Gold Coast · South East Queensland
We write a PEG feeding or complex bowel care plan for one named resident at a time, then train and personally sign off the support workers who care for them — so your team has real, defensible evidence, and your resident has one less reason to end up back in hospital.
We’re not here to audit you, and we’re not from the NDIS Commission.
We visit, train, and sign off — that’s the whole job. We don’t inspect your service, we don’t report on you, and we don’t take over anyone’s daily supports. We work alongside your team so the clinical paperwork stands up on its own.The gap
A support worker can hold a current PEG certificate and still not know this resident’s tube, formula, feed rate, or what to do when something looks wrong at 7pm on a Sunday. That gap is exactly what shows up at a plan review.
Group or online courses covering PEG feeding in the abstract. Useful background — but the certificate says nothing about the person your team actually supports.
Broad community nursing, where PEG and bowel care are two items on a long list. Breadth, not depth, and rarely a written competency trail tied to one resident.
A real nursing assessment of one named participant, a plan written for their exact clinical picture, and the support workers who care for them trained and signed off against it.
This isn’t just how we prefer to work — it’s what the NDIS Practice Standards for high-intensity supports actually require: training specific to each participant’s own equipment, plan and needs, not a generic version of the procedure.
What we specialise in
Their exact tube, their formula, their feed rate and flush regime. Site care, pump handling, medication administration through the tube, and what a blocked or dislodged tube actually looks like — taught on the equipment the resident really uses.
Individualised bowel management for participants with high-intensity needs. Written protocols, escalation triggers, dignity and consent, and competency sign-off for the workers delivering it day to day.
What we don’t do
We don’t change or insert PEG tubes, we don’t deliver daily supports — that’s your team’s job, not ours — and we don’t run open-enrolment courses. We’re also not approved quality auditors and we don’t conduct NDIS audits.
How it works
Referral to signed-off team, typically inside three to four weeks depending on scheduling.
A registered nurse visits, assesses the participant in their own home, and writes a clinical care plan for their specific presentation — not a template with the name changed.
A focused session with the workers who actually support that resident. Plain language, their equipment, their routine, their risks.
Each worker is observed performing the task with the participant and formally signed off by the assessing nurse — or given clear, written direction on what to practise first.
Escalation triggers, review dates, and a written handover of supervision back to your service, so everyone knows who does what and when to call.
Ask us about a standing arrangement for services supporting several residents with high-intensity health needs.
The funding is often already there.
For most participants this work sits under Disability-Related Health Supports or Capacity Building in an existing plan. If you’re not sure whether the funding is available, ask us — we’ll tell you plainly, and we’ll tell you if we think it isn’t.Who we are
Coastal Clinical Standards was founded by three registered nurses who still work clinically. Between us we hold more than 40 years of combined nursing experience and more than 20 years combined inside specialist endoscopy units — the setting where PEG tubes are placed, replaced and troubleshot. That experience is collective, and it is what the care plans are built on.
This work is carried out independently of our hospital employment, in our own time and on our own equipment. No participants are referred to us through our hospital roles.
Leads assessment and care plan authoring. Endoscopy-trained, with hands-on experience across diagnostic and interventional procedures including PEG insertion and replacement.
AHPRA registered
Leads worker training and competency assessment. Fifteen-plus years across endoscopy, gastroenterology and colorectal nursing, currently facilitating clinical education for nursing staff and graduates.
AHPRA registered
Leads documentation, handover and clinical governance. Seventeen-plus years of complex clinical practice across Australia and New Zealand, with postgraduate study in health information systems and health management.
AHPRA registeredWho we work with
Your workers are willing and capable, but the clinical sign-off has to come from a nurse, and a generic certificate on file isn’t the same as evidence about this resident. We handle the clinical side and hand supervision back to you in writing.
A nursing assessment written by a practising clinician, a personalised plan, and named competency records — rather than a generic certificate that raises questions later. Refer the participant, we do the rest, you get the paperwork.
Refer a participant, or just say hello.
Questions we get asked
No. We’re practising nurses. We’re not approved quality auditors, we don’t conduct NDIS audits, and we have no reporting relationship with the Commission. We visit, train, and sign off — that’s the whole job.
Not at this stage. We currently work with self-managed and plan-managed participants. Registration under Community Nursing Care is planned, and we’ll say so here the moment it’s granted rather than before. If registration status matters for your situation, tell us up front and we’ll be straight with you about whether we’re the right fit.
Not on its own — and that’s not just our opinion. The NDIS Practice Standards for high-intensity supports require training specific to each participant’s own equipment, plan and needs, delivered by a suitably qualified person and confirmed as competency, not just attendance. A general certificate shows the knowledge layer only. It doesn’t show a worker has been assessed against this resident’s actual tube, formula and routine — which is exactly the evidence a plan review asks for.
In most cases it’s funded through the participant’s existing NDIS plan, under Disability-Related Health Supports or Capacity Building. The NDIA has stated that where someone else can support a participant with disability-related health needs, funding may be provided for a qualified practitioner to train them — for example, a registered nurse training a support worker. Ongoing clinical oversight arrangements with a service are billed to the service directly, not to anyone’s plan.
No. Daily support is your team’s job. We assess, write the plan, train your workers, sign them off, and hand supervision back to you in writing. After that the participant’s care stays exactly where it was — with your people, better equipped.
We train the workers who support a specific participant, in a group, using that participant’s real equipment and routine. What we won’t do is issue a blanket certificate covering residents nobody in the room has met — that’s the thing that doesn’t hold up when someone asks for evidence.
They don’t get signed off. They get specific, written direction on what to practise and a reassessment. We’d rather have that conversation with you than put a name on a competency record that isn’t true.
The Gold Coast and surrounding South East Queensland, including the Robina and Beenleigh districts and down into northern New South Wales by arrangement. If you’re slightly outside that, ask.
It depends on the participant’s needs and how many workers need signing off. Tell us the situation and we’ll give you a written quote and the plan line it would be claimed against — no obligation, and no pressure if the funding isn’t there.
Get in touch
Tell us roughly what’s going on and we’ll come back to you within two business days. If you’d rather talk it through first, say so and we’ll find fifteen minutes.
Not ready to refer anyone? Take the free Plan Review Evidence Checklist — a one-page list of what a plan reviewer typically looks for when a participant has high-intensity health needs. It downloads as soon as you send the form, and there’s no follow-up unless you ask for one.
Email info@coastalclinicalstandards.com
Gold Coast, Queensland · Mon–Fri