Wellness & Reablement Evidence Check List (CALD LENS)

Focus: Dignity, choice, independence, cultural identity

Older person is treated as an active decision-maker, not a passive recipient

• Demonstrates understanding of the older person’s cultural communication style
• Identifies who is involved in decision-making (e.g. family members, elders, community representatives)
• Confirms decisions are made with the older person, not for them

Goals are person-led and culturally meaningful

• Goals reflect what matters to the older person, not just service or clinical priorities
• Recognises whether the older person comes from a collectivist culture, where activities, routines, and decisions may be shared or group-based
• Avoids imposing individualistic goals that conflict with cultural values

Independence is framed as dignity, not withdrawal of support

• Explores the older person’s own understanding of independence
• Considers the family’s and community’s perspective on independence and support
• Balances reablement goals with cultural expectations of care, respect, and interdependence

Cultural identity, language, faith, and customs inform goal setting

• Cultural beliefs, traditions, faith practices, and daily routines are reflected in goals
• Considers cultural factors that may influence mobility, self-care, food, social participation, and personal care
• Avoids goals that unintentionally undermine cultural identity or dignity

Interpreter use supports genuine understanding and informed consent

• Interpreter is used where language barriers exist
• Interpreter has experience or understanding of aged care contexts, including assessments and goal-setting conversations
• Confirms the older person fully understands options, risks, and choices, and can give informed consent

MAC Recommendation: Workers attend Cultural Intelligence in Intercultural communications training

Focus: Strengths-based, dynamic, responsive planning

Assessment identifies strengths and capabilities, as well as support needs

• Assessment actively explores what the older person can do independently, what they can do with support, and what they would like to regain or maintain.
• Recognises existing skills, routines, and life roles that are culturally embedded (e.g. cooking traditional meals, caring for grandchildren, attending faith or community activities).
• Avoids deficit-based language and reframes needs in terms of capacity building and confidence.
• Takes into account cultural views of ageing, illness, disability, and help-seeking behaviours.

Wellness goals are clearly documented and regularly reviewed

• Goals are person-led, culturally meaningful, and reflect what matters most to the older person in their daily life.
• Goals are written in plain, respectful language that the older person and family can understand.
• Goals are confirmed with the older person (and family where appropriate) to ensure shared understanding and agreement.
• Reviews are scheduled and conducted regularly, or sooner if circumstances, health, or confidence change.

Reablement plans are time-limited, purposeful, and goal-directed

• Reablement plans clearly outline what the older person wants to achieve, how support will assist, and over what timeframe.
• Timeframes are realistic and culturally appropriate, recognising that progress may look different across cultures.
• Supports are designed to build skills, strength, confidence, and participation, not create dependency.
• Progress toward goals is monitored and discussed with the older person and family.

Cultural factors influencing independence and family roles are documented

• Records how culture influences views of independence, interdependence, and dignity.
• Identifies expected family roles, including who provides care, who makes decisions, and who should be consulted.
• Recognises collectivist cultural norms where reliance on family or community is seen as respectful and appropriate, not a lack of independence.
• Ensures documentation avoids assumptions and reflects the older person’s own cultural perspective.

Plans are flexible and adjusted as confidence, capacity, and circumstances change

• Care and reablement plans are dynamic, not static, and evolve as the older person’s abilities and confidence increase or fluctuate.
• Supports may be gradually reduced, modified, or reintroduced based on progress, health changes, or life events.
• Adjustments are made in partnership with the older person and family, respecting cultural expectations and preferences.
• Changes are clearly documented, explained, and agreed to, supporting transparency and dignity.

Focus: Services that build capacity and reduce dependence

Services are delivered as “doing with” rather than “doing for”

• Staff support the older person to remain actively involved in tasks wherever safe and appropriate.
• Assistance is provided only to the level required, enabling the older person to use their existing skills and abilities.
• Service delivery avoids creating dependency by routinely taking over tasks the older person can do independently or with minimal support.
• Cultural preferences about how help is offered and received are respected.

