Aged Care Quality Standards
ACQS25-2.3 Governing body leads a culture that supports individuals
Clause and reference 15-15(3) of the Aged Care Rules 2025 · our reference ACQS25-2.3
The requirement
The governing body sets a culture where quality, safety and inclusion matter, one that supports people to receive quality funded aged care, by pursuing continuous improvement, welcoming diversity, and putting the safety, health and wellbeing of those people first.
Our wording of the requirement: our statement of what the clause asks, not the instrument verbatim. Source: Aged Care Quality Standards on the compliance desk.
The evidence to bring
- Board minutes on individuals' safety and wellbeing
- Plans for accessibility to diverse groups and people living with dementia
- Continuous improvement plan
What assessors commonly find
- Inclusion treated as a policy statement with no plan
- Individuals' psychological safety not monitored
What evidence do I need?
For ACQS25-2.3 Governing body leads a culture that supports individuals, the evidence to bring is: Board minutes on individuals' safety and wellbeing. It sits under Standard 2 - The organisation and the instrument's own clause is 15-15(3). Keep every record dated, signed and current, and name who owns it.
Answer the reviewer first
Show me board minutes on individuals' safety and wellbeing, and tell me who owns it and when it was last reviewed.
That is the question a quality assessor opens with for this requirement. Have the record on the desk and the date it was last reviewed to hand.
Read your own evidence against this clause
Paste your policy or evidence pack and the reading marks, line by line, whether a phrase from this requirement appears and quotes your own words when it does. It is a reading of your text, not a compliance result; a quality assessor decides whether a requirement is met. Read your pack, free See the paid reading