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Guidelines for NSW Community Care Supports

Program Summary: These guidelines are designed to assist service providers and FACS

District staff with the operation of the NSW Community Care Supports Program.

Guidelines for NSW Community Care Supports Program 2

Document approval

The Guidelines for NSW Community Care Supports Program v2.0 has been

endorsed and approved by:

___________________________________

Jim Longley

Deputy Secretary

Approved: July 2015

Document version control

Distribution: Public - website

Document name: Guidelines for NSW Community Care Supports

Program

Trim Reference: AT15/49111

Version:

Version 2.0

This document

replaces


Program v 1.0

Document status:

Final Draft

File name:


Program

Authoring unit:

Ageing, Disability and Home Care – Community and

Sector Engagement Directorate

Date: October 2012 (Original)

June 2015 (Revised)


Table of contents

Table of Contents 1 Introduction .................................................................................................. 4

1.1 What is the purpose of these Guidelines? ............................................. 4 1.2 What has changed in this version? ....................................................... 4 1.3 What is the NSW Community Care Supports Program?........................ 4 1.4 CCSP and the disability service system in NSW ................................... 5 1.5 National Disability Insurance Scheme ................................................... 5

2 Eligibility and Access .................................................................................. 6 2.1 Eligibility for the NSW Community Care Supports Program .................. 6 2.2 Persons not eligible for assistance under CCSP ................................... 6 2.3 Special needs groups ........................................................................... 7 2.4 Access and Equity ................................................................................ 7 2.5 How can people be referred to CCSP funded services? ........................... 8 2.6 Assessment for CCSP funded services .................................................... 8 2.7 Prioritisation .......................................................................................... 9

3 Service delivery ......................................................................................... 10 3.1 Service types ...................................................................................... 10 3.2 Integrated service delivery .................................................................. 11 3.3 Individual planning and enablement .................................................... 11 3.4 Fees ................................................................................................... 11

3.4.1 Principles for the Setting of Fees........................................................ 12 3.4.2 Scale of Fees .................................................................................... 12 3.4.3 Collection of Fees .............................................................................. 12 3.4.4 Determination of Fees Payable .......................................................... 13 3.4.5 Capacity to Pay ................................................................................. 13 3.4.6 Home Modification Fees Policy .......................................................... 13

4 Service provider responsibilities .............................................................. 14 4.1 Funding arrangements for ADHC funded providers............................. 14 4.2 Funding Agreements ........................................................................... 14 4.3 Service delivery requirements ............................................................. 15 4.4 Service provision reporting.................................................................. 15 4.5 Financial reporting .............................................................................. 16 4.6 Quality reporting ................................................................................. 16 4.7 Probity in employment ........................................................................ 17 4.8 Due Recognition ................................................................................. 17 4.9 Feedback and complaints ................................................................... 18

5 NSW Government responsibilities ........................................................... 18 5.1 Funding............................................................................................... 18 5.2 Contract management ........................................................................ 19 5.3 Policy development, direction and advice ........................................... 19 5.4 Government reporting ......................................................................... 19

6 Appendices ................................................................................................ 20 6.1 Appendix 1: Disability Inclusion Act 2014 Disability Principles............. 20 6.2 Appendix 2: CCSP Service Type Descriptions .................................... 22


1 Introduction

1.1 What is the purpose of these Guidelines?

The purpose of the Guidelines for NSW Community Care Supports Program Version 2.0 (the Guidelines) is to assist the following stakeholders with the operation of the NSW Community Care Supports Program (CCSP):

service provider organisations that receive CCSP funding; and

FACS District officers who have a contract management role with CCSP funded service providers.

The NSW Government is committed to integrating the CCSP into the National Disability Insurance Scheme (NDIS). These Guidelines set out the parameters for the operation of the CCSP in the lead up to, and during, its transition to the NDIS.

The Guidelines reflect the new FACS Funding Agreement for Disability Service Providers (Funding Agreement), which commenced on 1 July 2015. The Guidelines should be read in conjunction with the policies and procedures described in the Funding Agreement.

1.2 What has changed in this version?

The Guidelines have undergone substantial revision to reflect the new Funding Agreement and other reforms introduced by the Disability Inclusion Act 2014 (DIA). The more significant changes from the previous version of the Guidelines (V 1.0) include:

reframing the purpose of the Guidelines to reflect NSW Government policy in relation to NDIS implementation;

referencing the key changes to the new Funding Agreement;

aligning the Guidelines with the principles of the DIA;

aligning sections concerning eligibility and special needs groups with the relevant provisions of the DIA; and

the addition of Appendix 2 which consolidates relevant information regarding CCSP service type specifications.

1.3 What is the NSW Community Care Supports Program?

The CCSP funds basic maintenance and support services for younger people with disability and also provides support services for their carers. ‘Younger people’ refers to people under 65 years of age and under 50 years of age for Aboriginal and Torres Strait Islander people.

Basic maintenance and support services are defined as those essential to maintaining a person’s well being, for example nutrition, home maintenance or personal care. Descriptions of the types of support services available under the CCSP are provided in section 3.1 and Appendix 2 of these Guidelines.


The overall aims of the CCSP are to:

provide a comprehensive, coordinated and integrated range of basic maintenance and support services for people with disability and their carers;

support people with disability to be more independent at home and in the community, thereby enhancing their quality of life;

enable people with disability to understand and focus on their individual needs and achieve their goals;

decrease the risk of, and prevent inappropriate admission to, long term residential care; and

provide flexible, timely services that respond to the needs of people with disability and their carers.

1.4 CCSP and the disability service system in NSW

The CCSP is an important component of the NSW disability service system administered by the Department of Family and Community Services (FACS). Ageing, Disability and Home Care (ADHC) – a division within FACS – has primary responsibility for the administration of the CCSP and other disability programs.

ADHC is assisted in this role by FACS District offices. District offices provide contract management support to funded services, and are responsible for the day-to-day management of NSW Government funded and operated disability services.

1.5 National Disability Insurance Scheme

The NSW Government is committed to the full implementation of the National Disability Insurance Scheme (NDIS).

The NSW Government’s vision is for a disability service system in which people with disability, their family and carers are directing the supports and services they need to fully participate in community life.

The NDIS is being trialed in NSW in the local government areas of Newcastle, Lake Macquarie and Maitland. The Hunter Trial commenced on 1 July 2013 and will be completed by 30 June 2016. The full scheme transition will commence early on 1 July 2015 for children and young people 0-17 in the Nepean Blue Mountains, with the remainder of NSW to commence full scheme transition from 1 July 2016 with the expected completion date of 30 June 2018.

NSW disability funding, including CCSP funding, outside the Hunter and Nepean Blue Mountains, will commence transitioning to the NDIS from 1 July 2016.

NSW is preparing for the NDIS through Ready Together which contains a number of reforms and initiatives that supports the implementation of the NDIS and its person centred and individualised funding service system.


2 Eligibility and Access

2.1 Eligibility for the NSW Community Care Supports Program

The target group for assistance under the CCSP is younger people with disability who require basic maintenance and support services and who are at risk of premature or inappropriate admission to long term residential care.

