carine area community needs study - city of stirling vision... · carine area community needs study...

April 2008

Prepared for Aged Care Services Australia

Carine Area Community Needs Study

verso consulting pty ltd ii

Contents

Contents ...................................................................................... ii

Executive Summary ........................................................................1

Outcomes of Demographic Analysis ................................................. 1 Unmet Demands for Residential Aged Care........................................ 2 Key Findings from Community Consultations ...................................... 2

The Research Study Area .................................................................4

1.1 Metropolitan North Planning Region......................................... 4 1.2 Defining the ‘Carine Area’ .................................................... 5

2 Demographics ..........................................................................7

2.1 55+ Population................................................................... 7 2.1.1 55+ Population in 2006 ............................................ 7 2.1.2 Projected 55+ Population in 2011 ............................... 7 2.1.3 Projected 55+ Population in 2021 ............................... 8

2.2 70+ Population................................................................... 8 2.2.1 70+ Population in 2006 ............................................ 8 2.2.2 Projected 70+ Population in 2011 ............................... 9 2.2.3 Projected 70+ Population in 2021 ............................... 9

2.3 85+ Population................................................................... 9 2.3.1 85+ Population in 2006 ...........................................10 2.3.2 Projected 85+ Population in 2011 ..............................10 2.3.3 Projected 85+ Population in 2021 ..............................11

2.4 Unpaid Carers...................................................................11 2.5 Economic Profile ...............................................................12

2.5.1 Income...............................................................12 2.5.2 Tenure...............................................................13 2.5.3 Socio-Economic Indices for Areas (SEIFA) .....................13

2.6 Aboriginal and Torres Strait Islander Persons (ATSI).....................15 2.7 Veterans and War Widows/Widowers ......................................16 2.8 CALD Communities.............................................................17

2.8.1 Non English Speaking Countries of Birth......................17 2.8.2 English as a Second Language ...................................19

3 Residential Aged Care Providers ................................................. 20

3.1 Providers by LGA ...............................................................20 3.2 Residential Aged Care Ratio Analysis.......................................24

4 Consultation findings ............................................................... 26

4.1 Methodology ....................................................................26 4.2 Identified regional needs .....................................................26

verso consulting pty ltd 1

Executive Summary

In April 2008, Aged Care Services Australia WA (the St Ives Group) commissioned Verso Consulting to undertake a Community Needs Study in support of their proposal to develop a Retirement Village and Residential Aged Care Facility in Carine, a suburb in the city of Sterling in North Perth.

This report focuses on a coastal area which can be considered the focal catchment area for the proposed retirement living development. This report analyses an area bordered by Cambridge Street and The Boulevard to the south, Whitfords Avenue to the north and Mitchell Freeway to the east. This area includes the proposed development site area and is referred to as the ‘Carine area’ or ‘study area’ in this report. This area falls within the Metropolitan North planning region of the Commonwealth Department of Health and Ageing (DoHA).

The objectives of this report are to:

• present a demographic analysis which outlines the current and projected aged care needs

• examine the current residential aged care services and their distribution across the study area and the wider Metropolitan North region, including an evaluation regarding the adequacy of the current allocation

• provide a commentary on the types of aged care services which may best meet the identified needs

A range of primary sources have been analysed: Australian Bureau of Statistics (ABS) Census of Population and Housing, 2001 and 2006; ABS Socio-Economic Indexes for Areas (SEIFA) data, 2008; ABS Survey of Disability, Ageing and Carers, 1998; Access Economics Report on Dementia Prevalence for Alzheimer’s Australia WA 2005; Carers WA Report “A Profile of Caring in WA”; Department of Veterans’ Affairs (DVA) Beneficiaries by Local Government Area (LGA); Department of Health and Ageing (DoHA) Service Lists 2007; WA Tomorrow Population Projections.

Outcomes of Demographic Analysis

• Metropolitan North is experiencing strong growth of the ageing population, with the current 55+ population of 115,776 forecast to rise to 175,060 by the year 2011 which is a 51.2% increase, which will result in increasing needs for housing developments suitable for older persons wishing to remain living within their local community

• In 2006, Stirling LGA (26.1%) had a greater proportion of persons aged 55+ than the Metropolitan North region as a whole (22.8%) indicating a high need for aged care housing in this part of the region

• Cambridge (2,857), Joondalup (9,128) and Stirling (17,489) LGAs are currently home to 68% of the population aged 70+ in Metropolitan North (42,953), confirming high needs for residential aged care in the local areas around the proposed development site

• Joondalup LGA is predicted to experience one of the steepest growth rates in WA for the 70+ population over the next decade – increasing by 73.1% to 15,800 persons by 2021. In Metropolitan North, this growth rate is eclipsed only by Wanneroo which is predicted to have a 151% increase to 16,300 persons. This


confirms projected increasing demands for aged care in areas adjacent to the catchment for this proposed development

• Population projections indicate that the 85+ population will increase by 53.4% in Metropolitan North by 2021. Current research into Alzheimer’s disease and other forms of dementia estimate that 25% of persons aged 85+ will experience moderate to severe dementia. These research findings confirm there will be ongoing needs for dementia care in this region and a requirement for retirement living and aged care developments to include provision for dementia-specific programs

• In the Study Area, 9.8% (1,741) of persons aged over 65 provide unpaid care, help or assistance to family members or others because of a disability, a long-term illness or issues related to old age. Anecdotal evidence suggests that the majority of these carers would be caring for their ageing spouse/partner. This proportion is higher than for the Metropolitan North region as a whole (9.2%). This suggests that a potential demand for local aged persons accommodation options suitable for older couples with healthy ageing and carer support programs incorporated into the development

Unmet Demands for Residential Aged Care

There are 68 residential aged care facilities in Metropolitan North offering approximately 1,545 high care and 2,017 low care places. Of these, 18 are located within the Study Area and offer 400 high care and 639 low care places.

