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Participation is becoming aged care’s next quality indicator. The data is already exposing the gap

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Why meaningful engagement is emerging as the new frontline of quality, wellbeing and compliance.

Providers work hard to create engaging and person-centred environments. Yet the data shows there is still a meaningful gap between what is offered and what residents experience day to day.

A major Australian study using the QOL ACC tool found that the leisure activities dimension was rated lower than every other quality-of-life domain, with more than 21 percent of residents reporting they only participate in activities “some of the time” or less.

Carepage’s own benchmarking, drawn directly from QOL ACC surveys completed by residents and families through the platform, reflects the same pattern: the statement “I have leisure activities or hobbies I enjoy” consistently scores lowest among all QOL ACC indicators. 85% per cent of respondents rate this positively, while 14 percent rate it negatively. The negative share may seem small, but it is the highest negative response rate of all QOL ACC measures, and it consistently pushes this question to the bottom.

Research by ARIIA reinforces why this matters. Meaningful activity and social engagement are strongly linked to emotional wellbeing, cognitive function and overall life satisfaction.

Low engagement is not simply a lifestyle issue. It is a wellbeing concern that affects clinical and emotional outcomes.

A shift from calendars to outcomes

The strengthened Aged Care Quality Standards are accelerating a significant shift. Inspectors no longer focus on activity calendars or photo boards. The central questions now relate to outcomes. 

  • What are residents actually participating in? 
  • How often?
  •  How well does this reflect their preferences?
  • Can improvements be demonstrated over time?

Homes can no longer rely on showcasing what is offered. They must demonstrate what is experienced.

The invisible workload carried by lifestyle teams

This shift adds pressure to lifestyle teams, which are often the least resourced area of the workforce. Many teams consist of one or two staff supporting the engagement needs of sixty to more than a hundred residents. They plan programs, run sessions, manage individual needs, capture attendance and try to personalise activities, all while navigating varied physical, cognitive and emotional requirements.

Much of this work is still recorded manually. Documentation is often inconsistent and rarely analysed at scale. Without reliable insights, it becomes difficult to identify disengagement, understand patterns or make targeted improvements that reflect resident preferences.

The intent is strong, but the evidence base is often thin.

Participation as a cultural signal

Participation reveals more than the number of activities scheduled. It signals culture. Homes with high engagement typically display deeper staff relationships, smoother daily rhythms and stronger communication across care, nursing and lifestyle roles. Families notice it immediately, and so do inspectors.

Participation offers a window into how well a home understands and responds to its residents.

Data is revealing the real story

With the wider use of QoL surveys, structured feedback tools and emerging digital activity systems, providers are beginning to see participation data more clearly than before. In many homes, digitised records reveal patterns that were difficult to detect through manual documentation, such as uneven engagement and activities that do not always align with individual preferences.

Where ARI changes the trajectory

ARI, which stands for Activities, Relationships and Insights, is designed to help providers understand and improve participation. Instead of collecting fragmented notes, ARI gives teams a clear picture of who is engaging, who is disengaging and what each resident responds to.

Providers use ARI to track participation in real time, map activities to personal preferences, identify early signs of withdrawal and demonstrate improvements against the strengthened Standards. It also supports transparency for enhanced lifestyle programs and HELF related offerings.

By shifting from manual records to clear insights, lifestyle and care teams can focus on delivering meaningful engagement rather than chasing paperwork.

If participation is the new benchmark, ARI is the tool that helps providers meet it

Participation is no longer about keeping people busy. It is a determinant of wellbeing, a consumer expectation and a clear quality signal.

Providers who can evidence engagement will stand out. Providers who cannot will feel the pressure as the Standards mature and families become more discerning.

Book a demo of ARI

See how leading providers are using ARI to lift engagement, personalise daily life and meet the strengthened Standards with confidence. 

Book a demo to explore how ARI supports your team to deliver a resident experience that truly reflects what matters.

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