In-Home Care: Support at Your Doorstep
Many older Australians prefer to stay in their own homes, and the Australian aged care system provides government-funded in-home care through two main programs: the Commonwealth Home Support Programme (CHSP) and Home Care Packages (HCP).
Commonwealth Home Support Programme (CHSP)
CHSP provides basic, entry-level support for those needing minimal assistance to remain independent at home. It offers individual services rather than a package. Eligibility is assessed by a Regional Assessment Service (RAS). Services can include domestic help, personal care, meal support, transport, social activities, respite, and basic allied health.
Home Care Packages (HCP)
HCPs are for individuals with more complex or extensive care needs. These are coordinated, long-term packages at four levels based on assessment by an Aged Care Assessment Team (ACAT). HCP services are tailored and can include higher levels of personal care, nursing, mobility assistance, complex health care, equipment, and specialised dementia care.
Residential Aged Care: 24/7 Support in a Home
For those who need round-the-clock support and can no longer live at home, Residential Aged Care provides care in a facility. This can be for a permanent stay or temporary respite. An ACAT assessment is required.
Permanent Residential Care
This option provides ongoing care and accommodation. Services typically include accommodation, 24/7 care, meals, housekeeping, activities, and allied health.
Residential Respite Care
This temporary stay in a facility gives primary carers a break and supports both the care recipient and carer. For more information, visit My Aged Care.
Short-Term Care Options
Temporary services support individuals recovering or providing relief for caregivers.
- Respite Care: Temporary care, in-home or residential, to relieve carers.
- Transition Care Program (TCP): Short-term (up to 12 weeks) post-hospital support to regain independence and return home.
- Short-Term Restorative Care (STRC): An 8-week program with allied health and care to improve function and independence.
Comparing the Main Aged Care Services
| Feature | In-Home Care (CHSP & HCP) | Residential Aged Care | Short-Term Care (Respite, TCP, STRC) |
|---|---|---|---|
| Setting | Individual's own home | Aged care facility (nursing home) | Can be in-home, residential facility, or community |
| Duration | Ongoing (basic or complex) | Permanent or temporary (respite) | Up to 8 or 12 weeks, depending on program |
| Service Intensity | From entry-level (CHSP) to high-level (HCP) | 24/7 comprehensive care and supervision | Intensive, goal-oriented support for a set period |
| Primary Goal | To maintain independence at home | To provide a safe, supported living environment | To recover from a health event or provide carer relief |
| Assessment | Regional Assessment Service (RAS) or Aged Care Assessment Team (ACAT) | Aged Care Assessment Team (ACAT) | Aged Care Assessment Team (ACAT) |
Funding and Considerations
Aged care services are subsidised by the Australian Government, but individuals may contribute based on a means assessment of income and assets. Choosing the right service involves considering needs, preferences, location, and cost. Quality of care is vital, overseen by the Aged Care Quality and Safety Commission which provides Star Ratings for residential facilities. The new Aged Care Act (effective 1 Nov 2025) will enhance the rights of older people in their care.
Conclusion: Finding the Right Fit
Understanding In-Home Care, Residential Aged Care, and Short-Term Care is key to navigating the Australian aged care system. The best choice depends on individual needs, independence goals, and circumstances. Using My Aged Care for assessment and referrals is crucial. By exploring these options, families can ensure older loved ones receive appropriate, high-quality care, whether at home or in a facility.