Staff actively encourage participation in daily activities

• Staff prompt, motivate, and support participation in daily living activities such as personal care, meal preparation, mobility, social engagement, and community participation.
• Encouragement is delivered respectfully, using culturally appropriate communication styles.
• Staff recognise and accommodate cultural norms that may influence participation (e.g. modesty, gender roles, time of prayer, family involvement).
• Participation is framed as maintaining dignity, confidence, and purpose.

Assistive aids support independence rather than replace effort

• Assistive equipment is introduced to enable independence, safety, and confidence rather than reduce activity.
• Staff explain and demonstrate how aids can support the older person to continue doing tasks themselves.
• Cultural attitudes toward assistive devices, disability, and visibility of aids are explored and respected.
• Use of aids is regularly reviewed to ensure they remain appropriate as capacity changes.

Cultural practices are respected and incorporated into service delivery

• Service delivery reflects the older person’s cultural identity, faith, language, and customs.
• Cultural practices such as food preparation, prayer routines, gender preferences in care, dress, and personal boundaries are respected.
• Staff adapt care routines to align with cultural expectations where possible and safe.
• Cultural considerations are clearly documented and communicated across the care team.

Reablement intent is clearly reflected in service delivery notes

• Progress notes clearly describe how services are supporting the older person to build or maintain capacity.
• Notes focus on participation, progress, effort, and confidence, not just task completion.
• Changes in ability, motivation, or confidence are recorded and inform adjustments to care.
• Documentation demonstrates alignment between assessed goals, reablement plans, and daily service delivery.

Focus: Safe, enabling, inclusive environments

Home and service environments support independence

• The physical environment is arranged to help the older person move safely, complete tasks, and participate in daily activities with minimal assistance.
• Environmental features support the older person to continue using their existing skills and abilities, rather than relying on staff to take over tasks.
• Adjustments consider the older person’s routines, habits, and cultural practices (e.g. cooking methods, prayer routines, seating preferences).
• The older person is involved in decisions about environmental changes to ensure comfort, dignity, and acceptance.

Equipment is culturally appropriate and acceptable

• Equipment and aids are selected in partnership with the older person, respecting cultural beliefs, personal preferences, and comfort levels.
• Cultural views about disability, visibility of aids, modesty, and gender are explored before equipment is introduced.
• Alternatives are considered where standard equipment causes discomfort or cultural distress.
• Equipment use is reviewed over time to ensure it continues to support independence and confidence.

Environment supports mobility, confidence, and autonomy

• The environment encourages safe movement, confidence, and self-directed activity, rather than restriction or over-protection.
• Layout, lighting, flooring, and furniture placement support orientation and reduce fear of movement.
• Supports are balanced with the older person’s dignity of risk, allowing choice while managing safety.
• The environment enables the older person to decide when and how they move and participate in activities.

Cultural safety considerations are documented

• Cultural identity, faith practices, language needs, and gender preferences are reflected in how the environment is used and adapted.
• Privacy, modesty, and personal space are respected in line with cultural expectations.
• Spaces are adapted where possible to support cultural routines (e.g. prayer, food preparation, family visits).
• Cultural considerations are clearly recorded and shared with staff to support consistent, respectful practice.

Practice Tip:  An enabling environment supports confidence and function – it does not replace effort or remove choice.

Focus: Safe, appropriate, coordinated support

Allied health input (where used) supports reablement goals

• Allied health involvement (e.g. physiotherapy, occupational therapy, podiatry) is clearly linked to the older person’s wellness and reablement goals, not provided in isolation.
• Recommendations focus on building strength, function, confidence, and participation, rather than long-term dependence on therapy.
• Strategies provided by allied health professionals are integrated into everyday routines and service delivery, not limited to clinical sessions.
• Cultural preferences and communication needs are considered when explaining exercises, strategies, or equipment use.

Falls prevention and mobility plans build confidence

• Falls prevention approaches emphasise confidence, balance, and safe movement, not fear or restriction.
• Mobility plans support the older person to remain active in ways that are meaningful to them (e.g. attending community activities, visiting family, participating in faith practices).
• Cultural attitudes toward falls, ageing, risk, and physical activity are acknowledged and respected.
• Strategies are adapted over time as confidence, strength, and mobility change.

