CONSUMER DIRECTED CARE KNOWLEDGE, SKILLS and ATTITUDES · 2018. 11. 29. · Home Care providers can use the resource for developing position descriptions, staff development plans

CONSUMER DIRECTED CARE KNOWLEDGE, SKILLS and

ATTITUDES A RESOURCE FOR HOME CARE PROVIDERS AND

AGED CARE WORKFORCE EDUCATORS

Funded by the Australian

Government Department of

Social Services

Written by

Xxxx Xxxxxxxxxx

Xxxxxxx Xxxx

ABOUT US Home CareToday is a national resource that aims to support both consumers and home care providers to make the most of the implementation of consumer direction in home care packages.

Home Care Today supports consumers accessing home care by providing information, resources and peer supports that focus on providing the tools to make the most of the benefits and opportunities of CDC.

To providers Home Care Today offers a range of tools, resources, and learning modules that will assist them to implement CDC across their organisations.

Who can I contact for further information

or assistance?

Please feel free to contact us for assistance or conversations regarding the implementation of CDC.

Email us at: [email protected]

Phone: COTA Australia 03 9909 7910

Version 7 – 27 Oct. 2015 3

ABOUT THIS RESOURCE The aged care sector is currently in transition from the original and more traditional ways of delivering

home care programs to the relatively new concept of Consumer Directed Care. Aged care provider

organisations, Home Care Packages Programme staff, together with consumers and carers are all affected

by this change.

This resource has been developed to support Home Care providers and educators involved in the

recruitment, selection, training and development of home care support workers and service advisors/case

managers.

Home Care providers can use the resource for developing position descriptions, staff development plans or

training needs analyses for advisers/case managers and support workers delivering CDC.

This resource also serves as an input to the design and delivery of training for Aged Care Cert III and IV units of

competency, to align relevant competencies with the principles of Consumer Directed Care, and to map the

knowledge, skills, and attitudes desired for the aged care workforce. The resource can be used in a variety of

ways to support educational activities and outcomes:

To support the assessment of CDC attitudes and behaviours

To develop language and attributes for educators

To inform the development of educational material

To help educators identify and reinforce desired behaviors

To support a training needs analysis and identify specific gaps.

We acknowledge the input of Cathy Teager and Health Workforce Australia in the development of this

document.

CONSUMER DIRECTED CARE (CDC) What does CDC mean in the context of Home Care Packages? From 1 August 2013, all new packages (including the packages allocated to providers in the 2012-13 ACAR)

have been required to be delivered on a CDC basis. From July 2015, all packages will operate on a CDC

basis.

The introduction of CDC is a significant change to the way that home care is delivered in Australia. CDC is a

way of delivering services that allows consumers to have greater control over their own lives by allowing

them to make choices about the types of aged care and services they access and the delivery of those

services, including who will deliver the services and when. Under a CDC approach, consumers are

encouraged to identify goals, which could include independence, wellness and re-ablement. These will form

the basis of the Home Care Agreement and care plan.

The consumer decides the level of involvement they wish to have in managing their package, which could

range from involvement in all aspects of the package, including co-ordination of care and services, to a less

active role in decision-making and management of the package. There should also be ongoing monitoring

and a formal re-assessment by the provider (at least every 12 months) to ensure that the package

continues to be appropriate for the consumer.

Through the introduction of an individualised budget, CDC provides greater transparency to the consumer

about what funding is available under the package and how those funds are spent.

Version 7 – 27 Oct. 2015 4

CDC PRINCIPLES

The following principles underpinned the introduction of CDC in Home Care Packages. CDC is now

contained in legislation governing Home Care Packages through the User Rights Principles 2014 (amended 1

July 2015) https://www.comlaw.gov.au/Details/F2015C00604 The Home Care Packages Operational

Manual (2015) produced by the Department of Social Services provides guidance for Home Care Providers

on the delivery of Home Care Packages using a CDC approach - https://www.dss.gov.au/ageing-and-aged-

care-programs-services/home-care-packages-operational-manual.

1. Consumer choice and control

Consumers have managed their own lives for a long time. They should be empowered to continue to

manage their own life by having control over the aged care services and support they receive. This requires

the provision of, and assistance to access, information about service options that enable a consumer to

build a package that supports them to live the life they want.

