nPM6\nImprove the use Use of risk profiling Use of risk profiling Use of risk profiling Use of risk profiling\nof intelligence expanded, and embedded and embedded and embedded and\nand enhance risk assessment risk assessment risk assessment risk assessment\nrisk profiling enhanced, enhanced enhanced enhanced\nand assessment to effectively to effectively to effectively to effectively\nto effectively target regulatory target regulatory target regulatory target regulatory\ntarget regulatory responses responses responses responses\nresponses\nIncludes targeted A proportion An increased An increased\nrisk-based of all regulatory proportion proportion\nmonitoring of home decisions made of all regulatory of regulatory\ncare providers using risk profiling decisions made decisions made",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "Executives / assurance teams",
      "source": "corporate-plans/2023-24.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-corporate-plan-2023-24.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Regulatory capture",
        "Over-automation of judgement"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Citizen Services",
      "scale": "small",
      "title": "Plain-language service pages and proactive status updates",
      "idea": "Rewrite high-volume pages and letters into plain language, add status notifications, and measure contact reduction.",
      "quote": "Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "Citizens / service users",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Digital exclusion",
        "Low public trust if feedback is not acted on"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Citizen Services",
      "scale": "large",
      "title": "Single front door for life-event based services",
      "idea": "Bundle services around life events so citizens can complete related steps across agencies in one journey.",
      "quote": "Performance against Portfolio Budget Statements measures, 2022–23\nMeasure Target a Outcome Result\nMonitor aged care Conduct over 1,900 site 1,583 site audits Partially met b\nservice providers’ audits on residential on residential aged care\ncompliance against aged care services service completed\nthe aged care standards\n(Performance Measure 4)\nConduct over 700 376 quality audits on\nquality audits on home home services completed\nservice providers\n(Performance Measure 5)\nComplete over 2,500 4,730 assessment\nassessment contacts contacts conducted\n(Performance Measure 3)\nComplaints about aged 80% 58%\ncare service providers are\n(Performance Measure 2)\nresolved within 60 days Not met\nProtect the safety, Take appropriate 975 compliance notices\nwellbeing and interests action to address issued to providers\nof Commonwealth- non-compliance with\n(Performance Measure 1)",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "Citizens / service users",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Digital exclusion",
        "Low public trust if feedback is not acted on"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Citizen Participation",
      "scale": "small",
      "title": "Consultation feedback summaries with response tracking",
      "idea": "Summarise consultation submissions by theme and publish what changed in response.",
      "quote": "[Page 85]\nKey activity 2 | Contribute to enhancing confidence and trust\nin the aged care system, empowering older Australians and promoting\nbest practice service provision through engagement, information\nand education\nPM 8: Consumer feedback and engagement are used\nMet\nto inform the design and focus of our activities\nSource\n2022–23 Corporate Plan, page 29\nRationale\nTo protect and enhance the safety, health, wellbeing and quality of life of Australians\naccessing aged care services by using feedback and information to help identify risks,\nunderstand the needs of the sector and inform consumer choice\nAnticipated result Actual result\n6-monthly report on progress against 6-monthly report completed a\nConsumer Engagement Plan\nDiscussion and analysis\nThe Consumer Engagement Plan has been incorporated into the Commission’s broader",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "Citizens / stakeholders / policy teams",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Digital exclusion",
        "Low public trust if feedback is not acted on"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Citizen Participation",
      "scale": "large",
      "title": "Always-on policy participation platform",
      "idea": "Create a standing participation platform where citizens and stakeholders can propose, vote, and track ideas.",