Cultural beliefs around health and healing are respected

• Cultural beliefs, traditional practices, and faith-based views of health and healing are acknowledged and respected in care discussions.
• The older person’s preferences around pain, illness, treatment, and recovery are explored without judgement.
• Where appropriate, traditional practices or community supports are recognised alongside clinical advice.
• Communication is clear, respectful, and supported by interpreters where required.

Care is coordinated with families and community supports

• Clinical input is coordinated with family members, carers, and relevant community supports, recognising collectivist cultural values where applicable.
• Roles and responsibilities are clarified to avoid duplication, confusion, or over-support.
• Families are engaged as partners in supporting reablement goals, while still centring the older person’s choices and consent.
• Community connections (e.g. cultural groups, social supports) are recognised as part of overall wellbeing and recovery.

Practice Tip: Clinical input should strengthen independence and confidence — not simply maintain the status quo.

Focus: Choice, dignity, cultural relevance

Clients are encouraged to participate in meal preparation where possible

• Older people are supported to remain involved in meal planning, preparation, and decision-making, according to their ability and preference.
• Participation is encouraged in ways that build confidence, routine, and independence, rather than replacing effort with full assistance.
• Tasks are adapted (e.g. sitting to prepare food, using modified utensils) to support safe involvement.
• Cultural roles around cooking and food preparation are respected, including who traditionally prepares food.

Cultural food preferences are respected

• Food choices reflect the older person’s cultural background, traditions, faith requirements, and personal tastes.
• Religious and cultural practices (e.g. halal, kosher, vegetarian, fasting periods, cultural feast days) are acknowledged and accommodated where possible.
• Communication about food preferences is respectful and supported by interpreters if required.
• Assumptions are avoided; preferences are confirmed with the older person.

Reablement supports safe food handling and independence

• Supports focus on maintaining or improving the older person’s ability to prepare, handle, and store food safely.
• Education and support are provided in a culturally appropriate way to promote confidence and safety in the kitchen.
• Assistive tools or strategies are used to enable independence, not to remove involvement.
• Support is adjusted as confidence, strength, or health status changes.

Nutrition plans consider the cultural meaning of food

• Nutrition planning recognises that food is central to identity, culture, connection, and wellbeing, not just physical health.
• Cultural meaning of staple foods, preparation methods, and shared meals is respected when discussing nutrition.
• Advice is adapted to align health needs with cultural food practices, rather than replacing them.
• The older person’s views on food, enjoyment, and dignity are central to planning.

Practice Tip: Food is both functional and cultural – documentation should reflect nutrition and meaning.

Focus: Systems that support quality, safety, and inclusion

Policies embed wellness and reablement principles

• Organisational policies clearly articulate a commitment to wellness, reablement, dignity, and independence across service delivery.
• Policies move beyond risk management to promote capacity-building, participation, and confidence.
• Cultural safety, inclusion, and respect for diversity are embedded as core principles, not add-ons.
• Policies are translated into practical guidance that supports consistent day-to-day practice.

Workforce is trained and supported to deliver wellness and inclusive practice

• Staff receive training in wellness and reablement approaches, with a shared understanding of “doing with, not doing for.”
• Workforce development includes Cultural Intelligence (CQ) to support culturally responsive communication, decision-making, and care.
• Training promotes inclusive practice, addressing unconscious bias, cultural safety, and respectful engagement with CALD older people and families.
• Learning is ongoing and reinforced through supervision, team discussions, and reflective practice.

Interpreter and bilingual workforce strategies are documented

• Clear systems are in place to ensure interpreters are used appropriately to support understanding, consent, and meaningful participation.
• Interpreter use is planned, accessible, and normalised as part of quality service delivery.
• Bilingual workers are recognised, supported, and used appropriately within their scope of role.
• Language needs are recorded and communicated across the organisation to support continuity and safety.

Continuous improvement is informed by CALD consumer feedback

• Feedback from CALD older people and families is actively sought in culturally appropriate ways (e.g. language support, trusted channels).
• Feedback is used to improve policies, services, workforce capability, and cultural responsiveness.
• Learnings from feedback are shared across the organisation to strengthen practice and systems.
• Continuous improvement activities reflect the lived experiences and priorities of CALD consumers.

Practice Tip: Good governance doesn’t just describe values – it creates the conditions for staff to live them in everyday practice.