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The New Aged Care Quality Standards

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Organisations providing Commonwealth subsidised aged care services are required to comply with the new Aged Care Quality Standards from 1 July 2019.

The Quality Standards focus on outcomes for consumers and reflect the level of care and services the community can expect from organisations that provide Commonwealth subsidised aged care services.

The Quality Standards are made up of eight individual standards:

1.   Consumer dignity and choice
2.   Ongoing assessment and planning with consumers
3.   Personal care and clinical care
4.   Services and supports for daily living
5.   Organisation’s service environment
6.   Feedback and complaints
7.   Human resources
8.   Organisational governance.

Each of the Quality Standards is expressed in three ways:

  • a statement of outcome for the consumer
  • a statement of expectation for the organisation
  • organisational requirements to demonstrate that the standard has been met.

To watch a video regarding the New Aged Care Quality Standards, please click on the link here. Or to visit the Australian Governments website please click the link here.

Along with the New Aged Care Quality Standards is a new simpler Charter of Aged Care Rights. The Charter will make it easier for aged care consumers, their families and carers to understand what they can expect from an aged care service provider, regardless of whether they are in residential care or receiving care in the home. Consumer responsibilities have also been revised. These changes will support aged care service providers in delivering care to consumers and provide protection for the aged care workforce. Commencing 1 July, providers will be required to assist consumers to understand the new Charter and invite them to sign it. This provides an important opportunity for providers and consumers to enter into a partnership.

To view the new Charter of Aged Care Rights, please click here.

The Janus Approach

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The Janus Approach is a philosophy of care, specific to RSL Care SA, that acknowledges residents are unique individuals, who have a variety of personal needs and preferences.

The Janus Approach is named after the Roman God Janus, the god of beginnings and endings, transitions, doorways and time. Janus frequently symbolised change and transitions such as the progress of past to future, from one condition to another, from one vision to another, opening a new door and commencing that journey.

The Janus Approach aspires to continually improve and enhance the quality of life with all residents by transforming the culture of care in our facilities from task focussed to truly person-centred. The approach enables services and care needs to be adapted to meet the priorities and ‘picture’ of quality of life for each individual resident as well as the group of residents as a whole. Residents of RSL Care SA require care delivery to be person centred and evidenced based ensuring each resident’s physical, cultural, psychological, social, sexual and spiritual needs are addressed.

In order to deliver the Janus Approach, we have identified specialty areas of care provision which are addressed through the ‘Janus Keys’. The leader for each respective ‘key’ is accountable for maintaining current evidenced based practice and applying this in the performance monitoring of care delivery to residents. We currently have six Janus Keys:

In addition to the Janus Keys, Janus Dignity Principles have been developed in partnership with residents, representatives, floor staff, management and the Board of RSL Care SA.

To read more about our Janus Approach, please click here.

The Janus Keys

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The Janus Approach is a philosophy of care, specific to RSL Care SA, that acknowledges residents are unique individuals, who have a variety of personal needs and preferences. In order to deliver the Janus Approach at RSL Care SA, we have identified speciality areas of care provision which are addressed through the ‘Janus Keys’. The leader for each respective ‘key’ is accountable for maintaining current evidenced based practice and applying this in the performance monitoring of care delivery to the residents of RSL Care SA. We currently have six Janus Keys and have intentionally designed this model so that as the approach matures and the needs of residents’ change, additional ‘keys’ can be added.

DIGNITY AND PERSON CENTRED CARE

“To me it is important to have the same routine I would have if I still lived in my own home… I like to read the paper with a coffee in the morning before I start my day”

Margaret, War Veterans Home Resident

The Janus Approach ensures that a comprehensive life history or “Life Story” is gathered for each resident in partnership with the resident and families who wish to be involved. From this life story and with resident and family collaboration, staff are able to determine what quality of life means to each resident. Life stories are taken by staff who have received specific training in this area of assessment and are generally conducted over several weeks as a relationship of trust is built with the individual resident (or family). Dignity for each resident is promoted through an understanding of their individualised goals of care, personal preferences and individual ‘life story’. Staff are assisted to familiarise themselves with these ‘life stories’ in order to deliver the appropriate care as well as adhere to RSL Care SA principles of dignity. These principles were developed in partnership with residents, representatives, floor staff, management and board of RSL Care SA.

