A note before we start

Choosing aged care is one of the harder family decisions you’ll make. Whether it’s for yourself, a parent, or a partner, the language gets confusing fast — accredited, registered, approved, NDIS, MyAgedCare, ACAT. They’re not the same thing, and a lot of marketing pages use them interchangeably in ways that aren’t quite right.

We work in this space every day with families across Sydney, particularly across the Riverwood, Bankstown, and Greater Western Sydney areas. This article is the explanation we give over the kitchen table when someone says “I just don’t know what to look for.” We’ve stripped out the jargon. Where there’s a number, it’s accurate as of April 2026. Where there’s a process, we link to the official source so you can check it yourself.

Before you read on: nothing in this article replaces talking to your GP, an Aged Care Specialist, or contacting My Aged Care directly on 1800 200 422. Use it as a starting point, not the final word.

 

What “accredited aged care” actually means

In Australia, “accredited aged care” is a specific legal status. It means a provider has been formally assessed and approved by the Aged Care Quality and Safety Commission to deliver government-subsidised aged care services under the Aged Care Act.

Accreditation is checked against the Aged Care Quality Standards — eight standards covering everything from consumer dignity to clinical care to organisational governance. Providers are audited regularly. The audit results are public.

Accredited providers can deliver:

  • Residential aged care (nursing homes)
  • Home Care Packages (Levels 1, 2, 3, and 4)
  • Short-term restorative care
  • Some respite care services

Accredited does NOT mean:

  • The provider is the cheapest, or even the most affordable for your situation
  • Every staff member is registered as a nurse (many are personal care workers)
  • Services are free — most attract a basic daily fee plus income-tested fees

If a provider says they’re “accredited,” it should be verifiable on the public register (link below). If you can’t find them, ask why.

How to check a provider’s accreditation status (in 3 minutes)

This is the single most useful thing in this article. Anyone can do it in three minutes.

1. Go to myagedcare.gov.au/find-a-provider

2. Enter the suburb you want care in

3. Filter by service type (home care, residential, etc.)

4. Click any provider — their accreditation status, latest audit results, and any current sanctions appear on their listing

If a provider’s status is “Accredited” with no current sanctions, you’re looking at a properly approved provider. If it shows “Sanctioned,” “Notice of Non-Compliance,” or “Provisional,” dig deeper before signing anything.

Bonus: also check the Star Ratings system. Since 2022, every residential aged care home in Australia has a public Star Rating from 1 to 5 stars across four categories (compliance, quality measures, residents’ experience, staffing). It’s not a perfect system but it’s the easiest at-a-glance read on quality you’ll find. Available on the same My Aged Care site.

Accredited aged care vs. NDIS — they’re different systems

This is where families often get tangled. Quick clarification:

  • **NDIS** (National Disability Insurance Scheme): For people **under 65** with a permanent and significant disability. Funded by the federal government. Provider list managed by the NDIS Quality and Safeguards Commission.
  • **Aged care** (My Aged Care): For people **65 and over** (or 50+ for First Nations Australians). Funded by the federal government. Provider list managed by the Aged Care Quality and Safety Commission.

Some providers (us included) are registered for both — we’re an NDIS-registered provider that also offers aged care services for older Australians who need similar in-home support. But the funding pathway, eligibility, and assessment process for each is completely separate.

If you’re not sure which scheme applies, the rule of thumb: under 65 with a disability = NDIS. 65+ with care needs = aged care. Mix of both age and circumstance = call My Aged Care first, they’ll route you correctly.

The 8 Aged Care Quality Standards — what they actually measure

The Quality Standards are the framework every accredited provider is audited against. In plain English:

1. Consumer dignity and choice. You’re treated with respect. Your culture, identity, and preferences are recognised. You make decisions about your own care.

2. Ongoing assessment and planning. Your care plan is built with you, reviewed regularly, and adjusted when your needs change.

3. Personal and clinical care. The day-to-day care you receive is safe and effective. Includes medication management, wound care, mobility, mental health.

4. Services and supports for daily living. Help with the things that matter to you — meals, social connection, hobbies, religious practice.

