Disability Care
/
Competency

Prove competency for every worker, in every registration group.

A completion certificate is not evidence that someone can do a good job. Assess support workers against what the work requires, in the setting where they do it, and hold the evidence against their record for as long as you need it.

Book a walkthrough

The NDIS describes what a competent worker looks like. Now you can prove it, in Ausmed.

A support worker can finish a module on enteral feeding and still not be safe to run a PEG feed in a participant's home. What most large providers don't have is a way to close the gap that scales past a service manager's memory.

The usual answer is a paper checklist in a site folder, which holds up until you need to know who is currently assessed for high intensity supports across 40 sites and 1,500 workers, or until the Commission asks you to produce the evidence for a worker who left eight months ago.

The 5 components of competency

A single completion tick is not enough to prove competence.

ComponentWhat it meansWhat evidences it
KnowledgeThey understand the process.Completed by the worker, through assigned learning
SkillThey can carry it out.Observed by a manager, or submitted by the worker
IntentionThey apply it the way this person needs.Acknowledged by the worker at the start of the shift
ConfidenceThey can do it alone, on shift.Self-rated by the worker at the end of learning
PracticeThey have done it recently enough to still count.Confirmed by the worker after the shift

Today, your register cannot tell you who is ready.

A register records what was arranged. Readiness is about what a worker can do in front of a participant this week, and most of what a large provider holds today cannot tell the two apart.

Completion is treated as competence

The module is finished, so the box is ticked. Nobody watched the worker perform the skill, and the record cannot tell you whether anybody ever did.

The evidence is in a site folder

Signed checklists exist, on paper, in forty buildings. Producing them centrally means forty phone calls, and producing them for a worker who left means a search.

One person can assess

Assessment bottlenecks on the clinician or senior practitioner everyone trusts. When they are on leave, competency work stops, and when they leave, it restarts.

Nothing flags a lapse

A worker was assessed as competent, in 2023. Nothing in the system distinguishes that from assessed last month, so the register reads as green either way.

Assessed in a room, not a home

Competence demonstrated in a training room says little about competence at 6am in a participant's bathroom with the equipment that is actually there.

Leavers take the evidence with them

The Commission can ask about a worker who left eight months ago. If their assessment record was local to a site or a supervisor, the answer is a reconstruction.

"There is a view that it is as simple as going on a PowerPoint, ticking some stuff off, and then that's okay. But actually, that's not okay. That's not necessarily safe. That's not necessarily individualised."

General Manager Education and Clinical Specialties, disability and aged care provider

Competency in practice

What "assessed" has to mean in disability.

Each of the below may have a different assessor, a different setting and a different standard of evidence. But, they are built and run from the same competency library in Ausmed.

See it with your own supports

PEG feeding, tracheostomy, ventilator and catheter support assessed against the specific protocol, criterion by criterion, by a named assessor.

Prompting, assisting and administering are three different competencies with three different thresholds. Assess them separately.

Transfers assessed against the participant's own equipment, in their own home.

Verify that a worker can implement this participant's plan, not that they understand behaviour support in general.

Confirm the worker is authorised, trained and currently assessed before they can be allocated to the shift.

Track a new starter through their first 90 days against staged milestones.

Write the assessment your practice already uses.

Build observable criteria against your own procedures and participant protocols, set the evidence required, and choose who is permitted to sign it off. Start from a template where one fits.

Ausmed Competency™
Competency Builder
Assessor App

Assessed in the house, on the day.

Team leaders complete the assessment on a phone, in the setting, at the time. The record is timestamped and attributed, so there is no gap between the observation and the evidence.

A Not Yet Competent outcome should reach your roster the same day.

Competency status is exposed to your rostering system, so a worker who has not been signed off can't be allocated to a support that requires it, and a coordinator sees why before they try.

Skill-based rostering
Rostering API
Part of the Ausmed Workforce Capability System

NDIS competency runs on Ausmed.

Ausmed Competency™

Competency templates, digital assessment authoring and assessor sign-off across every site.

Ausmed Competency™
Ausmed Learn™

The training that precedes an assessment, and the remediation that follows a gap.

Ausmed Learn™
Ausmed Analytics™

Assessed, not yet competent and overdue, reported by site, team and support type.

Ausmed Analytics™
NDIS Quality and Safeguards CommissionNDIS Practice Standards · Core Module

Two phrases in the outcome statement do all the work.

Human resource management

"Each participant's support needs are met by workers who are competent in relation to their role, hold relevant qualifications, and who have relevant expertise and experience to provide person-centred support."

Competent is a claim about what a worker can do in front of a participant. A second indicator asks you to evaluate the effectiveness of the training you deliver. Completion data answers neither.

In relation to their role is why one organisation-wide register does not satisfy the standard. Competent in a SIL house with two residents on enteral feeding is not competent in community access.

Read the Core Module
NDIS Quality and Safeguards Commission

The Skills Descriptors already say what good practice looks like.

Assessments map to the High Intensity Support Skills Descriptors, which describe the practice expected for each high intensity support. Where a descriptor expects more than a module, the assessment is signed off by a named assessor in the setting where the support is delivered.

Audit preparedness

Let's talk

Bring one support type you're not confident about, and we'll show you what assessing it would look like.

Frequently asked questions

Who can act as an assessor?

You decide, per assessment. Some providers restrict high intensity sign-off to a clinical lead or registered nurse, and allow team leaders to assess manual handling. Assessor permissions are set on the competency, not on the person's job title alone.

How do participant-specific competencies work?

A competency can be scoped to one participant's protocol, so a worker assessed on that person's enteral feeding regime is not automatically cleared for someone else's.

What happens when someone is assessed Not Yet Competent?

Their manager, or a nominated user, is notified automatically. The remediation you take is documented in an Action Log against that outcome, so there is a structured record of how it was resolved rather than a conversation nobody wrote down.