CHCHCS001 Provide home and community support services

Standard 1:

Standard 2:

Standard 3:

Document 1:

Document 2:

Document 3:

Program

Purpose

Services

Home and

Community Care

(HACC)

Community Aged

Care Packages

(CACP)

Program

Purpose

Services

Extended Aged

Care at Home

(EACH)

Department of

Veterans’ Affairs

(DVA) program

Marco is visiting Kim in his home. Kim has mental health, alcohol and drug issues. When Marco gets to Kim’s house, he sees that she is clearly under the influence of drugs. Marco is unable to raise Kim, who has passed out on the lounge.

Marco is annoyed as he told her he would be coming today. Marco decides to leave Kim to sleep it off and come back later in the day to complete his visit.

You are a community services worker in Adelaide. There is a new client, Alf, who requires support in his home while he recovers from a stroke.

It turns out that Alf lives in squalor and is a hoarder.

Control 1:

Control 2:

Control 3:

Control 4:

Control 5:

Legislation:

Purpose:

What are the key points of privacy legislation in relation to home and community care?

Employers:

Employees:

Maintaining personal hygiene

Example 1:

Example 2:

Wearing appropriate personal protective equipment (PPE)

Example 1:

Example 2:

Ensuring safe manual handling

Example 1:

Example 2:

Hazard

Risks

Control measures

Preventative action/ reporting

Slippery floors

Slips, trips or falls

Breaks, sprains

Provide floor mats

Require use of non-slip shoes

Use signs to warn of temporarily slippery surfaces

Clean up spills quickly

Hazard

Risks

Control measures

Preventative action/ reporting

Mechanical aids, including hoists and transfer equipment

Cleaning products, sanitisers

Contact with public

Items contaminated with blood or body fluids

Sexual harassment, work place bullying

Clients who are confused and/or violent

Alberto has had a stroke.

Although his wife, Michaela has been able to provide love and support for Alberto, there are some things they just couldn’t manage.

Alberto and his case manager, John, have talked about his needs, with Michaela being involved in the discussion.

They are adamant about what Michaela can do for Alberto and the types of support they need. They ask for help with Alberto’s showering, dressing and transport as Michaela does not drive.

Alberto also wants to attend physiotherapy to regain his strength.

After a few months, Alberto is very happy with his progress. He is now quite capable of showering and dressing himself and has just been given permission from his doctor to drive again.

John meets with Alberto and Michaela to discuss changes to his care plan. It is agreed to cease the personal care and transport services, but in place of those John will receive some assistance with gardening and general maintenance, as he still finds balance and heavy work difficult.

Action 1:

Action 2:

Action 3:

Action 4:

Gianni lives alone at home. His eyesight is deteriorating rapidly, however he is fiercely determined to stay in his own home until he dies.

He walks to the shops each day at 10.00am to do his shopping, but he is finding it harder to do with his bad eyesight.

The town where he lives is not the same as it was when he moved there fifty years ago. In those days it was a nice country town – now it is a growth area in the outer suburbs of Melbourne. There is a large problem in the area with high rates of unemployment and large rates of methamphetamine use.

Action 1:

Action 2:

Action 3:

Action 4:

Bunty has cancer.

She has undergone one program of chemotherapy and has been receiving HACC services due to her declining health needs. Bunty was very sick during the treatment, but her health gradually improved. Last week Bunty was distressed to find out that her cancer is back. Her oncologist has strongly recommended a further chemotherapy program. If she does not have treatment she is likely to die within a month.

Bunty has decided not to have the second lot of chemotherapy – instead she wants to die at home. Her family are angry that she is giving in to the disease – especially as the oncologist has so strongly recommended further treatment.

The family approach you and ask if you can talk some sense into Bunty.

They ask you for legal advice about whether Bunty can be forced to take the treatment. They also ask you lots of technical questions about Bunty’s cancer and how treatment will work.

Bunty has given her consent for you to share information with her family, but you don’t really feel this is within the role of your job.

CASE STUDY 1:BERNIE AND GLENYS

Bernie and Glenys have been married for 47 years. Glenys has been diagnosed with dementia and requires constant care. Bernie has been caring for Glenys at home and is committed to her care.

Now Bernie has found out that he has terminal cancer. He will probably only have about six months to live. Bernie is distraught and worried about what will happen to Glenys after he dies.

One day while you are cleaning their bedroom, you find a stash of medications hidden behind the cupboard.

When you ask Bernie about them he looks very guilty. He says that they are his ‘insurance’ to make sure that neither he nor Glenys will suffer.

He also says that you should not say anything to Glenys or anyone else about them – he couldn’t bear for Glenys to be lonely when he dies.

You look at the medications and see that these are very strong. You realise that Bernie is considering ending his own and Glenys’s lives when he feels they can no longer cope.

CASE STUDY 2:CANDICE

Candice is frail and has dementia. Her dementia has been caused by a history of drug and alcohol abuse. She lives at home with her niece, Nevaeh, who cares for her.

Candice receives support at home to shower and receives meals on wheels. Nevaeh is known to be an alcoholic and it is expected that she also takes illegal drugs.

Lately Candice has been losing a lot of weight. There has also been some unusual bruising on her arms and chest – Nevaeh explained that Candice often falls out of bed, especially if she has been drinking.

Nevaeh is drunk when you arrive today and you see that she is eating Candice’s meals on wheels.

You also find medications in the kitchen, which have obviously not been given to Candice for some time. When you ask Nevaeh about why she is eating Candice’s food, she says that there is no point in her giving it to Candice as she just spills it down herself.

