Clinical Care

Services

Lorraine Poulos Home Care Services Clinical Services Training

Providing excellent clinical care is vital to the health and wellbeing of clients so they can live life to the full.

Providing excellent clinical care is vital to the health and well-being of clients so they can live life to the fullest.

Home care providers often struggle with clinical care compliance, which is essential to the health and well-being people.. Clinical care is also an important regulatory requirement and integral to managing risks. It is vital that the governing body has oversight of clinical care through a clinical governance group.

At LPA, we work with providers one-on-one to provide individual mentoring or group training with clinical governance and care systems, practices, and processes.

Steve Neal

Head of Clinical Services
& Leadership Programs

Former Director of Operational Excellence at Uniting Agewell Ltd., Steve brings extensive experience in health and aged care as a Registered Nurse offering vital clinical guidance to home care providers.

In addition, he holds qualifications as an executive coach and is a member of the International Coaching Federation in which he is responsible for the development and delivery of LPA Leadership Programs.

Steve Neal Portrait

Clinical Support Service

LPA Clinical Support Service is a comprehensive package that includes:

  • A defined 12-month support package
  • Setting up and/or chairing your clinical care committee- monthly meetings
  • Reviewing your clinical policies and work instructions
  • Provision of support and mentoring to clinicians and non-clinical staff
  • Review of documentation for compliance with ACQS relevant standards
  • On-call support for challenging clinical situations
  • Provision of reporting templates for data collection and analysis
  • Access to our Nurse Practitioner and team of clinicians
  • Provision of copies of our very popular Clinical Care in the Home, Clinical Tasks in the Home booklets, and our Stand up and Learn education package (over 50,000 copies sold)

Why LPA

“Neighbourhood Central is a small rural provider of Home Care and multiple CHSP services based in Central NSW. We engaged LPA to support our services and help us navigate the many reforms in aged care, including the set-up and operation of our Clinical Governance Committee. LPA has been chairing our Clinical Governance Committee since 2020, and we have found their services incredibly supportive and knowledgeable, fostering a culture of safety, risk management and continuous improvement for the delivery of safe and high-quality care.

The benefits for us have been significant and can be seen through our team, who are confident and well-informed, advancements in organisational processes, and improvements in the delivery of high-quality services. I highly recommend any organisation that wishes to take advantage of the LPA Clinical Support Services to speak to the LPA team.”

DIANNE SCOTT | NEIGHBOURHOOD CENTRAL I EXECUTIVE OFFICER

LPA has a proven track record of supporting providers in setting up their clinical model of care successfully. Home care is in a different context to other health settings and requires a pragmatic approach to clinical care.  Some of the services available include:

Assessment of clinical competencies (such as medication management)

Clinical Governance for Boards and Management in Home Care

Clinical Care Support Service (ongoing support) 

Coordination of Clinical Governance Committee 

Development of Clinical Care guides and resources 

Review of clinical documentation such as clinical policies and procedures

Education, training and resources about clinical topics

Additional Clinical Support based on your organisation’s needs

Frequently Asked Questions (FAQs)

Yes.

LPA supports providers in managing complex cases, particularly when clients present with multiple comorbidities, high clinical risk, safeguarding concerns, or complex psychosocial needs.

This support is grounded in the extensive frontline and leadership experience of LPA’s consulting team. LPA’s consultants include Registered Nurses, experienced case managers, senior clinicians, governance and quality leaders, and former service executives, all of whom bring real-world experience managing complex care situations in community and residential settings.

A key differentiating factor for LPA is having a dedicated Head of Clinical Care Services, Steve Neal, providing senior clinical oversight across consulting engagements. This role ensures advice relating to complex case management, clinical risk, and care decision-making is clinically sound, consistent, and aligned to best practice.

LPA’s approach is also informed by Lorraine Poulos’s direct case management experience, gained through extensive work as a case manager in home and community care. This hands-on experience shapes LPA’s practical, risk-aware approach, ensuring guidance is realistic, defensible, and aligned with the realities faced by care teams.

LPA’s support focuses on strengthening the systems, decision-making and workforce capability required to manage complexity safely and consistently, including:

  • Reviewing and strengthening clinical governance, accountability and escalation pathways

  • Supporting care planning and coordination aligned to assessed need, outcomes and risk

  • Advising on risk identification and safeguarding, including high-prevalent and high-impact risks

  • Supporting teams to manage deterioration, consent, capacity and duty of care

  • Providing case reviews, mentoring and coaching for care managers and clinical leaders

  • Embedding robust documentation, evidence and assurance processes that stand up to scrutiny

LPA does not replace frontline clinical care. Instead, we work alongside organisations to ensure teams are supported, confident, and operating within strong governance and clinical frameworks when managing complex and high-risk care situations.

Learn more:
→ Clinical governance & quality services
→ Strategic consultancy services
→ Ongoing support packages

Yes.

LPA provides clinical policy and procedure templates designed specifically for the Aged Care sector – Home Care. 

LPA’s policies and procedures are practical, sector-specific, and aligned to current regulatory expectations, including the strengthened Aged Care Quality Standards and the new Aged Care Act. They are written to support real-world practice, clear accountability, and defensible decision-making. 

Providers commonly use LPA’s  P&Ps to:

  • Strengthen clinical governance and quality systems
  • Support audit readiness and regulatory assurance
  • Improve consistency of practice across the team.
  • Uplift documentation and evidence
  • Support workforce capability and confidence

Policies can serve as a starting point and be adapted to reflect your organisation’s operating model, service mix, and risk profile. LPA can also support organisations in implementing, contextualising, and embedding policies into everyday practice.

