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Aged care provider resources

The official guidance residential aged care providers need under the new Aged Care Act — the strengthened Quality Standards, registration renewal (accreditation) audits, care minutes and AN-ACC, SIRS, Quality Indicators, HELF and more. 30 resources from the Commission and the Department, each with a plain-English note on what it does for you.

30official resources
12topics
19 Octoberlinks last checked
Hands organising an audit evidence folder with index tabs.
Coming up

Dates that matter.

Quality Indicators Q1 2026–27 due

Quarter 1 reporting is due — and from 1 October, only an authorised proxy can complete Consumer Experience and Quality of Life surveys for a resident. See the Quality Indicators section.

Two free Queensland programs end

Ageing Australia's Gerontological Nursing Program micro-credentials and Migrant Immersion Program both finish 31 October. See Free training & tools.

HELF cut-over day

Existing extra and additional service fee arrangements end 31 October. From 1 November, a HELF must not be charged for a service a resident received free before 1 November 2025. See HELF.

Latest updates

What changed in October 2026.

  • SIRS guidance reissued. Both the SIRS provider guidelines and the incident-management best-practice guidance are now Version 2.0, October 2026.
  • QI manual republished 29 September — Part A now incorporates the 1 October authorised-proxy rule for resident surveys.
  • RB 2026-3 on HELF published 2 October, setting out the Commission's regulatory approach ahead of the 1 November cut-over.
  • Care minutes funding changed 1 April 2026 for metropolitan (MM1) non-specialised homes — part of the Base Care Tariff now flows only as a sliding-scale care minutes supplement.
  • StewartBrown FY26 results (reported 18 October): an average operating deficit of $12.98 per resident per day, with 65% of homes recording an operating loss.
  • Audited statement now required. All providers must submit an externally audited Care Minutes Performance Statement with the 2025–26 Aged Care Financial Report.

Showing all 30 resources

Topic 1 · 2 resources

Strengthened Aged Care Quality Standards

The final strengthened Standards took effect with the new Aged Care Act on 1 November 2025. These are the exact texts auditors assess against.

Web page · PDF download

Strengthening the Aged Care Quality Standards — including the final Standards (August 2025) (opens in a new tab)

Department of Health, Disability and Ageing · Page last updated 6 August 2025

Download the final strengthened Standards — expectation statements, intents, outcomes and actions — and check your conformance against the exact text auditors use.

Note: This is the final version; there were minor wording changes from February 2025 following the Aged Care Rules consultation.

Opened and checked 19 Oct 2026
Web hub

New Aged Care Act resources for aged care providers (opens in a new tab)

Department of Health, Disability and Ageing · Current live hub (no date shown)

One hub for the new Act: the Quality Standards manual and toolkit, Quality Indicators, the Financial and Prudential Standards, the regulatory model, a registration renewal video and complaint-handling resources (Outcome 2.6). A gateway to several other topics in this library.

Opened and checked 19 Oct 2026
Topic 2 · 3 resources

Registration renewal audits

Under the new Act, registration renewal involves a graded audit. These three Commission pages cover the evidence tool, the preparation guides and how ratings work.

Evidence tool

Audit Evidence Collection Tool (AECT) – Renewal (opens in a new tab)

Aged Care Quality and Safety Commission · Published 20 May 2025, updated 9 June 2026

Complete the compulsory evidence tool for a renewal audit in registration categories 4, 5 and 6 — compulsory from 1 November 2025 and completed once per audit program — covering your systems, processes and how safe, quality care is delivered.

Note: A step-by-step AECT registration renewal guide was announced in Aged Care Quality Bulletin #9-2026; the Commission sends the AECT and the guide in the audit initiation email.

Opened and checked 19 Oct 2026
Web page

Audit guidance and resources (opens in a new tab)

Aged Care Quality and Safety Commission · Current live page (no date shown)

Prepare for an audit with the registration, renewal and variation audit guides, a pre-audit readiness checklist, the residential Care Delivery Evidence Collection Tool (CDECT, Category 6) and standard audit meeting agendas.

