What are the Aged Care reforms?

Over the next few years, we will see many positive changes to aged care, making it better for older Australians. These changes are based on recommendations from the Royal Commission into Aged Care Quality and Safety, which called for reforms to focus on the needs of older people.

The new Aged Care Act aims to improve the quality of care for those using aged care services by putting their rights and needs at the centre of the system.

If you’d like to learn more, the Australian Government’s “Exploring Aged Care” booklet can help you understand these updates and how they affect you. You can also read an open letter from the Minister for Aged Care and Seniors, Sam Rae, to hear more about what’s changing.

What is the new Aged Care Act?

The Australian Parliament passed the Aged Care Act 2024 as the new law for government-funded aged care in Australia on 25 November 2024. The new Act will start on 1 November 2025 and aligns with the launch of the new Support at Home program.

Benefits of the new Act:

  • Improves the lives of older people accessing aged care services by putting their rights and needs first.
  • Sets clear expectations for aged care providers and workers.
  • Encourages providers to deliver high-quality person-centred care.

 

Some of the key changes include:

  • A Statement of Rights to outline the rights of older Australians receiving care.
  • The introduction of the Support at Home program.
  • Strengthened Aged Care Quality Standards.
  • A fair, culturally safe, single assessment framework.
  • Stronger powers for the Aged Care Quality and Safety Commission, including penalties for poor care.
  • New protections for whistle-blowers.
  • A mandatory complaints and feedback system for providers.
  • A “no worse off principle”, ensuring older people already accessing aged care do not pay more for their care.

Reforms Timeline

October 2018

The Royal Commission into Aged Care Quality and Safety was established to look into the quality and safety of aged care in Australia.  

March 2021

The Royal Commission tables its final report in Parliament, making 148 wide-ranging recommendations for the fundamental reform of the aged care system. 

November 2024

The Australian Parliament passed the Aged Care Act 2024 as the new law for government-funded aged care in Australia on 25 November 2024.

November 2025

The new Aged Care Act and Support at Home program will start on 1 November 2025.

What are Star Ratings?

What are Star Ratings?

Star ratings help you understand the quality and safety of care at residential aged care homes. These ratings provide a simple overall score of one to five stars, indicating the quality of care, you and your loved ones can expect.

What do the stars mean?

★ (1 star) – Significant improvement needed.
★★ (2 stars) – Improvement needed.
★★★ – (3 stars) – An ‘acceptable’ quality of care.
★★★★ (4 stars) – A ‘good’ quality of care.
★★★★★ – (5 stars) – An ‘excellent’ quality of care.

What do Star Ratings measure?

Star Ratings are based on four key areas to give you a complete picture of a Residential Aged Care home’s quality:

  1. Consumer experience
    • Feedback from 20% of residents on their satisfaction and experience.
  2. Compliance with standards
    • Assessed by independent regulators to ensure the home meets safety and quality standards.
  3. Care minutes
    • Measures the average time each resident spends with nurses and carers daily, aiming for 200 minutes, including 40 minutes with a registered nurse.
  4. Quality indicators
    • Tracks important care outcomes against 14 Quality Indicators.

Why are Star Ratings important?

Star Ratings make it easier for older Australians and their families to compare residential aged care homes and make informed decisions about care.

You can find Star Ratings on the Find a Provider section of the My Aged Care website.

Star Ratings provides clear, user-friendly information to help you choose the care that’s right for you.

 

What is the Support at Home program?

We know how important it is for older people to receive quality care and support to live independently at home for as long as possible. 

That’s why the Support at Home program is being introduced. The new program will combine existing in-home aged care services into a simpler, fairer system, making it easier for older people to get the help they need to stay at home for longer.  

Starting 1 November 2025, Support at Home will replace  Home Care Packages (HCP) Program and Short-Term Restorative Care (STRC) Programme. The Commonwealth Home Support Programme (CHSP) will transition to the new program no earlier than 1 July 2027. 

Under the Support at Home program, people will be able to receive in-home care services grouped under three categories: 

  • Clinical services: Including nursing and physiotherapy. 
  • Independent services: Covers home modifications, personal care, respite care, transport and social support. 
  • Everyday living services: Includes cleaning, gardening, shopping and home-delivery meals.   

Resources to help you understand the Support at Home program 

Guide for older people in Australia, families and carers 

Download the guide

View here

Guide for older Aboriginal and Torres Strait Islander People, families and carers 

Download the guide

View here

Aged Care Quality Standards

What are the Quality Standards?

The Aged Care Quality Standards are rules that ensure aged care providers deliver safe, high-quality care that meets the needs and preferences of older Australians. All government-funded aged care providers must follow these standards.

There are 8 Quality Standards, each focused on key aspects of care:

  1. Consumer dignity and choice – You are treated with respect and can make decisions about your own care.
  2. Ongoing assessment and planning with consumers – Your changing needs are regularly reviewed to provide personalised care.
  3. Personal care and clinical care – Care is safe and meets clinical standards.
  4. Services and supports for daily living – Support is provided to help you enjoy your life and stay independent.
  5. Service environment – Facilities are safe, clean, and comfortable.
  6. Feedback and complaints – You can easily share concerns, and they’ll be addressed.
  7. Human resources – Staff are appropriately trained and skilled.
  8. Organisational governance – Providers are well-managed and meet high standards.

Why are the Quality Standards important?

The Quality Standards ensure that:

  • Your care is tailored to your individual needs.
  • You are respected and involved in decisions about your care.
  • Services meet safety and quality expectations.
  • Providers listen to your feedback and continuously improve their care.

This means you or your loved ones can trust that aged care providers are delivering the best possible care.

What’s changing with the strengthened Quality Standards?

From 1 November 2025, strengthened Quality Standards will become part of the new Aged Care Act. These updated standards will further improve care by focusing on:

  • Food and nutrition – Ensuring residents receive high-quality meals that support their health.
  • Clinical care – Improved management of healthcare to meet individual needs.
  • Dementia support – Helping those with dementia live with dignity.
  • Diversity and inclusion – Supporting people from all cultural backgrounds.
  • Stronger governance – Holding providers to higher standards.

The strengthened Quality Standards will make it easier for you to assess the quality of care and understand what to expect from providers.

How do the Quality Standards help you?

The Aged Care Quality Standards protect and empower older Australians by:

  • Reassuring you: Services are regularly assessed for safety and high quality.
  • Informing your choices: You’ll better understand what to look for when choosing care for yourself or a loved one.
  • Encouraging continuous improvement: Providers must always strive to do better.

For more details on the current and strengthened standards, visit the Aged Care Quality and Safety Commission’s website.

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