Land Bank Pilot: Aged Care in Victoria - Victorian Government Health Information,

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Aged Care in Victoria Land Bank Pilot

Active living Facilitating new aged care services in Melbourne Home & Community Care (HACC) - Request for Proposals

Volunteer organisations The Victorian Government announced in ‘ A Fairer Victoria' that it Newsletter would explore options to assist not-for-profit residential aged care operators to develop new services in areas of high need. The policy Publications statement announced that the Government would examine options Terminology to promote access to residential aged care services, including leasing of existing holdings of publicly owned land by not-for-profit Legislation providers. Links The Government recognises that development and redevelopment A to Z index of residential aged care in inner and middle ring suburbs of Contacts Melbourne is being limited by economic factors including the price of suitable land. The planning and allocation system for aged care places allows services to be established on the periphery of large regions and provides no additional incentives to maintain and increase the number of places in inner areas.

The current funding and regulatory framework also does not favour the establishment of high care-at-entry places where the demand is highest. Financially disadvantaged people may have difficulty in accessing services.

Proposals are now sought from recognised not-for-profit aged care providers for the development of new high-care residential aged care services on government owned sites. Land may be made available for sale or for lease, at concessional prices. The closing date for proposals is 9 December 2005.

Proposals will be considered for development on sites in Coburg, Preston, Heidelberg and North Williamstown. Each site will be of some 4000 square metres and suitable for a facility of 90 places over two levels.

Terms of request

At this time, the government has not made a decision to proceed to offer sites or any particular number of sites. Proposals will be evaluated both individually and collectively and an evaluation made of the social benefits identified. This strategic initiative will be subject to further budget consideration before a decision is made whether to proceed to pilot a small number of projects.

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If the pilot proceeds, land will be transferred to the provider on terms and conditions as agreed and the Victorian Government will have no involvement in the development or operation of the aged care service. No capital funding is available under this initiative for the development of services or for other purposes.

Eligibility

This initiative is open to recognised not-for-profit aged care providers only. Further details are incorporated into the assessment criteria which can be found in Attachment 1 .

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Sites

Proposals are sought for development of four sites as listed in Attachment 2 .

If the Victorian Government determines to proceed, it is anticipated that two or three sites will be offered in the pilot stage of this initiative. It is unlikely that all sites listed would be offered in this round.

All sites are of a suitable size (around 4000 square metres) to develop a 90 place aged care facility over two levels. All have (or will have) appropriate zoning and there is local Council support for the development of aged care facilities on the sites. Where any remediation of the land is required, that will be undertaken prior to transfer to the provider, at the cost of the Victorian Government.

The sites are presently held by a range of government agencies. Prior to any transfer to an aged care provider, the sites would transfer to the Department of Human Services. Details of the sites sufficient for the development of proposals are included in the information pack prepared for each site. If any further questions arise about the sites they should be directed to the Department of Human Services and not to other agencies.

Eventual developers of sites will be responsible for obtaining necessary planning and building approvals from the relevant authorities. At this stage, Councils have indicated that they would prefer not to receive individual inquiries about the use of specific sites.

Nature of proposals

The core objective of this initiative is to increase the supply of high- care (at entry) residential aged care places in inner and middle suburbs. Accordingly, the number of high-care places proposed for a site will be a key selection criterion. However, it is recognised that providers may wish to develop low-care places or other forms of aged care and such proposals will be accepted. Places other than high-care places will not be taken into account in assessing proposals.

Proposals that have been developed beyond concept stage should be submitted, with a business case to support the proposed service configuration. Providers will need to demonstrate their capacity to successfully undertake the development and to successfully operate

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the service. Detailed assessment criteria are included in Attachment 1.

Financial offer

The basis of this initiative is the provision of land at a concessional price to eligible aged care providers to address the failure of the market to deliver new high-care places in inner city areas. Accordingly, it is not expected that providers will offer a full market valuation for the properties. At the same time, the extent to which assistance can be provided by government will be influenced by the cost to government of each individual project.

Providers submitting proposals will be expected to make a financial offer for the land (on a sale or leasehold basis) that will assist in assessment of value-for-money in the provision of a particular number of high-care places.

The information kit for each site includes an estimate of valuation provided by the Victorian Valuer-General's office. Sworn valuations will be made available as soon as they can be finalised.

Other criteria

The selection criteria at Attachment 1 detail other matters that will be taken into account in assessing proposals. Each is aimed at ensuring that best value for money is obtained in pursuing the government's objective of improving access to high-care residential aged care services that meet the needs of older Victorians who are disadvantaged in access.

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Sale or lease conditions

Sale or lease conditions have not been finalised at this time, giving providers the opportunity to propose particular conditions that will either facilitate, or enhance their proposal.

The conditions envisaged to be imposed will be aimed to ensure that the land may only be used for the provision of residential aged care services as discussed in this outline, on an enduring basis. The Victorian Government will impose conditions affecting disposal of the land in the future.

Industry briefing

An industry briefing session was held on 4 November 2005 as advertised on this web site. At the briefing, a number of questions were asked from the floor. The questions and the responses of the Department of Human Services’ representatives are available for download below as Industry briefing questions.

Industry briefing questions (16kb, pdf)

Form of submission

Submissions must be made using the proforma provided,

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Attachment 3 . Additional narrative material will be required and should be attached.

Closing date

Proposals will be received until 5.00 PM on 9 December 2005 and should be addressed:

Per email [email protected]

Land Bank Aged Care Branch Department of Human Services Level 10 555 Collins Street MELBOURNE 3000

Inquiries

Inquiries may be directed to Chris Puckey at [email protected] or on 9616 8466. Answers to any specific questions raised will be promulgated to all potential respondents to the RfP.

Download documents

Attachment 1 - Criteria for request for proposals (43kb, pdf)

Attachment 2 - Sites for which proposals are sought (8kb, pdf)

Attachment 3 - Land Bank Pilot proforma (58kb, MS Word)

Information package - Coburg (279kb, pdf)

Information package - Preston (752kb, pdf)

Additional information - Preston (163kb, pdf)

Information package - Heidelberg (969kb, pdf)

Information package - North Williamstown (494kb, pdf)

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Last updated: 22 November, 2005 This web site is managed and authorised by the Aged Care Branch , Rural & Regional Health & Aged Care Services Division of the Victorian State Government, Department of Human Services , Australia

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http://www.health.vic.gov.au/agedcare/publications/land_bank.htm 29/12/2005 Attachment 1 Aged Care Land Bank Pilot Criteria for Request for Proposals

Part One Qualification as an ‘eligible provider’

In order to be eligible to have a bid considered in this Request for Proposals process, an organisation must:

1. Hold, or demonstrate an ability to obtain licenses (‘Approvals-in Principle’) from the Commonwealth to operate Commonwealth subsidised aged care places, including holding Approved Provider status under the Aged Care Act 1997.

2. Demonstrate recognised ‘not-for-profit’ status for the purposes of taxation.

3. Demonstrate capacity to provide high care (nursing home) level services to socially and financially disadvantaged people.

Part Two Criteria for assessment

Proposals for development of the sites will be assessed against the following criteria, which reflect the Government’s objectives to provide better access to high-care residential care services, particularly for people who are disadvantaged in access to suitable services. Assessment against the criteria will be considered with the financial offer made by the proposing organisation (for purchase or lease) in determining a final assessment.

Essential criteria

1. Number of high-care places proposed to be established1.

2. Demonstrated capacity to raise the necessary capital and to build the required facility within reasonable timeframes.

3. Demonstrated capacity to manage viable and sustainable services within the Commonwealth’s funding framework.

1 New high care places to be established will be most highly valued. ‘Preserved’ high- care places - places that may otherwise be lost to the inner city because of closures of redundant facilities; and ‘converted’ high-care places – where an undertaking is given to use pre-1997 low-care places for high-care at entry when they become available, will also be recognised but valued less highly.

Additional criteria

4. Number and proportion of places proposed for residents from special needs groups2.

5. Number and proportion of places proposed for financially disadvantaged residents.

6. Demonstrated special skills and capacities of the organisation, to meet the needs of people disadvantaged in access to residential care.