The Disability Inclusion Act 2014 defines disability as:

“Disability, in relation to a person, includes a long-term physical, psychiatric, intellectual or sensory impairment that, in interaction with various barriers, may hinder the person’s full and effective participation in the community on an equal basis with others.”

Further, under the DIA, a ‘person in the target group’ is defined as a person who has a disability, whether or not of a chronic episodic nature, where the disability:

is attributable to an intellectual, cognitive, neurological, psychiatric, sensory or physical impairment;

is permanent or likely to be permanent; and

results in a significant reduction in a person’s functional capacity in one or more areas of major life activity.

CCSP funded services are available to assist eligible people with disability who live in:

privately owned properties, rental properties, caravan parks, Local Aboriginal Land Council properties and social housing (public housing, Aboriginal Housing Office properties and community housing);

boarding houses; and

unstable housing circumstances (such as transient or homeless people).

The unpaid carers of people with disability are also eligible for assistance under the CCSP. ‘Unpaid carers’ are people who do not receive a wage for their role as a carer. Carers in receipt of the Carer’s Allowance are eligible for assistance under the CCSP as the allowance is not considered to be a wage.

2.2 Persons not eligible for assistance under CCSP

The following groups are not eligible for assistance under the CCSP:

people who are recipients of disability program accommodation support services when the service provider is receiving government funding for that purpose;

people who are younger residents of nursing homes as this group has specialist programs designed to meet their needs; and


people who reside within a special accommodation or a group home that includes these services as part of the residential agreement.

Although CCSP funds cannot be used for service provision for the above groups, similar services could be purchased from CCSP funded service providers on the condition that:

the services are provided on a full cost recovery basis;

the CCSP funded service provider has the capacity to take on additional people without adversely affecting people in the target group.

CCSP funded services should not be provided to a person who is already receiving a similar service from other government funded programs, or where other programs available may be more appropriate for their assessed needs.

2.3 Special needs groups

The following special needs groups are recognised under the Disability Inclusion Act 2014:

Aboriginal and Torres Strait Islander people with disability

People with disability from culturally and linguistically diverse backgrounds

Women with disability

Children with disability

In addition, several other special needs groups are acknowledged as groups facing challenges in accessing appropriate community and support services. These are:

people with younger onset dementia;

financially disadvantaged people; and

people living in remote or isolated areas of NSW.

CCSP services can be provided for one or more of the above groups either by a generic service or, where appropriate, by a service that is specifically funded to provide targeted services for special needs groups.

2.4 Access and Equity

The establishment of appropriate services in an area does not necessarily ensure that all persons within the target group will have access to those services. People may encounter difficulties accessing services because of factors such as location or physical or cultural barriers.

CCSP funded service providers are required to implement the disability principles that are outlined in the DIA when planning, developing and delivering services to special needs groups. The DIA disability principles are outlined in Appendix 1.

In addition, to enable all members of the community to have access to government funded services on an equitable basis, service providers should observe the following general principles:


physical access – all CCSP funded facilities (such as day care centers and transport vehicles with a capacity of greater than eight people) should be accessible to people with physical or sensory disabilities;

without discrimination – eligible people assessed as needing assistance should not be refused access to CCSP services on the grounds of inability to pay, location, gender, ethnicity, language, Aboriginality, marital status, religion, sexual preference or type of disability; and

culture and language – services funded under the CCSP are required to be culturally and linguistically appropriate.

2.5 How can people be referred to CCSP funded services?

People wishing to access CCSP funded services may be referred to the Program in a variety of ways, including through a self, carer or family member referral. An initial assessment to determine client eligibility and service requirements is generally followed by a service specific or comprehensive needs assessment.

The key principles for referrals to CCSP funded services are:

minimising duplication of assessment – where appropriate, service providers should collaborate to reduce unnecessary duplication of processes;

effective communication – effective communication strategies should be implemented to ensure referrals are acknowledged and information is provided about the referral outcome including approximate timeframes for services to commence;

advising of ineligibility – if a person is considered ineligible for assistance through CCSP funded services they should be advised of the reasons for the decision; and

consent should be gained from the person or the carer for referral to another service or agency in line with NSW privacy legislation.

When a service cannot be provided, the reasons for refusal of a referral must be documented. The person who was referred, or their carer or family member, should be advised how to reapply for a service if their needs or circumstances change, and should be provided with information about other services that may be able to assist with their needs.

2.6 Assessment for CCSP funded services An assessment is a systematic way of establishing the type and extent of client support needs and identifying appropriate services to meet those needs. The assessment process encompasses a range of functions including:

screening for eligibility;


determining needs and priorities;

facilitating referral and care coordination;

monitoring and review; and

data collection. Assessment considers the person’s needs and should consider factors such as the availability of informal care. Assessment should be conducted in close consultation with the person and, where appropriate, their carer or family. Where appropriate, eligibility and support needs should be assessed using standardised assessment tools, such as the Client Information and Referral Record (CIARR) or the NSW Ongoing Needs Identification tool (ONI-N). Some people may have a higher level of need or complex needs requiring a comprehensive needs assessment. Case management and client care coordination may be necessary to facilitate the delivery of integrated services. Where there is a carer, their needs should also be considered. In keeping with the NSW Carers Charter, part of the NSW Carers (Recognition) Act 2010, service providers should ensure:

the views and needs of carers and the views, needs and best interests of the persons they care for, are taken into account in the assessment, planning, delivery and review of services provided;

carers are made aware of services available and are referred to appropriate services to assist in their caring role; and

such referrals are made after an assessment of the needs of carers or as part of the assessment or provision of services to the person being cared for.

More information regarding the Carers Recognition Act 2010 is available at http://www.adhc.nsw.gov.au/individuals/caring_for_someone/nsw_carers_recognition_act_2010

2.7 Prioritisation

Following an eligibility assessment, CCSP funded service providers are required to prioritise the provision of services based on relative need in order to best manage available program resources.

Where demand for a service exceeds supply, service providers must allocate resources in a way that provides the most benefit to the greatest number of people.

Service provider decision regarding the allocation of resources should be based on the assessment of relative need and each person’s individual situation. In making such decisions service providers should consider the following factors:

CCSP eligibility requirements;

the Program target groups;

the level of support required by the person given that the CCSP funds basic maintenance and support services;

http://www.adhc.nsw.gov.au/individuals/caring_for_someone/nsw_carers_recognition_act_2010

http://www.adhc.nsw.gov.au/individuals/caring_for_someone/nsw_carers_recognition_act_2010


the vulnerability of the individual to further deterioration;

the likely effect of the service provision in assisting the carer to maintain their caring role;

the likely effect of the service provided in assisting individuals to attain their goals, for example, reduced risk of admission to residential care or maintaining quality of life in the community; and

safety issues for people using the service and for staff and volunteers of the service.

3 Service delivery

3.1 Service types

A variety of support services (service types) are funded under the CCSP. People may be assessed as eligible and prioritised for one or multiple service types, depending on the nature of their needs.

