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Home Care Services

The aged care system at home, step by step

Home Care Services, all six tabs

Tab 5 · Quality and complaints

Quality and complaints

The Aged Care Quality and Safety Commission is the national aged care regulator. It holds providers, responsible persons and workers accountable for meeting their obligations, which include the strengthened Aged Care Quality Standards. A concern about care can be raised with the provider first, but it does not have to be: anyone can complain to the Commission’s Complaints Commissioner, free, openly, confidentially or anonymously.

General information, not legal advice. The official place to check is the Aged Care Quality and Safety Commission’s pages for older people.

The standards providers meet

The strengthened Aged Care Quality Standards started on 1 November 2025, replacing the earlier standards. They describe the standard of care to expect from a provider, at home or in an aged care home, and there are seven:

  1. The individual
  2. The organisation
  3. The care and services
  4. The environment
  5. Clinical care
  6. Food and nutrition
  7. The residential community

Compared with the earlier standards, the Commission says they give more weight to food and nutrition, dementia care, diversity, governance and clinical care.

Which standards apply to which provider

Each provider is registered in a category from 1 to 6, based on the services it provides, and the category decides which standards it must meet.

Registration categories, as the Commission describes them
CategoryServices, for exampleMust meet
1Home and community services, for instance help around the house, home maintenance and repairs, meals, and transportThe Statement of Rights and the Code of Conduct; the Quality Standards do not apply
2Assistive technology and home modificationsThe Statement of Rights and the Code of Conduct; the Quality Standards do not apply
3Advisory and support services, for instance social support, community engagement, and help with hoarding and squalorThe Statement of Rights and the Code of Conduct; the Quality Standards do not apply
4Personal care or care support at home or in the community, for instance personal care, allied health and therapy, and respite at home or in the communityStandards 1 to 4 (and Outcome 5.1 for care management and restorative care management), the Statement of Rights and the Code of Conduct
5Nursing care and assistance with transition careStandards 1 to 5, the Statement of Rights and the Code of Conduct
6Residential care, including respiteStandards 1 to 7, the Statement of Rights and the Code of Conduct

The Commission also says the strengthened standards apply to providers that receive Australian Government funding and provide care that is complex and medium or high risk.

What a Support at Home provider must do

Under the Aged Care Act 2024, the Commission says, providers have these duties, in summary:

  • understand the Statement of Rights, and have practices in place that make sure it is upheld
  • back the person’s right to give feedback or complain, either to the provider or to the Commission
  • provide care and services that meet the strengthened Quality Standards
  • follow the Aged Care Code of Conduct, and make sure their workers and responsible persons follow it too

The Commission’s website has a search for information about registered providers, including compliance information.

Where a concern goes

My Aged Care sorts concerns by what they are about, and each has its own first stop.

From My Aged Care’s complaints page
The concern is aboutFirstIf it is not resolved
The care or services a provider givesThe provider, if the person feels comfortable; every provider has its own complaints processThe Complaints Commissioner at the Commission
A provider’s pricesAsk the provider to talk the prices throughA complaint to the Commission
How the assessment was doneThe assessment organisation, whose details are in the Notice of DecisionMy Aged Care
The assessment decision itselfAn internal review by the Department, within 28 days (see Tab 2)The Administrative Review Tribunal
The service from My Aged CareMy Aged Care, by phone or post; a concern not resolved on the call gets a complaint reference numberThe My Aged Care support email listed on that page
How a contribution was calculatedServices Australia, or DVA for people it assessesMy Aged Care also lists booking an Aged Care Specialist Officer

After following the relevant process, someone still unhappy with the outcome or with how their complaint was handled can contact the Commonwealth Ombudsman.

Complaining to the Commission

Complaints and concerns about aged care1800 951 822Or online, through the Commission’s website.

  • Anyone can make a complaint, and the service is free.
  • It can be made anonymously, confidentially or openly.
  • The Complaints Commissioner can be contacted even if the person has not spoken with the provider first.
  • The Commission says a complaint can lift the quality of care and help others facing the same problem.

Help to raise a concern or make a complaint comes free and confidential from the Older Persons Advocacy Network, which can also act on the person’s behalf.

OPAN1800 700 600OPAN’s website

The Statement of Rights includes the right to complain without fear of reprisal.

The Act also brought increased protections for whistleblowers, the people who call out issues, which the Commission explains on its pages for older people. The rights themselves are on Tab 6.

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