7. Special elements of the proposal that would enhance its ability to meet the needs of senior Victorians.

2 Special needs groups need not be limited to those formally established under the Aged Care Act but may include others as proposed by the submitting organisation. Attachment 2 Aged Care Land Bank Pilot Sites for which proposals are sought

Property/Zoning Title Size Holding agency Estimate of value Former Tram Depot: Cnr of Vol 4048/Fol 415. 4275 m2 VicTrack $2.4m St Georges Rd and Miller St Vol 4048/Fol 416. Preston. Zoned for residential use. Former Newlands Plan of Crown Allotment 1.922ha Dept of Education & $5.25m Secondary College Site: CA OP 120190 Training 17 Urquhart St, Coburg. Zoned for residential use. Austin Repatriation Medical Vol 10320 / Fol 123 4000m2 DHS $3.0m Centre: Heidelberg campus. Zoned for public use: health and community North Williamstown Railway Vol 10174/Fol 044 4000m2 VicTrack $2.2 - $3.0m. Station: Power St. Zoned (part) for public use: transport

Aged Care Land Bank Pilot – Industry Information Session

4 November 2004

Questions

Q1: What will the lease terms be, as government land offered as Crown land can have specific conditions. What conditions will be offered?

A: Lease terms will be sufficient to give security to raise capital and make proposal viable. The land will not be offered as Crown Land. If the project proceeds, those parcels that are Crown Land currently will be converted to freehold before transfer to DHS and then offered for sale or lease. A long lease will be available.

Q2: The information suggests a two level development. Is it necessary to have two levels?

A: It is suggested that you will require two levels for a 90-place development on 4000 sqm. although it is not a requisite. We are not interested in building configuration, only interested in the service proposal at this stage. What would be built on the site would be a matter between the developer and the council.

An objective is to maximise the number of places developed. If the successful proposal was to use one level for 90 places, and then at a later stage, the proponent came back to the Government and said that only 60 places could be built on the site or that more land was required for 90 places, then the Government may need to reconsider its position, look at alternatives, including going back to the unsuccessful proposals or to the market again.

Q3: Some of the larger sites are more that 4000 sqm – why aren’t they being offered so we could build on one level?

A: The larger sites have other uses including recreation and health services on or proposed for them. The choice of site size is linked to viability. We think that Government providing subsidised parcels 4000sqm should be sufficient to provide the assistance and incentive necessary to encourage aged care development in these inner-city areas.

Q4 If we are waiting until the May Budget 2006 for the announcement, and proposals are approved, will we be able to proceed for the 2006-07 financial year?

A: Yes, we are looking to move quickly once process approved.

Q5: Some providers already have approved places from the Aged Care Approvals Round. Have there been discussions with Commonwealth about the ACAR?

A: We have met with the Commonwealth over these issues. As the Commonwealth ACAR for this year will be finalised before this RfP, it will not be possible to coordinate the processes. However, if Land Bank proceeds beyond a pilot stage, we would hope that we could achieve a process whereby the ACAR assessment takes account of Land Bank. Both levels of Government have the same imperative - to establish places where they are needed.

Q6: Some sites require work before they will be ready for development. Will this be done in time? For example the Preston site has tramlines leading into it.

A: Yes, the sites would be fit for purpose and ready for development when handed over.

Q7: What is meant by significant incentive? What would that be – half the commercial rate? Quarter commercial rate?

A: We believe that the best way for Government to determine the subsidy needed to influence the establishment of aged care in this way is to put that question to the market of eligible providers. We will not give a view on what we think is reasonable. The most reasonable thing for the Government to do is request a sound business case and for the proposer to do the economic assessment – at what cost would the land have to be for it to be a viable proposal for you?

Q8: I understand the reasoning for two levels in the proposal. Will the Government consider proposals for more than 4000 sqm?

A: You could put in a proposal for more than 4000 sqm, but it will be assessed against the criteria, which is premised on 4000sqm being made available.

Q9: Could you put a request for additional land, even at commercial rate?

A: Some additional land may be available from the agencies that are disposing of the land. However, the assessment of proposals will be undertaken on basis of the 4000sqm. offered. Any additional proposals will not advantage the proposal in the process.

Q10: When planning a new development, we normally plan to build in flexibility to deal with changed needs in 20 years time. That is leading developers to seek sites well in excess of 4000 sqm. What flexibility will there be for future development?

A: Land is a scarce resource. This pilot is based on an assessment of what is required to facilitate the development of aged care now. The cost to Government of each pilot project will affect the numbers of projects that can be proceeded with.

Q11: There are four sites listed, but only 2 or 3 will be piloted?

A: The Government has not determined to proceed with the pilot. If the pilot proceeds, it will be with limited resources, starting with 2 or 3 pilots, acknowledging that not all sites will pass to providers in this tranche.

Q12: If a cost neutral proposal was proposed: without money required from the Government budget process, would it be able to proceed earlier than May 2006?

A: That is unlikely. We have asked for proposals within a Budget context and on the basis that we will subsidise the cost of land. The land has been withdrawn from the market for this specific purpose.

Q13: If an offer of full market value was made, could it proceed, assuming assessment criteria is met?

A: That would effectively pre-empt the process of Budget consideration so is therefore highly unlikely.

Q14: Is the price of land listed in the information pack, for example $2.9 million for the size of 4,000 sqm.

A: The estimate for the Coburg site of 1.922ha is of $5.25m. The value of the 4000 sqm. parcel to be excised would be proportional to that value but would vary depending on the characteristics of the particular parcel that is agreed. The values for the other sites are for the sizes of land parcels shown in the table.

Questions asked subsequent to the industry briefing

Q15: Is there a preference for newly allocated places over ‘preserved’ high-care places and ‘converted’ high-care places? A: Yes there is as the primary objective of the pilot is to facilitate development of new and additional places in the inner city. However, ‘preserved’ and ‘converted’ places will be taken into account in assessment. It is recognised that, as the ACAR for the current round has closed, that it will be unlikely that there are many new places available for this RfP.

Q16: Is there a view on the inclusion of Extra Service places in proposals for the Land Bank pilot.

A: As part of A Fairer Victoria, the Land Bank pilot is concerned to address disadvantage. Our understanding is that the market for extra-service places is being met and that the economics of that part of the sector allow developers to purchase land at market prices. Accordingly, it would not be appropriate for Government to subsidise land for the provision of extra service places.

Aged Care Branch Department of Human Services Attachment 3

Aged Care Land Bank Pilot

Proposal Schedule

Site for proposal

Proposer Details

Full Legal Name Trading Name RACS ID number (Commonwealth) Entity Status (eg: Company etc) Australian Companies Number (ACN) Registration for GST Yes: No:

Australian Business Number (ABN) Postal Address Street Address Contact Person Position/Title Telephone No Facsimile No E-mail address Range of services currently delivered Years of operation in this capacity

[Repeat Table as Required]

Proposal 1 Overview Describe in an attachment your proposal for the development of Commonwealth funded aged care places on the site, detailing particularly: • Number of new high-care at entry places, • Number of ‘preserved’ high-care places, • Number of ‘converted’ high-care places, • Other aged care proposed for the site. Aged Care Branch Department of Human Services Attachment 3

Detail also how your proposal will meet the objectives of providing improved access for high-care aged care services to people disadvantaged in access to necessary high care. Please structure this information against each of the evaluation criteria for this project, as follows: Eligibility Criteria 1. Ability to obtain licenses (‘Approvals-in Principle’) from the Commonwealth to operate Commonwealth subsidised aged care places, including holding Approved Provider status under the Aged Care Act 1997 . 2. Recognised ‘not-for-profit’ status for the purposes of taxation. 3. Demonstrated capacity to provide high care (nursing home) level services to socially and financially disadvantaged people. Evaluation Criteria 4. Number of high-care places proposed to be established 1. 5. Demonstrated capacity to raise the necessary capital and to build the required facility within reasonable timeframes. 6. Demonstrated capacity to manage viable and sustainable services within the Commonwealth’s funding framework. 7. Number and proportion of places proposed for residents from special needs groups 2. 8. Number and proportion of places proposed for financially disadvantaged residents. 9. Demonstrated special skills and capacities of the organisation, to meet the needs of people disadvantaged in access to residential care. 10. Special elements of the proposal that would enhance its ability to meet the aged care objectives of the Victorian Government. Financial offer for site

Price for Sale OR Price for Lease $ $ per annum.