Access policies and procedures:
→ Policies & Procedures (P&Ps)

Related support:
→ Clinical governance & quality services
→ Ongoing support packages

The Waterlow Scale is a clinical risk assessment tool used to identify a person’s risk of developing pressure injuries (also known as pressure ulcers or bed sores). It is widely used across aged care, home care, community care, and healthcare settings as part of routine assessment and care planning.

The Waterlow Scale considers factors such as:

  • Mobility and activity
  • Skin condition
  • Continence
  • Nutrition
  • Age
  • Medical conditions and medications
  • Neurological deficits or recent surgery

The resulting score indicates whether a person is at low, medium, high, or very high risk, helping clinicians put preventive strategies in place early, such as repositioning plans, pressure-relieving equipment, skin care regimes, nutrition support, and monitoring.

Under Support at Home and the strengthened standards, using tools like the Waterlow Scale supports:

  • Proactive clinical risk management
  • Person-centred care aligned to assessed need
  • Clear documentation and defensible evidence
  • Clinical governance and audit readiness

LPA provides done-for-you clinical tools, templates, and resources to support consistent and compliant use of risk assessment tools like the Waterlow Scale.

Explore:
→ Done-for-you clinical resources (LPA Shop): https://www.lpaconsulting.com.au/store/
→ Policies & Procedures: https://www.lpaconsulting.com.au/product-category/policies-and-procedures/

These resources can be used as-is or adapted to your operating model, with optional support from LPA to help teams embed tools into everyday practice.

LPA works with providers of all sizes, from small community-based organisations to large, complex, multi-site providers operating across multiple programs and locations.

Our consulting team brings experience from across the sector, including:

  • Small and emerging providers, including start-ups, CHSP organisations, and NDIS providers transitioning into aged care

  • Medium-sized providers balancing growth, reform, and workforce pressures

  • Large, multi-site and multi-program providers, including those delivering home care, Support at Home, CHSP and residential aged care at scale

Because LPA consultants have worked in operational, clinical, executive, governance, and auditing roles, we understand how size and complexity affect risk, decision-making, workforce capability, and system design. This means our advice is always proportionate and fit for purpose, never “one size fits all”.

For smaller providers, we focus on practical, scalable systems that meet regulatory expectations without unnecessary complexity.
For larger providers, we support consistency, assurance, and governance oversight across services, regions, and teams.

This breadth of experience allows LPA to tailor its approach so that what works in practice aligns with your organisation’s size, structure, risk profile, and strategic goals.

Learn more:
→ Consultancy services
→ Ongoing support packages

Yes.

LPA has extensive experience working with providers in regional, rural, and remote communities across Australia, including organisations delivering services in Aboriginal and Torres Strait Islander communities.

LPA’s team understands the unique challenges faced by providers operating outside metropolitan areas, including workforce shortages, access to clinical support, travel and service delivery constraints, cultural safety considerations, and limited local resources. Our consultants have worked alongside community-controlled organisations, regional home care providers, CHSP services, and remote service models, supporting care delivery that is both culturally appropriate and compliant.

Our experience includes:

  • Supporting providers delivering services in regional and remote locations, including MMM 3–7 areas

  • Working with and alongside Aboriginal and Torres Strait Islander communities, respecting local governance, culture, and ways of working

  • Tailoring governance, clinical and risk management frameworks to regional and remote contexts

  • Supporting workforce capability and supervision where access to clinicians and specialists is limited

  • Designing practical operating models that reflect travel, access, and service delivery realities

LPA’s approach is grounded in partnership, cultural respect, and practical implementation, ensuring systems and advice are realistic for regional and remote environments while meeting regulatory expectations.

Learn more:
→ Consultancy services
→ Clinical governance & quality services
→ Ongoing support packages

LPA provides specialist medication management training and support for aged care providers. Our training is designed to strengthen safe practice, clinical governance, and regulatory compliance, while supporting staff to confidently manage medication-related risk in everyday service delivery.

A key differentiator for LPA is our dedicated Head of Clinical Care Services, Steve Neal, who brings extensive clinical leadership experience across aged care and community-based services. Steve provides senior clinical oversight to medication management training and consulting, ensuring guidance is clinically robust, practical, and aligned to contemporary best practice.

LPA’s medication management training and support typically includes:

  • Medication management training for care staff and care partners, including roles, responsibilities, and scope of practice

  • Clinical governance and oversight frameworks for medication management under Support at Home

  • Education on high-risk medicines, and medication-related deterioration

  • Support with documentation, incident management, and evidence requirements

  • Delegation, supervision, and escalation pathways for medication-related decisions

  • Training aligned to the Strengthened Aged Care Quality Standards and the new Aged Care Act

  • Practical guidance for home-based medication support, where environments and controls differ from residential care

Training can be delivered as tailored in-house sessions, embedded within broader clinical governance programs, or supported through ongoing support packages to reinforce consistent practice over time.

LPA also delivers public training workshops on medication management, allowing providers to access structured learning for individuals or small teams.

Explore upcoming workshops:
→ Upcoming training events
→ Online training & tailored workshops

These sessions complement in-house training and are particularly useful for refreshing knowledge, onboarding staff, or building capability across distributed teams.

Discover how LPA can support your organisation.