Raising concerns about care, safety, service provision, or dignity

People living in aged care are often frail and rely on others to notice when something changes. Falls, pain, dehydration, infection, or medication issues can escalate quickly if they aren’t followed up properly.

Raising concerns early helps staff respond, keeps residents safe, and supports better care.

When to act

You should raise a concern if you notice:

  • A fall, injury, or sudden decline

  • Pain, especially pain on movement

  • Changes in behaviour, alertness, or mood

  • Missed medications or unexplained changes

  • Weight loss, dehydration, or poor intake

  • Skin damage, wounds, or infections

  • Lack of communication after an incident

  • Someone not being treated with dignity and respect

    If there is immediate risk, call 000.

Questions you can ask

  • What happened, and what was checked at the time?

  • Has a Registered Nurse assessed them?

  • Has the GP been notified, and when?

  • What is the plan today, and what happens next?

  • How will this be monitored and reviewed?

  • Is this an internal policy/procedure/arrangement or is there legislative or Aged Care Quality and Safety Commission requirements? What are they?

Simple things you can request

  • A falls incident report or summary

  • Medication list and recent changes

  • Weight, food and fluid intake records

  • Skin or wound care notes, if relevant

  • A brief written update of the plan

  • For a review of any decisions made, by someone more senior

If you can’t be there, you can ask for these to be emailed or discussed by phone.

If the matter hasn’t been resolved to your satisfaction and in a timely manner

  • Aged Care Quality and Safety Commission: 1800 951 822

  • OPAN – Aged Care Advocacy Line: 1800 700 600

  • Advocare (WA): 1800 655 566

  • WA Elder Abuse Helpline: 1300 724 679

Advocacy services are free and independent. They can help you raise concerns safely and effectively.

How to raise concerns constructively

  • Stick to specific examples and dates

  • Focus on risk and safety, not blame

  • Ask for a clear plan and timeframe

  • Request responses in writing if helpful

  • Keep notes of who you spoke to and when

Why it’s okay to ask

Raising concerns is part of good care. It helps staff understand risks early and supports safer outcomes for everyone. Asking questions is about partnership — not criticism.

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