Note: Terms of sale should be assumed to be cash 30 days after agreement. The lease price should be the offer for year one of the lease agreement. The lease price would vary each year in relation to the standard indexation factor adopted by the Victorian Government.

1 New high care places to be established will be most highly valued. ‘Preserved’ high-care places - places that may otherwise be lost to the inner city because of closures of redundant facilities; and ‘converted’ high-care places – where an undertaking is given to use pre-1997 low-care places for high-care at entry when they become available, will also be recognised but valued less highly.

2 Special needs groups need not be limited to those formally established under the Aged Care Act but may include others as proposed by the submitting organisation. Aged Care Branch Department of Human Services Attachment 3

Acceptance Of Terms & Conditions

IMPORTANT: An authorised officer of the proposing provider must signify acceptance of the general terms and conditions of this request for proposals.

If the response is submitted by post, the authorised officer’s signature as indicated in this part, and submission of a proposal in response to the request for proposals, signifies acceptance of all terms and conditions.

If the bid is submitted by e-mail, you must type the words "I ACCEPT" in the signature space to signify your acceptance of all terms and conditions.

Acceptance of Conditions & Endorsement

Signature of Authorised Officer Name of Authorised Officer Title/Office Held Date

Aged Care Land Bank Pilot Former Newlands Secondary College Site

October 2005

Information re: Part Former Newlands Secondary College Site CA 17 Urquhart Street Coburg Melway Reference: 17 K11

Purpose

This document is provided to assist potential proponents who may wish to submit a proposal to develop residential aged care in the proposed Aged Care Land Bank Pilot. The document is based on known information at 20 October 2005. If the Aged Care Land Bank Pilot proceeds, a more comprehensive analysis of the site will be carried out, and that information will be made available to a successful proponent.

The Site

The proposed site is part of the former Newlands Secondary College site, close to the north side of Bell Street and immediately adjacent to the former Pentridge Prison. It is identified as Crown Allotment 17, County of Bourke, Parish of Jika Jika, Township of Coburg. The site is part of the wider Coburg Precinct, which is subject to master planning by the Moreland Council under the Coburg 2020 Strategy. A location map is provided at Attachment 1.

If the Aged Care Land Bank Pilot is to proceed, a suitable parcel of 4000 square metres would be excised from the current Crown Allotment, and a separate title would be created. The exact location of boundaries will be determined as part of that process, and in consultation with the Department of Education and Training and Moreland Council.

Properties to the north and east of the site comprise newly erected housing forming part of the residential redevelopment of the former Pentridge Prison site. The former Moreland College site, which is now to be redeveloped by the Department of Education and Training as Coburg Senior Secondary College, adjoins to the south, while Merri Creek and associated parklands are nearby to the east.

The Coburg commercial precinct is nearby to the west, in Sydney Road. The area is well served by community and recreation facilities, with good public transport and road linkages.

The land is level, and contains sporting facilities which were used by the former Newlands Secondary College.

Encumbrances/Restrictions: The land is fully affected by an Environmental Audit Overlay (EAO) and an Environmental Significance Overlay (ESO1). If works are required resulting from the nature of future development of the site, the Victorian Government will remediate the site before it is made available under the proposed pilot program.

Department of Human Services The south east corner of the site is subject to a drainage easement, and subject to a Special Building Overlay (SBO).

Zoning: The site is zoned for residential use. The relevant extract from the Moreland Planning Scheme is provided at Attachment 2.

Dimensions/Area: The site is a triangular allotment, having a frontage of 25.66 meters to the former roadway, depth of 235.76 metres on the southern boundary and 187.49 metres on the northern boundary together with a rear boundary measurement of 174.28 metres. The site area is 1.922 hectares. Of that total area, only 4000 square metres may be made available for the Aged Care Land Bank Pilot. A Photograph of the site is provided at Attachment 3.

Services: It is assumed all urban services are reasonably available for connection. The site currently has road access, however alternative access arrangements may be negotiated between Department of Human Services and either the Department of Education and Training or the Pentridge Village.

Local Authority Requirements

Moreland Council has identified a need for residential aged care, and supports the principles of the Victorian Government’s proposed Aged Care Land Bank Pilot. Council believes residential aged care may be a suitable use for the site, and would, at the appropriate time, welcome a planning application from any not-for-profit aged care provider who may be successful under the pilot program. Council is undertaking a master plan for the Coburg Precinct, and any eventual proposal will be required to comply with Council requirements.

Contact

For further information, please contact Mr Gary Pund, Capital Management Branch: 03 9616 2061.

Attachments

1 Cadastral Map of site 2 Relevant section of Moreland Planning Scheme 3 Photograph of the site

Department of Human Services

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Aged Care Land Bank Pilot Heidelberg Repatriation Hospital site

October 2005

Information re: part of Austin Health: Heidelberg Repatriation Hospital 300 Waterdale Road, Heidelberg Melway Reference: 31 3F and 3G

Purpose

The Site

The proposed site is part of the Heidelberg Repatriation Hospital, which is one campus of Austin Health. Department of Human Services is about to undertake a master plan for part of the site, which is bounded by:

• Bell Street to the north • Waterdale Road to the west • Edwin Street to the east • An internal boundary to the south, roughly in line with O’Keefe Street

As part of the master planning process, a sufficient portion of this land will be identified for aged care purposes. It is expected this process will be complete by May 2006. If the Aged Care Land Bank Pilot is to proceed, arrangements for the sale or lease of a suitable site will be agreed. The exact location of boundaries will be determined as part of that process, although the site is likely to face either Waterdale Road or an internal road.

The site is located close to public transport, with Heidelberg Railway Station to the east and bus services along Bell Street. Local shopping is available in the Heidelberg Mall, to the west along Bell Street.

Surrounding development is largely residential, with some educational and Council facilities located along major roads. The main acute hospital campus of Austin Health lies to the east along Bell Street.

The land is level, and has locally significant trees along Waterdale Road. Some older buildings are located across the site. Past use of the site may raise concern with respect to potential

Department of Human Services contamination. The Victorian Government proposes to identify and remediate any contamination and to remove any buildings before the site may be made available under the proposed pilot program. An aerial photograph of the site is included at Attachment 1, showing in red the area within which land may be made available. A map of the entire Heidelberg Repatriation Hospital site is provided at Attachment 2.

Encumbrances/Restrictions: No encumbrances or restrictions are known.

Zoning: The site is zoned for Public Use: health and community. If the pilot proceeds, the Victorian Government will seek to address zoning issues with the Relevant Authority. An extract from the Banyule Planning Scheme is provided at Attachment 2.

Dimensions/Area: Currently, no specific site has been identified. The final location of boundaries will be determined during the completion of any successful proposal under the pilot program, and a total of 4000 square metres will be made available to a successful proponent.

Services: It is assumed all urban services are reasonably available for connection.

Local Authority Requirements

Banyule Council has identified a need for residential aged care, and supports the principles of the Victorian Government’s proposed Aged Care Land Bank Pilot. Council has completed a draft Structure Plan for the Heidelberg Precinct, which is likely to require any developments along Waterdale Road to preserve the existing trees. These issues will be taken into account during the identification of a suitable parcel of land.

Council would, at the appropriate time, welcome a planning application from any not-for-profit aged care provider who may be successful under the pilot program.

Contact

For further information, please contact Mr Gary Pund, Capital Management Branch: 03 9616 2061.