Opened and checked 19 Oct 2026
Web page

Graded assessment and audit ratings (opens in a new tab)

Aged Care Quality and Safety Commission · Current live page (no date shown)

Understand the new audit methodology — ratings of conformance, minor non-conformance, major non-conformance and exceeding (Category 6 renewal audits only, requiring excellence in partnerships, governance/clinical governance and the dining experience) — and that audit ratings affect Star Ratings.

Opened and checked 19 Oct 2026
Topic 3 · 2 resources

Care minutes & AN-ACC funding

Funding changed on 1 April 2026 for metropolitan non-specialised homes, and every provider now owes an externally audited Care Minutes Performance Statement with the 2025–26 financial report.

PDF fact sheet

Care minutes funding changes — April 2026 fact sheet (opens in a new tab)

Department of Health, Disability and Ageing · April 2026 fact sheet, September 2026 version

Work out the 1 April 2026 funding reduction rules: for MM1 non-specialised homes the Base Care Tariff fell from 0.5 to 0.387 NWAU, and the redirected 0.113 NWAU — up to $34.26 per resident per day at the 1 October 2026 AN-ACC price of $303.19 — is paid as a sliding-scale care minutes supplement based on the performance quarter six months earlier. Homes meeting both total and RN targets lose nothing. Includes the full rate matrix, worked examples and the online estimator.

Note: Does not apply to MM2–7 homes or MM1 specialised homeless services.

Opened and checked 19 Oct 2026
PDF guidance

Care Minutes Performance Statement — guidance for providers (opens in a new tab)

Department of Health, Disability and Ageing · June 2025

Prepare the Care Minutes Performance Statement all residential providers must submit with the Aged Care Financial Report from 2025–26, covering care time and associated expenses, with an external audit opinion under ASAE 3000. For 2025–26 only, the statement covers Q3–Q4 2025–26 plus RN coverage data from November 2025 — and misreporting can lead to later adjustment of care minutes supplement payments.

Link checked 19 Oct 2026
Topic 4 · 3 resources

Serious Incident Response Scheme (SIRS)

Both core SIRS documents were reissued as Version 2.0 in October 2026 — if your policies still cite the old guidelines, update them.

PDF guidelinesNew · V2.0 Oct 2026

Reportable incidents and SIRS: Provider guidelines – V2.0 (opens in a new tab)

Aged Care Quality and Safety Commission · October 2026, Version 2.0

Apply the current SIRS rules under the Aged Care Act 2024 — the eight reportable incident types, Priority 1 (24-hour) vs Priority 2 (30-day) classification, notification content, final reports, police reporting and common scenarios.

Note: This October 2026 reissue replaces the earlier SIRS guidelines. The document itself points providers to the SIRS Decision Support Tool (below) for triage.

Opened and checked 19 Oct 2026
Interactive tool

SIRS decision support tool (opens in a new tab)

Aged Care Quality and Safety Commission · Live tool (no date shown)

Answer a short series of questions about an incident — occurred, alleged or suspected — to decide whether it must be reported to the Commission, for both residential and home services.

Caution: The tool page still carries a banner that it is being updated to the new laws, and links the October 2022 residential SIRS guidelines. Use the two Version 2.0 documents above for the current guidance text, and the tool for triage only.

Opened and checked 19 Oct 2026
Topic 5 · 2 resources

Quality Indicators Program

The QI Program Manual Part A was republished on 29 September 2026 — it now carries the 1 October authorised-proxy rule for resident surveys.

Manual · Part AUpdated Sep 2026

National Aged Care Quality Indicator Program Manual – Part A (opens in a new tab)

Department of Health, Disability and Ageing · Published 29 September 2026 (Manual 4.0)

Collect and submit QI data correctly — definitions for every indicator, and how data is collected and submitted via GPMS. The September 2026 version is updated for the 1 October 2026 authorised-proxy rule (see the explainer alongside).

Direct PDF: Manual 4.0 Part A (PDF).