The current DoHA allocation ratio for residential aged care places is 44:1000 (high care) and 44:1000 (low care) in reference to the population aged 70+. The provision ratios for Metropolitan North and the Study Area are:

Area High Care Ratio Low Care Ratio Overall Ratio

Metropolitan North 42.4:1000 55.3:1000 97.7:1000

Study Area 31:1000 49.5:1000 80.5:1000

This analysis confirms that the study area is under-resourced when compared to the DoHA planning ratio and the Metropolitan North level of provision as a whole. A local area analysis has revealed that Joondalup (28.2:1000 high care, 34.8:1000 low care) and Stirling (17.6:1000 high care, 45.8:1000 low care) will be significantly ‘under-bedded’ in future years given they are currently below the allocation ratio and are projected to experience high increases in the older population segment.

The future allocation of residential aged care places for Metropolitan North foreshadowed by the DoHA in 2007 (400 places in 2008-09 and 205 places in 2009-10) will not be adequate to keep pace with the rapidly increasing 70+ population. This will result in growing needs for community and home care programs linked to age-appropriate housing developments in this region.

Key Findings from Community Consultations

In 2008 a Community Needs survey was conducted with agencies in the region with key findings as follows:

• There are insufficient residential respite options (both low care and high care) within the Metropolitan North region which suggests that future residential care developments should include provision for respite beds

• “Many older persons are living in homes that are unsuitable or unsafe for older people to live in” (direct quote from survey participant)


• There are few senior-friendly housing developments in the established areas of the Metropolitan North region, requiring older persons to move away from ‘their area’ to find more appropriate housing

• There are insufficient day activity options for older persons, including recreation programs and dementia-specific day care, which suggests that retirement village developments in the region should include provision of facilities suitable for community programs


The Research Study Area

1.1 Metropolitan North Planning Region

Local Government Areas (LGAs) within DoHA’s Metropolitan North Planning Region are: Cambridge, Claremont, Cottesloe, Joondalup, Mosman Park, Nedlands, Peppermint Grove, Stirling (Central and Coastal SLAs), Subiaco and Wanneroo.

Source: Department of Health and Ageing


1.2 Defining the ‘Carine Area’

The St Ives Group has defined their area of interest as a coastal strip bordered by Cambridge Street and The Boulevard to the south, Whitfords Avenue to the north and Mitchells Freeway to the east. The proposed development site sits within this area and is located at 29 Silica Road, Carine, Western Australia, 6020.

It should be noted, however, that the catchment area for a service based in Carine may be wider than the area described above and depicted below.

Source: Google Maps


Suburbs within the Study Area:

• Carine

• City Beach

• Doubleview

• Duncraig

• Floreat*

• Glendalough*

• Gwelup

• Hillarys

• Innaloo

• Karrinyup

• Marmion

• North Beach

• Osborne Park*

• Padbury

• Scarborough

• Sorrento

• Trigg

• Watermans Bay

• Wembley

• Wembley Downs

• West Leederville*

• Woodlands

These suburbs form part of the area covered by Cambridge, Joondalup and Stirling^ LGAs; data relating to these LGAs is highlighted in the demographic analysis.

* Please note that these four Suburbs extend beyond the Study Area defined above, however, they are included in the analysis in their entirety as the relevant demographic data is not available in smaller geographical blocks which precisely match the defined area.

^ Stirling LGA is split across the Metropolitan North which includes Stirling Central and Stirling Coastal Statistical Local Areas (SLAs) and the Metropolitan East (Stirling South East SLA) DoHA planning regions. Where available, data relating to Stirling South East SLA have been excluded to provide the best possible picture of the Metropolitan North demographics.


2 Demographics

2.1 55+ Population

2.1.1 55+ Population in 2006

The 2006 ABS Census indicates that 22.8% of the Metropolitan North population is currently aged 55+, which is slightly lower than that of the Study Area at 24.9%.

Area 2006 Number of 55+ 2006 Percentage 55+

Cambridge 6,141 25.8%

Claremont 2,890 32.3%

Cottesloe 2,086 28.7%

Joondalup 30,614 20.5%

Mosman Park 2,167 26.3%

Nedlands 5,671 27.9%

Peppermint Grove 407 25.7%

Stirling (Central & Coastal) 42,027 26.1%

Subiaco 3,988 24.4%

Wanneroo 19,785 17.8%

Metropolitan North 115,776 22.8%

WA 448,864 22.9%

Study Area 33,609 24.9%

Source: ABS Census 2006

2.1.2 Projected 55+ Population in 2011

Projections prepared by the Western Australian Planning Commission, based on 2001 Census data, predict a substantial increase in the size of the population aged 55+, as detailed below. It is particularly worth noting the sizeable 44% increase projected for Wanneroo, which is well above that of the region (22.1%) and the state (18.9%).