Attachments

1 Aerial photograph of the site 2 Map of the Heidelberg Repatriation Hospital site 3 Relevant sections of the Banyule Planning Scheme

Department of Human Services O'Keefe Street

Waterdale Road Banksia Street Bell Street

Edwin Street Heidelberg Repatriation Hospital Map Index

Grid Grid Department / Feature Building Name / Number Reference Department / Feature Building Name / Number Reference

Acacia Function Room 144 D9 Neurology & E.M.G. 33 H7 Acute Psychiatry Flanders Wing E9 Neuroscience Building 3 D13 Allied Health Treatment Centre Flanders Wing F9 Next of Kin Accomodation 84, 85, 86 C4 Archives 42, 43, 44 G5 North East Valley Division of General Practice 6 F10 Asset Services 133A, 139, 143 B10 North Wing 6 F10 Australian Centre For Postraumatic Northern C.A.S.A. 26 H11 Mental Health South Wing E12 Nuclear Medicine South Wing E12

Banksia House 5 G14 Occupational Therapy Centaur Wing E12 Boiler House 56 C11 Older Veterans Psychiatry Program Bunjil House Flanders Wing E9 Centaur Wing D12 Outpatients Tobruk Centre I12 Centaur Wing 1 E12 Central Store 71 C9 Palliative Care Unit Flanders Wing E9 Chapels 28 I9 Patient Appliance Centre 34 G8 Chaplains 27 H9 Pharmacy Centaur Wing E12 Community Rehabilitation Centre 22 D6 Physiotherapy Flanders Wing F9 Post Graduate Child Psychiatry 36 H6 Darley House Centaur Wing E12 Post Office 31 F11 Day Care Unit Centaur Wing E12 Dialysis Training Unit Centaur Wing F12 Radiation Oncology Centre 149 H10 Radiology Centaur Wing E12 ECG Centaur Wing D12 Recycling & Waste Management 138 B12 Emergency Generators 59 C11 Red Cross Centre 129 D5 Rehabilitation Work Group 9E F8 Flanders Wing 7 E9 Remembrance Garden E11 Repatriation Dialysis Unit 9W E8 Gallipoli Gardens E10 Rotunda 150 E10 Garden Supervisor 46 G6 Gatehouse - Banksia St 30 F14 Security 16 A11 Social Work Tobruk Centre I11 Health Information Services 103 G10 Speech Pathology Tobruk Centre I11 Health Sciences Library Centaur Wing E12 Supply Services 74 B8 Human Resources 10W E8 Tobruk Centre 2 I12 Information Technology Tobruk Centre I12 University of Melbourne Dept. of Medicine 24 C7 Kiosk 31 F11 Kitchen 140 D10 Veterans Liaison North Wing E10 Kokoda Gymnasium 81 C5 Veterans Psychiatry Unit 22, 23, 129A B7, C7, D7

Learning & Organizational Development 3 D14 Ward 6 Centaur Wing E12 LTU/Nursing Clinical School 10E F8 Ward 8 Centaur Wing E12 Lymphodema Clinic Centaur Wing E12 Ward 11, 12 Flanders Wing E9 Ward 17, 18 23 C7 Medical Engineering & Physics 32 I8 Wound Foundation of Australia 48 H4 Mother & Baby Unit Banksia House G14 Heidelberg Repatriation Hospital

A BCD EFG H I J

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3 RD 3 Next of Kin 88 Accomodation P Bell St car park (east) NorthernNorthern Lawn enter via gate 8 in Waterdale Rd. N

84 85 ST FEE PAYABLE 86 W E 4 BowlingBowling Wound 4

Green Foundation ST RD RD OUTER RD Archives 48 S 42 43 129 S ST 49 Kokoda Gymnasium Red Cross 5 Centre Sir William Hall Hostel 5 81 47 WALK WALK

44 45 46 Uni. Latrobe - Kew : 547 Route Bus 23 AshAsh Grove

6 OUTER 6 36 Community P Rehabilitation Wards Centre St. John’s car park Veterans 17 & 18 22 Melbourne THIRD WALK FEE PAYABLE Psychiatry 129A

OUTER Unit 24 23 THIRD WALK 7 125 7

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University of University Human LTU/Nursing

WATTLE 10W Resources Clinical School10E 34 33 us Route 548 : Kew - Latrobe Uni. Latrobe - Kew : 548 Route us

SECOND WALK SECOND WALK B 32 Medical Gate 5 8 35 Engineering 8 74 P & Physics Supply car park ENTRANCE Repat Rehab to Bell St carparks WEST FEE 9W Dialysis Unit Work Group 9E Gate 8 PAYABLE 27 Chaplains RD 133A 28 71A Acacia Flanders Chapels 9 7 9 Room Wing BORONIA 143 FIRST WALK Asset 71 Central Store Services 144 WetlandsWetlands 150 GallipoliGallipoli Radiation Gardens Health Oncology 139 Information Centre 10 103 Services EAST 8 10 Kitchen 140 149 6 North Wing OUTER CENTRE S MAIN IN ACACIA ST Gate 4 ENTRANCE 16 Gate 9 59 Security 57 RemembranceRemembrance 31 Kiosk & P.O. 11 58 26 11 Garden Northern

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ST RD R1Z RD in accordance with the provisions of the Copyright Act.  State of Victoria. Maps (if applicable) as indicated on the INDEX TO MAPS. ST

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This publication is copyright. No part may be reproduced by any process except This map should be read in conjunction with additional Planning Overlay ST RD 4 in accordance with the provisions of the Copyright Act.  State of Victoria. Maps (if applicable) as indicated on the INDEX TO MAPS. ST GV

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ZONES MAP No 15 Aged Care Land Bank Pilot Former Preston Tram Depot

October 2005

Information re: Former Tram Depot Corner of St Georges Road and Miller St Preston Melway Reference: 30 E3

Purpose

The Site

The subject property includes two contiguous title holdings:

• Lot 1 on title plan 691945R (formerly known as part of Portion 139 at South Preston, Parish of Jika Jika) being the land in certificate of title Volume 04048 Folio 415 • Lot 1 on title plan 684730E (formerly known as part of Portion 139 at South Preston, Parish of Jika Jika) being the land in certificate of title Volume 04048 Folio 416

The site enjoys a prominent and highly visible location to the north west corner of busy St Georges Road and Miller Street, in the northern suburb of Preston approximately eight kilometres from the Melbourne Central Business District. Surrounding development comprises mainly older and well established housing in the suburbs of Preston and Thornbury. A large parcel of land (zoned for Public Use: transport) opposite to the north east corner of Miller Street and St Georges Road is used as a tram storage and workshop.

The land is level, and contains existing older style brick and metal clad buildings that were utilised for tram depot purposes. Past use of the site raises concern with respect to potential contamination. The Victorian Government proposes to identify and remediate any contamination and to remove any buildings before the site may be made available under the proposed pilot program. Photographs of the site are included at Attachment 3.

The area is well served by public transport including trams in both Miller Street and St Georges Road, readily accessible train and nearby bus services. Local shopping is nearby to the east at Miller Street and Gilbert Road, while the Preston commercial centre, incorporating Preston Market complex, is nearby to the east.

Encumbrances/Restrictions: Title refers to rights of carriageway understood to be St Georges Road. Attachment 1 shows title details.

Department of Human Services Zoning: Residential 1 under the provisions of the Darebin Planning Scheme. The site is fully affected by a Development Contribution Plan Overlay (DCPO1). The Darebin Planning Scheme is at Attachment 2.

Dimensions/Area: The subject allotment, excluding the carriageway land (St Georges Road), is a regular shaped parcel of land located to the north west corner of Miller Street and St Georges Road. The site has a frontage of 45.72 metres to the north side of Miller Street and depth of 100.58 metres to the west side of St Georges Road. The area is approximately 4,600 square metres (exclusive of carriageway).

Services: It is assumed all urban services are reasonably available for connection. Surfaces are as follows:

• road surface: bitumen • kerb and channel: concrete • footpath: concrete

Local Authority Requirements

Darebin Council has identified a need for residential aged care, and supports the principles of the Victorian Government’s proposed Aged Care Land Bank Pilot. Council believes residential aged care may be a suitable use for the site, and would, at the appropriate time, welcome a planning application from any not-for-profit aged care provider who may be successful under the pilot program. Council has provided a summary of their likely requirements for any aged care proposal on the site (Attachment 4), and an analysis of aged care needs within the Municipality (provided separately).

Contact

For further information, please contact Mr Gary Pund, Capital Management Branch: 03 9616 2061.

