Residential care with and without nursing - service category overview

• have a cognitive impairment and/or middle or later stage dementia  or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan, and/or 
• have physical care needs requiring support in several areas of need.

The person will:

• have a cognitive impairment and/or be physically frail and
• have middle or later stage dementia or other mental health care needs, which may require the development of a Positive Behaviour Support Plan and
• have care and support needs which include those outlined in Category 2 (Residential – high level needs) and
• require significantly enhanced service inputs to meet the person’s needs and to keep them and others safe

The person may:

• have a cognitive impairment and/or be physically frail and
• have care and support needs which include those outlined in Category 2 (Residential – high level needs) and will
• include a requirement for health care tasks that can:

1. only be met in a care home with nursing or 
2. will be most appropriately met in a care home with nursing.

or

• Have requirement for health care tasks that can:

1. only be met in a care home with nursing or 
2. will be most appropriately met in a care home with nursing. 

The person will:

• have a cognitive impairment and/or be physically frail and
• have middle or later stage dementia or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan and
• have care and support needs which include those outlined in Category 2 (Residential – high level needs) and Category 3 (Nursing) and
• include a requirement for health care tasks that can:

1. only be met in a care home with nursing or
2. will be most appropriately met in a care home with nursing. 

The person may:

• have a cognitive impairment and/or be physically frail and
• have middle or later stage dementia or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan and
• have care and support needs which include those outlined in Category 2 (Residential – high level needs) and Category 3 [Nursing] and
• include a requirement for health care tasks that can:

1. only be met in a care home with nursing or
2. will be most appropriately met in a care home with nursing, and

• require significantly enhanced service inputs to meet the person’s needs and to keep them and others safe

or

• Have a requirement for health care tasks that can:

1. only be met in a care home with nursing or
2. will be most appropriately met in a care home with nursing and
3. require significantly enhanced service inputs to meet the person’s needs and to keep others safe. 

• little or no care and support needed
• no risks around behaviours and non-compliance with care
• no risk to the service user or others

• regular care and support needed
• risks around behaviours and non-compliance with care can be managed within planned interventions
• Level of risk to the service user or others is minor

• timely and frequent care and support needed
• risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
• level of risk to the service user or others is moderate

• timely and frequent care and support needed
• risks around behaviours and non-compliance with care unlikely be manageable solely within planned interventions and require a prompt and skilled response that may be outside the range of planned interventions
• multiple risks to the service user or others which may be moderate or high and which may not necessarily be reduced by skilled interventions

• timely and frequent health care interventions needed
• risks to the person’s health are moderate or high requiring the oversight and monitoring of a Registered Nurse
• risks around behaviours and non-compliance with care can be managed within planned interventions
• level of risk to the service user or others is minor

• timely and frequent health care interventions needed
• risks to the person’s health are moderate or high requiring the oversight and monitoring of a Registered Nurse
• risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
• level of risk to the service user or others is moderate

• timely, frequent and sustained health care interventions needed
• risks to the person’s health are high requiring the oversight and monitoring of a Registered Nurse
• risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
• level of risk to the service user or others is moderate