Service types funded under the CCSP include:

Allied Health Services (including Dietetics, Occupational Therapy, Physiotherapy, Podiatry, Speech Pathology)

Case Management (COPS)

Centre Based Day Care

Counselling, Support, Information and Advocacy

Domestic Assistance

Respite

Home Maintenance

Home Modification

Linen Services

Meals and Other Food Services

Multi Service Outlet (this service type includes a range of services which will vary between providers)

Nursing Care

Personal Care

Social Support and Social Support Monitoring

Transport

Further details on the above service types (including descriptions, activities, and reporting requirements for each service type) can be found at Appendix 2.

A number of sector support and development activities are also funded under the CCSP including:

HACC Development Officers (both mainstream and Aboriginal)

Volunteer Training and Support

Ageing and Disability Officers

Multicultural Access Projects

Dementia Advisory Services


3.2 Integrated service delivery

The CCSP aims to improve people’s independence in the community through an integrated and coordinated care system that is easier for people and their families to access and navigate, and responds flexibly to people’s changing needs and preferences.

For people that require more than one type of support service, CCSP funded services should be developed and offered as an integrated mix of services based on the assessed needs and preferences of the person.

Effective communication and coordination between service providers, including appropriate referrals to other services, will ensure that an adequate and appropriate mix of services is available.

The Human Services Network (HSNet) is an information technology based tool that provides access to a comprehensive electronic directory of services and facilitates electronic referrals on a secure network.

HSNet is the preferred referral platform for CCSP funded services and can be accessed at http://www.hsnet.nsw.gov.au/

3.3 Individual planning and enablement

Service providers are required to work with people with disability and their carer or family to develop an individual plan that reflects the person’s goals and their desired outcomes and appropriately reflects their individual needs. Person centred planning ensures the person is at the center of decision making when it comes to the goals in their life and the services they wish to receive to achieve these goals. It respects the right of people and their carers and families to exercise choice and direct the services they receive.

Individual planning should be based on an enabling approach. An enabling approach focuses on what the person can do and wants to be able to do, not just on what they are unable to do at present.

An enabling approach offers people the opportunity to be actively involved in identifying goals that are important and meaningful to them and to participate along with the service provider in working towards achieving those goals.

Service providers must regularly work with people with disability to review goals and care needs to ensure that services are effective and responsive to changes in the person’s life, goals and circumstances.

3.4 Fees

CCSP funded services are not free or entitlement services and people with disability who have been assessed as having the capacity to pay can be charged fees. Service providers are required to develop their own fees policies based on the principles outlined in this section of the Guidelines.

The principles address issues of access, equity, affordability, user rights and privacy. They also seek to ensure that funds provided under the CCSP are used most efficiently for the benefits of all.

http://www.hsnet.nsw.gov.au/


3.4.1 Principles for the Setting of Fees

Service providers should consider the following factors and principles when determining whether fees should be charged for CCSP funded services:

Inability to pay cannot be used as a basis for refusing a service to eligible people who are assessed as needing a service.

Providers should reduce or waive the fee when a person is assessed as not having the capacity to pay the full fee.

Each person assessed as having capacity to pay should be charged fees in accordance with their level of income, the services they use and any changes in their circumstances.

Service providers are required to charge the full cost of the service where clients are receiving, or have received, compensation payments intended to cover the cost of support services.

People with high or multiple service needs should not be charged more than a maximum amount of fees in a given period irrespective of actual amounts of services used.

Fees charged should not exceed the actual cost of service provision.

Fees should not be charged for services such as information, advocacy and friendly visiting.

The fee charged for a service should be all-inclusive and cover all materials used in delivery of the service.

Fee collection should be administered efficiently and the cost of administration should be less than the income received from fees.

For the purposes of these principles solicited donations are equivalent to fees and are subject to the provisions of these principles.

3.4.2 Scale of Fees

A scale of fees to be charged may be developed, and where a scale of fees applies service recipients should be charged in accordance with it. A fees scale is intended to outline the upper limits that can be charged for an hour of service or for a specific service. These fees and charges should as always take into account the income level of people receiving the service.

Any fee scale needs to be equitable and consistent to ensure that the same fees are charged for the same services, and the same fees are charged for people with similar levels of financial and support circumstances.

Typically there should be a scale that is applied to people on low incomes and a different or higher scale for those on higher incomes. In addition, weekly or monthly fee limits are to be specified for users of high levels of services or of multiple services.

3.4.3 Collection of Fees

Providers are required to establish internal processes to ensure that efficient administrative procedures exist for the collection of fees. These processes will, in particular, need to address the fees collected from high or multiple service users, including consideration of reimbursing agencies for foregone income from people who have already paid their weekly or monthly maximum amounts.


Administration costs associated with the collection of fees need to be monitored and the revenue obtained from fees is to be used to enhance or expand services. The NSW Government monitors this aspect through its acquittal process.

3.4.4 Determination of Fees Payable

Procedures for the determination of fees, including the assessment criteria used, should be clearly documented and publicly available. Providers should develop a written statement regarding the fees to be charged for any service, on payment procedures and regarding the use of fees revenue.

The written statement should be provided to all service users. Any person using the service should be informed of the fees applicable to them at the time of assessment or commencement of the service.

Procedures for the determination and collection of fees should take into account the situation of special needs groups. Assessment of a person’s capacity to pay fees should be as simple and unobtrusive as possible, with any information treated confidentially.

Providers are required to obtain information to assess an individual’s capacity to pay. The information obtained should not be shared or used for any other purpose. Providers should ensure any information is stored in a manner that maintains confidentiality.

3.4.5 Capacity to Pay

Consideration of the capacity to pay should be undertaken in respect of the person who benefits from the service. For a child who is under 16 years of age and living at home, the parent’s capacity to pay would be assessed. For respite care, the person to be assessed could either be the carer or the person with a disability, but not both.

Allowances not treated as income for taxation purposes should not be taken into consideration as income by service providers when determining capacity to pay fees.

People with disability and their advocates have the right of appeal against a given fee determination. Providers should establish a complaints and appeals mechanism that enables people to appeal against the level of fees charged, and ensures service users are informed of this mechanism. Where complaints cannot be resolved at a local level, mechanisms should be in place to enable further review.

3.4.6 Home Modification Fees Policy

A specific fees policy has been developed for CCSP funded home modification services. This policy was developed in response to sector feedback. The Home Modification Fees Policy can be found on the ADHC website at:

http://www.adhc.nsw.gov.au/__data/assets/file/0008/257156/Home_Modification_Fees_Policy.pdf




There may be elements of this policy (such as the sliding income scale or the Application for Review of Fees) that may be of use to providers of services other than home modifications, and can be used by any CCSP provider as required.

4 Service provider responsibilities

4.1 Funding arrangements for ADHC funded providers

ADHC is a provider of services to people with disability, their families and carers and a major funder of the non-government disability sector and also funds other NSW government agencies and local government to deliver disability and support services.

The non-government organisations funded by ADHC are independent, legally constituted organisations (such as companies limited by guarantee, Associations Incorporated, and co-operatives). They have value and strength in their diversity and form an essential part of the NSW service delivery sector. These organisations vary considerably in the scale of their operations, specialisation and the geographical location in which they deliver services. Many have a range of funding relationships, undertake other activities and have different ways of engaging with the local community.

