SAH Pillar · SIRS In-Home

How do I run SIRS reporting for incidents that happen in someone's home?

The Serious Incident Response Scheme has been extended to in-home aged care. The reportable incident categories are the same as residential, but the operational reality is different — the witness is often a single carer, the evidence chain is harder to preserve, and the 24-hour Priority 1 clock starts the moment the provider becomes aware. Speed and structure matter more than they did under residential-only SIRS.

What the legislation requires

SIRS applies to in-home aged care with the same reportable categories and statutory deadlines as residential.

  • Mandatory reporting of reportable incidents in the eight categories: unreasonable use of force; unlawful sexual contact or inappropriate sexual conduct; psychological or emotional abuse; unexpected death; stealing from, or financial coercion of, a care recipient by a staff member; neglect; inappropriate use of restrictive practices; and unexplained absence from care.
  • Priority 1 incidents — those that caused, or could reasonably have been expected to cause, physical or psychological injury or discomfort requiring medical or psychological treatment to resolve; or where there are reasonable grounds to report the incident to police; or that involve unexpected death or unexplained absence from care — must be notified to the ACQSC within 24 hours of the provider becoming aware.
  • Priority 2 incidents (all other reportable incidents) must be notified within 30 days.
  • The 24-hour and 30-day clocks start when the provider becomes aware of the incident, not when the incident occurred.
  • Incidents require documented investigation, participant safety actions, follow-up, and lessons-learned analysis for continuous improvement.
  • SIRS extended to home services on 1 December 2022 and applies equally to home-care and residential providers. Since 1 November 2025 it continues under the Aged Care Act 2024 Chapter 5 and Aged Care Rules 2025 Chapter 5.

Reference: Aged Care Act 2024 Chapter 5 (Quality and Safety — incident management and reportable incidents); Aged Care Rules 2025 Chapter 5; Aged Care Quality and Safety Commission Act 2018; SIRS guidance and reportable-incident criteria published by the ACQSC. (Historical: SIRS extended to home services from 1 December 2022 under the Aged Care Legislation Amendment (SIRS) Principles 2021, which amended the Accountability Principles 2014 and the Quality of Care Principles 2014 under the now-repealed Aged Care Act 1997.)

What providers usually get wrong

The failure modes we see over and over.

  • Carers don't know what counts as a reportable incident. The list of eight categories isn't internalised, so a bruise from a transfer gets logged but an unexplained absence doesn't.
  • The clock starts before the report reaches the right person internally. A carer tells their team leader, the team leader waits until the next day to tell the Care Partner, and by the time the 24-hour clock is running, eight hours have already gone.
  • No structured investigation. The incident gets notified to the ACQSC, but the root cause analysis is skipped, so the same type of incident recurs six weeks later.
  • Missing Priority 2 incidents because they don't feel as urgent. The 30-day window passes, and what was a notifiable incident becomes a compliance breach.
  • Investigation evidence captured on paper and never digitised, so when the ACQSC asks for a follow-up, the provider can't reconstruct the timeline.
  • Unexplained absence of a care recipient treated as a welfare concern, not a reportable incident. It is reportable, and the priority is determined by risk to the participant, not administrative convenience.

How Statura handles it

What's in the product today — not on a roadmap.

  • Mobile carer-app SIRS flagging at the point of capture. The carer selects one of the reportable categories while still at the home, the incident is created immediately, and the 24-hour clock starts from that capture timestamp.
  • Priority classification workflow — the incident enters a triage queue with the carer's initial capture, and the Care Partner or on-call clinical lead classifies it as Priority 1 or Priority 2 based on the ACQSC criteria. The clock for statutory notification is calculated from the awareness timestamp, not the classification timestamp.
  • Countdown timers on every open incident — hours remaining to the P1 24-hour deadline or the P2 30-day deadline, visible on dashboards and sent as escalating alerts as the deadlines approach.
  • Investigation workflow with prompts at each statutory milestone — immediate safety actions, participant and family notification, evidence capture, root cause analysis, lessons learned, and close-out with supervisor sign-off.
  • ACQSC notification templates pre-populated from the incident record, ready for upload into the ACQSC's notification system. Direct API submission is roadmap.
  • Trend analysis by incident category, participant, worker, and service type — the same incident recurring three times in a quarter triggers a systems-level review.

The audit trail

What an ACQSC auditor will actually see.

When an assessor asks for evidence on this obligation, here's what the platform produces on request — date-stamped, user-attributed, and exportable:

  • Incident timeline from capture through triage, classification, investigation, notification, and close-out — every state change timestamped and user-attributed.
  • Classification history showing the initial priority assigned, any reclassification, and the reason for reclassification.
  • ACQSC notification log — notification reference, submitted date, acknowledgement, and any follow-up correspondence.
  • Investigation evidence including statements, observations, photographs where appropriate, and any supporting documentation.
  • Root cause analysis findings and the improvement actions that flowed from them, linked to specific quality standards.
  • Escalation trail showing who was notified internally, when, and what action they took.

Common Questions

Frequently asked questions about sirs in-home.

What counts as a Priority 1 versus a Priority 2 SIRS incident?

Priority 1 incidents are defined by their outcome, not by a closed list of categories. They are incidents that caused, or could reasonably have been expected to cause, physical or psychological injury or discomfort requiring medical or psychological treatment to resolve; incidents where there are reasonable grounds to report to police; or incidents involving unexpected death or unexplained absence from care. These must be notified to the ACQSC within 24 hours of provider awareness. In practice, unlawful sexual contact and unexpected death are effectively always P1 because they satisfy the police-grounds or serious-harm limbs. Priority 2 incidents are all other reportable incidents — still mandatory, still notifiable, but with a 30-day window. The Statura workflow surfaces the ACQSC's criteria during triage so the classification is consistent across operators.

When does the 24-hour clock actually start?

From the moment the provider becomes aware of the incident — not the moment it occurred. In practice, this means the first time any employee or subcontractor of the provider is told about the incident. A carer learning of it at a home visit at 2:00pm starts the clock at 2:00pm, even if the incident itself happened days earlier. Statura captures the awareness timestamp at the mobile app level, so the clock starts the moment the carer flags the incident, not the moment it reaches head office.

Does SIRS apply to Support at Home providers?

Yes. The Serious Incident Response Scheme was extended to in-home aged care in 2022 and continues to apply under the Aged Care Act 2024 framework. Every registered SAH provider is subject to the same eight reportable categories, the same Priority 1/Priority 2 classification, and the same statutory notification deadlines as residential providers. The only thing that's different is the operational reality of running the scheme with a distributed workforce.

How does the platform handle unexplained absence of a participant?

Unexplained absence is an explicit reportable category under the scheme. Statura surfaces it as a first-class incident type in the mobile app — a carer arriving at a participant's home and finding them not there, with no prior notification and no contact, can flag it as an unexplained absence directly. The incident enters the same triage workflow, with priority determined by the assessed risk to the participant (vulnerability, medical condition, time of day, weather). This removes the 'I didn't know that was reportable' category of error.

Does Statura submit notifications directly to the ACQSC?

Not yet — today the platform generates a pre-populated notification package from the incident record that operators upload into the ACQSC's notification system. The notification is ready-to-submit with every required field populated from the source record, so there's no manual re-entry. Direct API submission is on the roadmap once the ACQSC opens that pathway for provider software.

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