5. Organisation’s service environment. The physical space (residential) or service delivery (home care) is safe and welcoming.

6. Feedback and complaints. You can raise concerns easily and they’re acted on.

7. Human resources. Staff are trained, supported, and competent.

8. Organisational governance. The provider is well-run with proper risk management.

When you’re talking to a provider, you can ask them about any of these directly. A good provider will speak fluently about each one. A weak one will deflect.

What questions to ask before signing with any aged care provider

Print this list. Take it to every meeting.

About them:

  • Are you currently accredited with no sanctions or non-compliance notices? (You’ll have already checked, but their answer tells you how transparent they are.)
  • When was your last audit, and can I see the report? (Public anyway, but their willingness matters.)
  • What’s your Star Rating (residential) or your formal complaint history (home care) over the last 2 years?
  • How long has your senior leadership been in their roles? (High turnover is a quality red flag.)

About the care:

  • Who’ll be the primary support worker for my parent / me? Will it be the same person each visit, or different staff each time?
  • What’s your staff-to-resident ratio (residential) or your average visit time vs. funded time (home care)?
  • How do you handle after-hours emergencies? Is there a real on-call clinician, or just an answering service?
  • What happens if our needs change — can you scale services up or down without us having to switch providers?

About money:

  • What are all the fees? Basic daily fee, means-tested fee, accommodation deposit, package management fee — get every fee in writing.
  • For Home Care Packages: what’s your case management percentage? (Anything over 18% of the package value is high; under 12% is excellent.)
  • Are there exit fees if we move to a different provider?
  • Can you walk me through a sample monthly statement?

About communication:

  • How often will you formally update us on the care being delivered?
  • Who’s our direct contact and how do we reach them?
  • What’s your process if we have a concern?

If a provider gets evasive on any of these, that tells you something. The good ones answer all of these without hesitation.

Home Care Packages explained — the four levels

Most older Australians who want to stay at home access support through a Home Care Package. There are four levels, set by an ACAT (Aged Care Assessment Team) assessment:

Level 1 — basic care needs

Around $10,500 per year in funding (subject to government indexation). Suits someone needing a few hours of help per week — domestic assistance, social support, basic personal care.

Level 2 — low-level care needs

Around $18,500 per year. More regular help with daily tasks, transport to appointments, light personal care.

Level 3 — intermediate care needs

Around $40,250 per year. Multiple visits per week, can include nursing care, allied health (physio, OT), more substantial personal care.

Level 4 — high-level care needs

Around $60,950 per year. Daily or near-daily support, significant clinical care, can sometimes substitute for residential care for people who want to stay home.

Important honest notes:

  • These funding amounts are the package value, not what you receive in cash. The provider draws against the package to deliver services.
  • The actual hours of support you’ll get depend on the hourly rates the provider charges, plus their case management and admin fees.
  • A Level 4 package looks like a lot of money on paper but at typical Sydney rates ($65–$80/hour for personal care, more for nursing) it covers somewhere between 11 and 16 hours of support per week. That’s still meaningful but it’s not 24/7 care.
  • Wait times for higher-level packages have improved since 2024 reforms but a Level 3 or 4 package can still take several months from approval to allocation. If your need is urgent, ask about interim Commonwealth Home Support Programme (CHSP) services in the meantime.

What good in-home aged care actually looks like (the day-to-day)

In our experience working across Sydney, families consistently rate three things highest when they look back on their care experience:

1. Consistency of staff. Same one or two support workers, every visit. The relationship is what makes the care feel like care, not a service.

2. Clinical confidence. A senior care manager who’s a Registered Nurse, available by phone, who actually knows your case. Not someone reading off a script.

3. Honest communication when things change. Aged care needs aren’t static. The best providers proactively flag when more support might help, or when something can be reduced.

What it doesn’t look like: glossy brochures, a “Concierge Care Coordinator” with a long title and no clinical background, or an app that’s prettier than it is useful.

