facebook-script

Training Requirement: Outcome 1.3, Choice, Independence and Quality of Life

Training Requirement: Outcome 1.3, Choice, Independence and Quality of Life

cover image

Subscribe to the Ausmed Toolbox

Toolbox Newsletter

Outcome 1.3 of the Strengthened Aged Care Quality Standards represents one of the most fundamental aspects of person-centred care: empowering older people to exercise choice, maintain independence, and live their best possible lives. This outcome moves beyond basic service delivery to embed deep respect for autonomy, informed decision-making, and dignity of risk in every aspect of aged care practice.

Under the strengthened standards, providers must support individuals to exercise choice and make decisions about their funded aged care services, provide them with timely and accurate information they can understand, and support them to take positive risks that maintain their independence and quality of life. Getting this training right is not just about compliance - it's about creating a culture where every person's autonomy and right to self-determination is upheld every day.

Bottom Line Up Front

Outcome 1.3 requires comprehensive training that ensures older people can exercise genuine choice and make informed decisions about their care, receive information they understand, access decision-making support when needed, and maintain their independence through positive risk-taking. Your workers must demonstrate they can facilitate informed consent, support decision-making capacity, and respect dignity of risk while monitoring and responding to changes in quality of life.

Let's walk through exactly what this means for your training programs and how to implement it systematically to meet regulatory requirements while genuinely empowering the people in your care.

Understanding What Outcome 1.3 Actually Requires

Under the strengthened standards, providers have three core responsibilities that your training must address comprehensively:

First, you must support individuals to exercise choice and make decisions about their funded aged care services, providing support when they want or need it. This isn't about offering limited options - it's about creating genuine opportunities for self-determination in all aspects of care.

Second, you must provide individuals with timely, accurate, tailored and sufficient information about their funded aged care services, in a way they understand. Your training must equip workers to communicate complex information clearly and adapt their approach to each person's communication needs and preferences.

Third, you must support individuals to exercise dignity of risk to achieve their goals and maintain independence and quality of life. This requires sophisticated understanding of when and how to support positive risk-taking while maintaining safety and wellbeing.

Critical Compliance Requirement

Action 1.3.6 specifically requires providers to record, monitor and respond to changes to the individual's quality of life. This means your training must include systematic approaches to quality of life assessment and documentation requirements for audit evidence.

Recommended Ausmed Training Modules for Outcome 1.3

Based on our review of available Ausmed Training Modules, the following modules directly support compliance with Outcome 1.3 requirements. All modules require an Ausmed subscription (individual module purchases are not available):

Key Ausmed Training Modules
  • Dignity of Risk & Decision-Making in Aged Care - 20 minutes - Directly addresses Action 1.3.5
  • Consent to Treatment - 25 minutes - Supports Actions 1.3.1 and 1.3.2
  • Person-Centred, Rights-Based Care for the Older Person - 12 minutes - Foundational for all actions
  • Privacy, Confidentiality, Dignity and Personal Information in Aged Care - 22 minutes - Supports information provision requirements
  • Standard 1: The Individual - 10 minutes - Covers all Outcome 1.3 principles
  • The Code of Conduct for Aged Care - 15 minutes - Establishes legal and ethical framework

Note: All modules are available through Ausmed subscription and align with the strengthened Aged Care Quality Standards framework.

The Six Essential Training Areas for Outcome 1.3

Training Area 1: Information Provision and Communication (Actions 1.3.1-1.3.2)

Recommended Duration: 25-30 minutes

Learning Outcomes: Workers can provide current, accurate, timely information that is plainly expressed and tailored to individual understanding. They can facilitate informed consent processes for treatments, procedures, and interventions.

Key Competencies:
  • Assessing individual communication needs and preferences
  • Adapting information delivery methods (verbal, written, visual aids)
  • Ensuring information currency and accuracy
  • Facilitating informed consent processes
  • Documenting consent and information provision

Training Area 2: Decision-Making Support Systems (Action 1.3.3)

Recommended Duration: 30-35 minutes

Learning Outcomes: Workers can identify individuals requiring decision-making support, implement supported decision-making approaches, and understand when substitute decision-makers may be appropriate.

Key Competencies:
  • Recognising decision-making capacity and support needs
  • Implementing supported decision-making strategies
  • Involving supporters appropriately in decision-making processes
  • Understanding the hierarchy of decision-making support
  • Documenting decision-making support and outcomes

Training Area 3: Advocacy and External Support (Action 1.3.4)

Recommended Duration: 20-25 minutes

Learning Outcomes: Workers can support individuals to access advocates of their choosing and understand the role of advocacy in promoting choice and independence.