MEANINGFUL AND ENGAGING PROGRAMS

“The thing I notice the most is the attention to detail given to the recreational opportunities offered. The staff always put in a big effort to make events special for us”

Kath, RSL Villas Resident

The Janus Approach recognises the need for social and leisure time programs as an integral part of daily living, however programs should have purpose through enhancing and strengthening the physical and psycho-social capabilities of the resident and increasing self-esteem and self-worth. Through this Janus Key we ensure that residents have a wellbeing program that is designed to promote each resident’s independence consistent with individual abilities and wishes, thereby promoting dignity and self-respect. Residents have the choice and opportunity to participate, or not, in programs and to change their mind regarding their preferences. Programs may be active or passive, formal or spontaneous according to the requirements of the individual. They may be provided for a group of residents with common interests, or for an individual to support their own personal interests and abilities.

SPIRITUAL CARE AND CONNECTEDNESS

“Spirituality is a very important part of my life. I believe that there is something in all of us that knows more than we do, and if we follow that line, we will be safe”.

Robert, War Veterans Home Resident

The Janus Approach recognises that all residents have spiritual needs which may not always be based on religious belief or lack of belief. Spirituality is the way we seek and express meaning and purpose; the way we experience our connection to the moment, self, others, our work and the significant or sacred. (Meaningful Ageing Australia 2014). This Janus Key recognises that the need for spiritual comfort can vary along an individual’s life journey. Needs can change when a resident is faced with emotional challenges and significant sense of loss, which can be associated with a move to a new environment, changed circumstance or adjusting to life in an aged care setting. Staff gain an understanding of what spirituality means for each individual and support resident’s spiritual care needs. These also include cultural practices, customs and rituals that residents have undertaken throughout their life and are not isolated to a country of birth

MENTAL HEALTH

“Mental health is important to maintain and improve upon for our residents because it underpins their overall wellbeing, social interactions, and ability to live out a happy and meaningful life”

Kane, Veteran Support Officer

Mental health illness and disorders are as important as physical care needs and often have as great an impact on physical and social wellbeing. Some examples of mental health conditions experienced by residents within RSL Care SA are depression, anxiety and confusion. These can be suffered by any resident at any time, and individuals respond differently to these conditions and staff work with residents and families to support residents diagnosed with these conditions, ensuring that all staff are aware of how to support residents to achieve the best outcome in-line with the resident’s goals of care.

SEXUALITY AND INTIMACY

“The opposite of Loneliness is not Togetherness , It’s Intimacy”

Richard Bach, Author

The Janus Approach recognises that the need for love, affection, physical closeness and contact continues throughout life, including for residents who are living within an aged care setting. People living in an aged care facility will often still have sexual desires and be capable of acting on those desires, as well as having a need to express themselves sexually, however, this may be difficult for residents to disclose as it has always been a topic kept private or only shared with people they trust. As part of this Janus Key and an individual resident’s quality of life, it is also important to understand the level of intimacy they need or desire. Support to achieve emotional connection and intimacy at any level are developed with the resident (or family), to support each individual resident’s need for intimacy and sexual expression in whichever form this may take.

PALLIATIVE APPROACH

“Good Palliative Care is about quality of life for those living with a life limiting or terminal illness. It is about helping a person to be as comfortable as they can, so they can live as well as possible. “Leaves grow old gracefully, bring such joy in their last lingering days. How vibrant and bright is their final flurry of life.” (by Karen Gibbs)”

Lynne, Palliative Approach Advocate

The Janus Approach adheres to the Palliative Approach in Residential Aged Care (2005). This approach ensures that residents with life limiting illnesses are afforded quality of life throughout their journey within the residential aged care setting. This Janus Key affirms life and respects dying as a normal process. It neither hastens nor postpones death, but rather aims to enhance the quality of life whilst also positively influencing the course of the illness. This Janus Key also recognises that there are three very distinct phases of palliation (greater than 6 months to live, less than 6 months to live, and end of life approaching within a week) and ensures that within each phase the resident is provided with:

  • Autonomy, dignity, comfort and respect
  • Honest, open discussion about conditions and treatment options
  • Access to any available evidence-based treatment options
  • Effective management of pain and other distressing symptoms
  • Quality of life, as defined by them, in the circumstances
  • Assurance that any cultural or spiritual wishes will be upheld
  • Access to the people they wish to be present

Our staff will meet with residents and families on admission and throughout their admission period to ensure that staff and families have a sound understanding of the type of care the residents wishes to be delivered at each stage of palliation.