2. Rights

CDC should acknowledge an older person’s right (based on their assessed needs and goals) to individualised

aged care services and support (within the scope of the Home Care Packages Programme).

3. Respectful and balanced partnerships

The development of respectful and balanced partnerships between consumers and home care providers,

which reflect the consumer and provider rights and responsibilities, is crucial to consumer control and

empowerment. Part of creating such a partnership is to determine the level of control the consumer wants

to exercise. This will be different for every individual, with some people requiring or wanting assistance to

manage their package and others choosing to manage on their own.

Consumers should have the opportunity to work with the home care provider in the design,

implementation and monitoring of a CDC approach. Home care providers should be encouraged to include

consumers in their CDC redesigns.

4. Participation

Community and civic participation are important aspects for wellbeing. CDC in aged care should support the

removal of barriers to community and civic participation for older people, if they want to be involved.

5. Wellness and re-ablement

CDC packages should be offered within a restorative or re-ablement framework to enable the consumer to

be as independent as practical, potentially reducing the need for ongoing and/or higher levels of service

delivery.

Many people enter the aged care system at a point of crisis. Such situations may require the initial provision

of services designed to address the immediate crisis. However, there should always be an assumption that

the older person can regain their previous level of function and independence with re-ablement services

being offered at a time that suits/supports the individual circumstances.

6. Transparency

Under a CDC package, older people have the right to use their budgets to purchase the aged care services

they choose. To make informed decisions about their care, older people need to have access to budgeting

information, including the cost of services, the contents of their individualised budgets and how their

package funding is spent.

https://www.comlaw.gov.au/Details/F2015C00604

https://www.dss.gov.au/ageing-and-aged-care-programs-services/home-care-packages-operational-manual


5. Life-long learning

Version 7 – 27 Oct. 2015 5

Principle 1: Consumer choice and control

Consumers have managed their own lives for a long time. They should be empowered to continue to manage their own life by having control over the aged

care services and support they receive. This requires the provision of, and assistance to access, information about service options that enable a consumer to

build a package that supports them to live the life they want.

Support worker Advisor

Knowledge of:

The Consumer Directed Care (CDC) principles and Home Care Packages

Operational Manual

The characteristics of good customer service

Knowledge of:

The funding options available to consumers and the relevant eligibility

requirements

What consumer information is available and how to access it

The difference between CDC, person-centred and traditional approaches

– choice and control is more than person-centred care

Specialised support services e.g., CALD, LGBTI, ATSI

Skills to:

Deliver good customer service

Communicate effectively – active listening

Understand scope of practice (assessed skills) within which you can offer

service choice to consumers

Understand the consumer goals that have informed the service plan

Understand the role you play in providing reliable information to

consumers

Recognise when the consumer’s needs and wishes are beyond own skills,

and discuss with team leader

Encourage consumers to communicate their needs and wishes

Communicate consumer needs and wishes to others involved (if

appropriate and with consumer consent)

Allow consumers time to make choices and express needs

Check for coherence between assessed needs and consumer’s or carer’s

wishes and aspirations - support workers and those who are with the

person on a daily basis may be more aware/notice discrepancies

Provide feedback to the Advisor – remember you are the one most likely

Skills to:

Assess consumer capacity to self-manage aspects of their service

planning, delivery and evaluation

Educate consumers and their carers about the information available to

support informed decisions

Involve consumers in all decisions relating to their Home Care Package

funds and service options

Provide professional advice to consumers regarding the service options

available to meet their individual goals and needs

Inform consumers of any risks relating to their health, proposed care and

ongoing service delivery

Use decision aids to assist the consumer with their decision making and

to identify their goals and needs

Offer consumers a range of control levels from minor involvement

through to self-management of their package

Understand the diversity of communities and what choice and control

means in this context (e.g., LGBTI, ATSI, CALD, Dementia, Homeless)


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to notice change or receive consumer or carer requests

Attitude:

Acceptance of Consumer Directed Care principles

Recognise the consumer and their personal relationships, carer or

advocate as directors in the design and delivery of their individual service

plan

Open to consumer requests for something different – “yes how” rather

than “no because”

Attitude:

Recognise the consumer and their personal relationships, carer or

advocate as directors in the design and delivery of their individual service

plan

Respect the consumer’s desired level of control

Open to consumer requests for something different – “yes how” rather

than “no because”

