Top 5 NDIS Provider Compliance Mistakes and How to Avoid Them
Faz Mohitian
This guide will also help address key questions on how to start an NDIS business, NDIS audits, and NDIS worker screening checks.
1. Failure to Meet The NDIS Practice Standards
Overview:
The NDIS Practice Standards provide requirements for the businesses to operate under the NDIS. They help providers offer safe and quality services to participants. These standards outline essential governance, risk management, and service delivery expectations.
Unfortunately, many providers overlook critical elements or fail to conduct internal audits regularly. This often leads to non-compliance, which can affect their NDIS registration and overall business performance.
Why Providers Struggle:
Providers frequently underestimate the comprehensive nature of these standards, particularly in areas such as governance, incident management, and service agreements. Failing to fully understand these expectations, providers may inadvertently overlook key areas such as participant safeguarding, worker competencies, and performance management. This is particularly critical as these standards aim to ensure participants' safety and enhance their care experience.
For example, the Governance and Operational Management practice standard requires that providers maintain efficient, transparent, and well-documented systems of governance. Providers without good systems or proper oversight can face non-conformities during audits.
Another key area is risk management. Providers must have strong systems to reduce risks for participants and to staff. This includes risks like abuse or neglect. They also need to address risks related to financial mismanagement. Without a risk management framework, providers may expose participants to harm and potentially lose their registration.
How to Avoid It:
- Conduct Regular Internal Audits: Implement frequent, thorough internal audits to review every aspect of service delivery. This helps to identify and address compliance gaps proactively.
- Ongoing Staff Training: Ensure that your staff is consistently trained in all facets of the NDIS Practice Standards, including participant rights, risk management, and continuity of supports.
- Stay Updated: Keep up-to-date with changes in NDIS policies by regularly reviewing the latest guidelines from the NDIS Quality and Safeguards Commission. These updates can include changes in standards and new compliance requirements.
- Utilise Technology: Invest in digital systems that streamline compliance tracking, documentation, and service management. These systems provide easy access to records, make it easier to track performance, and help prepare for audits.
- Risk management: Regularly assess risks associated with participants and services, and implement mitigation strategies. This includes identifying vulnerabilities and areas where service delivery could falter, particularly when working with high-risk participants.
- Staff training: Consistent and specialised training for all staff on safeguarding protocols is essential. Employees should understand how to recognise and handle issues like neglect, abuse, and other safeguarding concerns. Training should also cover how to report incidents and escalate issues appropriately within the organisation. The NDIS Quality and Safeguards Commission provides guidance on training standards.
- Incident reporting: Establish a clear and accessible system for reporting incidents. Ensure that staff are aware of their responsibilities in reporting safeguarding concerns, understand the NDIS Reportable Incidents (and what to do if/when they happen) and have a well-defined follow-up process in place. This helps to mitigate risks quickly and ensure that any incidents are addressed thoroughly.
- Monitoring and Review: Regularly monitor the safeguarding framework?s effectiveness through internal audits, feedback from participants, and external audits by regulatory bodies. This ensures that the system evolves to meet changing needs and continues to protect participants.
- Establish Clear Protocols: Define exactly what needs to be documented (participant interactions, shift notes, incidents, services) and how. Ensure these protocols are communicated across all teams.
- Regular Training: Staff should be trained and reminded of the importance of thorough documentation. This helps prevent missed or incomplete records that could cause compliance issues.
- Digital Record-Keeping Systems: Switching from manual to digital systems reduces the risk of lost or misplaced records. Centralised platforms ensure that data is easily accessible for audits, reviews, and daily use.
- Comprehensive Screening: Ensure that all staff complete the NDIS Worker Screening Check before they begin working. This includes full-time, part-time, casual, contractors and even volunteer workers. The screening process looks at past criminal records and workplace misconduct. It also checks for any behaviour that could put participants at risk. Maintaining up-to-date records and consistently monitoring staff compliance is crucial.
- Continuous Monitoring: A one-off check is not enough. Providers should regularly review employee credentials to ensure continuous compliance with the NDIS standards. Establish internal systems to re-screen, particularly when you renew contracts or change roles.
- Documentation: Keep comprehensive records of all screening activities. During audits or reviews, you may need to provide proof that you have screened all workers properly. This will protect you from claims of non-compliance. It will also show the NDIS Commission that you care about participant safety.