Attachments

1 Maps showing location of the titles 2 Relevant section of Darebin Planning Scheme 3 Photographs of the site 4 Darebin Council requirements

Department of Human Services

Z B RONA C R1

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HELEN WESTOURNE This publication is copyright. No part may be reproduced by any process except This map should be read in conjunction with additional Planning Overlay NORTHCOTE HIGH SCHOOL in accordance with the provisions of the Copyright Act.  State of Victoria. Maps (if applicable) as indicated on the INDEX TO MAPS. ST RD B1Z

LA INDEX TO ADJOINING GR WESTOU ABERDEEN R ST.JOSEPHS PUZ2 METRIC SERIES MAP GR RDZ2 Road Zone Category 2 PPRZ R.C. SCHOOL Business 100 0 100 200 300 GR 400 500 m ST B1Z Business 1 Zone Residential PUZ6 Scale: 1:4,998 1 234 Industrial MUZ Mixed Use Zone City Mc INTOSH AUSTRALIAN MAP GRID ZONE 55 JAMES IN3Z Industrial 3 Zone R1Z Residential 1 Zone SEE MORELAND PLANNING SCHEME Merri EUNSON GORDON 567 89 Public Land Special Purpose AV PUZ4 of ST PPRZ Public Park And Recreation Zone UFZ Urban Floodway Zone GR 10 11 PUZ2 Public Use Zone Education UFZ RDZ1 12 PUZ1 Public Use Zone Service And R1Z IN3Z Utility CLARKE 13R1Z 14 15 Amendment C59 ST

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ZONES MAP No 13

Planning Information for Former Tram Depot (Miller Street, Preston) Site Development

1 Former Tram Depot, Miller Street Preston

This site is currently zoned Residential 1 zone under the Darebin Planning Scheme, with an Environmental Audit Overlay and Development Contributions Plan Overlay also applying to the site.

Adjoining the site to the east is St Georges Road, which is a Vic Roads road and zoned Road Zone Category 1 under the Planning Scheme. Any vehicular access to St Georges Road will require the consent of Vic Roads. Miller Street is zoned Road Zone Category 2 under the Planning Scheme.

2 Prior to development of the site for a sensitive use, such as aged care housing, a Certificate or Statement of Environmental Audit will be required, in accordance with the provisions of the Environmental Audit Overlay.

It is considered that the site is suitable for a two storey building, however any proposal should consider the following issues:

o Adjoining the site to the west are residential properties, which are included in a Heritage Overlay. Any design will need to consider the amenity of those properties as well as any impacts on the heritage significance of those sites. The City of Darebin employs a Heritage Advisor who could provide assistance if required. o Any design will need to take into account the amenity of its residents, particularly from noise from St Georges Road, Miller Street and the tram line.

Apart from the specific points raised above, it is City of Darebin policy that: • The layout of buildings and the design of outdoor areas meet the health and well being needs of residents. • Older Persons Residential Accommodation: ! provides a range of accommodation options, including adaptable spaces to accommodate couples. ! provides private entertainment spaces and communal activity areas within the facility and is designed to minimise house and garden maintenance requirements. • Provides adequate car parking to meet the likely needs of residents, staff and visitors.

For further information regarding development of this site please contact:

Mr Paul Dickie Manager Urban Development Phone: 8470 8481

For further information about the status of Residential Aged Care in Darebin please contact:

Ms. Paula Weekley Coordinator Service Planning and Policy Aged and Disability Services Phone: 8470 8469

3 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

Status of Aged Residential and Packaged Care Services in Darebin

September 2005 includes Summary of Survey of Residential Aged Care and Packaged Services conducted in December 2004

1 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

SUMMARY

Since 2001, Darebin City Council has carried out an annual survey of aged residential and packaged care services. This survey aims to identify existing levels of service provision, identify the factors and issues driving local residential aged care planning, and monitor these service trends and issues over time.

There are 24 residential aged care facilities in Darebin. 7 of these are not-for-profit, while 17 are private. 9 facilities offer a mix of concession and full-paying beds.

Residential aged and packaged care services are funded at both the Federal and State levels. At the Federal level, a national funding formula provides funding for 108 people for every 1,000 over the age of 70. This includes residential high and low care, and community aged care packages to assist people to live independently. In addition, there are Extended Care at Home (EACH) packages provided at the Federal level. Support is further enhanced by Supported Residential Services and Linkages programs at the State level.

Since 2001, there has been a steady increase in the number of high and low care places funded in Darebin and this has reduced waiting lists for services. In particular, low care places have increased from 470 in 2001 to the current 631 places provided. This has reduced the shortfall of places from 277 to 96 low care places that should be allocated to Darebin when applying the national funding formula.

For the first time, the 2004 survey of residential and packaged care services reported vacancies amongst services. Services have indicated that these vacancies are for both concession and non-concession beds. In conjunction with the emergence of vacancies, this year’s survey continued the recent drop in the number of people on waiting lists for both high and low care from 804 in 2001 to 242 in 2004. While vacancies have been reported, there are still waiting lists for both high and low care and a surplus of high care beds when applying the national funding formula. It is unclear why this unmet demand is evident.

Community Aged Care Packages (CACPs) provide a way to support people who would traditionally be allocated low care places to remain independent in the community by providing funding for additional community-based services. However, while the funding formula determines the number of places allocated to each local government area, allocation of packages is provided on a regional basis. As a result, it is difficult to determine how many CACPs are provided to Darebin residents. This has become less transparent in the past year, where 303 CACPs are allocated to Darebin residents and services were able to confirm only 98 as being provided to Darebin residents in 2004.

Respite places are coming under increased pressure, with many facilities no longer providing overnight respite. There was a total of 6 respite beds provided during 2004, 2 of which were available temporarily while the services had low care vacancies. This is a reduction of 13 overnight respite beds since 2002.

Darebin’s population indicates specific pressures that are expected to drive demand for future aged care services. The ageing of Darebin’s population, the high prevalence of mental illness, Darebin’s low socio-economic advantage and the highly diverse nature of the ageing population are factors for consideration in planning and provision of residential and packaged care services.

In addition, the 2004 survey found 32 people under the age of 65 living in residential aged care.

2 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

The growth of local places in the future is dependent on the capacity of facilities to expand and for new facility developments to be built locally. This would allow ageing in the local community so that carers, friends and family can continue visiting loved ones in local, accessible residential aged care facilities. It is difficult to gauge the capacity of local residential aged care services to expand. In addition, it is believed that 60 beds is the minimum possible for facilities to remain financially viable. 15 facilities (62.5% of residential aged care providers) in Darebin have indicated that they have less than 60 beds. This means that many small providers are, or will be, seeking to expand their operations or are at risk of closure in the future. The availability of affordable land for residential aged care facility development is the primary driver that impacts on future potential for residential aged care services.

There are 5 permit applications in Darebin at the moment, however, the building status of 3 of these (totalling 121 beds) is unclear at this stage. 155 new beds, a combination of both high and low care places, have recently been finished being built. A building plan which would result in a further 19 beds is currently pending permit application approval within Council.

3 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

1 . Introduction

This document is an annual update about aged residential and packaged care services provided to Darebin residents by the:

Residential Aged Care Sector, i.e., Nursing Homes, Hostels and Supported Residential Services. Packaged Care Sector, i.e., Extended Aged Care at Home Program (EACH), Community Aged Care Packages (CACP) and Linkages Programs. These programs complement the residential aged care system by supporting people who are at risk of residential aged care placement to remain in their home for as long as possible.

1.1 Policy Context

Residential Aged and Packaged Care Services form part of a service system that responds to the needs of older people, but there is a also a wider policy context in which residential aged care facilities and packages operate, with a number of state and federal reform processes currently being implemented. These policy changes have the potential to impact on the provision of residential aged care in Darebin and on the subsequent opportunities for Darebin residents to maintain their independence in the community.

1.1.1 Drivers of local demand There are many drivers of local demand for residential aged and packaged care services, including: • The ageing of the Darebin population from an estimated 5,911 people aged over 80 years in 2006 to an estimated 6,798 people in 2011 (Department of Sustainability and Environment) • Darebin’s high level of socio-economic disadvantage (Darebin Community Health and Safety Profiles 2004) • The high prevalence of residents with mental illness (Darebin Municipal Public Health Plan 2001) • The highly diverse nature of the local population, with a third of residents speaking a language other than English in the home and Melbourne’s highest metropolitan Aboriginal and Torres Strait Islander population (2001 Census of Population and Housing: City of Darebin).