When you ask her about Candice’s medication, Nevaeh says that these are old prescriptions that she doesn’t take any more (even though they are the medications listed on the care plan).

She then says, ‘Is it pension day today? Thank god! I’m desperate for some ciggies!’

She then races out, leaving you alone with Candice. You know that Nevaeh has access to Candice’s bank account.

CASE STUDY 3:ALBERT

Albert is dying. As he is enduring his last few days, he asks if he can tell you something.

You are happy to sit down for a chat, as you often enjoy a chat with him when you visit his home. Albert begins to talk.

You are shocked to hear him confess that, when he was a teacher during the 1960s and 1970s, he committed some sexual offences against girls and boys at the school where he was working. Albert cries that he is truly sorry for what he did. Two days later he dies. His family assembles around his bedside and talk about what a gentle and good man he was.

You feel that Albert was genuinely sorry for what he did. You know that you are obligated to report all issues of child abuse, however you wonder if there is any need in this case – it all happened so long ago and Albert was such a nice man.

Your assessor will be looking to see that you:

1. Show that you understand your work placement’s policies and procedures relating to home and community support activities

This will include things such as privacy, confidentiality and risk management practices when working in clients’ homes.

2. Read and understand each client’s individual plan and goals.

You must be able to explain the main points of each client’s plan and goals to your assessor.

3. As part of the preparation for both home visits:

• identify any known risks involved with providing care to this client in their home, and identify the risk control measures that are in place
• For example, risks might include: behavioural problems, pets (such as aggressive dogs or an excessive number of pets), crowded or inaccessible areas, disrepair of home, etc. Control measures will refer to what has been done to fix or reduce risk of harm or injury.
• identify any equipment, processes and aids that will be required for the visit
• identify the purpose and the time of the visit with your supervisor (or other relevant person if your supervisor is not available)
• identify with your supervisor (or relevant person) any tasks that need to be done during your visit
• prepare all equipment, resources and documentation that you will need to take with you on your visits
• For example: obtaining operating instructions for equipment; checking/calibrating equipment; making sure the equipment is safe for use; relevant checklists; ensuring they can use the equipment; making sure it is the correct equipment for the client; getting each client’ s file, case plan, observation report forms and so on.

Your assessor will be looking to see that you:

• Identify yourself before entering each client’s home.
• For example: by saying hello and giving your name; by identifying yourself if necessary, such as by your badge, uniform or ID card, where you are from, etc.
• Explain the purpose of your visit and ensure each client gives their consent.
• For example: be clear in what you are there to do; how long you will be there for, etc.
• Show that you have a positive relationship with each client.
• For example: by being friendly; communicating appropriately; being respectful; taking an interest in the client etc.
• Allow your clients the opportunity to express their issues or concerns about the visit or anything else, and address the issues.
• Engage appropriately with anyone else who may be in the client’s home.
• For example: by introducing yourself; being friendly to those people; answering any questions (only with the consent of the client), addressing concerns, fears, worries etc.
• Consider any hazards that may impact on your clients’ health and safety (and/or your own) and put in place risk controls.
• For example: your client may appear be unwell with a cold or flu; general appearance and wellbeing of the client; condition of the property; temperature of the property (ie too cold, too hot etc.)
• Follow the instructions in each client’s care plan and as given by your supervisor.
• Use appropriate PPE depending on the task you are doing.
• PPE may include, apron, gloves, mask, eye protection etc.
• Communicate appropriately with each client.
• For example: making sure that they understand your instructions; making sure they are listening to what they are saying; observing their body language; considering cultural communication requirements; using active listening, etc.
• Are respectful and sensitive to each client, respecting that you are working in the clients’ homes
• For example: being respectful of the person’s home and belongings; accepting differences (for example, their culture may be different to your own); by being courteous to other people in the home; by respecting the client’s wishes (for example, to take shoes off on the carpet).
• Adhere to duty of care requirements.
• For example: by performing all tasks in line with work policy and procedures; by ensuring safe work practices; providing a standard of care as required by practice standards, etc.
• Fill out all required documentation and make arrangements for follow-up visits.

PART C:VERBAL QUESTIONS

Home and Community Support (observation) – Client 1 Consent

Client approval (Use this if the client is able to give permission themselves)

Dear

My name is

and I am studying the Certificate III in Individual Support.

As part of my assessment for this task, I will be providing you with support in your home. I would welcome your participation in this assessment.

My assessor must be present to observe my performance on the day.

Please sign below to show your agreement.

Name:

Signature:

Date:

Home and Community Support (observation) – Supervisor Approval (Client 1)

I,

<supervisor’s name> approve

<student’s name> to undertake this assessment with

<client’s name>.

Approval is dependent on the following conditions:

▪ The student must be supervised at all times when working with the client.

▪ The student’s assessor must be present.

▪ The client or their family may request that this assessment be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date:

Home and Community Support (observation) – Client 2 Consent

Client approval (Use this if the client is able to give permission themselves)

Dear

My name is

I am studying the Certificate III in Individual Support.

As part of my assessment for this task, I will be providing you with support in your home. I would welcome your participation in this assessment.

My assessor must be present to observe my performance on the day.

Please sign below to show your agreement.

Name:

Signature:

Date:

Home and Community Support (observation) – Supervisor Approval (Client 2)

I,

<supervisor’s name> approve

<student’s name> to undertake this assessment with

<client’s name>.

Approval is dependent on the following conditions:

▪ The student must be supervised at all times when working with the client.

▪ The student’s assessor must be present.

▪ The client or their family may request that this assessment be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.

Supervisor’s name:

Signature:

Date: