Residential Care Assessment

Being Assessed for Commonwealth-Regulated Residential Aged Care in Australia

When living at home is no longer safe or manageable — even with help from family or home care services — moving into residential aged care may become the best option. In Australia, government-subsidised residential aged care is carefully regulated to make sure older people get the right level of care when they need it most.

The first step towards entering an aged care home is a formal assessment by an Aged Care Assessment Team (ACAT) or Aged Care Assessment Service (ACAS) if you live in Victoria. This guide explains what residential aged care involves, how the assessment works, what you need to do to prepare, and what happens afterwards.

What is Commonwealth-Regulated Residential Aged Care?

Residential aged care is a service for older Australians who can no longer live safely or independently at home. It includes accommodation, personal care (such as help with bathing, dressing, and mobility), nursing care, meals, social activities, and allied health services. Some facilities also provide secure dementia care and palliative care services.

Because residential care is subsidised by the Australian Government, you must first be assessed as eligible through an ACAT/ACAS assessment. This ensures funding goes to those who genuinely need 24-hour care and support in a residential setting.

When Might You Need Residential Aged Care?

Everyone’s situation is different, but common reasons people move into residential care include:

• Chronic health conditions that require 24-hour nursing supervision.
• Severe mobility or frailty issues that make living at home unsafe, even with modifications.
• Advanced dementia or memory loss needing secure care.
• No longer having family or informal carers able to provide the necessary support.

It’s not a decision to be made lightly. Most people try to stay at home for as long as possible with support from programs like Support at Home, but when care needs become too high or unsafe, residential aged care can provide the right level of support and peace of mind.

What is an ACAT/ACAS Assessment?

The Aged Care Assessment Team (ACAT) or Aged Care Assessment Service (ACAS in Victoria) is a team of health professionals — usually nurses, social workers, or occupational therapists — who are specially trained to assess your care needs. They decide whether you are eligible for government-subsidised residential aged care.

The assessment is free and typically takes place in your home, in hospital, or wherever you are living. The team will look at your medical history, daily living activities, current supports, and overall health and wellbeing to decide if residential care is appropriate and what level of care you require.

How to Apply for an Assessment

You start by registering with My Aged Care:

• Call 1800 200 422 or visit www.myagedcare.gov.au.
• Provide details about your health, mobility, and current living situation.
• You can have a family member, friend, or carer act as your representative if you prefer.

Once your referral is accepted, an ACAT/ACAS team member will contact you to book a time for your assessment.

What Happens During the Assessment?

The ACAT/ACAS assessment is not a test — it’s about understanding your needs. During the visit, you can expect:

• Discussion of your medical conditions, medications, and recent health changes.
• Questions about your ability to manage daily tasks like showering, dressing, preparing meals, or taking medications.
• Discussion about your current supports — family, neighbours, or paid carers — and whether they can continue.
• Talking through your wishes and any cultural or spiritual preferences.

You can have a family member, friend, or carer with you for support — this is often very helpful.

What Will You Find Out Afterwards?

After your assessment, the team will send you a letter explaining:

• Whether you are approved for residential aged care.
• What level of care you are eligible for — e.g., low-level care, high-level care, secure dementia care, respite, or palliative care.
• Other services you might consider, such as in-home care if that’s still possible.

This letter is your official approval and is required when applying to residential aged care facilities. It usually remains valid for 12 months, so you have time to plan and find the right place.

How to Prepare for an Assessment

Preparing for an ACAT/ACAS assessment can make the process smoother and help ensure you get the right outcome:

• Gather information about your medical conditions and medications.
• Make a list of daily tasks you struggle with — showering, cooking, cleaning, shopping, etc.
• Think about how your condition has changed recently — have you had falls, hospital stays, or new diagnoses?
• Have a trusted family member or friend with you to help explain your situation.
• Write down any questions you have about what happens next.

Your Rights During an Assessment

It’s important to remember you have rights:

• To be treated with dignity and respect.
• To have your cultural, spiritual, and personal preferences considered.
• To ask questions and get clear information.
• To have a support person or carer present.
• To request a copy of your assessment report.

If you disagree with the outcome, you can appeal the decision through My Aged Care or request a reassessment if your situation changes significantly.

What Happens After You’re Approved?

Once you’re approved for residential care:

• You can start looking for suitable aged care homes.
• Visit several facilities if possible — ask questions, look around, and talk to staff and residents.
• Complete application forms for your chosen facilities — you’ll need to provide your ACAT/ACAS approval letter.
• Complete an income and assets assessment with Services Australia (Centrelink) to determine what fees you may need to pay.
• Once a place is offered, you’ll sign a Resident Agreement and a Accommodation Agreement setting out fees, services, and your rights and responsibilities.

Common Questions Families Ask

Can I choose which home I go to? Yes. You or your family can decide which approved provider best suits your needs, budget, and location preferences. You’re not automatically assigned a facility.

Can I stay on the waiting list for multiple homes? Yes. Many people apply to more than one facility, as waiting times vary widely.

What if I only need short-term care? Your ACAT/ACAS assessment can also approve you for short-term respite care if you only need temporary support — for example, while a family carer is away or after a hospital stay.

How Long Does the Process Take?

The time from registering with My Aged Care to receiving your ACAT/ACAS approval can vary depending on how urgent your needs are and local demand. If you are in hospital and unable to return home safely, assessments are usually prioritised.

It’s best to start the process early — don’t wait for a crisis if you know your care needs are increasing.

Support for Families and Carers

Helping someone move into residential aged care is emotional for families. Here are some tips:

• Talk openly with your loved one about their wishes and fears.
• Visit potential facilities together, if possible.
• Seek advice from an aged care placement consultant if you feel overwhelmed.
• Stay involved — families can continue to be advocates and companions even after someone moves into care.

Remember, the goal is to find a safe, supportive environment where your loved one’s health and quality of life are protected.

Where to Get More Help

For more information or assistance:

• Visit www.myagedcare.gov.au or call 1800 200 422.
• Speak to your GP or hospital discharge planner.
• Use a local aged care placement service for extra guidance.
• Check OMS’s other resources for help with fees, contracts, and your rights.

Final Thoughts

Being assessed for Commonwealth-regulated residential aged care can feel daunting, but it’s designed to ensure you get the right level of care and support at the right time. With clear information, the backing of trusted family or carers, and honest conversations with your assessor, you’ll be well-prepared to make choices that keep your wellbeing and dignity front and centre.

OMS is here to help you navigate the complexities — from assessments and placements to understanding costs and contracts. Stay informed, ask questions, and know your rights every step of the way.