72 Bed Licenses obtained for Murray Bridge

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Residential aged care in Murray Bridge

72 Bed Licences obtained in the latest Aged Care Allocation Round (ACAR)

At the end of 2017, RSL Care SA purchased the Waterford Estate Retirement Village in Murray Bridge. The seamless transition has seen residents and staff at Waterford quickly become part of our RSL Care SA family.

Part of the Waterford Estate acquisition, was a large block of vacant land on the site. Board and management viewed this as an opportunity to increase our residential aged care offerings, while providing a much needed service to the Murray Bridge community.

Our vision became viable when the government announced an Aged Care Allocation Round (ACAR) late in 2018. This meant residential aged care facilities could apply for additional bed licences. Traditionally ACAR rounds have been very competitive with only a select number of bed licences released. In fact, RSL Care SA was unsuccessful in obtaining additional licences through this process in a previous round.

So, it is with great pleasure that we advise of our success in securing 72 new bed licences for our organisation. Our intent is to build a brand new Residential Aged Care facility on the vacant land at Waterford Estate (subject to the necessary council approvals).

RSL Care SA Chief Executive Officer, Nathan Klinge will be conducting several community forums in Murray Bridge in the near future to discuss our plans. The details of these meetings will be announced in due course, however if you have any queries in the interim, please do not hesitate to call our Corporate Office on 08 8379 2600.

Andrew Russell Veteran Living

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Our Andrew Russell Veteran Living program has its second anniversary on the 16th February 2019. This date is significant as it is the date that Andrew Russell was killed in action in Afghanistan in 2002. Andrew’s parents and wife have graciously allowed RSL Care SA to use Andrew’s name for our program to assist contemporary veterans that are homeless or at risk of homelessness. The aim of the program is to provide accommodation support to help veterans get back on their feet.

Kane is one such contemporary veteran who found himself in a situation where he was in need of accommodation assistance so he could move forward with his life. “ARVL provided a roof over my head, it was safe, it was affordable, and I could regain some level of normalcy in my life. It was what I needed at the time.”

Through the ARVL program Kane got to know Program Manager, Ben Challinor, and through volunteering at various RSLs, also got to know RSL Care SA CEO, Nathan Klinge. When an opportunity arose in RSL Care SA, Ben asked Kane if he would be interested in applying for the role of Veteran Support Officer.

A number of people were interviewed for the position, and Kane was subsequently employed and is doing an outstanding job.

Kane was deployed to Afghanistan and unfortunately now suffers from PTSD, after the vehicle he was in hit an Improvised Explosive Device (IED). Kane acknowledges he is “still affected by PTSD, but it doesn’t make me useless. I’m still able to come to work and do the work I do, but I struggle at times”.

If Kane could offer one piece of advice to anyone who finds themselves suffering from PTSD it is this: “Seek help. There are plenty of places out there who offer help. If you’re not comfortable with that, then ask your mates. It’s not a bad thing to put your hand up and say you’re not okay”.

As an organisation we are so proud not just of Kane, but that the ARVL program has made such a positive impact on the lives of many veterans the program has assisted over the years.

For more information on ARVL please click here, or to donate to the ARVL program click here.

Your Journey into Retirement

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Are you considering making the move into retirement? There are a few things to think about during the process. Some of our residents have taken as little as 4 weeks and as long as 4 years to journey into retirement, so don’t feel rushed or pressured. Watch the video or skip below to see the list.