4.2 Funding Agreements

Service providers that receive funding from ADHC, including CCSP funding, enter into formal written agreements with the NSW Government. The FACS Funding Agreement for Disability Service Providers (Funding Agreement) describes the terms and conditions under which funding is provided and the services to be delivered with that funding.

The new Funding Agreement will commence on 1 July 2015, and reflects the provisions of the DIA which came into effect on 3 December 2014.

The new agreement contains a number of changes from the previous Funding Agreement (2012 - 2015), including:

new record keeping and reporting responsibilities;

new performance requirements to comply with the DIA;

stronger probity in employment requirements;

new provisions on confidentiality;

simpler processes for making Changes to the Agreement;

new termination of funding provisions that comply with the DIA and facilitate the transition to the NDIS; and

new requirements to protect assets that are acquired with ADHC funding.

By signing the Funding Agreement with FACS, the service provider agrees in full to its conditions and requirements.


A plain English description of the provisions of the new Funding Agreement, the “Funding Agreement Guide for Disability Service Providers” is at http://www.adhc.nsw.gov.au/__data/assets/file/0010/233011/Funding_Agreement_Guide.PDF

4.3 Service delivery requirements

All FACS funded service providers are required to comply with relevant legislation, such as that related to their organisational status, Work Health and Safety and employment conditions.

Policies with which service providers must comply with under the terms and conditions of the Funding Agreement can be found at http://www.adhc.nsw.gov.au/sp/funding_and_grants/funding_agreement/funding_policies.

Guidelines and procedures have also been developed to assist service providers to comply with the obligations set out in legislation, the Funding Agreement and relevant policies.

All Policies, Guidelines and procedures relevant to funded service providers are located on a single page on the ADHC website and in the Service Portal. FACS District contract managers can also provide assistance in identifying and accessing specific policies and guidelines that are relevant to individual organisations.

Notice about new Policies and changes to policies are posted on the Service Portal and/or in writing.

4.4 Service provision reporting

The Funding Agreement requires funded disability service providers to comply

with program or departmental data collection requirements in accordance with

specified timelines and in forms set by FACS.

This may be through established regular data reporting arrangements such as

the Minimum Data Set (MDS). The data set consists of an electronic quarterly

collection of service delivery and client data from services funded and

operated by FACS. The MDS data collection that applies to CCSP service

providers IS THE HACC (Home and Community Care) MDS.

FACS may also require service providers to participate in one-off or on-going

data collections from time to time such as those related to evaluating the

outcomes of person-centred planning. The collection of data, whether through

MDS or through ad hoc arrangements, provides the following benefits:

provides Program managers with data required for policy development, strategic planning and performance monitoring;

assists service providers with planning for client services and with facilitation of improvements in the management of service delivery; and

http://www.adhc.nsw.gov.au/__data/assets/file/0010/233011/Funding_Agreement_Guide.PDF

http://www.adhc.nsw.gov.au/__data/assets/file/0010/233011/Funding_Agreement_Guide.PDF

http://www.adhc.nsw.gov.au/sp/funding_and_grants/funding_agreement/funding_policies

http://www.adhc.nsw.gov.au/sp/funding_and_grants/funding_agreement/funding_policies


facilitates consistency and comparability between Program data and other collections of data covering community care, health and disability fields.

All MDS data collected in relation to individual persons is anonymous, so that their privacy is protected. However, service providers must obtain informed consent from people who use the service in order to forward these details to the MDS data repository. While a person may decline to have details submitted to the MDS system, service providers must collect and retain a person’s details locally.

Further information on MDS reporting can be found at http://www.adhc.nsw.gov.au/sp/minimum_data_set

4.5 Financial reporting

At the end of each financial year, FACS funded service providers must provide a range of information detailing expenditure of Program funds. Specific requirements can be found in the Acquittals Guidelines:

http://www.adhc.nsw.gov.au/__data/assets/file/0020/313850/2013-14-Acquittal-and-Compliance-Guide-for-Funded-Service-Providers.pdf

4.6 Quality reporting

From 1 July 2015 CCSP service providers are required to comply with the NSW Disability Service Standards (DSS). The DSS aligns with the National Standards for Disability Services.

ADHC has commenced a quality reform initiative as part of preparations for the transition to the NDIS. A central component of the reform initiative is the requirement for funded disability organisations to achieve third party verification with regard to their compliance with the DSS.

Non-output services and non-direct client supports are only required to complete a modified third party verification process where organisational performance is assessed against those elements of the DSS that are relevant to the services they deliver.

While ADHC encourages all CCSP providers to comply with quality requirements prior to 31 December 2015, in preparation for NDIS transition, CCSP providers are not required to do so until 30 June 2018. Complying with the new quality requirements serves as a statement of an organisation’s ongoing commitment to quality and encourages service providers to engage in a process of continuous improvement.

Supports are available from ADHC’s Industry Development Fund to assist CCSP organisations to meet the quality reform requirements. Further details on the quality reform initiative and associated assistance for ADHC funded organisations can be found at http://www.adhc.nsw.gov.au/sp/quality

http://www.adhc.nsw.gov.au/sp/minimum_data_set



http://www.adhc.nsw.gov.au/sp/quality


4.7 Probity in employment

There is a community expectation that organisations supporting people who are vulnerable will have in place robust procedures to ensure that suitable people are employed to deliver services. This means not only good employment procedures but also sound probity arrangements that allow organisations to assess the integrity, character and honesty of prospective employees, board members, volunteers and others that they may engage from time to time. These probity considerations apply not only when people join organisations but also when they move within it taking on new responsibilities.

The DIA also places additional probity in employment requirements on disability service providers, including CCSP providers. The DIA requires all persons involved in the provision of supports and services to people with disability that have face to face or physical contact with individuals from that group, to undergo a criminal record check, and that further checks are carried out at least every 4 years. This requirement applies to:

employees (whether casual, temporary, or permanent);

self-employed persons, contractors, subcontractors or consultants;

volunteers;

persons undertaking training as part of an educational or vocational course or program (other than a school student on work experience); and

members of the governing body of the organisation who work, or are likely to work, directly with people with disability, in a way that involves face to face or physical contact with those persons.

Under the DIA, a service provider is prohibited from engaging, or continuing to engage, a person who has been convicted of certain criminal offences. Further guidance on the probity requirements of the DIA can be found in the Probity in Employment Policy for FACS funded disability service providers http://www.adhc.nsw.gov.au/__data/assets/file/0003/303465/Probity-in-Employment-Policy.pdf

4.8 Due Recognition

The NSW Community Care Supports Program requires funded service providers to formally acknowledge the NSW Government’s funding contribution. This is referred to as ‘due recognition’ and the requirements of this are outlined in Clause 9.4 of the Funding Agreement.

In instances where service providers are promoting the Community Care Supports Program, they will need to acknowledge the contribution by either displaying the FACS logo or using a simple form of words, such as: ‘This activity/project/organisation is supported by financial assistance from the NSW Government’.

