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SAPA · Site Visit & Capability Review Tool

Capability Domain Reference Guide

Definitions for the ten capability domains scored in Section 3, and the rating scales used for Current Capability, Business Importance, and Risk. Keep this open in a second tab while completing the survey.

Rating scales used for every domain

Group A — Current Capability

  1. Significant Gap — largely absent, inconsistent, or non-compliant
  2. Developing — basic elements present, applied inconsistently
  3. Adequate — meets a reasonable standard, some gaps remain
  4. Strong — consistently well-applied, minor refinement only
  5. Leading Practice — exemplary, could model to other providers

Group B — Business Importance

  1. Low — limited bearing on quality or outcomes
  2. Moderate — some relevance, not currently a priority
  3. Important — meaningful contributor to quality/outcomes
  4. Very Important — significant driver of safety or wellbeing
  5. Critical — fundamental to safe, compliant operation

Group C — Risk

  1. Low Risk — unlikely to cause harm or non-compliance
  2. Minor Risk — limited, short-term issue if unaddressed
  3. Moderate Risk — meaningful harm/complaint/compliance issue possible
  4. Significant Risk — serious harm or regulatory breach possible
  5. Critical Risk — severe harm or loss of registration possible

Domain definitions

1 Professional Practice

The extent to which staff apply current, evidence-informed practice standards, professional codes of conduct, and role-appropriate skills and judgement in their day-to-day work with residents.

2 Autonomy & Choice

How well the service supports residents to make their own decisions and exercise choice and control over their daily lives, striking a dignity-respecting balance between support and independence.

3 Human Rights & Dignity

The degree to which the service upholds residents' human rights, dignity, privacy, and freedom from discrimination or restrictive/degrading treatment, in line with relevant disability and human-rights frameworks.

4 Mental Health & Wellbeing

How effectively staff recognise, respond to, and support residents' psychological and emotional wellbeing, including early identification of distress and appropriate referral pathways.

5 Documentation & Reporting

The completeness, accuracy, and timeliness of case notes, incident records, and care/support plans, and whether reporting obligations to SAPA and regulators are met.

6 Risk & Compliance

The provider's systems for identifying, managing, and mitigating operational and safety risk, and its overall compliance with relevant standards, legislation, and funding-body requirements.

7 Therapeutic Relationships

The quality of relationships between staff and residents — trust, consistency, respect, and a person-centred approach that supports positive engagement and behaviour.

8 Safe Practice & Emergency Response

The provider's readiness to prevent, respond to, and recover from safety incidents, including emergency/disaster procedures, manual handling, and incident escalation.

9 Leadership Capability

The strength of on-site and organisational leadership — supervision, decision-making, role modelling, and the ability to guide staff and manage change.

10 Workforce Development

The provider's investment in staff training, induction, supervision, and career development, and its ability to build and retain a skilled, stable workforce.

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Draft reference guide prepared to accompany the SAPA Site Visit & Capability Review Tool (Odoo Survey). Domain definitions and scale anchors were drafted for review — please amend wording to match SAPA's own practice standards before this is linked from the live survey.