Relates to the following units of competency

CHC33015 Certificate III in Individual Support CHC43015 Certificate IV in Ageing Support

CHCCCS015

CHCCCS023

CHCCOM005

CHCDIV001

HLTWHS002

CHCAGE001

CHCAGE005

CHCCCS011

CHCHCS001

CHCSET001

CHCDIS004

BSBCUS301

BSBMED301

CHCLAH003

HLTOHC002

CHCINM002

Provide individualised support

Support independence and well being

Communicate and work in the health or community services

Work with diverse people

Follow safe work practices for direct client care

Facilitate the empowerment of older people

Provide support to people living with dementia

Meet personal support needs

Provide home and community support services

Work with forced migrants

Communicate using augmentative and alternative communication

strategies

Deliver and monitor a service to customers

Interpret and apply medical terminology

Participate in planning, implementation and monitoring of individual leisure

and health programs

Inform and support clients and groups to understand and achieve good oral

health

Meet community information needs

CHCAGE003

CHCAGE005

CHCAGE001

CHCCCS006

HLTWHS002

CHCHCS002

CHCSET001

HLTAHA019

CHCMGT002

Coordinate services for older people



Facilitate individual service planning and delivery


Coordinate and monitor home based support

Work with forced migrants

Assist with the planning and modification of meals and menus

according to individualised plans

Manage partnership agreements with service providers


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Principle 2: Rights

CDC should acknowledge an older person’s right (based on their assessed needs and goals) to individualised aged care services and support (within the scope

of the Home Care Packages Programme).


Knowledge of:

The Charter of Rights and Responsibilities for Home Care

‘MyAgedCare’ website

Knowledge of:

The Charter of Rights and Responsibilities for Home Care

The processes and tools for goal facilitated action planning

‘MyAgedCare’ website

Skills (ability) to:

Explain and gain consumer consent for any new activity

Communicate effectively - confirm you have been understood

Actively listen - confirm you understand

Negotiate (within known parameters)

Understand the consumer goals that have informed the service plan

Understand the role you play in supporting the consumer’s goals

Understand re-ablement and have the skills to deliver the consumer’s

individual service plan

Understand the complaints process and the consumer’s right to have an

advocate

Work with diverse communities and special needs groups including ATSI,

CALD, financial and social disadvantage, homelessness, care leavers, rural

and remote, Veterans, parents separated from children, and LGBTI

Skills to:

Facilitate motivational goal setting and action planning with consumers –

including short-term realistic goals

Deliver exceptional customer service

Engage consumers in all aspects of service provision

Identify performance measures and assess progress toward achievement

of goals – including celebration of milestones

Assess the consumer’s capacity for decision-making, consent and ability

and willingness to self-manage

Recognise when you need to consult with colleagues or other health

professionals to meet consumer needs

Support and defend consumer rights to autonomy

Understand and inform consumers about their rights to complaint and

advocacy

Provide information about safety and emergency supports – abuse,

neglect, natural disasters etc.

Attitude:

Respect the unique identity of each consumer

Respect the consumer’s goals

Value the input of consumers and others involved in their support

Share information and knowledge to enhance the working relationship(s)

Attitude:

Respond with services and supports designed and selected to assist the

achievement of consumer goals – not a service menu list

Focus on positive outcomes for the consumer, not process

Be flexible and responsive to the consumer’s goals and needs

Access the most culturally relevant and appropriate services


Version 7 – 27 Oct. 2015 8



CHCCCS015

CHCCCS023

CHCCOM005

CHCDIV001

CHCLEG001

HLTWHS002

CHCAGE001

CHCAGE005

CHCCCS011

CHCDIS001

CHCHCS001

CHCDIV002

CHCADV001

CHCCCS006

CHCLLN001

CHCPAL001

CHCLAH003

CHCMHS001

HLTOHC005

CHCCCS026

CHCAGE002





Work legally and ethically





Contribute to ongoing skills development using a strengths-based approach


Promote Aboriginal and/or Torres Strait Islander cultural safety

Facilitate the interests and rights of clients


Respond to client language, literacy and numeracy needs

Deliver care services using a palliative approach


and health programs

Work with people with mental health issues

Provide or assist with oral hygiene

Transport individuals

Implement falls prevention strategies

CHCADV001

CHCAGE004

CHCAGE005

CHCAGE001

CHCCCS011

CHCCCS006

CHCDIV001

CHCLEG003

CHCPAL001

HLTWHS002

CHCAGE002

CHCAOD001

CHCDIV002

CHCMHS001

CHCDIV003

CHCCCS017

CHCCCS018

HLTHPS006

HLTAHA013

HLTAHA019

HLTAHA021

HLTOHC005

HLTOHC006

CHCPAL002

CHCCCS001

CHCCCS019

CHCCCS021

CHCLLN001


Implement interventions with older people at risk






Manage legal and ethical compliance

Deliver care services using a palliative approach



Work in an alcohol and/or drugs context



Manage and promote diversity

Provide loss and grief support

Provide suicide bereavement support

Assist clients with medication

Provide support in dysphagia management

Assist with the planning and modification of meals and menus according

to individual plans

Assist with the screening and implementation of therapeutic diets


Apply and manage use of basic oral health products

Plan for and provide care services using a palliative approach

Address the needs of people with chronic disease

Recognise and respond to crisis situations

Respond to suspected abuse

Respond to client language, literacy and numeracy needs


Version 7 – 27 Oct. 2015 9

Principle 3: Respectful and balanced partnerships

The development of respectful and balanced partnerships between consumers and home care providers, which reflect the consumer and provider rights and

responsibilities, is crucial to consumer control and empowerment. Part of creating such a partnership is to determine the level of control the consumer wants

to exercise. This will be different for every individual, with some people requiring or wanting assistance to manage their package and others choosing to

manage on their own.


Knowledge of:

Consumer rights principles

Home Care Package Programme Guidelines

Knowledge of:

Consumer rights principles

Home Care Package Operational Manual and Allocation Principles

Co-design and co-production principles

Resources available to support consumers in self-management of their

Home Care Package

Skills to:

Engage consumers in all decisions that affect them

Work with diverse communities – cultural competence

Consult with the Advisor or Program Manager if a consumer request is

outside your authority, knowledge or skills

Document all consumer information respectfully – they should be able to

read and understand everything written about them

Work with consumers and colleagues to develop practical and creative

solutions to workplace problems and consumer needs

Skills to:

Engage consumers in the design, delivery and evaluation of their service

plan

Identify the consumer’s capacity for independent decision-making and

any factors affecting their ability to self-manage

Negotiate with the consumer how you will work together and what role

they require of you

Work with the consumer to identify, achieve (and potentially exceed) the

level of control they want

Differentiate needs from services

Educate consumers on their rights and responsibilities

Educate consumers on the service provider’s rights and responsibilities

Encourage consumers to voice their ideas, preferences and concerns

Act to ensure the wishes and needs of consumers are factored into

decision-making within and across teams

Use terminology that can be easily understood by the consumer (and

others involved in supporting the consumer)


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Document all consumer information respectfully – they should be able to

read and understand everything written about them

Attitude:

Respect for the unique identity of each consumer

Inclusive and respectful of people from all backgrounds, languages and

cultural traditions

Respect for the safety of consumer, co-workers and self

Respect for the consumer’s independence and right to make decisions

relating to their care and support

Respect the role the consumer has chosen to undertake in the design,

delivery and evaluation of their services and supports

Attitude:

Collaborative, inclusive and respectful of the contribution and wisdom of

consumers

Consumer should be engaged in everything that effects them

Trust and support the consumer’s personal decisions

Be open to consumer suggestions and preferences – respond with “yes

how” instead of “no because”

Facilitation of independence and support of full citizenship rights



CHCCCS015

CHCCCS023

CHCCOM005

CHCDIV001

CHCLEG001

HLTWHS002

CHCHCS001

CHCDIV002

CHCPRP001

CHCPRP003

BSBCUS301

BSBWOR301

CHCLAH002

CHCLAH003









Develop and maintain networks and collaborative partnerships

Reflect on and improve own professional practice


Organise personal work priorities and development

Contribute to leisure and health programming


and health programs

CHCAGE003

CHCAGE001

CHCCCS025

CHCCCS006

CHCDIV001

CHCPRP001

CHCHCS002

CHCEDU009

CHCDIV002

CHCDIV003

HLTAHA018

HLTAHA019

CHCCOM002

CHCCCS007

CHCCCS010

Coordinate services for older people


Support relationships with carers and families




Coordinate and monitor home based support

Implement health promotion and community intervention


Manage and promote diversity

Assist with planning and evaluating meals and menus to meet

recommended dietary guidelines

Assist with the planning and modification of meals and menus according to

individualised plans

Use communication to build relationships

Develop and implement service programs

Maintain high standard service


Version 7 – 27 Oct. 2015 11

CHCMGT001

CHCMGT002

BSBMGT406

HLTAAP002

Develop, implement and monitor quality framework


Plan and monitor continuous improvement

Confirm physical health status


Version 7 – 27 Oct. 2015 12

Principle 4: Participation

Community and civic participation are important aspects for wellbeing. CDC in aged care should support the removal of barriers to community and civic

participation for older people, if they want to be involved.


Knowledge of:

Local community groups and associations

Transport options

Social support programs

Knowledge of:

Local community groups and associations

Transport options

Social support programs

Skills to:

Support the consumer’s participation in the things that are important to

them

Support the consumer’s engagement with the people who are important to

them

Support the consumer to remain/reconnect to who and what is important

to them including current and previous interests and social networks

Skills to:

Build relationships with relevant local organisations and community

groups

Identify who and what is important to the consumer including their

current and previous interests and social networks

Identify any support the consumer’s needs to maintain identified

interests and social connections

Capture the consumer’s informal network supports and activities in

their individual service plan – ensure these are given priority when

scheduling other services

Develop plans that elicit consumers strengths and abilities

Attitude:

Respect the role the consumer plays in personal relationships and

community life

Respect the valuable support provided by personal relationships and

community

Attitude:

Respect the role the consumer plays in personal relationships and

community life

Respect the valuable support provided by personal relationships and

community


Version 7 – 27 Oct. 2015 13



CHCCCS015

CHCCCS023

CHCDIS003

CHCHCS001

CHCCCS025

CHCGROUP302D

CHCLAH001

CHCLAH002

CHCLAH003



Support community participation and social inclusion



Support group activities

Work effectively in the leisure and health industries


Participate in planning, implementation and monitoring of individual

leisure and health programs

CHCADV001

CHCAGE001

CHCCCS025

CHCPRP001

CHCEDU009

CHCDIS008

CHCMGT002






Facilitate community participation and social inclusion



Version 7 – 27 Oct. 2015 14

Principle 5: Wellness and re-ablement

CDC packages should be offered within a restorative or re-ablement framework to enable the consumer to be as independent as practical, potentially

reducing the need for ongoing and/or higher levels of service delivery.

Many people enter the aged care system at a point of crisis. Such situations may require the initial provision of services designed to address the immediate

crisis. However, there should always be an assumption that the older person can regain their previous level of function and independence with re-ablement

services being offered at a time that suits/supports the individual circumstances.


Knowledge of:

The principles of re-ablement – to ‘do with’ not to ‘do for’

Services and supports that have been designed to support the re-

ablement or capacity building of the consumer

Knowledge of:

Re-ablement and capacity building approaches

Prevention and restorative therapy services available in the region

(including funding options)

Motivational goal setting

Skills to:

Facilitate the consumer’s independent involvement in activities (within

guidelines of the individual service plan)

Support the consumer’s development of new skills

Encourage the consumer to get involved in their own care and take

responsibility for achieving their goals (as agreed in the service plan)

Recognise the range of personal, social, economic, and environmental

factors that influence health status, and contribute to initiatives that aim

to improve health outcomes for consumers

Recognise the small achievements made by consumers and encourage

stretch goals you can help then strive towards

Skills to:

Collaborate across health, community and social service organisations to

offer re-ablement options across all wellbeing domains

Facilitate motivational goal setting and action planning with consumers –

including short-term realistic goals

Identify the consumer’s individual reablement plan. There is no one right

approach – allow for cultural expectations and variances.

Advise consumers on the reduction of risk factors and recommendations

for home modifications, aids and equipment to promote independence

Identify and recommend local, regional and national resources/services

to assist consumers in the development and maintenance of healthy

lifestyles and wellness

Recognise early signs of functional decline and act to provide additional

or alternative services to promote wellness and independence

Recognise the complex, multi-factorial nature of the causes of ill-health,

and focus on improving the consumer’s physical, psychological, and mind-

body health


Version 7 – 27 Oct. 2015 15

Distinguish and relate the physical, functional, and psychosocial causes

and consequences of illness and dysfunction to develop individualised

service plans

Identify the consumer’s support networks, isolation risk and the makeup

of their personal relationships so that care can be delivered in context

Attitude:

Belief that everyone has capacity for improvement in physical, social, or

emotional wellbeing

Patience, flexibility, resilience – this is not about you

Attitude:

Belief that everyone has capacity for improvement in physical, social, or

emotional wellbeing

An attitude of ‘yes how’ rather than ‘no because’

Adopt a risk enabling approach



CHCCCS015

CHCCCS023

CHCCOM005

HLTAAP001

CHCAGE005

CHCCCS011

CHCDIS001

CHCHCS001

CHCSOH001

CHCCCS017

CHCCCS030

CHCGROUP302D

CHCLAH001

CHCLAH002

CHCLAH003

CHCMHS001




Recognise healthy body systems



Contribute to ongoing skills development using a strengths-based

approach


Work with people experiencing or at risk of homelessness


Facilitate independent travel

Support group activities

Work effectively in the leisure and health industries


Participate in planning, implementation and monitoring of individual

leisure and health programs


CHCAGE004

CHCAGE005

CHCAGE001

CHCCCS023

HLTAAP001

CHCAGE002

CHCEDU009

CHCDIS009

CHCAOD001

CHCMHS001

CHCSOH001

CHCCCS017

CHCCCS018

HLTHPS007

HLTAHA013

HLTAHA018

HLTAHA021





Recognise healthy body systems



Facilitate ongoing skills development using a person-centered approach

Work in an alcohol and/or drugs context


Work with people experiencing or at risk of homelessness


Provide suicide bereavement support

Administer and monitor medications

Provide support in dysphagia management

Assist with planning and evaluating meals and menus to meet

recommended dietary guidelines

Assist with the screening and implementation of therapeutic diets


Version 7 – 27 Oct. 2015 16

HLTOHC002

HLTOHC003

CHCAGE004

CHCAGE002

Inform and support patients and groups about oral hygiene




HLTOHC002

HLTOHC003

HLTOHC004

HLTOHC005

CHCCCS007

HLTAAP002

Inform and support patients and groups about oral hygiene


Apply and manage use of basic oral health products

Use basic oral health screening tools


Confirm physical health status


Version 7 – 27 Oct. 2015 17

Principle 6: Transparency

Under a CDC package, older people have the right to use their budgets to purchase the aged care services they choose. To make informed decisions about

their care, older people need to have access to budgeting information, including the cost of services, the contents of their individualised budgets and how

their package funding is spent.


Knowledge of:

Consumer Directed Care principles and individual funding arrangements -

the consumer has ‘purchased’ the services and supports you (and others)

will deliver using their individual budget

Knowledge of:

The cost (price) of services and supports provided by your organisation

The price of services provided by other organisations

The funding options available and the eligibility requirements

How the basic fee, means tested care fee and supplements are calculated

and processed for consumers, and the criteria for hardship payments

Skills to:

Understand the limitations of the consumer’s personalised budget and

how your role contributes to the delivery of the CDC service model

Understand the parameters of the consumer’s level of self-direction and

what they can make decisions about – if in doubt discuss new requests

with the program manager/team leader

Skills to:

Develop individual consumer budgets

Understand the importance of managing each consumer’s budget in a

timely and accurate manner, recognising that all activities have to be

funded from within the allocated subsidy

Use resources wisely to achieve best outcomes, understanding the range

of resources in the community that could be accessed in addition to what

might be purchased within the individual budget.

Advise others when an inappropriate use of resources is identified or

suspected

Suggest improvement to work flow and processes that may improve the

use of resources and boost productivity

Plan creatively with consumers to develop care plans that make the best

use of their budget, personal resources and wider community resources

and meet their goals

Attitude:

Punctual - turn up on time

Reliable, dependable and personally well organised

Attitude:

Accepting of the new funding arrangements for Home Care Packages

Older people are capable of managing individual finances and working


Version 7 – 27 Oct. 2015 18

Courteous well-mannered and presented

Maintain confidentiality and be ethical

within a budget allocation



CHCCCS015

CHCCCS023

CHCDIV001

CHCLEG001

CHCAGE001

CHCHCS001

CHCEDU005

CHCEDU006

BSBCUS301







Work with clients to identify financial literacy education needs

Improve clients fundamental financial literacy skills


CHCAGE001

CHCCCS006

CHCLEG003

CHCCCS007

CHCMGT002

BSBFLM513A



Manage legal and ethical compliance



Manage budgets and financial plans within the work team


Version 7 – 27 Oct. 2015 19

RESOURCES ON AGED CARE REFORM

Consumer Directed Care (CDC) and Home Care Packages in Australia

1 Policy and government

Aged Care Reform overview

Department of Social Services, Australia

An outline of all of the changes happening in aged care in Australia.

