Recent inquiries into residential aged care services, including the 2018–2019 Australian Royal Commission into Aged Care Quality and Safety, have informed revisions to the 2019 Australian Aged Care Quality Standards. Reforms to the Standards include a greater focus on person-centred services, consumer-directed care and authentic participation in decision-making on service provision by residents and their family members. In respect of person-centred services, the revised Standards reflect the four elements of the ‘Valuing, Individualised Care, Personal Perspective, Social Environment’ (or VIPS) framework for quality aged (social) care services in the United Kingdom. This qualitative study investigated whether the quality of services in a convenience sample of seven Australian aged care homes, which claimed to be person-centred, aligned with the four elements and 24 indicators of the VIPS framework. Data were obtained via semi-structured interviews with a volunteer sample of people associated with these seven aged care homes: 12 residents, 15 family members and 18 staff members in various roles. Data were analysed deductively with a priori reference to the 24 VIPS framework indicators, achieving data saturation for four common themes which indicated more person-centredness and ten common themes indicating less person-centredness. Only two of seven homes adhered to the four elements and 24 indicators of the VIPS framework across most service offerings. The remaining five homes offered some aspects of a person-centred service. The study findings provide insight to the factors which support and hamper the implementation of the VIPS-informed indicators of a person-centred aged care service and, therefore, what is needed to help meet person-centred requirements as outlined in the 2019 Australian Aged Care Quality Standards.

最近对住宅老年护理服务的询问，包括2018-2019年澳大利亚皇家委员会关于老年护理质量和安全的调查，已经通报了对2019年澳大利亚老年护理质量标准的修订。对标准的改革包括更加关注以人为本的服务，以消费者为导向的护理以及居民及其家庭成员对服务提供决策的真实参与。关于以人为本的服务，修订后的标准反映了英国优质老年人（社会）护理服务的“重视，个性化护理，个人观点，社会环境”（或VIPS）框架的四个要素。这项定性研究调查了七个澳大利亚养老院的便利性样本中的服务质量，这些养老院声称以人为本，与VIPS框架的四个要素和24个指标保持一致。通过半结构化访谈获得了与这七个养老院相关人员的志愿者样本的数据，这些人分别是12名居民，15名家庭成员和18名不同职务的工作人员。对数据进行演绎分析先验地引用了24个VIPS框架指标，实现了四个常见主题的数据饱和，这四个主题表明了以人为中心，而十个常见主题则表明了以人为中心。在大多数服务产品中，只有七个家庭中的两个遵守了VIPS框架的四个要素和24个指标。剩下的五所房屋提供了以人为本的服务的某些方面。该研究结果提供了洞察力，这些因素支持和阻碍了以VIPS为基础的以人为本的老年护理服务指标的实施，因此需要哪些东西来满足2019年澳大利亚老年护理中概述的以人为本的要求质量标准。