Relevant Ausmed Training Modules:
Key Competencies:
  • Understanding different types of advocacy services
  • Facilitating access to advocacy support
  • Supporting individuals to work with advocates
  • Respecting advocacy relationships and boundaries
  • Documenting advocacy involvement and outcomes

Training Area 4: Dignity of Risk and Positive Risk-Taking (Action 1.3.5)

Recommended Duration: 35-40 minutes

Learning Outcomes: Workers can support individuals to live their best life through understanding goals and preferences, enabling positive risk-taking while promoting autonomy and quality of life.

Key Competencies:
  • Understanding dignity of risk principles and legal frameworks
  • Conducting collaborative risk assessments
  • Developing risk management strategies that preserve autonomy
  • Supporting individuals to make informed risk decisions
  • Balancing safety with independence and quality of life

Training Area 5: Quality of Life Assessment and Monitoring (Action 1.3.6)

Recommended Duration: 25-30 minutes

Learning Outcomes: Workers can systematically record, monitor, and respond to changes in individual quality of life using evidence-based assessment tools and person-centred approaches.

Key Competencies:
  • Understanding quality of life domains and indicators
  • Using quality of life assessment tools appropriately
  • Monitoring changes in quality of life over time
  • Developing appropriate responses to quality of life changes
  • Documenting quality of life assessments and interventions

Training Area 6: Integrated Choice and Independence Practice

Recommended Duration: 30-35 minutes

Learning Outcomes: Workers can integrate all elements of choice, independence, and quality of life support into daily practice, demonstrating competency across complex scenarios and diverse individual needs.

Relevant Ausmed Training Modules:
Key Competencies:
  • Applying choice and independence principles across care contexts
  • Managing complex scenarios involving multiple stakeholders
  • Adapting approaches for diverse cultural and individual needs
  • Collaborating effectively with families, supporters, and advocates
  • Continuous improvement in choice and independence support

Training Frequency and Refresher Requirements

While the strengthened standards do not mandate specific training frequencies, best practice recommendations include:

Recommended Training Schedule
  • Initial Training: All six training areas completed within 3 months of employment
  • Annual Refresher: Comprehensive review of all competencies (recommended 2-3 hours total)
  • Competency Reviews: Performance-based assessments every 6 months
  • Incident-Based Training: Additional training following choice, consent, or quality of life incidents
  • Role-Specific Updates: Additional training when roles or responsibilities change

Note: Providers should ensure workers demonstrate the required competencies regardless of time invested.

Role-Specific Training Considerations

While the strengthened standards do not specify different requirements for different roles, providers should consider tailoring training intensity and focus areas based on worker responsibilities:

Role Category Training Focus Areas
Direct Care Workers
  • Daily choice facilitation and quality of life support
  • Practical skills in communication and information provision
  • Recognition of decision-making support needs
  • Quality of life monitoring and reporting
Senior Care Workers & Team Leaders
  • Advanced decision-making support facilitation
  • Dignity of risk assessment and management
  • Family and supporter engagement strategies
  • Quality of life intervention planning
Registered Nurses & Allied Health
  • Complex consent and decision-making scenarios
  • Advocacy coordination and external referrals
  • Advanced quality of life assessment tools
  • Risk management and clinical decision-making
Management & Supervisory Staff
  • Policy development for choice and independence
  • System implementation and monitoring
  • Staff coaching and competency development
  • Quality assurance and improvement processes

Competency Assessment Requirements

Your assessment framework must demonstrate that workers can competently implement all aspects of Outcome 1.3. This requires both knowledge verification and practical skill demonstration:

Knowledge Assessment Components

  • Information and Consent: Understanding of informed consent requirements, communication adaptation strategies, and legal frameworks
  • Decision-Making Support: Knowledge of capacity assessment, supported decision-making approaches, and substitute decision-maker roles
  • Advocacy and External Support: Understanding of advocacy services, access processes, and collaborative working approaches
  • Dignity of Risk: Comprehensive knowledge of risk assessment, positive risk-taking principles, and autonomy preservation
  • Quality of Life: Understanding of quality of life domains, assessment methods, and intervention strategies

Practical Skills Demonstration

  • Communication Skills: Adapting information delivery to individual needs and preferences
  • Support Facilitation: Enabling decision-making support and advocacy access
  • Risk Collaboration: Working with individuals to assess and manage risks while preserving autonomy
  • Quality Monitoring: Conducting quality of life assessments and developing appropriate responses
  • Documentation: Recording choice, independence, and quality of life information accurately