Home Care Packages Operational Manual (2015)


Provides guidance on how the Home Care Packages Programme works

under CDC including the legislative basis for the programme

Home Care Today website

Home Care Today

A resource hub initiated by COTA Australia and funded by the Department

of Social Services to support consumers and providers with the

introduction of CDC. Includes a range of resources on different topics

relating to CDC.

My Aged Care website


A resource designed for people to help navigate the aged care system.

https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/aged-care-reform

https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/aged-care-reform


http://www.myagedcare.gov.au/

http://www.myagedcare.gov.au/


Version 7 – 27 Oct. 2015 20

Re-writing Community Aged Care (2012)

People at Centre Stage (PACS) Project, Deakin University and UnitingCare Community Options.

Results from an Australian Research Council funded evaluation of a CDC

pilot program in Melbourne.

Includes:

Self Directed Community Aged Care for People with Complex Needs: A literature Review

CHOICES in Aged Care Project

This project was an initiative to develop the PACS model for communities with distinctive needs: Rural, Regional and Remote; Culturally and Linguistically Diverse (CALD); and Aboriginal and Torres Strait Islander (ATSI) communities. Funded by the Department of Health and Ageing,

Australia under the Encouraging Better Practice in Aged Care (EBPAC) Grants.

Includes practice tools as well as training modules for staff.

Living well at home: CHSP Good Practice Guide (2005)

Department of Social Services

Good practice in promoting wellness and enablement through community

based services.

Provides links to other useful sites:

Goal Directed Care Planning Toolkit

HACC Active Service Model (Victoria) resources

http://sites.google.com/site/pacsprojectsite

https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnxwYWNzcHJvamVjdHNpdGV8Z3g6MjZiODQ2MTZjYTNlMDYwOA

https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnxwYWNzcHJvamVjdHNpdGV8Z3g6MjZiODQ2MTZjYTNlMDYwOA

http://www.choicesinagedcare.com.au/

http://www.choicesinagedcare.com.au/

https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/programs-services/commonwealth-home-support-programme/living-well-at-home-chsp-good-practice-guide

http://www.oehcsa.org.au/library-resources/special-projects/active-service-model-asm/asm-resources/goal-directed-care-plannin

http://www.health.vic.gov.au/hacc/projects/asm_resource.htm


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2 Work practices for CDC

Helen Sanderson and Associates

Helen Sanderson has developed materials on person centred planning for

older people and also more recently on individualized budgets and co-

production in the UK.

Includes:

Progress for Providers Series

Dr. Michael Kendrick

Michael Kendrick has written extensively on consumer direction for

people with disabilities, older people and other groups.

Work includes:

The Key Ingredients of Optimal Partnerships Between Service Users and Families and Their Possible Human Service Partners

A good discussion of the nature of the partnership relationship with consumers within a CDC approach.

Better Practice Project

ACS SA/NT

Resources designed to support HACC services in SA but generally

applicable to person-centred, strengths based approaches to home care.

Includes:

Imagining Possibilities: A practical handbook for working with people in the community (2015).

http://www.helensandersonassociates.co.uk/

http://www.helensandersonassociates.co.uk/

http://progressforproviders.org/

http://www.kendrickconsulting.org/PublicSite/Shared%20Documents/All%20publications/Ethical_Partnerships.pdf

http://www.kendrickconsulting.org/PublicSite/Shared%20Documents/All%20publications/Ethical_Partnerships.pdf

http://www.agedcommunity.asn.au/providers/better-practice-project/resources-publications/

http://www.agedcommunity.asn.au/providers/better-practice-project/resources-publications/

http://www.agedcommunity.asn.au/wp-content/uploads/2015/06/Imagining-Possibilities-handbook.pdf

http://www.agedcommunity.asn.au/wp-content/uploads/2015/06/Imagining-Possibilities-handbook.pdf


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Think Local Act Personal

A national partnership in the UK transforming health and care through

personalisation and community-based support.