When residential aged care becomes the right call

We’ll be straight: most people would prefer to stay home if they can. Most can, with the right package and family support. But there are situations where residential care genuinely is the better option:

  • 24/7 supervision is needed for safety (severe dementia, wandering, falls risk)
  • The home environment has become unsafe and can’t reasonably be modified (steep stairs, isolation, no nearby family)
  • Caregiver burnout — the family member providing primary care is at breaking point
  • Medical needs have become too complex for in-home care to manage safely

If you’re weighing this decision, an ACAT assessment is the official starting point. They’ll assess what level of care is needed and what funding pathway suits. The assessment is free and you can ask for one through your GP or directly via My Aged Care.

Costs you might not have heard about

A few line items families are often surprised by:

  • **RAD (Refundable Accommodation Deposit) for residential care:** Often $400,000–$700,000 in Sydney metro homes, refunded to your estate when you leave. Can be paid as DAP (Daily Accommodation Payment) instead, which is essentially interest on the unpaid RAD.
  • **Means-tested fees:** Both home care and residential care assess your assets and income. The contribution can be significant — up to around $34,000/year in extra fees for residents with high assets/income.
  • **Extra services charges:** Many residential homes charge additional fees for premium rooms, meals, activities. These aren’t always optional and aren’t covered by the basic care fees.
  • **Package management and case management fees:** Home Care Packages have these baked in. Lower percentages = more of your package money goes to actual care.

If anyone — provider, advisor, family member — tells you “it’s all covered by the government” without nuance, get a second opinion. The aged care funding system has co-contributions at almost every level.

Frequently asked questions

How long does the My Aged Care assessment take?

The initial phone screening with My Aged Care takes about 30 minutes. The home assessment by an ACAT (for higher levels) usually takes 1–2 hours and happens within a few weeks of your registration. Allocation of an actual Home Care Package can take anywhere from 1 month to 6+ months depending on the level approved and current demand.

Can I switch aged care providers if I’m not happy?

Yes. For Home Care Packages you can switch providers and your package value moves with you. There’s a notice period (usually 14 days) and your new provider helps with the transition. For residential care, switching homes is more disruptive but possible.

What’s the difference between accredited and registered?

“Accredited” specifically refers to approval by the Aged Care Quality and Safety Commission to deliver government-subsidised aged care. “Registered” is sometimes used loosely to mean the same thing, sometimes used to refer to NDIS registration. Always check what’s actually meant — and verify on the public registers.

Are there free aged care services?

Yes. The Commonwealth Home Support Programme (CHSP) provides entry-level support — a few hours of help per week — at very low cost (often a small contribution like $10–$15 per service). It’s where many older Australians start before stepping up to a Home Care Package.

Does My Aged Care cover dementia-specific care?

Yes. Both home care and residential care can be tailored for dementia. Some providers specialise in it. If dementia is part of the picture, ask specifically about staff dementia training, environmental design (for residential), and whether they use approaches like Montessori-based care or DCMA assessment.

Can family members be paid to provide care under a Home Care Package?

Generally no. Home Care Package funds are paid to approved providers, not directly to family. Some niche exceptions exist under self-managed package arrangements but they’re uncommon and tightly regulated.

How SADC fits into this

SADC Disability Services is an NDIS-registered provider primarily, with experience supporting older Australians who need similar in-home assistance. We’re not a residential aged care provider — we deliver in-home support across Greater Sydney with a particular focus on Riverwood, Bankstown, and the Western Sydney corridor.

If you’re navigating aged care for a family member and want a plain-English conversation about what’s available, give us a call. We won’t always be the right fit — sometimes we’ll point you to a dedicated aged care provider — but we’ll help you make sense of the options either way.

For aged care services we don’t directly provide, the honest first call is My Aged Care on 1800 200 422. They’re the official entry point and they’ll set you on the right path.

Helpful resources

  • **My Aged Care:** myagedcare.gov.au — official government portal
  • **Aged Care Quality and Safety Commission:** agedcarequality.gov.au — accreditation and complaints
  • **Older Persons Advocacy Network (OPAN):** opan.org.au — free, independent advocacy
  • **Dementia Australia:** dementia.org.au — support and resources
  • **Carer Gateway:** carergateway.gov.au — support for family caregivers

Call 1300 242 492 Get Support →