The FACS logo is available in a range of formats and can be obtained from FACS District contract managers. The NSW Government Branding Style

http://www.adhc.nsw.gov.au/__data/assets/file/0003/303465/Probity-in-Employment-Policy.pdf

http://www.adhc.nsw.gov.au/__data/assets/file/0003/303465/Probity-in-Employment-Policy.pdf


Guide details the correct way to use the FACS logo, and can be found at http://advertising.nsw.gov.au/advertising/branding.

Service providers are also required to give prior notice of all announcements, launches and public events relating to the Services they are funded for.

4.9 Feedback and complaints

People who receive a service and their families and carers should be actively encouraged to provide feedback about the services they receive.

If people are not satisfied with the service they receive, they should in the first instance contact the service provider, as in most cases the provider is best placed to manage and resolve complaints in the most timely manner.

The service provider should have in place a policy which outlines its complaints management system, including time frames and capacity for escalation. This should be made available to people and their families and carers, and they should be advised of their right to have an advocate to assist them in the complaints resolution process.

Service providers should address complaints fairly, promptly and confidentially. Service providers must not discontinue provision of goods or services, refuse access or otherwise disadvantage the person because they made a complaint.

In the small number of instances where the complaint cannot be resolved by the service provider, escalation can occur to FACS District office where a contract manager will work with the service provider to ensure the complaint is managed appropriately.

5 NSW Government responsibilities

5.1 Funding

FACS will provide funding to service providers as set out in the Funding Agreement and Schedules. The first payment of a grant is made when the organisation receiving the funding correctly signs and returns the Funding Agreement to ADHC.

The Funding Agreement allows for FACS to adjust the frequency of recurrent grant payments – for example from quarterly payments to monthly payments. Service providers will be given advance notice of any decision by FACS to alter the frequency of payments.

Non-recurrent grants are paid in full in the first payment following approval of the grant.

Indexation may be applied to the amount of some or all of the service provider’s funding annually at a level determined by the NSW Government. The indexation applies to services which were funded in the preceding

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financial year and which are still continuing to receive funding under the Funding Agreement. Indexation is provided to assist services in meeting operational cost increases and to maintain recurrent grants in real terms.

In addition to indexation, service providers that employ staff under the SACS Modern Award or have enterprise agreements in place that directly apply SACS Award pay rates are eligible for Equal Remuneration Order (ERO) annual supplementation. More information about ERO supplementation payments can be obtained from FACS District contract managers.

5.2 Contract management

FACS District offices are the main provider of contract management for FACS funded disability service providers. Some exceptions include state-wide services, peak agencies and government providers, which receive contract management through the ADHC Central Office Division.

The goal of contract management is to drive the performance of a service provider and ensure intended contractual benefits are delivered. Typically, contract management includes the administration of the contract along with managing relationships, performance, risks and monitoring.

FACS is committed to a partnership approach with service providers, and to red tape reduction to ensure service delivery is the primary focus and outcome. FACS District offices will work with service providers to ensure outcomes are maximised for people with disability in NSW.

5.3 Policy development, direction and advice

As funder and administrator of the Community Care Supports Program, ADHC has the responsibility to develop relevant policies, guidelines, and procedures for the operation of the Program. This includes provision of advice on the Program and its implementation across NSW.

The relevant policies and guidelines are available via the ADHC website at http://www.adhc.nsw.gov.au/publications/policies

5.4 Government reporting

The NSW Government has a responsibility to report on the planning, implementation and evaluation of the Community Care Supports Program. Service providers are required to submit specific financial, performance and quality reports to ensure the identified outputs are delivered as required within each service type.

This information is used by the NSW Government in reports such as:

the Department of Family and Community Services Annual Report;

the Report on Government Services; and

other reports as required.

http://www.adhc.nsw.gov.au/publications/policies


6 Appendices

6.1 Appendix 1: Disability Inclusion Act 2014 Disability Principles

General principles

1) People with disability have an inherent right to respect for their worth and dignity as individuals.

2) People with disability have the right to participate in and contribute to social

and economic life and should be supported to develop and enhance their skills and experience.

3) People with disability have the right to realise their physical, social, sexual,

reproductive, emotional and intellectual capacities.

4) People with disability have the same rights as other members of the community to make decisions that affect their lives (including decisions involving risk) to the full extent of their capacity to do so and to be supported in making those decisions if they want or require support.

5) People with disability have the right to respect for their cultural or linguistic

diversity, age, gender, sexual orientation and religious beliefs.

6) The right to privacy and confidentiality for people with disability is to be respected.

7) People with disability have the right to live free from neglect, abuse and

exploitation.

8) People with disability have the right to access information in a way that is appropriate for their disability and cultural background, and enables them to make informed choices.

9) People with disability have the same right as other members of the

community to pursue complaints.

10) The crucial role of families, carers and other significant persons in the lives of people with disability, and the importance of preserving relationships with families, carers and other significant persons, is to be acknowledged and respected.

11) The needs of children with disability as they mature, and their rights as equal

members of the community are to be respected.

12) The changing abilities, strengths, goals and needs of people with disability as they age are to be respected.


Principles recognising the needs of particular groups Aboriginal and Torres Strait Islander people with disability

Supports and services provided to Aboriginal and Torres Strait Islander people with disability are to be provided in a way that: (a) recognises that Aboriginal and Torres Strait Islander people have a right to respect and acknowledgment as the first peoples of Australia and for their unique history, culture and kinship relationships and connection to their traditional land and waters, and (b) recognises that many Aboriginal and Torres Strait Islander people with disability may face multiple disadvantage, and (c) addresses that disadvantage and the needs of Aboriginal and Torres Strait Islander people with disability, and (d) is informed by working in partnership with Aboriginal and Torres Strait Islander people with disability to enhance their lives. People with disability from culturally and linguistically diverse backgrounds Supports and services provided to people with disability from culturally and linguistically diverse backgrounds are to be provided in a way that: (a) recognises that cultural, language and other differences may create barriers to providing the supports and services, and (b) addresses those barriers and the needs of those people with disability, and (c) is informed by consultation with their communities. Women with disability

Supports and services provided to women with disability are to be provided in a way that: (a) recognises that women with disability may face multiple disadvantage and are potentially more vulnerable to risk of abuse or exploitation, and (b) addresses that disadvantage and risk, and the needs of women with disability, and (c) is informed by consultation with women with disability. Children with disability

Supports and services provided to children with disability are to be provided in a way that: (a) recognises that a child with disability has the right to a full life in conditions that ensure the child’s dignity, promote self-reliance and facilitate the child’s active and full participation in family, cultural and social life, and (b) recognises that children are more vulnerable to risk of abuse or exploitation, and (c) addresses that right and risk, and ensures the best interests of the child is the primary concern in making decisions affecting the child while also respecting the responsibilities, rights and duties of a parent or other person legally responsible for the child in relation to giving appropriate direction and guidance for the child’s welfare, and (d) respects the views of the child with disability (having regard to the child’s age and maturity).


6.2 Appendix 2: CCSP Service Type Descriptions

Service Type: Allied Health Care

Service Type Number: 10.03.01 to 10.08.01

Service Description:

General - 10.03.01 Allied Health Care services may include professional services for Podiatry, Physiotherapy, Occupational Therapy, Speech Pathology, and Dietetics.

Podiatry – 10.04.01 Podiatry is the diagnosis and treatment, by medical, surgical, electrical, mechanical or manual method, of ailments or abnormal conditions of the feet.

Physiotherapy – 10.05.01

Physiotherapy involves the assessment, diagnosis, treatment and prevention of disorders of human movement with special emphasis on the neurological, musculoskeletal and cardiovascular systems.

Occupational Therapy – 10.06.01 Occupational Therapy refers to assessment and treatment through the specific use of selected activity. This is designed by the occupational therapist and is undertaken by those who have a temporary or permanent disability. The purpose is to prevent disability, to improve health and to help the person to fulfil his or her needs by achieving optimum function.

Speech Pathology – 10.07.01 Speech Pathology is concerned with the assessment, diagnosis and treatment of individuals with speech disorders, eating and drinking difficulties and swallowing difficulties.

Dietetics – 10.08.01 Dietetics refers to all aspects of the food and nutritional care of individuals and groups. It assists people to meet their individual needs within their own psychological, cultural and economic environments.

Services and Activities:

Allied Health services can provide:

Clinical Assessment

Treatment


Therapy

Information

Assessment and recommendation for the provision of aids

Assessment and recommendation of modifications to the home environment

Allied Health services are provided during weekdays. Some service should be available, however, during evenings and weekends to meet the needs of carers who wish to accompany people with disabilities to appointments and for those consumers needing a flexible outreach and/or home service. Services may also be provided to individual clients in a Centre Based setting such as professional services for clients attending a structured Centre Based day care service.

In addition to the services and activities outlined for Allied Health Care, Physiotherapy services can provide:

o Assistance with continence management and respiratory difficulties.

In addition to the services and activities outlined for Allied Health Care, Occupational Therapy services can provide:

o Occupational Health & Safety ‘workplace’ assessment of clients’ home where this is required and otherwise unavailable.

o Liaison with clients, builders and architects for recommended home modification.

o Liaison with the Home Modifications Clearing House to maintain up to date evidence base for home modification recommendations.

In addition to the services and activities outlined for Allied Health Care, Dietetics services can provide:

o Assessment and recommendation of modifications to the home environment, i.e. modifications to have better access to cooking facilities such as modifying or moving a stove.

o Liaison with CCSP delivered meals and other food services. o To support appropriate planning of food services or meal preparation

activities. o To facilitate funded food services and other non-government

community organisations to access dietetics advice. Eligible CCSP clients who need additional services following an acute care episode may access CCSP-funded services to assist with this recovery. Minimum Data Set (MDS) Reporting:

Allied Health services should be reported as hours and minutes of actual service.

Service Type: Case Management - COPS (Community Options)

Service Type Number: 10.15.01 Description:

Case Management refers to the use of a client focussed model for managing client’s support, care and social health needs to enable them to maintain


maximum independence in the community. The model is a collaborative process involving screening and assessment, care planning, implementation, monitoring and review and, when appropriate case closure. Case Management projects specifically target:

People who have a range of interacting physical/medical, social and emotional needs, usually regarded as complex needs, and who require comprehensive assessment and formal case management.

People who need short term, ongoing or periodic assistance from a case manager to organise and co-ordinate community care services.

People whose needs can rapidly change and who need a case manager to monitor their situation and ensure a quick and flexible service response when needed.

People who need specific types, mixes or levels of support services that are not usually provided by community care services and who needs a case manager to help organise them. These special needs can be due to their ethnic or Aboriginal background, dementia or geographic isolation.

The carers of these people.


Screening and Comprehensive Assessment that includes intake and referral activities.

Care Planning.

Care Plan Implementation which includes provision of both direct service delivery and brokerage.

Monitoring and Evaluation.

Case Closure and Exit.

The possible applications of the Case Management Model include: o Long Term Case Management o Short Term Case Management o Episodic Case Management o Joint Case Management

Minimum Data Set (MDS) Reporting:

Case Management should be reported as hours and minutes of actual service. When reporting Case Management it is the service type that reflects the primary focus of a service to a client that should be reported through MDS. Individual assessments that take more than 30 minutes are reported in the CCSP MDS as assessment units.

Service Type: Centre Based Day Care

Service Type Number: 10.11.01

Description:

Centre Based Day Care refers to assistance provided to the client to

attend/participate in group activities and is conducted in a Centre Based

setting. It includes group excursions/activities conducted by centre staff but


held away from the centre.

Centre Based Day Care includes the social support provided in a group

environment and also light refreshments, excursions, transport associated

with excursions and personal assistance (for example, help with toileting)

involved in attendance at the centre.

Social support assistance provided to a client through structured activities in a

group environment (but not including Counselling/ Support, Information and

Advocacy services) is included in the definition of Centre Based Day Care

when it is provided at a fixed-base facility.

Centre Based Day Care may be provided as structured group activities for

people with dementia, incorporating activities designed to develop, maintain

or support the capacity for independent living and social interaction. Such

services provide valuable social supports to people with dementing illnesses

and their programs often directly or indirectly provide emotional support to the

carers of people with dementia.

As far as possible, younger people with disabilities should not be expected to participate in group programs or activities that are designed for frail older people. If a younger person with a disability is referred, service providers should ensure that a recent assessment by an appropriate disability agency for education, training, employment, and recreation and rehabilitation options has been undertaken.


Personal care such as assistance with toileting.

Provision of a meal and assistance with eating.

Diversionary activities such as music therapy.

Allied health care as a group activity such as health education.

Nursing care provided by a registered or enrolled nurse.

Outings and day trips.

Communication with carers where appropriate.

Liaise with carers in developing care plans or providing feedback on

achievements in the care program.


All the activities that can be provided as part of a Centre Based Day Care service, for example, personal care, meals, allied health and nursing, are to be recorded in MDS as Centre Based Day Care hours, unless separately funded as a distinct service type. Transport associated with group excursions is included in the service definition for Centre Based Day Care, whereas transport to and from the day care centre is recorded separately as a transport service for MDS reporting purposes. Client care co-ordination that takes more than 30 minutes is reported in the CCSP MDS as client care co-ordination. Individual screening and assessments for Centre Based Day Care Services that take more than 30 minutes are reported in the CCSP MDS as assessment units.


Service Type: Counselling/Support/Information & Advocacy


Description:

Counselling/Support/Information & Advocacy refer to assistance with understanding and managing situations, behaviours and relationships associated with the person’s need for care and/or the caring role. The client can be either the person who is cared for or the carer. These services can be provided separately or combined.


Counselling services can include initial counselling such as grief counselling, dementia support and counselling, counselling to assist recovery from a critical incident or illness, referral for professional counselling for depression or long-term emotional and psychological conditions.

Support can be a one-to-one training of advice to assist with coping with a situation, i.e. training a carer on safe ways to lift a person or managing challenging behaviours in a client with dementia.

Advocacy refers to the provision of advice to clients about their rights and responsibilities when receiving CCSP and, at the client’s request, to act on their behalf with other service providers.

Information services refer to the provision of information to a client or a carer, i.e. information about other services available in the area.


Counselling/Support, Information and Advocacy should be reported as hours and minutes of actual service. Counselling/Support, Information and Advocacy services may include a proportion of group activities which cannot be reported in the MDS, such as:

o Group activities conducted by a CCSP service provider where individual client records are not routinely kept, but may include groups such as carer support groups.

o Advice or information provided by telephone advice or referral services on an ad hoc basis to members of the community.

Please note that these activities must not exceed 20% of the grant funds and must be separately reported in the Annual Return.

Service Type: Domestic Assistance


Description:

Domestic Assistance refers to assistance with domestic chores, including

assistance with cleaning, dishwashing, clothes washing and ironing, shopping

and bill paying for a safe secure healthy environment.


Essential cleaning of house areas regularly used by the service user.


These include bathrooms, toilets, kitchens, laundries, living areas and

bedrooms.

Workers undertake tasks such as cleaning stoves, bench tops and fridges

as well as mopping or vacuuming floors, dusting, dishwashing, changing

bed linen, washing, drying and doing essential ironing.

Provision of a range of services to meet the support needs of service

users. Workers can assist with meal preparation and where this is not the

primary purpose of the occasion of service, do shopping and undertake

small errands and pay bills on behalf of the client as required, whilst doing

their own shopping or on their way to the client’s house.

In remote areas, service may include activities such as the collection of

firewood.

MDS Reporting:

Domestic Assistance should be reported as hours and minutes of actual

service.

Service Type: Respite


Description:

Respite services refer to assistance received by a carer from a substitute carer who provides supervision and assistance to the care recipient (even though the carer may still be present). Respite services are provided to carers in order to give them relief from their caring role. Respite services are designed to be responsive to the needs of the carer. They are preventative in focus, time limited, and generally provided on a planned basis. The key elements of Respite services are:

o the carer is the principle client; o services are generally provided from the home of the care recipient

or in a host family home on a one-to-one individual basis; o the usual carer is not present (in a caring capacity) during the

service; and o service planning is in collaboration with the care recipient and their

carer/family to ensure that the respite program meets their needs, and to ensure that the individual’s full range of support needs are met during each service episode.

Services with a respite effect which are delivered out of the home may be those appropriately described as Social Support or Centre Based Day Care.


Social interaction.

Communication with carers where appropriate.

Personal Care.

Meal preparation and assistance with eating.

Domestic tasks.

Overnight stays.

Review and planning.

Liaise with Commonwealth carer and respite services.

Activities from the home.


MDS Reporting:

Respite should be reported as hours and minutes of actual service.

Service Type: Home Maintenance


Home Maintenance refers to assistance by the agency with the maintenance and repair of the person’s home, garden and/or yard to keep their home in a safe and habitable condition. Home Maintenance includes minor dwelling repairs and maintenance (such as changing light bulbs, carpentry and painting, or replacing tap washers) as well as some more major dwelling repairs (such as replacing guttering or other roof repairs). Home Maintenance also includes garden maintenance, such as lawn mowing and the removal of rubbish. Services and Activities:

The following is a description of the range of Home Maintenance activities

which may be delivered through Home Maintenance services:

Liaison with other CCSP providers to ensure provision of a safe home for

clients, carers and care-workers.

Liaison with appropriate allied health providers, principally occupational

therapists, and nurses, regarding assessment of an individual’s needs and

identification of maintenance work to meet that person’s requirements.

Scoping, costing and planning maintenance work, sourcing appropriate

materials and suitably qualified tradespeople and handypersons in

accordance with agreed quality standards for the building industry.

Facilitating access to qualified tradespeople to carry out major dwelling

repairs and maintenance.

Carrying out minor household repairs which do not require the skills of a

qualified tradesperson such as changing light bulbs or cleaning gutters.

Regular lawn mowing or other garden upkeep.

Removal of rubbish and major house or yard clean-ups.

For clients in bush-fire prone areas service may include yard clearance

and other fire safety measures.

Home Maintenance activities may include:

Minor carpentry (e.g. windows, including sashes, doors, floors, cladding,

security devices).

Minor plumbing/drainage (e.g. washers, cisterns, minor leaks and

blockages).

Other plumbing/drainage (e.g. pumping septic tanks, replacing a section of

guttering where there is a safety/access issue, installing hot water supply).

Minor electrical (e.g. fuses, light globes, replacing switches, replacing

stove elements).

Other electrical (e.g. replacing hot water heaters).

External maintenance (e.g. fences, gates, paths, one-off yard and rubbish

clearance, cleaning of gutters).

Other maintenance (e.g. glazing, plastering, bricklaying, chimney cleaning,


Home Maintenance services do not cover structural changes such as the

installation of grab rails. However, a range of modifications/adjustments to

furniture or fittings to improve ease of use may be offered. These may include:

o Installation of appliances (e.g. night lights, bath/shower seats).

o Adjustment to appliances (e.g. adjusting temperature on hot water

systems).

o Safety adjustments (e.g. making cords, rugs etc. safe).

o Furniture/fittings adjustments (e.g. lowering height of tables,

installing “pulleys” for curtains).

MDS Reporting:

Home Maintenance services should report the total hours and minutes of

assistance provided to a client.

The total hours of assistance are the product of the number of staff and length

of time assistance is provided.

Work undertaken for non-CCSP clients should not be counted in the CCSP

MDS reports.

Service Type: Home Modification


Description:

Home Modification refers to structural changes to the client’s home so they can continue to live and move safely about the house. It will often include the fitting of rails, ramps, alarms or other safety and mobility aids. Home Modification does not include general repairs to the house but does include explicit changes to improve safety or accessibility for the client.

More information regarding the home modification service type model and the provision of home modification services in NSW is available in the Home Modification Service Type Guidelines which is available on the Ageing, Disability and Home Care website www.adhc.nsw.gov.au

Service Type: Linen Services


Description:

Linen Service refers to the provision of and laundering of linen, usually by a

separate laundry facility or hospital, to assist in the day-to-day management of

a client’s incontinence.


Provision of linen.

Collection, laundering and delivery of fresh linen.

Other clothes washing or laundering as appropriate.

Linen could include the sheets, pillowslips, blankets etc. as well as airing

and cleaning mattresses.

http://www.adhc.nsw.gov.au/


MDS Reporting:

A linen service is recorded as the number of incidents of collection of dirty

linen and replacement with clean linen. Normal washing of clothes in the

client’s home would be recorded under Domestic Assistance.

Service Type: Meals and Other Food Services

Service Type Number: 10.12.01 and 10.13.01

Description:

Meals – 10.12.01 Meals services refer to the

preparation and delivery of meals or

other food items which contribute to

meeting a client's daily nutrition

requirements.

Other Food Services – 10.13.01 Other food services refer to other

support activities which contribute to

the client's capacity to meet their daily

nutritional requirements.


The following activities and services are provided as part of Meals services:

Providing a range of meal types including a meal delivered daily or frozen

meals which the service user may heat at his/her convenience. The meal

may be delivered to a client home or be provided in a group environment

such as Centre Based day care or community restaurant.