Provides numerous reports and resources for the implementation of

personal budgets in the UK.

Putting People First: Personal budgets for older people – making it happen

They have recently released a new personalised care and support planning

tool:

Personalised care and support planning

You can log in to this site for free to access materials and receive

regular updates.

Positive Risk-taking Policy

An example from Gateshead Council (2009)of a positive approach to managing risk in social care.

In Control UK

In Control is an extensive and 'community for change' that aims to:

work directly with people who need support, and with their families to provide them with the knowledge, power and tools to take control of their lives

influence and improve the delivery of self-directed support develop and test new innovative ways for people to be in control of

their lives measure the impact of self-directed support and personal budgets on

people's lives.

Individual Service Funds for Homecare

In Control Australia

A 2013 report on personalising budgets in home care in the UK.

http://www.thinklocalactpersonal.org.uk/

http://www.thinklocalactpersonal.org.uk/

http://www.thinklocalactpersonal.org.uk/personalised-care-and-support-planning-tool/

http://www.thinklocalactpersonal.org.uk/personalised-care-and-support-planning-tool/

http://www.thinklocalactpersonal.org.uk/Browse/safeguarding/?parent=8625&child=5008

http://www.in-control.org.uk/

http://www.in-control.org.uk/

http://www.in-control.org.uk/media/128547/inc14877%20-%20sf%20report%20single%20pages-web.pdf

http://www.in-control.org.au/

http://www.in-control.org.au/


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3 Resources useful for teaching

Community West website

Community West is a sector development agency in Western Australia

who have particular expertise in wellness and enablement.

Includes a variety of resources useful for teaching.

Social Care Institute for Excellence (SCIE)

SCIE works to improve the lives of people who use care services by

sharing knowledge about what works. Includes e-learning resources

and Social Care TV video clips on various topics. You can log in to

this site for free to access materials and receive regular updates

Example of their fact sheets, which are good resources on

increasing choice.

SCIE (2010) Dignity in care factsheet: Choice and control in

practice

SCIE (2013) Co-production in social care: What it is and how to do it.

SCIE (2010) Enabling risk, ensuring safety: Self-directed support and

personal budgets

(You may need to log in to access these documents).

National Development Team for Inclusion (NDTi)

A range of resources on involving consumers in the planning, design and

evaluation of services, particularly CDC approaches.

Example:

Personalisation – don’t just do it – coproduce it and live it!

Care About Rights

Projects regarding self-directed supports and enablement approaches in

Scotland has some videos that could be used as teaching resources including

consumer perspectives

http://www.communitywest.com.au/

http://www.communitywest.com.au/

http://www.scie.org.uk/

http://www.scie.org.uk/

http://www.scie.org.uk/publications/guides/guide15/files/factsheets/choiceandcontrol.pdf

http://www.scie.org.uk/publications/guides/guide15/files/factsheets/choiceandcontrol.pdf

http://www.scie.org.uk/publications/guides/guide51/what-is-coproduction/defining-coproduction.asp

http://www.scie.org.uk/publications/reports/report36/files/report36.pdf

http://www.scie.org.uk/publications/reports/report36/files/report36.pdf

http://www.ndti.org.uk/

http://www.ndti.org.uk/

http://www.ndti.org.uk/uploads/files/Personalisation_-_dont_just_do_it_coproduce_it.pdf

http://www.scottishhumanrights.com/careaboutrights


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Home Care Today Legal Issues Project resources

A range of resources developed by Home Care Today to address issues raised

about legal issues relating to CDC in Home Care Packages.

The Myths and Realities of Consumer-Directed Services for Older Persons

Squillace & Firman (2002)

What is participant direction?

An example of a DVD clip that could be used to explain CDC.

Joint Improvement Team Scotland

A range of resources that have been developed to support social care

reform in Scotland. Some could be useful as teaching tool.

http://www.homecaretoday.org.au/provider/consumer-directed-care/legal-issues-project

http://web.bc.edu/libtools/details.php?entryid=134

http://www.youtube.com/watch?v=wptcl0VxpOs&feature=youtube

http://www.jitscotland.org.uk/