Area 2011 Number of 55+ % change since 2006

Cambridge 6,790 +10.6%

Claremont 3,010 +4.2%

Cottesloe 2,270 +8.8%

Joondalup 35,300 +15.3%

Mosman Park 2,390 +10.3%

Nedlands 6,570 +15.9%

Peppermint Grove 445 +9.3%

Stirling (Central & Coastal) 50,100 +19.2%

Subiaco 3,980 -0.2%

Wanneroo 28,500 +44.0%

Metropolitan North 141,366 +22.1%

WA 533,860 +18.9%

Source: Western Australia Tomorrow, Western Australian Planning Commission, 2005







Joondalup 43,700 +42.7%


Nedlands 6,960 +22.7%



Subiaco 4,480 +12.3%

Wanneroo 45,400 +29.5%


WA 694,710 +54.8%


2.2 70+ Population


The 2006 ABS Census indicates that 8.5% of the population of the Metropolitan North is currently aged 70+, which is slightly higher than the state figure of 8.4%. However, the proportion of the population aged 70+ in the Study Area is slightly higher at 9.5%.


Cambridge 2,857 12%

Claremont 1,272 14.2%

Cottesloe 742 10.2%


Mosman Park 894 10.8%

Nedlands 2,503 12.3%



Subiaco 1,414 8.6%

Wanneroo 6,495 5.9%


WA 164,527 8.4%

Study Area 12,898 9.5%


Projections prepared by the Western Australian Planning Commission, based on 2001 Census data, predict a substantial increase in the size of the population aged 70+, as detailed below.




Cambridge 2,790 -2.3%


Cottesloe 830 +11.9%

Joondalup 9,600 +5.2%

Mosman Park 920 +2.9%

Nedlands 2,470 -1.3%

Peppermint Grove 155 -2.5%


Subiaco 1,420 +0.4%

Wanneroo 9,500 +46.3%


WA 190,931 +16.0%







Joondalup 15,800 +73.1%


Nedlands 3,060 +22.3%



Subiaco 1,880 +33.0%

Wanneroo 16,300 +151.0%


WA 280,381 +70.4%


2.3 85+ Population

The significance of reporting the 85+ population is that current research indicates that the average rate of moderate to severe dementia amongst Australians is about one in fifteen aged 65+; among people aged 80-84 the rate is one in nine, and among those aged 85+ it is one in four.1

Internationally, the incidence of dementia is reportedly higher than in Australia: 30% of Canadians over the age of 85 have Alzheimer's or a related disease2 and 30-40% of persons over 85 in the United States have Alzheimer’s disease”3.

1 ‘Statistics and Dementia Facts at a Glance’, Alzheimer’s Australia website www.alzheimers.org.au, accessed 18/2/2008 2 Canadian Study of Health & Aging Working Group: Canadian Study of Health and Aging: study methods and prevalence of dementia. Can Med Assoc J 1994; 150: 899-913 3 Mezey, Mathy D (ed), The Encyclopedia of Elder Care, Springer Publishing Company, 2001


Incidence of dementia potentially creates a range of special care needs which are compounded by more complex care requirements of the 85+ population and a higher likelihood of living alone. The 2006 ABS Census indicates that 1.5% of the Metropolitan North population is currently aged 85+, slightly higher than the state figure of 1.4%.



Cambridge 703 3.0%

Claremont 353 3.9%

Cottesloe 202 2.8%


Mosman Park 257 3.1%

Nedlands 764 3.8%



Subiaco 282 1.7%

Wanneroo 855 0.8%


WA 27,476 1.4%

Study Area 2,511 1.9%



Projections prepared by the Western Australian Planning Commission, based on 2001 Census data, predict a substantial increase in the size of the population aged 85+ in the Region, with overall growth at less than the State as a whole as detailed below.


Cambridge 680 -3.3%

Claremont 350 -0.8%

Cottesloe 180 -10.9%

Joondalup 1,500 +6.2%

Mosman Park 220 -14.4%

Nedlands 700 -8.4%



Subiaco 300 +6.4%

Wanneroo 1,200 +40.4%


WA 35,041 +27.5%




Area 2021 Number of 85+ % increase since 2006

Cambridge 690 -1.8%

Claremont 340 -3.7%

Cottesloe 190 -5.9%

Joondalup 2000 +41.5%

Mosman Park 220 -14.4%

Nedlands 620 -18.8%


Stirling (Central & Coastal) 5100 +79.5%

Subiaco 320 +13.5%

Wanneroo 2300 +169.0%

Metropolitan North 11815 +53.4%

WA 48251 +75.6%


2.4 Unpaid Carers

The 2006 Census was the first to report on the number of people who spent time providing unpaid care, help or assistance to family members or others because of a disability, a long-term illness or issues related to old age.

The table below examines the numbers of persons aged 55+ and 65+ who provided unpaid assistance, and identifies potential demand for ageing carers who may seek a suitable, local residential aged care facility for their family member as their care needs increase. According to the 1998 ABS ‘Survey of Disability, Ageing and Carers’ 45% of male carers and 55% of female carers are caring for their spouse/partner.

It is significant that the proportion of unpaid carers in the Carine Study Area is higher than that of the Metropolitan North Region.

Age 55+ Age 65+ Area

# % # %

Cambridge 891 14.5% 444 11.9%

Claremont 392 13.5% 163 9.4%

Cottesloe 342 16.3% 130 12.0%

Joondalup 3,678 12.0% 1,150 8.6%

Mosman Park 277 12.8% 103 8.6%

Nedlands 750 13.3% 343 10.6%

Peppermint Grove 67 17.1% 30 14.3%

Stirling (Cent & Coastal) 4,925 11.7% 2,218 9.1%

Subiaco 502 12.6% 185 9.1%

Wanneroo 2,115 10.7% 827 8.4%

Metropolitan North 13,939 12.0% 5,593 9.2%

WA 50,337 11.2% 20,432 8.7%

Study Area 4,278 12.7% 1,741 9.8%



This data also highlights the need for carer support groups/activities in the Carine area and it is recommended that any new aged care facility specifically addresses this identified area of need.

2.5 Economic Profile

The analysis of Income, Tenure and Advantage/Disadvantage below indicates that the Study Area is relatively advantaged in relation to the wider Metropolitan North region and WA as a whole. This indicates strong demand potential for a residential aged care service which is prepared to offer Extra Services to residents.

2.5.1 Income

Weekly income figures reported by the 2006 Census indicate that there is a significantly higher proportion of persons aged over 55 years in the Study Area with a weekly income in excess of $800 as compared to Metropolitan North and to the state:

• Study Area 25.3% • Metropolitan North 17.1%

• WA 17.9%

Age 55+ Age 70+ Area

# % Median $ # % Median $

Cambridge 1,876 30.6% 550 291 13.6% 401

Claremont 1,136 39.2% 680 236 25.0% 474

Cottesloe 842 40.2% 678 135 24.1% 509

Joondalup 56,808 17.1% 337 3,512 4.4% 287

Mosman Park 619 28.7% 460 64 10.0% 361

Nedlands 2,040 36.0% 651 291 15.5% 436

Peppermint Grove 238 60.9% 1,667 56 51.9% 1,553

Stirling (Cent & Coastal) 54,802 16.5% 333 3,512 4.4% 293

Subiaco 1,330 33.4% 485 124 12.7% 356

Wanneroo 54,802 16.5% 289 3,512 4.4% 278

Metropolitan North

174,493 17.1% 518 11,733 4.8% 381

WA 80,188 17.9% 309 5,731 5.3% 283

Study Area 8,490 25.3% n/a 810 9.0% n/a


• Seven of the ten most advantaged LGAs in WA are located in the Metropolitan North planning region

• The Study Area is relatively advantaged in relation to the wider Metropolitan North region and WA as a whole. This indicates strong demand potential for a residential aged care service which is prepared to offer Extra Services to residents. 25.3% of persons aged 55+ and 9% of persons aged 70+ in the Study Area reported a weekly income in excess of $800 as compared to Metropolitan North (17.1% and 4.8%)

• The age 70+ and 85+ populations in Cambridge (69.1% and 50.7%), Joondalup (75.2% and 55.7%) and Stirling (68.6% and 51.9%) LGAs have are more likely to own/be purchasing their home than comparable cohorts in the wider Metropolitan North region (67.8% and 49.8%)

• The majority of Metropolitan North residents aged 55+, 70+ and 85+ are likely to be in a position where they can choose the type of care and accommodation


they take up as their needs and circumstances change. However, community consultations confirm older persons generally prefer to seek alternate accommodation arrangements within their own local neighbourhood

2.5.2 Tenure

The ABS Census 2006 collated Tenure data under six classifications:

• Fully owned

• Being purchased

• Being occupied under a lifetime tenure scheme

• Rented

• Being occupied rent-free

• Other tenure type

For the purposes of this study, the ‘Fully owned’ and ‘Being purchased’ classifications were consolidated into a single category, the table below indicating the proportion of older persons who have secure tenure (excluding those who have a Lifetime Tenure arrangement.

Age 55+ Age 70+ Age 85+ Area

# % # % # %

Cambridge 4,471 77.4% 1,858 69.1% 339 50.7%

Claremont 1,929 72.6% 805 66.2% 173 50.3%

Cottesloe 1,461 76.2% 513 72.5% 102 55.1%

Joondalup 24,617 84.9% 6,547 75.2% 748 55.7%

Mosman Park 1,282 64.0% 452 54.9% 92 40.5%

Nedlands 3,867 72.6% 1,438 60.6% 310 41.6%

Peppermint Grove 311 84.1% 127 87.0% 23 79.3%

Stirling (Cent & Coastal) 29,369 73.2% 11,479 68.6% 1,407 51.9%

Subiaco 2,323 61.2% 709 51.7% 134 48.7%

Wanneroo 13,963 74.7% 3,790 61.8% 324 39.9%

Metropolitan North 83,593 76.2% 27,718 67.8% 3,652 49.8%

WA 308,148 73.7% 102,321 66.0% 12,323 47.2%


The table above indicates higher representation of secure tenure in Metropolitan North as compared to WA as a whole across all the age cohorts examined. This indicates that the majority of Metropolitan North residents aged 55+ (76.2%), 70+ (67.8%) and 85+ (49.8%) are likely to be in a position where they can choose the type of care and accommodation they take up as their needs and circumstances change.