Documentation and Evidence Requirements

For audit purposes, you must maintain comprehensive documentation demonstrating compliance with Outcome 1.3:

Training Records Documentation

  • Individual worker training completion records for all six modules
  • Competency assessment results and certification dates
  • Regular refresher training completion (recommended annually)
  • Role-specific training variations and additional requirements
  • Training effectiveness evaluation and improvement records

Operational Evidence Requirements

  • Policies and procedures for information provision and informed consent
  • Decision-making support assessment and implementation protocols
  • Advocacy access and support procedures
  • Dignity of risk assessment and management frameworks
  • Quality of life monitoring and response systems
  • Individual care records demonstrating choice and independence support

Implementation Timeline and Compliance

Current Implementation Status

The strengthened Aged Care Quality Standards will come into effect in line with the new Aged Care Act and regulatory model on November 1, 2025. Providers should prepare for implementation while monitoring official announcements from the Department of Health, Disability and Ageing for confirmed timelines.

While the exact implementation date remains to be confirmed, providers should begin preparation immediately to ensure readiness. The transition from the current 8 standards to the new 7 strengthened standards represents a significant shift towards more person-centred, rights-based care.

Immediate Preparation Steps

  • Audit current choice and independence training against Outcome 1.3 requirements
  • Review policies and procedures for alignment with strengthened standards
  • Assess current competency frameworks and documentation systems
  • Plan training rollout across all relevant staff groups

Building Your Evidence Base for Audits

As you implement training, you must simultaneously build evidence that demonstrates its effectiveness in supporting choice, independence, and quality of life. This evidence base will be critical for audit preparation and continuous improvement.

Training Documentation Requirements

  • Individual Records: Completion certificates for all six training areas
  • Competency Evidence: Assessment results demonstrating practical skills
  • Refresher Training: Annual competency reviews and updates
  • Incident Learning: Training responses to choice and consent incidents
  • Performance Monitoring: Ongoing competency assessment records

Operational Evidence for Choice and Independence

  • Policy Framework: Current policies covering all six actions under Outcome 1.3
  • Information Systems: Processes for providing tailored, accessible information
  • Decision-Making Support: Systems for identifying and supporting decision-making needs
  • Advocacy Access: Procedures for facilitating advocacy connections
  • Risk Management: Dignity of risk assessment and positive risk-taking frameworks
  • Quality Monitoring: Quality of life assessment tools and response protocols

Implementation Timeline and Practical Steps

With the strengthened standards approaching implementation, you need a systematic approach to ensure full compliance:

Focus on Competency, Not Just Hours

The strengthened standards emphasise competency-based training rather than mandating specific training hours. While we provide recommended durations for guidance, the critical requirement is that workers can demonstrate the necessary skills and knowledge to support choice, independence, and quality of life effectively.

Immediate Actions (Next 30 Days)

  • Audit your current training programs against Outcome 1.3 requirements
  • Identify gaps in choice, independence, and quality of life training
  • Review and update policies to align with the six action areas
  • Develop competency assessment frameworks for each module

Short-term Implementation (Next 90 Days)

  • Deploy comprehensive training across all relevant staff
  • Implement competency assessments and certification processes
  • Establish quality of life monitoring and documentation systems
  • Train supervisors and managers in Outcome 1.3 requirements

Ongoing Compliance (Continuous)

  • Regular competency reviews and refresher training
  • Quality assurance audits of choice and independence support
  • Continuous improvement based on individual feedback and outcomes
  • Regular policy and procedure reviews and updates
Remember the Human Impact

Outcome 1.3 is about fundamental human dignity and self-determination. When you get this training right, you create an environment where older people can make genuine choices about their lives, maintain their independence, and live according to their own values and preferences. This isn't just about avoiding regulatory breaches - it's about creating care environments where autonomy and quality of life are lived values that guide every interaction.

Remember, Outcome 1.3 is about empowering older people to live their best possible lives. When you implement comprehensive training that addresses choice, independence, and quality of life systematically, you create care environments where people can maintain their autonomy, make meaningful decisions, and take the positive risks that give life meaning and purpose.

Prepare for Implementation

With the strengthened standards coming into effect with the new Aged Care Act, now is the time to finalise your training programs and ensure full compliance with Outcome 1.3. Visit the Department of Health, Disability and Ageing website for the latest implementation guidance. The Aged Care Quality and Safety Commission provides ongoing resources to support your preparation.