It is critical that the funding of residential and packaged care places remain a priority given that the proportion of Darebin’s resident population aged 85+ is expected to increase to 1.9% of the population (or 2,498 people) by 2006. The population projections from the Department of Sustainability and Environment (DSE) indicate that the proportion of the population aged 80+ years of age will increase significantly between 2001 – 2011:

2001 3.9% or 4,985 people 2006 4.6% or 5,911 people

2011 5.2% or 6,798 people.

Darebin’s high level of socio-economic disadvantage also places specific pressures on the demand for residential aged and packaged care. The Australian Bureau of Statistics Index of Socio-Economic Disadvantage ranks Darebin as the 6th most disadvantaged local government area of 32 in metropolitan Melbourne. This indicates a population with low levels of income and low savings levels which impact on available resources for residents over the age of 65 needing to ensure appropriate care.

Darebin has a high burden of disease for mental illness, with Darebin having the highest rates for mental illness in the Northern region for women, and the second highest for men (Darebin Community Health and Safety Profiles 2004). As residents age, there will be a transition of responsibilities and support from a specialised sector to the

4 Darebin Aged Residential and Packaged Care Services Sept 2005 Update aged care sector at 65 years of age. The capacity of the aged care sector to plan and deliver services to address the complexity of needs amongst people with mental illness is unclear.

Darebin also has the highest metropolitan population of Aboriginal and Torres Strait Islanders (ATSI) in Melbourne. Mortality rates for indigenous residents are as low as those faced in regional and remote communities, with indigenous life expectancy some 20 years younger than the rest of the community (Darebin Community Health and Safety Profiles 2004). Community care packages provide an appropriate response to meeting complex needs of Aboriginal and Torres Strait Islander residents from the around the age of 40. ATSI services have noted that eligibility criteria for service delivery needs to recognise that amongst this population, signs of ageing illnesses can be evident from as young as 35. There are also a range of culturally specific service needs, such as spiritual healing respite that is encouraged for this target group.

Darebin has a richly diverse community with 41.4% of households speaking a language other than English in the home. Many of these residents have a strong connection to the local community in which they live and will seek to maintain living in this local community. The make-up of the Darebin community in part reflects the wave of immigration over the years. Thus, as residents age over the years, culturally responsive service will also impact on demand for residential aged and packaged care services. The local Greek community is one example. Greek- speaking residents over the age of 70 years in 2001 totalled 1,053 people. However, at that time there were 1,907 Greek-speaking residents aged 60 -69 (2001 Enumerated population: Darebin City Council data). This could significantly impact on the demand for local services that are culturally responsive to this ageing population. Other non-English speaking ageing populations in Darebin include Italian, Macedonian, Arabic and Lebanese, Chinese, and Vietnamese.

1.1.2 Commonwealth Accreditation Process and Timeline

All providers of residential aged care must meet building standards and accreditation by 2008.

1.1.3 Victoria: Melbourne 2030

Direction 6 (A Fairer City) under Melbourne 2030 provides an opportunity for the appropriate allocation of land to meet the needs of the ageing population of Darebin. Under this Direction in the policy, one specific objective has been identified with relevance to allocation of land and long-term planning for residential aged care in Victoria, including in inner metropolitan areas of Melbourne:

6.1.7 Change the policy that governs the disposal of government land and buildings to reflect the best use rather than the highest price achievable, and base the policy on new socially responsible criteria.

1.1.4 Victoria: A Fairer Victoria

The Victorian Government has documented a commitment to supporting older Victorians to remain independent in the community. This is a particularly important issue in a city as diverse as Darebin, where older people from culturally and linguistically diverse backgrounds are more likely to seek independent care in the home and to delay accessing residential aged care until there is no support available, resulting in attempts to access care whilst in crisis. Policies such as Improving care for older people: A policy for health services affirms the importance of supporting older people to maintain independent living. This approach is further consolidated in A Fairer Victoria’s Strategy 4 aimed at “Helping Older Victorians Stay Independent”:

4.3 Assist not-for-profit aged care operators to develop new services in areas of high need. As Victoria’s population ages, there is growing demand for new residential services for older Victorians. Not-for-profit providers face increasing difficulties in establishing new services, especially in inner and middle metropolitan areas where

5 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

securing affordable land is a major hurdle. We will examine options to promote access to residential aged care services, including the leasing of existing holdings of publicly owned land by not-for-profit providers.

Darebin City Council has identified three parcels of land that have potential for not-for-profit residential aged care providers:

• Larundel Hospital site, Lancaster Gate Estate

• Former Tram Depot, Miller Street, Preston

• Former Thornbury Secondary College site, Sparks Avenue, Thornbury.

Council will continue to work with the State Government to pursue opportunities for not-for-profit providers to secure land for expansion and development.

1.2 Definitions

1.2.1 Nursing Homes and Hostels

Nursing Homes and Hostels are subsidised by the Commonwealth Department of Health and Aged Care. These residential aged care facilities are operated under the Aged Care Act 1997. They are licensed and controlled through accreditation and certification programs in relation to the number of places provided, levels of subsidy, standards of the facility, staffing requirements and standards of care. Regional Aged Care Assessment Services determine eligibility to these facilities.

Nursing Homes are high-level care residential facilities for residents requiring nursing care and support.

Hostels are low-level care residential facilities for residents requiring various levels of assistance with daily living skills and personal care.

The Commonwealth Government funds residential aged care places/beds based on the following formula: 40 high level care places (Nursing Home) and 48 low level care places (Hostel) per 1,000 people aged 70 yrs and over in each Statistical Local Area (SLA) of each Local Government Area (LGA).

Funding for residential aged care places/beds is a tiered system depending on the level of care required for each resident.

Concession beds equate to pension-only cost for the bed. Most facilities are required to have a proportion of concession beds and in Darebin the highest demand is for these beds.

The Commonwealth Government does not release information on funded places that are non-operational, thus the data in this survey report is based on operational places only, as stated by local providers as at December 2004.

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1.2.2 Supported Residential Services

Supported Residential Services are registered with the State Department of Human Services and regulated in relation to standards of care, facility standards and staffing requirements. They are monitored and assessed by the Department. However, there is currently no Accreditation Program. Supported Residential Services are defined as ‘premises where accommodation and special or personal care are provided or offered for persons (other than members of the family of the proprietor of the premises) for free or reward’. These premises do not receive Commonwealth or State funding and do not include hostels. There is no external assessment required to live in these facilities.

1.2.3 Community Aged Care Packages (CACP)

Community Aged Care Packages are a Commonwealth funded program operated under the Aged Care Act 1997. The Commonwealth Government defines the purpose of a Community Aged Care Package under the Program Guidelines as follows:

‘A Community Care Package is a planned and coordinated package of community care services to assist a person who requires management of services because of their complex care needs. A Community Care Package is targeted at frail older people living in the community. These people would otherwise be eligible for at least low residential aged care’.

The Commonwealth Government funds Community Aged Care Packages based on the following formula: 20 Community Aged Care Packages per 1,000 people aged 70 years and over in each Statistical Local Area (SLA) of each Local Government Area (LGA).

Funding for Community Aged Care Packages is $32.04 per client per day.

1.2.4 Extended Care at Home Program (EACH)

The Extended Care at Home (EACH) program is intended to provide the equivalent of residential high level care (Nursing Home care), in the home. It was introduced through a pilot program in 2002 and became a mainstream program in the 2003 round of Commonwealth funding. Organisations were able to apply for packages under this program as an exchange of care type only i.e. converting a residential high care bed to a package. Now there is also the allocation of new EACH packages rather than just conversions.

1.2.5 Linkages

The Linkages program is funded by, and complements the Home and Community Care (HACC) service system. The program comprises case management and the ability to purchase support services for clients and funding is approximately $11,810.39 per client.

The aim of the Linkages program is to support individuals with complex care needs to live independently in the community by providing tailored packages of care. The Linkages program is targeted at frail older people and people with a disability living in the community who would otherwise be eligible for high level residential aged care.

1.2.6 Acronyms

The following acronyms are used in the document:

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LGA – Local Government Area HACC – Home and Community Care EACH – Extended Care at Home Program

CACP – Community Aged Care Package SLA – refers to a statistical local area used by the Australian Bureau of Statistics.

8 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

2. Current Status and Future Projections of residential aged and packaged care places in Darebin

There are 24 residential facilities in Darebin. 7 of the facilities are managed by not-for-profit bodies, while 17 are private.

