Increasing Staff Levels in Aged Care: Does More Staffing Improve Care Quality?

Recent efforts to boost staffing levels in Australian aged care homes have shown promising results in meeting care time targets. Data from over 2,000 facilities indicate that since October 2022, the proportion of homes meeting or exceeding their care minutes target increased from 41% to 53%. Notably, government-operated facilities, smaller homes, and those in metropolitan areas tend to perform better in reaching these staffing goals.

However, a comprehensive study led by researchers from Flinders University’s Registry of Older Australians (ROSA) and SAHMRI raises critical questions about the direct impact of increased staffing on the overall quality of care. Despite the rise in staffing levels, the study found no significant link between the amount of care minutes provided and residents’ satisfaction or care quality measures.

The findings suggest that simply increasing staff numbers may not be sufficient to improve care quality. High-quality care relies on a well-trained, supported workforce with strong clinical leadership. Factors such as staff training, retention, and tailored care models that address individual resident needs are essential for meaningful improvements.

Furthermore, the study underscores the importance of ongoing monitoring of staffing patterns, especially as for-profit and larger facilities replace smaller, government-run homes. It also highlights the need for further research to identify the optimal balance of skill mix, care models, and staffing levels that truly enhance safety and quality in aged care.

For policymakers, these insights emphasize a holistic approach to aged care reform—one that combines staffing targets with workforce development and evidence-based practices to deliver safe, effective, and person-centered care for older Australians.