Aged Care Insite Issue 125 June-July 2021 | Page 20

industry & reform

A small part of the picture

The Uniting household model and its place in the future of aged care .
Saviour Buhagiar interviewed by Conor Burke

Uniting Aged Care recently celebrated the opening of its new Amala aged care home in Canberra .

Following their small scale ‘ household model ’ of care , the 124-bed home aims to give residents greater freedom as they live in households with 18 to 20 other people .
Small scale living has been a big part of Uniting ’ s delivery of aged care since 2015 , and a recent independent report of Uniting ’ s household model , conducted by the University of Technology Sydney , found that it increases residents ’ sense of choice and control .
The study , conducted over two years , also found that staff feel like they have more autonomy in this model , while residents feel they are able to maintain a sense of normality as well as some meaning and purpose in their day .
Uniting director of Ageing Saviour Buhagiar joined Aged Care Insite to talk about the build , Uniting ’ s outlook on aged care and his views on transparency in the sector in the wake of the royal commission and the government ’ s budget response .
ACI : You ’ ve just celebrated the opening of the Uniting Amala Aged Care Home in Canberra South operating under the

Household is one component of what aged care reform is going to be about . But there are so many others . household model of care . Tell us a bit about the project . SB : That ’ s a model that we ’ ve been introducing over the last four or five years or so . It ’ s all about trying to put residents at the centre of decision-making and also encourage our staff and our teams to work with residents to maximise their choice and control in everyday matters , whether it be about when they wake up , about their food , their menus , how they ’ re treated or how they ’ re spoken to . All those kind of basic daily choices that you and I make every day , and making sure that we encourage our residents to do that as well .
A 124-bed home sounds big . How do you get that number of beds under the household model ? We ’ ve created six households . Each household operates pretty much independently with its team of staff . We have a leadership role in each house and a homemaker in each house , and their role is to really bring the residents together , families , other people who also engage in the household as well , and really try to say , ‘ Well , how are we going to operate our day ? How are we going to work our day ?’ That covers everything from meals to activities to just basically how we ’ re going to communicate . And also how are we going to make sure that each individual is able to do their thing on a particular day .
We know that a lot of the academics and research says this is the best way to go , but it ’ s a bit of a move away from the usual approach for bigger providers . Does it come with particular challenges ? It does come with challenges . We ’ ve implemented the model in probably about 60 per cent of our household homes formally across the state . So we ’ re supporting about 5,000 people across
18 agedcareinsite . com . au