2.5.3 Socio-Economic Indices for Areas (SEIFA)

The Australian Bureau of Statistics (ABS) has produced a number of indices based on 2006 Census data, which measures the level of advantage in any given area. These are known as the 'SEIFA' indexes (Socio-Economic Indexes for Areas).

The SEIFA Index provides an objective measure to determine relative advantage of a particular area against the Australian average, as well as other areas. Factors such as household income, education and profession, household and dwelling size are used to determine an area’s Index value.


Areas are given an index 'score'. The Australia-wide average has been fixed at 1,000 so that, generally speaking, an area with a score above 1,000 can be considered relatively advantaged, and an area with a score below 1,000 can be considered relatively disadvantaged. The further away from 1,000 the scores are, the more or less advantaged a given area is.

Area SEIFA Index Value Advantage Ranking (WA)

Cambridge 1158 4th

Claremont 1132 5th

Cottesloe 1180 2nd

Joondalup 1083 12th

Mosman Park 1104 9th

Nedlands 1167 3rd

Peppermint Grove 1191 1st

Stirling (Cent & Coastal) 1030 18th

Subiaco 1123 6th

Wanneroo 1010 27th

Source: ABS Socio-economic Indexes for Areas (SEIFA), 2008


2.6 Aboriginal and Torres Strait Islander Persons (ATSI)

The Metropolitan North population includes a small but significant ATSI population, with just over 1,000 persons over the age of 45, according to Census figures. The reported figures for the Study Area are generally consistent those of the Region for persons aged 45+ and 55+, with a higher proportion of 65+ persons.

While the population is recorded at this level, the actual numbers may fluctuate due to the inclination of Aboriginal and Torres Strait Islanders to regularly move within wider family groups, in conjunction with a frequent unwillingness to report their ATSI status to government agencies. This impacts on the statistical accuracy of this information and may mask the propensity of ATSI residents to access health or aged care services across different regions as their health care needs and family commitments change.

The target age group for aged care is lower for ATSI persons due to a reported tendency to experience a range of age-related health issues at an earlier age (45+).


# % of ATSI pop

# % of ATSI pop

# % of ATSI pop Cambridge 10 27.0% 6 16.2% 0 0.0%

Claremont 0 0.0% 0 0.0% 0 0.0%

Cottesloe 3 20.0% 3 20.0% 0 0.0%

Joondalup 111 15.8% 35 5.0% 6 0.9%

Mosman Park 22 34.9% 8 12.7% 3 4.8%

Nedlands 8 12.9% 4 6.5% 0 0.0%


Stirling (Cent & Coastal) 351 18.0% 152 7.8% 58 3.0%

Subiaco 12 13.6% 9 10.2% 6 6.8%

Wanneroo 200 10.5% 73 3.8% 21 1.1%

Metropolitan North 1,068 15.7% 442 6.5% 152 2.2%

WA 9,859 16.8% 4,603 7.8% 1,915 3.3%

Study Area 121 16.0% 51 6.7% 24 3.2%



2.7 Veterans and War Widows/Widowers

There is a higher proportion of Veterans and War Widows/Widowers in the Metropolitan North Region than across WA as a whole (22.04% of the 70+ population) as compared to the state average of 19.84%, as reported by the Department of Veterans’ Affairs.

Likewise, each of the target LGAs is reported to have higher proportions of Veterans and War Widows/Widowers than the State: Cambridge (29.59%), Joondalup (21.14%) and Stirling (20.59%).

Area 70+ Population DVA Population % DVA Population

Cambridge 2,139 633 29.59%

Claremont 924 299 32.36%

Cottesloe 562 159 28.29%

Joondalup 7,706 1,629 21.14%

Mosman Park 629 164 26.07%

Nedlands 1,731 492 28.42%

Peppermint Grove 127 26 20.47%

Stirling (Central & Coastal) 14,638 3,014 20.59%

Subiaco 1,130 243 21.50%

Wanneroo 5,643 1,105 19.58%

Metropolitan North 35,229 7,764 22.04%

WA 137,051 27,197 19.84%

Source: Department of Veterans’ Affairs 2007 and ABS Census 2006


2.8 CALD Communities

2.8.1 Non English Speaking Countries of Birth

The countries of birth of residents of the Metropolitan North Region represent a wide variety of nations. Of particular interest are countries of birth which are predominantly non-English speaking (NESB).

The table below indicates the size of the CALD communities aged 70+ in Metropolitan North. The largest group, clearly, are those who were born in Italy (2,152 across the region) and it is critical that aged care services respond to their. There are, however small groups such as the Guyanese (3 persons living in Stirling and 3 in Nedlands).

The diversity of NESB require that aged care services develop comprehensive ‘multi-cultural’ responses to meet the needs of persons from any NESB who may be eligible and choose to access their services.

