Name of the service

KEY ACCOMMODATION FACTORS

The purpose of this worksheet is to assist providers to develop a statement, which must be made publicly available, describing the key accommodation features of a room or part of a room for which an accommodation price applies. Separate statement(s) have to be publicly available for each room where there is a different accommodation price.
The shaded areas are matters you should take into account but don’t necessarily have to include in the key features statement as required by the Fees & Payments Principles.

NAME OF WING/ROOM(S)/GROUP /ROOM NUMBERS
1 / Location of Service
Address
Local Government Area
Proximity to shops &
Community services
Access to transport
2 / Quality, condition, size & amenity of room(s) or parts of room(s)
Condition of building structure:
-  Age of the building(s)
-  Date of construction
-  Date of refurbishment
What is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
Amenity:
-  Location of room(s) in the service
-  Natural lighting to room(s)
-  Other lighting in room(s)
-  Views from room(s)
-  Balconies connected to room(s)
-  Heating, cooling in room(s)
Amount shape & accessibility of storage space
-  Other amenities
3 / Number of persons in room
Number of persons provided accommodation in the room
4 / Access to bathrooms or ensuites
Ensuite – private or shared
Details of common bathrooms
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(a) / Lounge(s) / Number:
Overall what is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
-  Ratio of residents to common area
Amenity:
-  Location
-  Natural lighting
-  Other Lighting
-  Views
-  Entertainment options
-  Other amenities
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(b) / Dining Room(s) / Number:
What is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
-  Ratio of residents to common area
Amenity:
-  Location
-  Natural lighting
-  Other Lighting
-  Views
-  Other amenities
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(c) / Therapy/activities area(s) / Number:
What is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
-  Ratio of residents to common area
Amenity:
-  Location
-  Natural lighting
-  Other Lighting
-  Views
-  Entertainment options
-  Other amenities
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(d) / Alcove/sitting area(s) / Number:
What is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
-  Ratio of residents to common area
Amenity:
-  Location
-  Natural lighting
-  Other Lighting
-  Views
-  Entertainment options
-  Other amenities
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(e) / Outdoor garden area(s) / Number:
-  Features
-  Level of Maintenance
-  Age
-  Date developed
-  Date modified
Dimensions:
-  Area of garden
-  Ratio of residents to common area
Amenity:
-  Location
-  Views
5 / Quality, condition, size & amenity of common areas accessible to the person(s)
Identification of each area accessible to the person(s)
(f) / Other area(s)
Please detail / Number:
What is the overall general condition of the following:
-  Walls
-  Windows
-  Doors
-  Floors
-  Ceilings
-  Fittings
Dimensions:
-  Floor area of room
-  Ratio of residents to common area
Amenity:
-  Location
-  Natural lighting
-  Other Lighting
-  Views
-  Entertainment options
-  Other amenities
6 / Specific accommodation or design features in room(s) or part of room(s)
-  Details
-  Details
-  Details
7 / Specific accommodation or design features accessible to the person
-  Details
-  Details
-  Details
8 / Additional care & services included in the accommodation payment & offered at no additional cost to the person
-  Details
-  Details
-  Details

February 2014 Peter K Mackinnon & Associates 2 | Page