Table 2. 1 – Comparison of Commonwealth formula and operational places

Formula versus Waiting List Operational (minimum Formula Operational Surplus (Deficit) estimates) Nursing Home- High Care 606 624 18 126 Hostel-Low Care 726 631 (96) 116 Community Aged Care Packages 303 Not known Not known Not known

Darebin’s calculated number of residential aged care places and community aged care packages is based on the following figures:

Darebin’s estimated population in 2004 was 128,290 according to Victoria Future 2004, published by the Department of Sustainability and Environment (DSE).

Darebin’s population of residents aged 70+ is approximately 11.8% of the population, based on DSE projections of 11.6% of the population in 2001 and 12% of the population in 2006.

128,290 x 11.8% = 15,138 with 108 places provided per 1,000 people aged over 70 years.

This translates to 1,635 places and packages in total, including:

606 places to be provided (40 per 1,000 over 70 years) for nursing home – high care

726 places to be provided (48 per 1,000 over 70- years) for hostel – low care

303 places to be provided (20 per 1,000 over 70 years) for Community Aged Care Packages.

Table 2. 2 – Comparison of current places to 2011 projections

Operational Formula as at Expected number of places expected (based on as at 2004 2004 current formula) in 2011 Nursing Home- High Care 624 606 621 Hostel-Low Care 631 726 745 Community Aged Care Packages Not known 303 310

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According to DSE projections for 2011, it is estimated that Darebin will have 15,513 residents over the age of 70. This translates to 1,676 places and packages in total, including:

621 places to be provided (40 per 1,000 over 70 years) for nursing home – high care

745 places to be provided (48 per 1,000 over 70- years) for hostel – low care

310 places to be provided (20 per 1,000 over 70 years) for Community Aged Care Packages.

While current residential aged care building developments in Darebin suggest that there would be enough beds available to provide the number of projected places in 2011, there are a number of factors that may impact on future availability of residential care beds. In particular, the high number of services that are potentially unviable due to their size (i.e. having less than 60 beds), as well as the increased costs associated with providing dementia-specific and culturally appropriate care, may impact on the number of beds available in the future.

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3. Data Summary and Analysis

Table 3.1 Nursing Homes (High Care)

Population High Care Operational Surplus Waiting List- Vacancies 70+ Places High Care (Deficit) High Care Required Places Total 15,138 606 624 18 126 9 Darebin 2004 Darebin 14,575 583 576 (7) 563 2003 Darebin 15,221 609 575 (34) 625 2002 Darebin 14,943 598 634 (36) 575 2001

The Darebin municipality has 624 high care residential places operational as at December 2004. Based on the funding formula for the estimated Darebin population, this amounts to a surplus of 18 places.

Across the Darebin area for high care, waiting lists have dropped from 575 in 2001 to 126 in the 2004 survey. In addition, providers identified a total of 9 high care vacancies – the first time since beginning collecting data for these surveys. One facility stated that the vacancies were “hard to fill”.

While the data shows a surplus of 18 places in relation to the funding formula, and 9 vacancies at some facilities, there is still a level of unmet demand, evidenced by the waiting list of 126 people awaiting high care beds in Darebin.

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Table 3.2 Hostels (Low Care)

Population Low Care Operational Surplus Waiting List- Vacancies 70+ Places Low Care (Deficit) Low Care Required Places Total 15,138 726 631 (96) 116 61 Darebin 2004 Darebin 14,575 729 634 (95) 108 0 2003 Darebin 15,221 761 578 (183) 285 0 2002 Darebin 14,943 747 470 (277) 229 0 2001

Over the past four years there has been an increase from 470 places in 2001 to 631 operational low care places. The waiting list has reduced from 229 in 2001 to 116 in December 2004.

As is the case with high care, vacancies at facilities are being observed for the first time. Survey respondents indicate that there are vacancies for both concession and non-concession beds.

It is difficult to assess demand for low care when there is a waiting list of 166 and a deficit of 96 places, and at the same time reported vacancies of 61 beds.

12 Darebin Aged Residential and Packaged Care Services Sept 2005 Update

Table 3.3 Overnight Respite Places

Number of Number of Number of Places 2002 Places 2003 places 2004 High Care Total 5 3 0 Low Care Total 14 12 2 Unspecified 4

While there were no identified overnight respite places available at any high care facility across Darebin in 2004, one facility that offers both high and low care indicated four respite beds are provided.

The total number of low care overnight respite places has decreased by 13 places since 2002, with 2 beds available across Darebin specifically for low care flexible respite. However the facility that provides these beds does so due to low care vacancies.

The lack of overnight respite places for people with high care and complex needs has become more pronounced in Darebin in recent years.

There is currently no financial incentive for facilities to specialise in respite care for residents with high and complex needs.

Many residents are forced to access respite places in neighbouring municipalities, if and where these are available. The impact of this situation is to increase the stress on carers. Many families are forced to place their family member on a waiting list for permanent care, thus putting further pressure on the residential aged care sector.

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Table 3.4 Supported Residential Services (SRS)

Total number of Total number of Total number of Total number of Waiting List SRS Providers places 2002 places 2003 places 2004 5 209 210 163 Not kept

There are 5 Supported Residential Services (SRS) providers in Darebin.

There has been little or no change between 2002 and 2003, with an increase of 1 place, however, between 2003 and 2004, there has been a decrease of 47 places following the loss of one SRS provider from 6 to 5.

It is typical of all Darebin Supported Residential Services not to maintain waiting lists. This was not raised as an issue for providers. Persons seeking this type of service usually require immediate assistance and they will look at other options and/or in other municipalities.

Table 3.4.1 Overnight Respite Places for SRSs

SRS Number of Places 2002 Number of Places 2003 Number of Places 2004 Total 16 16 13

The total number of Overnight Respite places in Supported Residential Services in Darebin has begun to decrease, with 13 identified beds available, with one service providing overnight respite “as available”.

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3.5 Aged Care Packages

Darebin Population Aged 70+ - Community Aged Care Packages

Population CACP’s No. of CACP’s Surplus 2004 EACH Each 2004 70+ Required provided to (Deficit) Waiting List- Regional packages Waiting Darebin Low Care packages allocated List for residents (Oct. Darebin available to Darebin EACH packages 2003) residents only Darebin 15,138 303 Approx. 97 Not Not known 15 Not 24 2004 known known Darebin 14,575 146 177 31 510 2003 Darebin 15,221 152 2002 Darebin 14,943 149 2001`

The number of CACPs provided to Darebin residents is becoming increasingly difficult to monitor, as regional providers have stated they are unable to report the approximate number of packages provided in the municipality. Two providers gave an estimate of packages provided locally, with one indicating “less than 10”.

Similarly, wait lists for CACPs are unable to provide further information on levels of demand in the municipality as waiting lists are often only kept on a regional basis. 8 providers have indicated a desire to expand packages in Darebin, with one service noting that they had applied in the last three rounds for additional Darebin places.

The processes relating to individual allocation of CACPs packages also cause difficulties in the monitoring of CACPs data. As CACPS are allocated through individual aged care assessment services, allocation in any given municipality may be based on the geographic location of the associated aged care assessment service (ACAS). If the ACAS has stronger networks or referral mechanisms with other services due to their location, CACPs packages may be allocated to services outside Darebin.

The increasing demand for Community Aged Care Packages places significant stress on Home and Community Care (HACC) services.

There are 19 CACPs providers in the Darebin area. 13 of these operate in the Northern metropolitan region and 3 are multiregional metropolitan services. There is significant fragmentation within the CACPs program due to the large number of agencies providing packages. Lobbying by the system of aged care services has resulted in the Commonwealth agreeing not to fund any new providers of CACPs. However, fragmentation of the system will continue to be an issue in the foreseeable future.

While only 1 provider stated they offered 15 Extended Care in the Home (EACH) packages, this service was unable to confirm how many of these were provided to Darebin residents. There is a centralised waiting list for EACH packages.