4 Steps to Journey into Retirement

  1. Visit Retirement Villages and Gather Information
  2. Prepare your house for sale
  3. Get Independent Specialist Financial advice about in-going, on-going, and out-going costs before purchase
  4. Get Independent Legal Advice about contracts, terms and conditions before purchase

Visiting Retirement Villages

Every village offers unique services, lifestyle options and community aspects so it’s in your best interest to visit multiple and gather information from each one. Before you visit, think through the details and prepare some questions to ask the specialists at the villages, but ask yourself some questions too.

  • Where do I want to live?
  • Is it close to family and friends?
  • Would this village suit my lifestyle?
  • What other services does this provider offer such as in-home care or aged care?
  • What can I contribute to this community?

Preparing your house for sale

Appraisals, decluttering and moving are all elements of preparing your house for sale and downsizing. It’s worth getting multiple appraisals for your home and employing the services of removalists.

Consider the property you’ll be moving into, will your furniture work in the space? Many villages have relationships with removalists and are happy to help you arrange their services. The last two elements are the most important in the process.

Get Independent Legal and Financial Advice

It’s imperative to get independent legal and financial advice to make an informed decision before you move into a retirement village. Know the ins and outs of the contract your signing and also whether you’re going to be comfortable with the fees associated with living in a retirement village.

Have questions? We are more than happy to answer any and also point you in the right direction to some great resources.

We currently have four Retirement Living sites across Adelaide. Each village has a unique community feel with different size homes that suit a variety of budgets.

Residents of RSL Care SA Answer Questions about their Early Life through Art

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A personal project by a year 9 student from Immanuel College

RSL Care SA was thrilled when Immanuel College year 9 student, Alina, asked to interview residents at the War Veterans Home for her Personal Project. Alina used her project to identify to her classmates the importance of respecting our elderly and recognising the lives they have lived and the history they can teach us. Alina achieved this by asking the residents questions about their lives as young men and women, giving them the opportunity to use art to express their stories.

Thank you for sharing your project with us Alina, you did a great job!

Occupational Therapy Australia Week

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October the 21st to 27th  is Occupational Therapy Australia Week, to coincide with World Occupation Therapy Day on Sunday the 27th of October

At RSL Care SA we are very excited to have a full time Occupational Therapist (OT) on our staff. Working closely with the Physiotherapists, Veteran Support Officer and Wellbeing department, our OT allows us to respond to the individual needs and preferences of our residents by delivering a range of tailored activities and services. This has allowed us to further explore the services we can offer to veterans living with PTSD, specifically the younger generation of Vietnam veterans who are now beginning to access residential aged care.

What is an OT?

Occupational Therapists are qualified health professionals who facilitate people of all ages and abilities to participate in activities that will allow them to live fulfilling lives. OT’s are client-centred and use ongoing assessments and observations to understand what is important to their client and what difficulties they may be facing that prevents them from participating in occupations of every day life. With the use of therapeutic activities, strategies, adaptions and/or equipment, OT’s will then work with the client to help them achieve their goals. This may include facilitating changes to the clients environment to make life easier and safer (e.g. have a pipe for a ball ramp so residents with limited arm movement can still play bowls). OT’s can also instruct direct care workers about how to safely support a person and respect their preferences in daily life. Essentially, OT’s work with people who, for whatever reason (physically, mentally, emotionally or environmentally), are having difficulties doing what need or want to enjoy life.

At RSL Care SA, our Occupational Therapist works as part of the Wellbeing Team to enable, facilitate and support the residents’ access to tasks and activities they wish to engage in. Working closely with the Physiotherapy department, our OT helps residents to balance abilities and task demands to help them maintain their independence while ensuring all care needs are met. Our OT also works with nursing and care staff in our Memory Support Unit to help residents adapt to their new lifestyle.

OT week activities

This years OT week theme is “Celebrating our global community” and we have lots of activities happening at both of our Residential Aged Care sites:

  • The Pick-Up-Stick challenge will teach residents new skills and ways to use helpful gadgets and aids
  • A ‘Tech Education’ session will help to advise and orientate residents to their technological gadgets
  • The 2018 Invictus Games are very fittingly being held on the same week as OT week! our residents will be watching and supporting the Invictus Games, learning about what the games are all about, how the athletes have adapted their performance to their unique and individual needs to reach their goals, and participating in a few adapted games themselves!