Opened and checked 19 Oct 2026
Sector explainerNew rule · 1 Oct 2026

QI reporting for Quarter 1 2026–27: due 21 October, with a new rule on resident surveys (opens in a new tab)

Care Systems (sector explainer, not government) · Published 11 October 2026

Act on the 1 October 2026 rule change: only an authorised proxy — a legal guardian, court/tribunal-appointed decision-maker, or holder of power of attorney or similar — may now complete Consumer Experience and Quality of Life surveys for a resident. Informal carers, family members and staff no longer can, unless they are an authorised proxy. Q1 2026–27 QI reporting is due 21 October 2026.

Opened and checked 19 Oct 2026
Topic 6 · 2 resources

Restrictive practices

Consent rules are state-specific. Both resources here are the Victorian application of the Commonwealth requirements — check your own state's arrangements if you operate elsewhere.

Web page

Restrictive practices and informed consent in aged care (opens in a new tab)

Department of Health, Victoria · Current live page (no date shown)

Apply the last-resort, least-restrictive and proportionality tests, and obtain informed consent from the resident or their Restrictive Practices Substitute Decision-maker (except in emergencies) — including why a Victorian medical treatment decision-maker must also be appointed under the Aged Care Restrictive Practices Substitute Decision-maker Act 2024 (Vic) to consent.

Note: The Commonwealth requirements sit in the Aged Care Act 2024 and Aged Care Rules 2025, which now include a substitute decision-maker hierarchy where state law provides no avenue or a tribunal decision is delayed.

Opened and checked 19 Oct 2026
PDF fact sheet

Fact sheet: Who can make decisions on the use of restrictive practices in Victoria (opens in a new tab)

Aged Care Justice · November 2025 (law in force 1 July 2025)

Work through, in order, who can consent in Victoria — the resident's Restrictive Practices Nominee, the temporary RPSDM hierarchy (spouse/partner → primary carer → adult children → parents → siblings), a VCAT-appointed RPSDM, then VCAT itself — and note that a behaviour support plan is required for a VCAT consent application.

Also available: The Commission's own Restrictive practices provider resources — fact sheets, regulatory updates, webinars and decision-making tools emphasising last resort, informed consent and behaviour support plans — sit in the Quality Standards Resource Centre (located in search; not fetch-verified for this list).

Opened and checked 19 Oct 2026
Topic 7 · 4 resources

Medication safety & psychotropics

Outcome 5.3 is where medication management is now assessed — and a 2026 clinical alert from the Commission's Chief Clinical Advisor deserves every DON's attention.

Standards guidance

Safe and quality use of medicines (Outcome 5.3 guidance) (opens in a new tab)

Aged Care Quality and Safety Commission · Current strengthened-Standards guidance (no date shown)

Meet Outcome 5.3: a medication management system, medication reviews (including on polypharmacy and deprescribing triggers), allergy documentation, TGA adverse-event reporting, and processes to identify, monitor and reduce risks from high-risk medicines — including reducing inappropriate use of psychotropic medicines.

Opened and checked 19 Oct 2026
Web page · Tools

Medication management (opens in a new tab)

Aged Care Quality and Safety Commission · Live page, carrying a “being updated to the new laws” banner

Run psychotropic and antimicrobial stewardship: links the Self-assessment tool for residents receiving psychotropic medication, antimicrobial stewardship resources, the To Dip or Not to Dip UTI program, and the Monash University clinical practice guidelines for appropriate psychotropic use in dementia and residential care.

Opened and checked 19 Oct 2026
Clinical alert2026 alert

The tragic consequences of preventable medication administration errors (opens in a new tab)

Aged Care Quality and Safety Commission (Chief Clinical Advisor) · 2026

Fix the exact failure modes the Victorian Coroner found preventable in three resident deaths (August 2024 – September 2025): follow the six rights of medication administration, treat psychotropics as high-risk, keep a psychotropic register, use a Medication Advisory Committee and pharmacist oversight, protect medication rounds from distraction, restrict eNRMC administration access, and seek immediate medical review with SIRS reporting and open disclosure after any wrong-person or wrong-medicine error.

Note: Also flagged in Aged Care Quality Bulletin #9-2026, alongside “Medication management in residential aged care facilities”, “Six rights of medication administration” and “Best practice guidance for medicines use by nurses in aged care”.

