Home // Services & Clinics // Services A-E // Aged Care // ROSS – Residential In Reach Team (ROSS – RIR)

ROSS – Residential In Reach Team (ROSS – RIR)

Service location

Frankston Integrated Health Centre
Hastings Road
(PO Box 52)
Frankston VIC 3199

Contact details

Ph: 9788 1700
Fax: (03) 9784 2303
Email: CommunityCareEnquiry@phcn.vic.gov.au

For referrals please call Community Care Enquiry 9788 1700 or Fax: 03 9784 2303
Email: CommunityCareEnquiry@phcn.vic.gov.au

Referral Form

In-service Request Form

Residential In-Reach – Residential Aged Care Service Equipment Information Sheet (Aug 2013)


Residential Aged Care Empowerment (RACE) Program resources:
1)    RACE poster
2)    Preventing Hospital Presentation
3)    Allied Health Consultations in Residential Aged Care
4)    The RACGP PDF

About ROSS – RIR Team

ROSS – RIR provides a multidisciplinary service to High Level and Low Level Residential Aged care Facilities in the Peninsula Health catchment area.

ROSS – RIR is an interdisciplinary team comprising of Physiotherapy, Social Work, Occupational Therapy, Nursing and Medical clinicians.

ROSS – RIR aims to assist residents to remain in their own environment. It is a consultative service that offers prompt assessment and short term support to prevent admissions to acute care where appropriate. Education is also offered to facilities in a variety of areas, such as wound care, falls prevention, infection control, catheter and PEG care.

Operation hours

Every day 0800-2200 plus phone support 2200-2400hrs

Community Care Information


Community Care Brochure (PDF 332KB)

Advance Care Planning Resources 2014/15

Sample of ACP Policy Aged Care
Advance Care Directive form (for the Person with Capacity)
Advance Care Plan form (for the Person Lacking Capacity)
Advance Care Planning Definitions Glossary  
Brochures, Posters and Fact Sheets

These resources are provided to serve as reference for local RACFs when they are developing their local ACP processes and documentation. RACFs are welcome to adopt either part of or the whole document into their local processes. Please acknowledge the source of this information to Peninsula Health and Peninsula Health Advance Care Planning Service.

Care Search

 Southern Metropolitan Region Palliative Care Consortium:

 Victorian Department of Health Advance Care Planning Strategy

Online training for residential aged care workers


Medical Related Pathways

Blood transfusion information for RACFs; residents admitting to Peninsula Health

RACFs General Related Resources

Office of the Public Advocate

Palliative Approach Resources

The ‘Care Management Pathway for Palliative Care management’ poster was developed by local agencies to support residential aged care staff providing palliative care to their residents. It’s recommended for RACF to display the poster at the nursing station.

Peninsula Home Hospice

PEPA (Program of Experience in the Palliative Approach)

Care search Palliative Care Knowledge Network

Respecting Patient Choices

Dementia Related Resources

Alzheimer’s Australia Newsletter

Dementia Behavioural Management Advisory Service

Dementia Resource Library

Infection Control Related Resources

Infection Control Training Module