For further information about OT week and the OT profession  please visit the following links:

https://www.otaus.com.au/promotions-media/ot-week

http://aboutoccupationaltherapy.com.au/

Understanding Residential Aged Care Fees and Charges

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Residential Aged Care fees vary depending on an individual’s assets and income. RSL Care SA offers a number of accommodation options across all facilities, from platinum single rooms with private ensuits to share rooms with an ensuite. Accommodation fees vary depending on the accommodation type.

To ensure prospective residents with low assets and income are not disadvantaged from being offered permanent placement, accredited aged care facilities must reserve a percentage of their beds for ‘low means’ residents.

Asset and Income Assessment and Thresholds

Residents who are eligible to receive subsidised aged care fees are required to submit an Asset and Income Assessment to the Department of Human Services (Centrelink). Please see below for current asset and income threshold levels and the applicable fees:

ASSET & INCOME FREE THRESHOLD – Low Means Resident

Assets between $0.00 and $49,000, and Income below $26,985.40

  • Basic Daily Care Fee only
FIRST ASSET & INCOME THRESHOLD – Low Means Resident

Assets between $49,000 and $166,707.20, and income below $52,036.40

  • Basic Daily Care Fee
  • Accommodation Contribution
ABOVE FIRST ASSET & INCOME THRESHOLD – Financial Resident

Assets above $166,707.20 and income above $52,036.40

  • Basic Daily Care Fee
  • Accommodation Payment
  • Means Tested Care Fee

Figures shown reflect the Department of Health ‘Schedule of Fees and Charges for Residential and Home Care’ from 1 January 2019.

Fees and charges explained

BASIC DAILY CARE FEE

The Basic Daily Care Fee (BDCF) is paid by everyone. It is set by the Commonwealth Government and is approximately 85% of the single Aged Pension. The BDCF covers all living expenses and contributes to the costs of other services such as meals, personal care, recreation activities, laundry, cleaning and nursing care

Current daily rate $50.66

MEANS TESTED CARE FEE

The Means Tested Care Fee (MTCF) is paid by residents who exceed the government’s first assets and income threshold. As the BDCF does not cover 100% of the costs incurred by an aged care facility in providing its services, residents who are deemed to have the financial means are required to contribute more towards the cost of their own care. The MTCF varies depending on the asset and income level of the resident.

Current maximum daily rate $216.59                  Annual Cap $27,232.33                   Lifetime Cap $65,357.65

ACCOMMODATION CONTRIBUTION

The Accommodation Contribution is paid by Low Means residents only. It is reviewed quarterly and is subject to change; however a resident will not be required to pay more than what is advised from their asset and income testing. The facility has restrictions on how much it may charge based on its Low Means resident ratio and whether or not the facility is newly refurbished. The Accommodation Contribution may be paid as a lump sun equivalent, known as a Refundable Accommodation Contribution, which is 100% refundable.

Current maximum daily rate $56.59

ACCOMMODATION PAYMENT

The Accommodation Payment is paid by financial residents only. The price is set by the facility in accordance with government provisions and is nonnegotiable. RSL Care SA offers a range of accommodation prices:

War Veterans’ Home                                                                                 RSL Villas

$225,000 – Double shared with ensuite                                            $350,000 – Premium private single with ensuite

$275,000 – Standard private single with ensuite

$450,000 – Premium private single with ensuite

$550,000 – Platinum private single with Ensuite

There are three accommodation payment options to consider:

1. Refundable Accommodation Deposit (RAD)

The RAD option means paying the accommodation payment to the facility as a lump sum. RAD payments are 100% refundable and government guaranteed. RAD payments are invested securely by RSL Care SA and the interest received is used to cover accommodation costs.

2. Daily Accommodation Payment (DAP)

A DAP is when the accommodation payment is paid on a periodic basis (monthly). It is calculated as a daily payment by applying the government’s maximum permissible interest rate (MPIR) to the Accommodation Payment.

Current MPIR = 5.94%

3. Combination of both RAD and DAP

It is possible to combine the RAD and DAP payment options. The DAP will be calculated on the unpaid portion of the RAD. It is also possible for the DAP to be withdrawn from the RAD payment.

What Is Right For Me?

Moving into residential aged care is an important life decision and each person is coming from their own unique circumstances. For this reason, RSL Care SA is unable to give financial advice or provide specific guidance as to which option may be right for you.  We strongly encourage you to seek independent financial advice to ensure you choose the right option for your circumstances.

Please contact our Admissions Team on 8379 2600 for more information, or to book a private tour of our aged care facilities.
To place your name on our residential aged care waiting list, please complete our Application Form

Thank you for your donations

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Thank you to all who donate time, money or items to the various causes of RSL Care SA. Your generosity truly makes a difference to the lives of all those who access our accommodation and services. Check out some of the amazing support we have received below:

Shane McGrath and the Bowhill Progress Association

 

On Friday 27th July, ARVL program manager Ben Challinor attended the official opening of the Bowhill Kayak Fishing competition, where he was presented with a cheque for $2,500 by Shane McGrath and the Bowhill Progress Association. This is the second year Shane and the wonderful team of people within the Bowhill community have chosen to support our ARVL program, which provides emergency accommodation for homeless veterans, or those at risk of homelessness. We extend our thanks and gratitude to this wonderful team of people and wish them ‘tight lines’ for the competition!

Vietnam Veterans’ Federation (SA Branch) Quilting Group

 

We are very grateful for the generous donation we received from the Vietnam Veterans’ Federation SA Branch for our emergency housing program, Andrew Russel Veteran Living (ARVL). The lovely ladies from the Quilting Group donated 25 hand made quilts as gifts to contemporary veterans who come into our care through the ARVL program. The quilts were presented to CEO, Nathan Klinge at a morning tea on Monday June the 18th. Andrew Russell is the fallen soldier that ARVL is named in memory of, and RSL Care SA has developed a very special relationship with his parents, Bob and Jan. Bob himself is a Vietnam Veteran, so it was very fitting that they also attended the morning tea. Thanks again VVF Quilting Group!

PTSD: Mastering the Murray

Andrew Russell Veteran Living (ARVL) was lucky to be the chosen charity of three ex-service men who kayaked the length of the Murray River to raise awareness of PTSD and veteran homelessness. The lengthy trip embarked on Saturday the 4th of March 2017 at Hovell Tree Park in Albury, NSW. The men hoped to kayak all the way to the Murray Mouth in South Australia in three months. Unfortunately they have been met with a few unexpected hiccups, but true to the veteran nature they will persevere and hope to finish what they started in 2018! Nevertheless, they presented a huge donation of $2,920 to the ARVL program. These funds will go a long way in helping RSL Care SA support contemporary veterans who are suffering from homelessness, PTSD and physical injuries; all issues that hit close to home for these fellow war veterans. Thanks again guys! We look forward to hearing of your completed journey!

Check out their Facebook page and show them your support: PTSD: Mastering the Murray

Adelaide Women’s Prison

CEO, Nathan Klinge, was invited to a morning tea at the Adelaide Women’s Prison on the 15th of June where he was presented with handmade knitted items for the residents in our care. Pictured is just a few of the many scarves, hats, gloves and headbands that were gifted. Thank you!

Keith’s old Magna

A big thank you to Keith Harrison for donating his old Mitsubishi Magna to assist the homeless veterans in our ARVL program! Keith first donated his vehicle to Workskil, which is an amazing organisation that provides unemployed people with hands on experience (for free) to learn valuable skills that will help them gain employment. After being overhauled through the Worksil Salisbury Workshop, the reconditioned vehicle was then donated to RSL Care SA to assist our ARVL program manager to transport veterans in need. What a great initiative by Keith to first provide a learning opportunity to those struggling with unemployment, before then helping out those at risk of homelessness. Thank you again!

RSL Care SA is a registered Public Benevolent Institution. All donations made to RSL Care SA go directly to the indented program. All donations over $2 are tax-deductible.

About us

RSL Care SA believes that the ex-service community deserves the best care and affordable accommodation. RSL Care SA is an independently constituted not for profit organisation with links to the Returned & Services League of Australia (SA Branch).

Our mission is to support veterans and their dependents, although the ex-service community are our primary client group it is not exclusively so. The facilities and services are also available to the broader community.

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