Opened and checked 19 Oct 2026
PDF progress report

Progress Report — Joint Statement on the Inappropriate Use of Psychotropic Medicines (opens in a new tab)

Aged Care Quality and Safety Commission, with the NDIS Quality and Safeguards Commission and the Australian Commission on Safety and Quality in Health Care · September 2026

See what regulators now expect on psychotropic stewardship — the psychotropic self-assessment tool, behaviour support planning guidance in development, and how Outcome 5.3 is being used to drive reduction of inappropriate psychotropic use and chemical restraint.

Opened and checked 19 Oct 2026
Topic 8 · 3 resources

Higher Everyday Living Fee (HELF)

The cut-over lands on 1 November 2026. From that date, a provider must not charge a HELF for a service a resident was receiving free before 1 November 2025 — and the Commission has said it can take regulatory action on this.

Regulatory bulletinPublished 2 Oct 2026

RB 2026-3 — Regulatory Bulletin: Higher Everyday Living Fee (opens in a new tab)

Aged Care Quality and Safety Commission · 2 October 2026 — announced and linked in Quality Bulletin #9-2026

Apply the Commission's stated regulatory approach to HELF agreements — supporting choice, bundled services and charging practices, and what happens when providers don't comply — ahead of the 1 November 2026 cut-over.

Finding it: A direct PDF link for RB 2026-3 could not be obtained for this list without guessing the address. It is listed in the Commission's Resource Library (published 2 October 2026) and linked from Quality Bulletin #9-2026 — the link on this card takes you to that bulletin.

Bulletin checked 19 Oct 2026
PDF guidance · v3.1

Residential Care Service List and HELF — Guidance for providers (opens in a new tab)

Department of Health, Disability and Ageing · September 2026, version 3.1

Draw the line between services that must be provided under the Residential Care Service List (never HELF-chargeable) and genuine higher-standard extras — and work through HELF agreements, bundling, pricing and indexation, refunds, annual reviews and, in Chapter 18, the 1 November 2026 rule change for existing residents: stop charging for, or reinstate free, services received free before 1 November 2025.

Opened and checked 19 Oct 2026
Web page

Higher everyday living, additional and extra service fees (opens in a new tab)

Department of Health, Disability and Ageing · Current live page (no date shown)

Manage the cut-over in plain terms: no new extra or additional service fee arrangements from 1 November 2025; existing arrangements end 31 October 2026; HELF agreements must be separate from the service agreement, can't be a condition of entry, carry a 28-day cooling-off period and an annual review, and prices increase only by annual indexation.

See also: The Commission's media release “Commission cracks down on misuse of Higher Everyday Living Fees” (3 July 2026, located in search).

Opened and checked 19 Oct 2026
Topic 9 · 2 resources

Clinical & provider governance

The Commission's toolkit library is still useful — but read it alongside the strengthened Standards, because some pages still carry pre-2025 framing.

Web page · Toolkits

About clinical governance (opens in a new tab)

Aged Care Quality and Safety Commission · Live page, carrying a “being updated to align with the new laws” banner

Build a clinical governance framework using the Commission's core-elements fact sheet, clinical governance framework toolkit, framework guide and service-and-consumers self-assessment toolkit — covering leadership and culture, partnerships, organisational systems, monitoring and reporting, workforce and communication.

Caution: This page still references the pre-2025 Standard 8 wording. Under the strengthened Standards, clinical governance sits in Outcome 5.1 and Standard 2 — use this page for the toolkit, and the Standards and Outcome 5.3 guidance in this library for current obligations.

Opened and checked 19 Oct 2026
PDF checklist

Provider governance checklist (opens in a new tab)

Aged Care Quality and Safety Commission · Published 16 December 2025

Check, by registration category, the governance obligations under the Aged Care Act 2024 and Aged Care Rules 2025 — governing body membership (majority independent non-executive; at least one member with clinical care experience), consumer and quality care advisory bodies, responsible-person suitability (12-monthly), workforce screening, 14-day change notifications, and Financial and Prudential Standards and liquidity — with space to record actions and review dates.