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Table 3.6 – Linkages

Number of Number of Packages Packages Linkages Provided 2003 Provided 2004 Target Group Bundoora Extended Care Centre 178 185 Frail Aged Co.As.It 43 43 Italian Northern Disability Linkages 105 103 Younger Disabled Total 326 331

There are currently 3 providers offering Linkages packages to LGA’s including Darebin. Collectively, these providers have 331 Linkages packages in Darebin. Each provider has a specific target group. While these providers are cross regional, the number of packages is specified for each LGA.

At the time of writing, total numbers of waiting lists could not be attained. The following issues relating to the waiting list for the Linkages program have been identified through discussion with the Department of Human Services and providers: Extensive waiting periods and a growth in this trend. Variation in the approaches used by providers to manage waiting lists and clients awaiting services. Most clients on waiting lists require ongoing care coordination and receive maintenance of services and support through HACC and similar service types. The ability to provide effective care coordination for those on waiting lists varies greatly between providers and is dependent on agency resources.

Demand levels, which exceed supply and waiting times for the Linkages program, are also placing additional stress on the HACC service system.

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Table 3.7 Responsive Service Delivery

Area of response 2004 Survey respondents Socio-Economic Disadvantage 3 (Not-for-profit) Provide concession beds 6 (Private) Target financially Disadvantaged 1 Dementia Care Provides some form of dementia specific care 7 Provider indicates that they have some residents with dementia 9 Young people in Nursing Homes No. of people under the age of 65 in residential aged care 32 Culturally Responsive No. of services indicating residents with languages other than English 12 No. of residential services specifically targeting CALD communities 4

The proportion of concession places was not noted by all providers surveyed, however 3 of the 7 not-for profit providers and 6 of the 17 private providers have between 50 – 100% concession places. One low care facility indicated that they specifically target the financially disadvantaged.

Few aged care facilities are able to provide specialised care to meet the needs of people with dementia and/or challenging behaviours. Three services indicate that they provide dementia-specific care through a dementia- specific wing or purpose-built facility. Two services indicated they provide dementia-specific care through either a range of targeted programs or through a social model of care approach.

For the first time, the Darebin Survey of Aged Residential and Packaged Care Services has collected data on the number of younger people in nursing homes and hostels. There were 32 people under the age of 65 years residing in residential aged care in Darebin. Darebin City Council strongly supports more appropriate alternatives to residential care for young people and supports the National Exit Strategy for Young People in Nursing Homes.

Strategic planning is also required to meet the emerging need of an ageing culturally diverse community. Four facilities indicated that they target specific cultural communities (Greek, Italian, and Arabic). Other facilities accommodate and integrate residents from a range of cultural backgrounds. 12 services were able to indicate either the number of residents or a proportion of residents who spoke a language other than English. A wide range of languages were reported including Italian, Greek, Macedonian, Arabic, Turkish, Polish, Croatian, Russian, Chinese, Vietnamese, Maltese, Ukrainian, Spanish, Fijian and Indian.

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Table 3.8 Facility Development Issues

Total as at December Area of response 2004 Viability No. of facilities with less than 60 beds 15 Capacity No. of planning permits 5 No. of expected beds 155 No. of expected beds - construction status not known 121 No. of building completions in 2004 1

The viability of residential aged care providers (of high and low care) is dependent on a range of factors including the number of beds provided. 60 beds is usually considered a minimum in order to provide a financially viable residential aged care service. There are 15 local facilities with less than 60 beds (i.e. 62.5% of all local residential aged care facilities).

This means that many small providers are, or will be, seeking to expand their operations. Expansion often requires access to vacant land – a scarce resource in the inner metropolitan LGAs , including Darebin.

A Darebin Council project has identified 3 potential State Government land sources for residential aged care development for the not-for-profit sector. These include the former Larundel Hospital site, the former Tram Depot in Preston and the former Secondary College in Thornbury.

The scarcity of appropriate land for the development of residential aged care facilities in Darebin poses the risk of losing providers to Local Government Areas where larger parcels of land are more readily available and more affordable. Secondly, small providers who don’t have the financial capacity to expand may sell their places/beds to larger providers. This poses the risk of losing places/beds from Darebin. Relocation of providers from the municipality and/or loss of places to other LGAs through the sale of places to larger providers reduces the capacity for longstanding residents of Darebin to ‘age in place’.

It is difficult to monitor the number of building developments across Darebin as planning permits do not necessarily clearly identify themselves as being for residential aged care facilities. Once a planning permit has been issued, there is no onus on the developer to immediately schedule building works. Thus, planning permits does not reflect future capacity of local facilities to meet growing demand. Once building has commenced, three mandatory inspections take place during the building phase and this provides a mechanism to estimate when future capacity is likely to increase.

As at December 2004, there were 5 building permits of relevance that have been identified in Darebin and this will increase the number of beds provided by local facilities. 1 development had been completed in 2004, creating approximately 155 new beds in total, comprising a combination of low and high care beds. The construction status for 3 planning permits is not known, however, if they are all completed in the next three years then 121 new beds will be available locally. An application submitted in July 2005 for 19 new beds is still under planning consideration.

18 Aged Care Land Bank Pilot North Williamstown Train Station

October 2005

Information re: North Williamstown Train Station Power Street, Williamstown Melway Reference: 56 A8

Purpose

The Site

The proposed site is part of a very large parcel of freehold land owned by VicTrack. Its approximate boundaries are:

• To the west: North Williamstown Railway Station • To the east: a wire fence facing Power Street • To the north: private residential property

The southern boundary is currently marked with a wire fence 46.45 metres in length. The location of this southern boundary can be adjusted to bring the total size of the property to 4000 square metres. A map showing the approximate location of the site is included at Attachment 1. If this proposal is to proceed, the site will be excised from the current title and a separate title will be created. The exact location of boundaries will be determined as part of that process.

The site is located very close to public transport, with North Williamstown Railway Station to the immediate south. Local shopping is available in a commercial area to the south in Kororoit Creek Road and Ferguson Street. The busy Williamstown suburban shopping area is easily accessible to the east.

Surrounding development to the north and east is largely residential, with new developments along Power Street to the north on land previously owned by VicTrack. A large parcel of land (zoned for Public Use: transport) lies to the west, used for train storage and workshops.

The land is level, and has no improvements. Past use of the site may raise concern with respect to potential contamination. The Victorian Government proposes to identify and remediate any contamination before the site may be made available under the proposed pilot program. Photographs of the site are included at Attachment 3.

Department of Human Services Encumbrances/Restrictions: No encumbrances or restrictions are known.

Zoning: The site is zoned for Public Use: transport. If the pilot proceeds, the Victorian Government will seek to address zoning issues with the Relevant Authority.

Dimensions/Area: The fenced area consists of slightly less than 4000 square metres. The final location of boundaries will be determined during the completion of any successful proposal under the pilot program, and a total of 4000 square metres will be made available to a successful proponent.

Services: It is assumed all urban services are reasonably available for connection. Surfaces are as follows:

• road surface: bitumen • kerb and channel: concrete • footpath: concrete

Local Authority Requirements

Hobsons Bay Council has identified a need for residential aged care, and supports the principles of the Victorian Government’s proposed Aged Care Land Bank Pilot. Council notes the site is not appropriately zoned for residential aged care. If zoning issues can be resolved Council would, at the appropriate time, welcome a planning application from any not-for-profit aged care provider who may be successful under the pilot program. However, Council does not welcome enquiries from potential proponents at this time.

Contact

For further information, please contact Mr Gary Pund, Capital Management Branch: 03 9616 2061.

Attachments

1 Map showing location of the site 2 Relevant section of Hobsons Bay Planning Scheme 3 Photographs of the site

Department of Human Services Print Preview Page 1 of 1

North Williamstown

Legend Vicinity Rail Tracks & Features VicTrack Boundary VicMap Statutory Line by status Victoria

Conditions of Use VicTrack provides this information without any knowledge of its intended purpose and gives no guarantee of its suitability for that purpose. Information is indicative only and independent verfication is recommended. Victrack accepts no responsibility for inaccurate or misleading information and gives no guarantee to its accuracy. The information provided must not be reproduced or used in any form without prior approval from VicTrack.

Property Department VicGrid94 589 Collins Street Melbourne Victoria 3000 GPO Box 1681P, 3001 03 9619 4001 www.victrack.com.au

Produced by vtweb\gbradbury at 16:04 on 21/01/2005 Original sheet size A3 10 m

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