When an NDIS participant is concerned about the supports or services they receive, the NDIS Commission:
- supports the participant to raise their concern with you directly, or
- we talk to you about their complaint.
The NDIS Code of Conduct requires all providers to promptly take action when someone raises a concern or complaint about the quality and safety of the supports a person with disability is receiving.
Complaints management and resolution
- All NDIS providers are expected to have effective complaints management and resolution practices
- Registered providers must have a ‘complaints management and resolution system’ that documents their effective complaints management practices. This is part of their registration conditions.
Your complaints management and resolution practices or system should:
- include the processes and procedures you use to handle complaints, which describe what happens for the person with disability, the person who’s made the complaint (if that’s a different person) and any worker that is the subject of the complaint
- be suitable for the size of your organisation and the complexity of the supports and services you provide
- support people with disability to make a complaint, and make sure they feel safe when they do.
Prepare to receive complaints
Providers need to create a safe and welcoming space where people with disability can freely share their thoughts and worries without fear – making threats or trying to stop someone from complaining, whether directly or indirectly, is against the law and can result in penalties.
Effective complaints management practices will include transparent, documented processes for:
- submitting complaints, which includes:
- the ability to submit complaints anonymously
- platforms, technology or languages that are accessible to NDIS participants and staff
- managing and resolving complaints, which includes:
- ensuring the person who made the complaint and the affected person with disability are involved in the resolution and updated on any decisions made or actions taken
- specific processes for complaints about your CEO (when applicable)
- referring complaints when appropriate, for example referring a complaint to law enforcement agencies if there’s a possibility that a criminal offence has been committed
- recording complaints – record keeping requirements are explained in the ‘Documenting the complaints management and resolution system’ section of the Effective Complaint Handling Guidelines for NDIS Providers.
Providers should also deliver:
- training and information for staff in how to follow your complaints processes
- communication to NDIS participants so they know how to make a complaint to you or the NDIS Commission.
When you receive a complaint
Feedback and complaints are valuable tools for all providers to understand how to improve the quality of your services and build or strengthen relationships with participants.
Two important factors when handling a complaint are:
- how you respond to the complaint – making sure the participant feels informed, safe and involved
- how the complaint is resolved – quickly and fairly.
More information is available in the ‘Effective complaint handling’ section of the Effective Complaint Handling Guidelines for NDIS Providers.
Support the person with disability
The NDIS Code of Conduct requires you to resolve complaints while respecting a person with disability’s right to freedom of expression, self-determination, and decision-making.
See the ‘Supporting people with disability at the centre of complaints management’ section of the Effective Complaint Handling Guidelines for NDIS Providers.
Resolve the complaint using the Four A’s for successful resolution
This is a useful approach to resolving complaints that recognises that most people who make a complaint are hoping for one or more of these outcomes:
- acknowledgment
- answers
- action
- apology.
For more information about the Four A’s, see Everything you wanted to know about complaints… by the Victorian Disability Services Commissioner.
Part of resolving complaints may be referring the complaint to other organisations. Your complaints management practices should include referring complaints when appropriate, for example referring a complaint to law enforcement agencies if it’s possible a criminal offence has been committed.
Procedural fairness
Your complaints management processes and actions need to provide procedural fairness, which means:
- the person making the complaint must:
- have a reasonable opportunity to present their complaint
- have their complaint understood
- not have their complaint dismissed due to details that aren’t raised with the provider or aren’t known to the provider.
- workers who are the subject of complaints must:
- be given notice of any adverse action being taken against them
- be given the opportunity to speak about or respond to those adverse actions, and put forward information and submissions that help their case
- decisions about adverse actions against workers should be based on the facts and issues raised in that process, and this should be reflected in the record of the decisions
- decisions about adverse actions should be impartial and unbiased.
Details of procedural fairness and an illustrative summary are available in the National Disability Insurance Scheme (Procedural Fairness) Guidelines 2018.
After a complaint has been dealt with
This is the opportunity to analyse the complaint and understand how it might help you improve your services. Consider:
- What was the complaint about? What service, policy or procedure did it call into question?
- What was the experience for the person who made the complaint, or for any affected participant? Were the issues resolved for them?
- What information did the complaint provide that will allow you to identify and improve those services, policies and procedures and your organisation as a whole?
- How effectively did you communicate with the person who made the complaint, any affected participants, affected staff and other stakeholders?
- Does the person who made the complaint feel more comfortable about speaking up in the future?
- Did the handling of the complaint reflect your stated values and expectations for complaint handling? Or, was the complaint perceived as something negative that needed to be gotten rid of as soon as possible?
Jane receives personal care support from her NDIS provider. Recently, she has been unhappy as her workers are arriving late, and she feels her personal care routine preferences are being overlooked.
Jane contacted the provider’s Quality Services Team (Quality Team) via email and described her concerns.
Within two hours of receiving Jane’s complaint, the Quality Team sent her an acknowledgement email confirming her email had been received, that they were taking her concerns seriously, and the expected timeline for resolving the issue.
Jane felt like her concerns were being addressed promptly.
A member of the Quality Team contacted Jane to discuss her complaint in more detail. The staff member listened carefully, took notes and expressed empathy by validating Jane’s feelings. They apologised for the inconvenience caused and reassured Jane that they were committed to resolving her concerns.
Jane appreciated the approach and felt understood which helped to diffuse her frustration.
The Quality Team investigated the concerns by reviewing Jane’s records and roster of care. They spoke with staff to get a better picture of Jane’s care and latest routines. They found that due to unforeseen scheduling conflicts, Jane’s support workers had arrived late on multiple occasions. Additionally, her Support Plan had not been updated to reflect her recent preferences.
The Quality Team identified that the cause of the problem was communication breakdown and documentation not being updated.
The provider took immediate steps to resolve the issue. First, they updated her Support Plan to ensure Jane’s preferences were reflected. They then revised the roster and also scheduled regular check-ins with Jane.
Jane received an email to advise of the actions taken by the provider, including her updated Support Plan and a commitment to improve her schedule.
One week after the resolution, the Team Leader called Jane to ensure she was satisfied with the outcome.
Jane was happy with the prompt and effective resolution. She also appreciated the follow up call after things were resolved.
The Quality Team shared the lessons learned from Jane’s complaint across the organisation to prevent similar issues from arising.
Requirements for registered providers: Complaint management and resolution systems
A complaint management and resolution system is a dedicated set of processes and procedures used to identify, assess, record, manage and resolve complaints. It formally documents your organisation’s complaint management and resolution practices.
You need to regularly review your complaint management and resolution system, the processes, procedures and policies within it, and the complaints you have managed. This review process helps you to understand:
- systematic issues
- changes required to your complaints management practices or your approach to dealing with complaints
- information that participants, families, carers and friends need about the complaints process and their rights
- further training requirements for your staff.
Your requirements for a complaint management and resolution system are described in the NDIS Practice Standards Core Module: Provider governance and operational management – Feedback and complaints management.
Guidelines on effective complaints handling
The NDIS Commission has guidelines on effective complaint handling for all providers. This includes specific requirements for registered NDIS providers under the National Disability Insurance Scheme Act 2013 (the Act) and National Disability Insurance Scheme (Complaints Management and Resolution) Rules 2018 (the Rules).