Companions: The Quality care advisory body fact sheet and Membership of governing bodies fact sheet were published in the Commission Resource Library the same day, 16 December 2025.

Opened and checked 19 Oct 2026
Topic 10 · 2 resources

Sector benchmarking & financial performance

StewartBrown's survey is the sector's benchmark. The full report isn't available as a free download, so these are the two free, detailed write-ups of its latest results.

Sector article

More aged care homes fall into the red despite rising occupancy, StewartBrown warns (opens in a new tab)

Inside Ageing, reporting the StewartBrown Mar-26 Survey · Published 21 July 2026, updated 22 July 2026

Benchmark against 1,173 homes (about 96,000 beds) for the nine months to March 2026: 62% of homes made an operating loss (up from 49%), the average operating result was −$9.16 per bed per day, EBITDA was $4,835 per bed per year against the $20,000–$22,000 StewartBrown says is needed for investability, occupancy was 95.2%, and the direct care margin compressed from $18.46 to $5.91 per bed per day.

Opened and checked 19 Oct 2026
Sector articlePublished 18 Oct 2026

Providers ‘pushed into a corner’ — StewartBrown FY26 results (opens in a new tab)

Australian Ageing Agenda, reporting StewartBrown FY26 results (Aged Care Finance Forum 2026, Sydney) · Published 18 October 2026

The newest FY26 benchmark: an average operating deficit of $12.98 per resident per day (FY25: $3.10), 65% of homes in operating loss, 38% with negative EBITDA, and bottom-quartile homes losing about $11,000 per bed per year — across a sample representing about 45.5% of the residential sector.

Companion analysis (same publisher, located in search; not fetch-verified): “Double AN-ACC increase, says StewartBrown” — StewartBrown arguing the 1 October 2026 AN-ACC price and the $22.15 hotelling supplement are insufficient.

Opened and checked 19 Oct 2026
Topic 11 · 2 resources

Food, nutrition & dining (Standard 6)

Standard 6 has been mandatory for Category 6 providers since 1 November 2025 — and homes spending under $10 per resident per day on food and ingredients can expect a referral to the Commission.

Web page

Food and nutrition in aged care — regulation and compliance (opens in a new tab)

Department of Health, Disability and Ageing · Current live page (no date shown)

Meet Standard 6 and understand the surrounding accountability: the Commission's Food, Nutrition and Dining Advisory Support Unit (targeted assessment contacts, with dietitians on 1 in 10 highest-risk visits), the Food, Nutrition and Dining Hotline 1800 844 044, QFR food-and-nutrition reporting, and referral to the Commission for homes spending under $10 per resident per day on food and ingredients.

Opened and checked 19 Oct 2026
Resource centre

Food, nutrition & dining: resources for providers (opens in a new tab)

Aged Care Quality and Safety Commission (Quality Standards Resource Centre) · No date shown in listing

Find the Commission's provider-level food, nutrition and dining tools in one place — hotlines, dining, choice, swallowing and oral-health resources, webinars and practical tips mapped to Outcomes 6.1–6.4 — to lift choice, nutritional assessment, provision and the dining experience under Standard 6.

Link checked 19 Oct 2026
Topic 12 · 3 resources

Free training & tools for providers

Government-funded learning that costs your service nothing — including the new Act eLearning every leader and care worker should work through.

Free eLearning

eLearning for aged care providers — New Aged Care Act modules 1–4 (opens in a new tab)

Department of Health, Disability and Ageing · Modules released from July 2025; page current

Train leaders, governance, operations and care staff free on the new Act — rights-based care, registration, the Quality Standards and governance — with workforce capability toolkits and reflection tools, via Rise Articulate or the Commission's Alis platform. Alis is free for registered providers, associated providers, their workers and governing body members, and also hosts Commission webinar and workshop recordings, including strengthened Standards sessions and “Investing in your reportable incident capability: Incident management and the SIRS”.