Area /

NESB aged 70+

Top 30 NESB & numbers of persons aged 70+

Cambridge

419

Italy 112

Netherlands 37

Greece 25

Poland 24

Malaysia 24

India 24

Croatia 13

Germany 11

Egypt 10

Hungary 9 Myanmar 9

Singapore 8

China 8

South Africa 8

Indonesia 7

Switzerland 6

Wales 5

Latvia 5

Lithuania 5

Ukraine 5

Iran 5

Romania 4

Czech Republic 4

Japan 4

Sri Lanka 4

Peru 4

Denmark 3

Finland 3

Norway 3

Malta 3

Claremont

128

India 10

South Africa 8

Netherlands 7

Malaysia 7

Singapore 7

Germany 6

Italy 6

Greece 6

Poland 6

Myanmar 6

Iran 4

Sri Lanka 4

PNG 3

Belgium 3

France 3

Switzerland 3

Malta 3

Montenegro 3

Hungary 3

Latvia 3 Lithuania 3

Ukraine 3

Egypt 3

Libya 3

China 3

Ghana 3

Mauritius 3

Namibia 3

Zimbabwe 3

Cottesloe

75

Italy 11

South Africa 9

India 7

Croatia 6

Greece 6

Malaysia 5 Germany 4

Wales 3

France 3

Netherlands 3

Switzerland 3 Poland 3

Bosnia & Herzegovina 3

Egypt 3

Singapore 3

Zimbabwe 3

Joondalup

1,816

Germany 241

South Africa 101

Poland 98

Bangladesh 95

Fr Polynesia 87

Greece 86

Cyprus 76

Italy 64

Djibouti 63

Hungary 49

India 45

Netherlands 43


Lithuania 31

Singapore 30

Portugal 30

Norway 29

Wales 28

FYR Macedonia 25

Bahrain 25

Libya 23

Jordan 23

Somalia 22

China 20

Myanmar 20

Iran 18

Spain 17

Slovenia 17

Latvia 17

Malaysia 16

Mosman

Park

84

Poland 11

South Africa 11

Germany 10

Croatia 6

Iran 6

India 6 Netherlands 4

Spain 4

Latvia 4

East Timor 4

Denmark 3 Norway 3

Portugal 3

Greece 3

Egypt 3

Malaysia 3


Area /

NESB aged 70+

Top 30 NESB & numbers of persons aged 70+

Nedlands

286

Malaysia 37

Italy 22

India 21

South Africa 21

Netherlands 15

China 15

Sri Lanka 15

Wales 14

Greece 12

Indonesia 12 Singapore 11

Hong Kong 10

Egypt 7

Austria 6

Germany 6

Poland 6

Gaza/WestBank 5

Switzerland 4

Spain 4

Slovenia 4 Estonia 4

Lithuania 4

Myanmar 4

Croatia 3

Czech Republic 3

Russian Fed 3

Iran 3

Lebanon 3

Philippines 3

Guyana 3

Peppermint

Grove -

Stirling

(Central &

Coastal)

4,901

Italy 1637

Greece 409

Netherlands 278

India 259

Poland 214

FYR Macedonia 209

South Africa 186

Croatia 165

Germany 155

Myanmar 136 Viet Nam 134

China 96

Malaysia 88

Singapore 65

Egypt 56

Sri Lanka 50

Wales 49

Ukraine 45

Indonesia 43

Austria 42 Mauritius 41

Latvia 38

Hungary 28

Spain 27

Israel 23

Zimbabwe 21

Malta 19

Romania 19


Slovenia 17

Subiaco

248

Poland 32

Italy 26

Malaysia 21

India 20

Netherlands 17

Germany 13

South Africa 10

Hungary 8

France 7

Greece 7

Myanmar 7 Croatia 6

Egypt 6

China 6

Japan 5

Austria 4

Ukraine 4

Mauritius 4

Mozambique 4

Wales 3

Finland 3


Romania 3

Slovenia 3

Latvia 3

Iran 3

Lebanon 3

Cambodia 3

Viet Nam 3

Philippines 3

Wanneroo

1354

Italy 274

India 115

Netherlands 108

Viet Nam 90

Myanmar 71

Germany 66

Wales 60

South Africa 50

Greece 44

Croatia 42

Poland 40

Malaysia 36

FYR Macedonia 25

Mauritius 23

Hungary 22

China 19

Egypt 16

Romania 15

Spain 14

Singapore 14

Malta 13

Zimbabwe 12

Slovenia 10

Cambodia 10

Austria 9

Philippines 9

Chile 9

Kenya 9

Serbia 8

Belgium 7

Metropolitan North 9,311

Italy 2152

Greece 598

Germany 512

Netherlands 512

India 507

Poland 434

South Africa 404

FYRMacedonia 262

Myanmar 253

Croatia 248

Viet Nam 240

Malaysia 237

China 167

Singapore 138

Wales 134

Hungary 119

Egypt 117

Bangladesh 104

Sri Lanka 87

Fr Polynesia 87 Cyprus 86

Mauritius 82

Indonesia 73

Latvia 73

Austria 67

Ukraine 66


Djibouti 63

Spain 62

Iran 57



2.8.2 English as a Second Language

The proportion of older persons living in Metropolitan North who reported a primary language other than English and that they speak English “not well or not at all” is slightly higher than for WA as a whole. The particular LGAs where this population characteristic is most significant are Stirling and Wanneroo, with the proportions exceeding other LGAs in all age brackets.