Heating and plating the delivered meal ready for the client to eat and

cleaning up afterwards.

Prompting or assisting with eating and drinking if not part of a personal

care service.

Ensuring access, wherever possible, to a range of different meal types

including culturally appropriate meals for Aboriginal people and people

from culturally and linguistically diverse backgrounds, vegetarian meals

and meals which meet specific dietary requirements.

Providing social contact.

Monitoring of client’s well being and referral to other services as

appropriate.

Providing meal choices from a regularly changing menu.

Provision of group transport for clients to and from their home to a meals

service or community restaurant.

Other Food Services comprise the following services and activities:

Assistance with the preparation and cooking of food in the client’s home.

Advice about nutrition, menus and special diets.

Information about food handling and storage.

Bulk food shopping which is distributed to individual clients and storing it at


the client’s house.

MDS Reporting:

Meal services and other food services should be reported as quantity of meals provided. For meals provided in a group environment, transport to and from the venue is

recorded separately as a transport service for MDS reporting purposes.

Client care co-ordination that takes more than 30 minutes is reported in the

CCSP MDS as client care co-ordination.

Individual screening and assessments for Meals that take more than 30

minutes are reported in the CCSP MDS as assessment units.

Service Type: Multi Service Outlet


Description:

A Multi Service Outlet refers to the arrangement to deliver multiple CCSP service types under one agreement with FACS. For further details regarding service delivery requirements for individual contracted service types, refer to the respective entries for service type model in this Appendix.

Service Type: Nursing Care


Nursing Services refer to professional nursing care provided by a registered

or enrolled nurse who is employed in a nursing capacity. Nursing may be

provided either at home, in a community venue or in a clinic.


Teaching individuals and carers how best to manage daily health care in the home environment.

Providing information on general health care and other community support services available and giving advice on the management of particular health problems such as diabetes and incontinence.

Clinical assessment.

Direct clinical nursing care based on the nurses’ level of qualifications and registration.

Personal care for consumers where provision by a nurse is required due to particular health conditions, unstable health and/or complex needs.

Supervision and training of health aides and personal care workers providing direct care.

Provision of health information and education.

Coordination of home health care services and monitoring of an individual’s health status and/or care plan.

Nursing Care services work closely with Personal Care services. This may involve the assessment of individuals for personal care and the training


and supervision of personal care workers. Shared care arrangements are encouraged where nurses provide the direct nursing care and trained personal care workers provide assistance with personal care.

Nursing Care services may include assistance with continence

management.

MDS Reporting:

Nursing Care should be reported as hours and minutes of actual service.

Nursing Care should also be reported differentiating between services

provided in home or at a centre/other setting.

Service Type: Personal Care


Description:

Personal Care refers to assistance with daily self-care tasks in order to help a

service user to maintain appropriate standards of hygiene and grooming.


Assistance with (or supervision of) bathing, showering or sponging.

Assistance with dressing and undressing.

Assistance with shaving, hair care and grooming.

Limited nail care, following appropriate professional assessment.

Assistance with mobility (in bed and out of bed) such as to sit up, to turn,

to stand and walk, to sit, to transfer to commode, wheelchair, chair or

vehicle.

Assistance with toileting.

Assistance with prescribed exercise or therapy programs.

Assistance with fitting and use of appliances such as splints and callipers

or hoists.

Assistance with hearing aids and communication devices.

Assistance with feeding (eating and drinking) if it occurs whilst other

personal care services are being provided.

Monitoring self-medication.

Identification of situations such as pressure areas and ulcers, where

referral to a nursing service is required.

Referral to high-level services when required.

Personal Care services must be flexible and endeavour to match service

provision with the client’s lifestyle requirements. This includes provision of

service outside standard business hours and over the weekend.

MDS Reporting:

Personal Care should be reported as hours and minutes of actual service.


Service Type: Social Support and Social Support-Monitoring

Service Type Number: 10.02.01 and 10.02.02

Description:

Social Support – 10.02.01 Social Support refers to assistance provided by a companion (paid worker or volunteer), either within the home environment or while accessing community services, which is primarily directed towards meeting the person’s need for social contact and/or accompaniment in order to participate in community life. Social Support is normally provided in the client's home but may include accompanying the client on an excursion or trip. The support is provided to them as an individual and helps them to participate in society. It includes keeping the person company, helping them do paperwork, taking them shopping, banking or to attend an appointment. Social support includes friendly visiting.

Social Support Monitoring – 10.02.02

Social Support Monitoring refers to services which monitor the health and well-being of people who have dementia or who are recovering from hospitalisation or are at risk of injury. The service also provides feedback to case managers about other support services being provided for individual clients.


Service activities include;

Meal assistance

Outings and day trips

Communication with carers (where appropriate)

Domestic tasks

Friendly phone calls

Friendly visiting

Letter writing and other correspondence

Accompanying to appointments and social activities

Minor garden and home maintenance

Liaison with appropriate agencies as need is identified Also included is peer support as consistent with the principles of the

Disability Inclusion Act 2014 (i.e. Social Support services for a younger

person with disability cannot be used to substitute for appropriate

education/vacation care or employment/ training programs).

In addition to the services and activities outlined above, Social Support Monitoring services can provide:

Monitoring health and well-being of people living alone through

regular home visits.

Telephone based monitoring services.

Telephone based personal alarm system

Dementia monitoring and implementation of monitoring plans or

alternatives.

Personal care.


Prompting to eat.

Monitoring self management of medications.

Assistance with coordinating appointments and planning daily activities.

MDS Reporting:

Social Support and Social Support Monitoring should be reported as hours and minutes of actual service.

Service Type: Transport


Description:

Transport services are provided for younger people with a disability and their carers who require transport services with appropriate support to enable them to remain living independently in the community. Transport services support access to community activities and services. Assistance with transport may be provided either directly or indirectly (e.g. taxi voucher or subsidies, or brokered through other transport providers). Transport service may be provided on an individual or group basis.


Provision of a range of flexible and responsive transport options.

Operation of telephone booking service.

Coordination of client bookings, matching client need with the most appropriate transport mode and support.

Organisation of trips, including culturally appropriate social trips and shopping services with access to a range of retail, banking, postal, library and other services (for group transport).

Provision of client assistance to and from the vehicle, on vehicle assistance during group trips, and possible waiting with client at their destination (for individual transport).

Provision of transport services to doctors and specialist or other medical appointments.

Safe carriage of trip-related parcels and/or equipment.

Provision of group transport for client to and from their home to a Centre Based Day Care or support activity group.

Provision of suitable, wheelchair accessible vehicles.

Effective asset management of vehicles, including lease, purchase, modification of vehicles, maintenance and replacement.

Management of service to ensure maximum, effective use of resources.

MDS Reporting:

Transport should be reported as a quantity, that is, the number of one-way trips delivered. Transport services with additional capacity are able to provide services to non-CCSP clients at full cost recovery. Where a centre based day care service purchases transport to and from the centre, this is reported in the MDS by the centre based day care service not the transport service.

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