Opened and checked 19 Oct 2026
Free programsTwo end 31 Oct

Professional development — free programs listing (opens in a new tab)

Ageing Australia (the national peak body formerly known as ACCPA) · Page current at 19 October 2026

Enrol staff in currently free, time-limited programs: the Aged Care Transition to Practice Program (a free national 24-week program for early-career ENs and RNs; next intake October 2026), the Quality Use of Community Palliative Care Medicines Project (free tailored online education for nurses), and Queensland's Gerontological Nursing Program micro-credentials and Migrant Immersion Program — both ending 31 October 2026, so act quickly.

Opened and checked 19 Oct 2026
Free toolkits

ELDAC — End of Life Directions for Aged Care (opens in a new tab)

ELDAC (Flinders University / QUT / UTS consortium), funded by the Department of Health, Disability and Ageing · Content updated through 2026

Use free, government-funded toolkits — including the Residential Aged Care Toolkit — clinical tools, case studies, personal learning plans and organisational and after-death audits to build palliative care and advance care planning capability in residential care, and meet the strengthened Standards (Outcome 5.7).

Link checked 19 Oct 2026
Quick answers

Common questions from providers.

What are the strengthened Aged Care Quality Standards?

They are the seven Standards providers are assessed against under the Aged Care Act 2024. They took effect with the new Act on 1 November 2025, replacing the previous eight Aged Care Quality Standards, and registration renewal audits test providers against them. See the resources.

Is aged care accreditation still used?

Not in name. Under the Aged Care Act 2024, accreditation has been replaced by provider registration, and renewing registration involves a graded audit against the strengthened Standards. Ratings are conformance, minor non-conformance, major non-conformance and, for Category 6 renewal audits only, exceeding. See the resources.

What is SIRS in aged care?

The Serious Incident Response Scheme requires providers to notify the Aged Care Quality and Safety Commission of reportable incidents. There are eight reportable incident types; Priority 1 incidents must be notified within 24 hours and Priority 2 incidents within 30 days. Both core SIRS guidance documents were reissued as Version 2.0 in October 2026. See the resources.

What are the care minute targets for residential aged care?

The sector-wide average targets are 215 total care minutes and 44 registered nurse minutes per resident per day; each home's own target depends on its residents' AN-ACC classifications. Since 1 April 2026, metropolitan (MM1) non-specialised homes that miss their targets receive less AN-ACC funding through a sliding-scale care minutes supplement. See the resources.

What is the Higher Everyday Living Fee (HELF)?

An optional fee for higher-standard everyday living services, agreed separately from the resident's service agreement. Existing extra and additional service fee arrangements end on 31 October 2026, and from 1 November 2026 a HELF must not be charged for a service a resident received free before 1 November 2025. See the resources.

What we couldn't verify — stated plainly

  • RB 2026-3 (HELF) has no direct link on this page. Its existence, title and 2 October 2026 publication date are confirmed by the Commission's Resource Library listing and by Quality Bulletin #9-2026, which links it — but the bulletin's own PDF address wasn't obtained, and we don't guess URLs. Search “RB 2026-3” in the Commission Resource Library to go straight to it.
  • Every link was re-checked. Of the 30 resources, 25 were opened and read in full on 19 October 2026. The other five were first found through search listings; we re-checked them the same day and every link responded. Publishers move documents without notice, so if a link has moved, search the publisher's site by the document title.
  • The full StewartBrown survey report isn't free online. No free, direct download of the residential survey was found on StewartBrown's site; the benchmarking figures here come from Inside Ageing and Australian Ageing Agenda coverage. The full dataset appears to sit behind StewartBrown's survey participation and forum channels.
  • Some Commission pages show no date. Several live pages display no publication or update date; those cards say “current live page (no date shown)” rather than carrying an inferred date. Two — clinical governance and medication management — still carry pre-2025-Act framing or “being updated” banners, flagged on their cards.
  • One resource was deliberately left out: RB 2026-2 Meal requirements (Commission, 26 February 2026) is verified and current, but it applies only to home and community meal services (registration categories 1 and 4), not residential care.

UpHealth Advisory is independent of the Aged Care Quality and Safety Commission and the Department of Health, Disability and Ageing. This library is general information, not legal or financial advice — always confirm requirements against the source document before acting. Links checked 19 October 2026.

Reading the guidance is one thing. Being ready for audit is another.

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