# % # % # %

Cambridge 94 1.5% 75 2.6% 26 3.7%

Claremont 12 0.4% 6 0.5% 3 0.8%

Cottesloe 0 0.0% 0 0.0% 0 0.0%

Joondalup 456 1.5% 267 2.9% 38 2.7%

Mosman Park 36 1.7% 19 2.1% 6 2.4%

Nedlands 74 1.3% 42 1.7% 3 0.4%


Stirling (Cent & Coastal) 2,555 6.1% 1,447 8.3% 227 8.0%

Subiaco 90 2.3% 47 3.3% 5 1.8%

Wanneroo 955 4.8% 434 6.7% 100 11.7%

Metropolitan North 4,272 3.7% 2,337 5.4% 408 5.3%

WA 13,602 3.0% 7,625 4.6% 1,416 5.2%

Study Area



3 Residential Aged Care Providers

3.1 Providers by LGA

There are currently 68 Residential Aged Care Facilities in the Metropolitan North Region, operating approximately 1,545 high care and 2,017 low care places. The following tables provide details of the distribution of residential aged care places across the Region, highlighting the State Suburbs of interest.

Cambridge

Facility High Care

Low Care

Catherine McAuley Hostel, Wembley 0 60

Catherine McAuley Nursing Home, Wembley 53 0

Kimberley Residential Aged Care, West Leederville 93 0

Koh-I-Noor Nursing Home, Wembley 41 0

St John of God Villa, West Leederville 1 59

Villa Pelletier Hostel, Leederville 0 40

Total 188 159

Source: Commonwealth Department of Health and Ageing – 2006 Aged Care Service List & ACAR 2007 Allocation

Claremont

Facility High Care

Low Care

Alfred Carson Lodge, Claremont 54 0

Total 54 0


Cottesloe

Facility High Care

Low Care

Sundowner Hostel, Cottesloe 0 41

Wearne Hostel, Cottesloe 0 88

Total 0 129



Joondalup

Facility High Care

Low Care

Barridale Lodge, Kingsley 0 24

Edgewater Care Facility, Edgewater 2 30

Edgewater Mercy Hostel, Edgewater 0 21

Grandview Aged Care, Joondalup 55 50

Joondalup Care Facility, Joondalup 0 20

Kingsley Care Facility, Kingsley 22 0

Kingsley Lodge Hostel, Kingsley 0 37

Kinross Care Centre, Kinross 0 48

Lady McCusker Home, Duncraig 59 1

Meath Care, Kingsley 20 0

Mercyville Hostel, Craigie 0 17

Oxford Gardens Care Facility, Joondalup 61 0

Trinity Village, Duncraig 0 39

Warwick Nursing Home, Warwick 38 0

Warwick Village Hostel, Warwick 0 31

Total 257 318


Mosman Park

Facility High Care

Low Care

Dorothy Genders Hostel, Mosman Park 0 28

Freshwater Bay Nursing Home, Mosman Park 46 0

Mosman Park Nursing Home, Mosman Park 35 0

River Sea Hostel, Mosman Park 0 44

Total 81 72


Nedlands

Facility High Care

Low Care

Elloura Lodge, Nedlands 0 63

Hollywood Village Nursing Home, Nedlands 101 0

Melvista Nursing Home, Nedlands 29 0

Warrina Hostel, Nedlands 0 40

Weston Lodge, Nedlands 0 70

Total 130 173



Peppermint Grove

Facility High Care

Low Care

nil

Total 0 0


Stirling (Central and Coastal SLAs)