      "quote": "[Page 85]\nKey activity 2 | Contribute to enhancing confidence and trust\nin the aged care system, empowering older Australians and promoting\nbest practice service provision through engagement, information\nand education\nPM 8: Consumer feedback and engagement are used\nMet\nto inform the design and focus of our activities\nSource\n2022–23 Corporate Plan, page 29\nRationale\nTo protect and enhance the safety, health, wellbeing and quality of life of Australians\naccessing aged care services by using feedback and information to help identify risks,\nunderstand the needs of the sector and inform consumer choice\nAnticipated result Actual result\n6-monthly report on progress against 6-monthly report completed a\nConsumer Engagement Plan\nDiscussion and analysis\nThe Consumer Engagement Plan has been incorporated into the Commission’s broader",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "Citizens / stakeholders / policy teams",
      "source": "annual-reports/2022-23.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/acqsc-annual-report-2022-23.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Digital exclusion",
        "Low public trust if feedback is not acted on"
      ]
    },
    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Staff Productivity",
      "scale": "small",
      "title": "Reusable briefing and summary assistant for internal documents",
      "idea": "Create controlled templates for summarising reports, submissions, minutes, and ministerial briefs.",
      "quote": "[Page 166]\nAppendixes\nAction Deliverable Result\nFocus Area 6: Maximise the potential of the Commission’s workforce\nA22 Develop a knowledge D22.1 Commission has a knowledge management Achieved\nmanagement strategy framework and supporting capability\nA23 Develop a Clinical D23.1 Deliver a Clinical Governance Framework Partially\nGovernance Framework achieved\nA24 Deliver improved D24.1 Implementation of 2024–26 People Strategy Achieved\nworkforce management well progressed\ncapabilities,\norganisational culture and D24.2 People Capability Framework implemented Partially\nachieved\nemployee experience\nD24.3 Strategic Workforce Plan implemented Partially\nachieved\nA25 Strengthen digital D25.1 Digital workforce strategy and skills Achieved\ncapability uplift delivered\nFocus Area 7: Evolve the Commission’s ICT systems to be robust and user-focused\nA26 Update the Commission’s D26.",
      "impact": "High",
      "effort": "Low",
      "proof": "Evidence-backed",
      "beneficiaries": "APS staff / executives",
      "source": "annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)",
      "implementation": [
        "Pick one high-volume process or document family.",
        "Name an owner and baseline current volume, time, cost, and satisfaction.",
        "Run a 4-8 week pilot with clear before/after metrics.",
        "Publish lessons and decide whether to scale."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
        "Unclear accountability",
        "Sensitive information leakage",
        "Inconsistent quality of generated drafts"
      ]
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    {
      "entity_id": "B-003936",
      "entity_name": "Aged Care Quality and Safety Advisory Council",
      "folder_name": "Aged-Care-Quality-and-Safety-Advisory-Council",
      "category": "Staff Productivity",
      "scale": "large",
      "title": "Department-wide knowledge and briefing platform",
      "idea": "Build a secure knowledge platform that lets staff search, summarise, and cite approved departmental material.",
      "quote": "[Page 166]\nAppendixes\nAction Deliverable Result\nFocus Area 6: Maximise the potential of the Commission’s workforce\nA22 Develop a knowledge D22.1 Commission has a knowledge management Achieved\nmanagement strategy framework and supporting capability\nA23 Develop a Clinical D23.1 Deliver a Clinical Governance Framework Partially\nGovernance Framework achieved\nA24 Deliver improved D24.1 Implementation of 2024–26 People Strategy Achieved\nworkforce management well progressed\ncapabilities,\norganisational culture and D24.2 People Capability Framework implemented Partially\nachieved\nemployee experience\nD24.3 Strategic Workforce Plan implemented Partially\nachieved\nA25 Strengthen digital D25.1 Digital workforce strategy and skills Achieved\ncapability uplift delivered\nFocus Area 7: Evolve the Commission’s ICT systems to be robust and user-focused\nA26 Update the Commission’s D26.",
      "impact": "Very High",
      "effort": "High",
      "proof": "Evidence-backed",
      "beneficiaries": "APS staff / executives",
      "source": "annual-reports/2024-25.pdf (https://www.agedcarequality.gov.au/sites/default/files/media/ACQSC_Annual_Report_2024-25.pdf)",
      "implementation": [
        "Create a senior responsible owner and cross-functional delivery team.",
        "Map legislation, data, privacy, procurement, cyber, and workforce constraints.",
        "Co-design with users and frontline staff before technology selection.",
        "Stage delivery through pilots, benefits tracking, and public reporting."
      ],
      "risks": [
        "Privacy and data quality",
        "Change fatigue",
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