Aged Residential Care
Aged residential care (ARC) is when an older person needs to be cared for in a residential setting.
A person’s care is decided by an assessment of their needs, and there are four levels of ARC:
- rest home
- secure dementia
- specialised (psychogeriatric) care.
Aged residential care (ARC) services are defined by two national agreements, which are reviewed each year, the:
- Age-Related Residential Care Agreement (ARRC)
- Aged Residential Hospital Specialised Services (ARHSS) Agreement.
Reviews often lead to Variations to these Agreements, between DHBs and residential care facilities.
The below Agreements incorporate all of the changes that have been made up to and including the 2019 amendments.
In addition, this year there has been an agreement outside the contract between ARC providers, DHBs and MoH: Guidelines for Planned Closure or Downsizing of Aged Residential Care Facilities.
In May 2019, providers, DHBs, and MoH developed and agreed a set of Guidelines for situations when the owner of an aged residential care facility makes a decision to close or to downsize beyond a small number of beds. Making the decision to close/downsize is significant and has a serious implications for all parties: owner, residents and their families/whanau; facility staff; unions and DHBs.
Providers are requested to modify their Admission Agreements to refer to these Guidelines.
With an ageing population, the demand for residential care beds is expected to rise sharply in New Zealand.
The demand planner provides information about demographic trends and how many ARC beds are being used in each territorial local authority.
This helps DHBs, aged residential care providers, the Ministry of Health and others in the health sector to understand the capacity, mix and location of beds they will need.
Examples of how the demand planner can help
DHBs can use the planner to find out:
- how their aged residential care use compares with that of other DHBs
- about their projected aged residential care demand growth
- where older people from the DHBs are getting their care
- who is moving into a DHB area.
ARC providers will be able to answer questions such as:
- Where and when will the largest growth in older people occur?
- Where are the areas of high use and low growth?
- What is the mix of care?
The demand planner will also encourage discussion within the wider health sector:
- Why is there variation across the country?
- What will be the wider models of care for older people in the future, and how will this impact on ARC usage and capacity?
We regularly improve the planner, and updates are released annually.
The demand planner is free.
The national model was developed by the Ministry of Health, who own and license it for reuse under a Creative Commons license.
The core assumption of the national model is that historic patterns of cause of death and place of death by age and gender, will continue to apply in the future.
'The Need for Palliative Care in New Zealand' details the historic evidence, methodology, future projections and the sensitivity of those projections.
The patterns used are from the period 2009 to 2013 in New Zealand, after consideration of the mortality data patterns from 2000 to 2013.
In aged residential care facilities there may be ‘premium’ rooms, which are defined as having ‘additional features of a permanent or fixed nature’.
For example, the room might have an en-suite, extra space, or garden access.
This is different to a room having additional services, such as getting a daily newspaper, or having Sky TV or a direct phone line.
Funding ‘premium’ rooms
Charges for 'premium' rooms are negotiated between the care provider and the resident, and must be specified in the admission agreement (the Agreement between the resident and the facility).
There is no public funding for premium room fees or additional services.
ARC facilities may charge a resident for a 'premium' room, under certain conditions.