Process - Step by Step
Start
- Complaints are important as they help us identify issues and improve our services.
- All workers are trained in the complaint process and in providing clients with information on the complaints process.
- Information on how to make a complaint is provided:
- When clients start new services
- at any time upon request
- annually (for existing clients).
Step 1. Receiving a Complaint
- Before submitting a complaint, we encourage the client or their representative to talk to the person they are concerned with. We encourage the person to submit a complaint if something else is needed to fix the problem.
- If we become aware that someone wants to make a complaint, we:
- Ensure appropriate support and assistance are provided to any person who wishes to make a complaint
- Ensure that the complainant or client affected by the complaint knows they can take their complaint to the commissioner.
- If a client wants advice or support to make a complaint, we suggest they contact an external advocate or the relevant funding bodies' Complaints Manager (eg NDIS Complaints Commissioner).
- Clients, their family/guardians or advocates can complain directly to the commissioner about our services or conduct. If they make a complaint to the commissioner about our conduct or services, we are prepared to: complain directly
- Work with the commissioner by providing information, advice and assistance
- where possible and appropriate, and work towards a mutually agreed resolution with the client affected by the issue.
Step 2. Recording a Complaint
- When recording a complaint, we must capture as much detail as possible to understand the concerns. The information should include:
- what happened
- where it happened
- date and time of the incident
- who was involved
- any witnesses
- what the desired outcome is.
- When we receive a complaint we;
- acknowledge and assess the complaint in a fair and timely manner
- Provide the complainant with expected time frames for actions
- Take appropriate action concerning the issues raised in the complaint
- Keep accurate details of the complaint
- take reasonable steps so complainants or clients affected by the complaint are not adversely affected as a result of making a complaint
- ensure that the information provided in the complaint is kept confidential.
- Keep accurate information on complaints received, including decisions made, actions taken, and eventual outcomes. Records of complaints must be kept for 7 years from the date of the complaint.
- Our complaints records:
- enable reviews of any complaints received
- assist in identifying any systemic issues raised
- allow a better response to the Commissioner, if required
- must be stored securely and accessible only by the people handling complaints.
Step 3. Categorising the Complaint
- Categorising complaints helps to prioritise based on seriousness.
- By law, complaints involving serious incidents may need to be reported to other bodies. When we assess and prioritise complaints, this is per the urgency and/or seriousness of the issues raised.
- If a matter concerns an immediate risk to safety or security, the response will be immediately escalated appropriately. In our complaints system, complaints are categorised as follows:
-
Standard complaints – complaints that involve
- dissatisfaction about a decision made,
- the conduct of a worker,
- how services are being delivered, or
- allegations of discrimination
-
Serious complaints – complaints related to incidents that involve:
- fraud
- physical or sexual assault, or sexual misconduct of a client committed by an employee
- physical or sexual assault, or sexual misconduct of a client committed by another client while in the care of the provider
- abuse or neglect
- serious unexplained injury
- death of a client
- unauthorised use of restrictive practices.
-
Standard complaints – complaints that involve
Decision - Type of Complaint
- Standard - Step 5 or
- Serious (requires referral) - Step 4
Step 4. Serious Complaint
- Is the complaint related to an incident?
- While we are careful to keep all complaints confidential, disclosure of complaints related to serious incidents may need reporting to third parties as required by law.
- This includes any complaints related to
- a child at risk,
- criminal activity, or
- a reportable incident.
Decision - Related to an incident?
- No (Step 5)
Step 5. Resolving a Complaint
- Resolve the complaint keeping in mind:
- Procedural fairness must be applied when communicating with the client affected
- Procedural fairness must be applied when making decisions
- to ensure the client's involvement in the resolution process
- to keep the client affected informed during the resolution process
- to inform the client affected of the reasons for any decisions made
- to provide the client affected ample time to provide feedback, request redress, or review.
Step 6. Following-up the Complaint
- After resolving the complaint, we follow up with the complainant to ensure resolution actions are effective.
- If the person making the complaint (complainant) is unsatisfied with how it was handled, they can take their complaint to the NDIS Complaints Commissioner. Complaints can also be made directly to the Commissioner. When the Commissioner receives a complaint, the Commissioner may:
- Take no further action, such as when:
- The complaint was not valid
- There wasn’t enough information provided
- The complaint or issue has been resolved or in the process of being resolved
- The complaint was withdrawn
- The complaint was referred to another agency or body
- provide assistance or advice to the complainant or client affected by the issue, and the provider
- Start a resolution process, which may:
- require the provider to try and resolve the issue
- request the related parties resolve through conciliation
- require the provider to take remedial action to resolve the complaint or issue
- involve other actions as deemed appropriate by the Commissioner
- Arrange an inquiry:
- if there are concerns regarding the issues connected to the complaint
- if there are concerns regarding a series of complaints.
- Take no further action, such as when:
- Complaints to the Commissioner may be referred to other agencies or bodies if needed. This could include any complaints relating to:
- Non-compliance with the NDIS code of conduct
- inappropriate or unauthorised use of restrictive practice
- employee screening issues, e.g. if an employee of the provider was found to have a criminal history (for more information, refer to the Worker Screening Policy)
- incidents relevant to other bodies (police, consumer affairs agencies or other regulatory bodies).
Step 7. Reviewing the Complaint
- Review the complaint, including:
- the cause
- the resolution
- follow up feedback
- lessons learned.
- Document the review, as it will assist in the continuous improvement process.
Step 8. Monitoring Complaints (ongoing)
- At regular intervals, key managers review all complaints recorded to:
- Check that complaints are being resolved in a timely fashion
- Look for patterns that might indicate systemic issues
- Look for patterns that indicate improvements.
- Key managers should review complaints on an ongoing basis to identify organisational opportunities for improvement.
- This includes reviewing individual complaints and looking for trends to identify opportunities for systemic improvements, including improvements to the complaints process.
Related Items
Regulations and Standards
National Disability Insurance Scheme Act 2013 (Cth)
NDIS Quality and Safeguards Commission, Complaints Management and Resolution Guidance 2018 (Cth)
NDIS (Quality Indicators) Guidelines 2018 (Cth)
National Disability Insurance Scheme Act 2013 (Cth)
NDIS Quality and Safeguards Commission, Complaints Management and Resolution Guidance 2018 (Cth)
NDIS (Quality Indicators) Guidelines 2018 (Cth)
Documents
Feedback & Complaints Form
Sample of HWH Feedback & Complaints Register
HWH Complaint Management Policy