Facility High Care

Low Care

Birralee Care Facility, Innaloo 46 0

Carl and Sadie Cohen Hostel, Dianella 0 51

Chrystal Halliday Care Facility, Karrinyup 24 41

David Buttfield Centre, Gwelup 30 75

Edinboro House, Joondanna 0 25

Geneff Village Hostel, Innaloo 0 32

Glendalough Hostel, Glendalough 0 52

Glendalough Nursing Home, Glendalough 31 0

Hellenic Community Aged Care, Dianella 26 54

Hoffman Nursing Home, Dianella 35 0

James Brown Hostel, Osborne Park 0 64

Joondanna Village Lodge, Joondanna 21 0

Meath House, Trigg 0 70

Moline House, Karrinyup 0 60

Osbourne House, Joondanna 0 35

Servite Villa, Joondanna 0 32

Shawford Lodge, Innaloo 22 45

St Andrews Residential Care, Balcatta 30 45

St Francis Hostel, Gwelup 0 41

Stirling Aged Care Facility, Yokine 43 37

Stirling Ethnic Hostel, Balcatta 0 42

Total 308 801


Subiaco

Facility High Care

Low Care

Hamersley Nursing Home, Subiaco 79 0

Onslow Gardens Care Facility, Subiaco 62 0

St Luke’s Nursing Home, Subiaco 35 0

Total 176 0



Wanneroo

Facility High Care

Low Care

Anchorage Aged Care, Mindarie 56 46

Bethanie Beachside, Yanchep 23 0

Italian Community Nursing Home, Marangaroo 67 0

Jacaranda Lodge, Wanneroo 0 65

John Bryant House, Marangaroo 0 42

Karri Lodge, Merriwa 0 60

Madeley Care Facility, Madeley 60 50

Regents Gardens Residential Aged Care Resort, Wanneroo 57 43

Tuart Lodge, Merriwa 48 0

Villa Terenzio, Marangaroo 0 59

Wanneroo Community Nursing Home, Wanneroo 40 0

Total 351 365



3.2 Residential Aged Care Ratio Analysis

The 2006 Census reports that there were 36,458 persons aged 70+ living in the Metropolitan North in 2006. The current DoHA allocation ratio for residential aged care beds is 44:1,000 (low care) and 44:1,000 (high care).

High Care

Target Ratio 44:1,000

Low Care


Overall


Area

70+ population

Actual Places

Actual per

1,000

Ratio Variance

Actual Places

Actual per

1,000

Ratio Variance

Actual Places

Actual per

1,000

Ratio Variance

Cambridge

2,857 188 65.8 +21.8 159 55.6 +11.6 347 121.5 +33.5

Claremont

1,272 54 42.6 -1.4 0 0 -44 54 42.5 -45.5

Cottesloe

742 0 0 -44 129 173.8 +129.8 129 173.8 +85.8

Joondalup

9,128 257 28.2 -15.8 318 34.8 -9.2 575 62.9 -25.1

Mosman Park

894 81 9.1 -34.9 72 80.5 +36.5 153 171.1 +83.1

Nedlands

2,503 130 51.9 +7.9 173 69.1 +25.1 303 121.1 +33.1

Peppermint

Grove

159

0 0 -44 0 0 -44 0 0 -88

Stirling

17,489 308 17.6 -26.4 801 45.8 +1.8 1,109 63.4 -24.6

Subiaco

1,414 176 124.5 +80.5 0 0 -44 176 124.5 +36

Wanneroo

6,495 351 54.0 +10 365 56.2 +12.2 716 110.2 +22.2

Metropolitan North

36,458

1,545 42.4 -1.6 2,017 55.3 +11.3 3,562 97.7 +9.7

Study Area

12,898 400 31.0 -13 639 49.5 +5.5 1,039 80.5 -7.5

Source: Commonwealth Department of Health and Ageing - Aged Care Service List 2005-2006 and ACAR 2007 Allocations and ABS 2006 Population & Housing Census


Foreshadowed Residential Places

At the time of announcing the number and distribution of residential aged care places and inviting applications, the Department of Health and Ageing also publishes indicative allocations for the following two calendar years.

Foreshadowed Residential Places 2008-09 2009-10

Metropolitan North 400 205

Source: Commonwealth Department of Health and Ageing – 2007 Regional Distribution of Aged Care Places


4 Consultation findings

4.1 Methodology

Telephone surveys were conducted in early 2008 with key agencies in the Region including:

• Local Councils: Cambridge, Stirling, Subiaco and Wanneroo

• ACATs: Osborne Park and Sir Charles Gairdner Hospital

• Referral/Advisory Services: Independent Living Centre Commonwealth Carelink Centre and Carer Resource Centre, The Aged Persons’ Support Service (TAPSS)

4.2 Identified regional needs

The following community needs have been identified by Verso Consulting through community consultations conducted annually since 2005. This body of work has enabled us to track the following care issues and service gaps in relation to community aged care.

Care, health and coordination issues 2005 2006 2007 2008

Difficult to get providers to service outer/northern areas

2007: Few providers will go north of Burn Beach Rd, getting services to

Yanchep a major issue

2007: Ballajura difficult to service, on edge of 2 ACAT catchments, removed from townships, large providers service

it poorly (esp. HACC & CACP)

� � � �

Workforce issues - hard to attract/retain suitable staff

2007: shortage of suitable workers for CALD clients and for outer areas

2007: Traineeships not 100% effective. Care workers pursue residential/PAG

jobs for “regular work hours”

� � � �

Long CACP waiting lists

2008: packages empty due to lack of direct care and case management staff

� � � �

Long HACC waiting lists - service limited

2007: especially personal care, domestic assistance, transport, PAG

2008: very limited access to domestic assistance

2008: staffing issues

� � �


Service gaps and unmet needs 2005 2006 2007 2008

Distinct rural/Metropolitan divide � � �

Limited choice of quality community care providers

2007: especially around Yanchep and Joondalup

� � �

Reduced transport options for older persons

2007: “transport is always an issue”

� � � �

Not enough day activities generally � � �

Limited Dementia PAG and day activities � � � �

Special needs groups 2005 2006 2007 2008

Appropriate/flexible CALD and Multicultural CACP/EACH Packages would be well received (especially

outlying areas).

2005: Italian/Vietnamese catered

2006: influx of African refugees

2007: difficult to provide culturally appropriate care to Lithuanian, South African and Jewish refugee communities 2008: never enough Italian, Greek,

Macedonia packages

2008: issues with smaller CALD groups

� � � �

Not enough care teams qualified in dementia care

� �

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