CHCHCS001 Provide home and community support services

STUDENT ASSESSMENT BOOKLET
CHC33015 CERTIFICATE III IN INDIVIDUAL SUPPORT
HOME AND COMMUNITY SUPPORT
For class room-based students
CHCHCS001 Provide home and community support services

ASSESSMENT TASK 1: WRITTEN QUESTIONS

TASK SUMMARY:

  • This is an open book test – you can use the Internet, textbooks and other documents to help you with your answers if required.
  • You must answer all 15 questions correctly.
  • Write your answers in the space provided.
  • If you need more space, you can use extra paper. All extra pieces of paper must include your name and the question number/s you are answering.
  • You may like to use a computer to type your answers. Your assessor will tell you if you can email them the file or if you need to print a hard copy and submit it.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Access to textbooks and other learning materials.
  • Access to a computer and the Internet (if you prefer to type your answers).

WHEN DO I DO THIS TASK?

  • You will do this task in the classroom or as homework – your assessor will advise.
  • Write in the due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing.
  • Answer the questions that were incorrect verbally.

QUESTION 1

  1. What is the purpose of the Community Care Common Standards?
  2. What are the three Community Care Common Standards?
  3. Standard 1:

    Standard 2:

    Standard 3:

  4. List five documents that must be kept to provide evidence of compliance against the Standards.
  5. Document 1:

    Document 2:

    Document 3:

QUESTION 2

Briefly explain the purpose of the following community care programs. For each program list the services available.

Program

Purpose

Services

Home and

Community Care

(HACC)

Community Aged

Care Packages

(CACP)

Program

Purpose

Services

Extended Aged

Care at Home

(EACH)

Department of

Veterans’ Affairs

(DVA) program

QUESTION 3

Research current directions that the government is taking in relation to community based care.

What are four reforms that are planned?

(You may like to access The Coalition’s Policy for Healthy Life, Better Ageing (September 2013)

QUESTION 4

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

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

  3. Has Marco demonstrated his duty of care to Kim? Explain your answer.

QUESTION 5

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

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

Access the Community Workers Work Health and Safety Guidelines. You can find this at http://www.safework.sa.gov.au/uploaded_files/CommunityWorkers.pdf. What are five controls that are suggested to work safely in this situation?

Control 1:

Control 2:

Control 3:

Control 4:

Control 5:

QUESTION 6

  1. List the legislation (title and date) that regulates privacy in your state or territory. Briefly outline the purpose of this legislation.
  2. Legislation:

    Purpose:

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

  3. What are the major consequences of breach of confidentiality?
  4. To whom should you refer breaches of confidence or other standards?

QUESTION 7

  1. Write down the responsibilities of employers and employees in relation to WHS in a home and community services environment.
  2. Employers:

    Employees:

  3. Provide two examples of how you would meet work health and safety requirements in the following areas.
  4. Maintaining personal hygiene

    Example 1:

    Example 2:

    Wearing appropriate personal protective equipment (PPE)

    Example 1:

    Example 2:

    Ensuring safe manual handling

    Example 1:

    Example 2:

QUESTION 8

Consider the following situations. Identify:

  • the hazards and associated risks (at least two for each item)
  • possible control measures the employer should put in place to minimise the risk of injury or illness ▪ action you should take in each situation, including any reporting requirements that need to be made.

The first one has been completed as an example.

Hazard

Risks

Control measures

Preventative action/ reporting

Slippery floors

Slips, trips or falls

Breaks, sprains

Provide floor mats

Require use of non-slip shoes

Use signs to warn of temporarily slippery surfaces

Clean up spills quickly

Hazard

Risks

Control measures

Preventative action/ reporting

Mechanical aids, including hoists and transfer equipment

Cleaning products, sanitisers

Contact with public

Items contaminated with blood or body fluids

Sexual harassment, work place bullying

Clients who are confused and/or violent

QUESTION 9

  1. A person-centred support approach can contribute to the empowerment of people living in the community. What is the advantage of this?
  2. In one to two sentences explain why older people, or people with disabilities, are commonly disempowered.
  3. Read the following scenario and answer the questions:

Alberto has had a stroke.

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

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

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

Alberto also wants to attend physiotherapy to regain his strength.

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

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

  • In what way does this scenario represent consumer-directed care?
  • How do you think this approach has helped Alberto to recover from his stroke?

QUESTION 10

Elsie is 80 years old. She lives on her own in an old country property five kilometres from town. Her nearest neighbour lives over 500 metres away and is often away from home. Elsie does not have a mobile phone. The house needs repair as the roof is leaking, but Elsie does not have the money for this.

  1. What action could you take to make sure Elsie is safe, balancing her wish to be independent and be able to take risks?
  2. List four things that could be done to reduce risks to Elsie’s safety and security.

Action 1:

Action 2:

Action 3:

Action 4:

QUESTION 11

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

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

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

  1. What safety and security risks does Gianni face?
  2. List four things that can be done to reduce risks to Giannis’s safety and security.

Action 1:

Action 2:

Action 3:

Action 4:

QUESTION 12

  1. What procedures can be put in place to ensure fire safety in a client’s home?
  2. Research the legal requirements in your state or territory for smoke alarms to be installed in homes. Briefly explain the requirements.
  3. What is the name of the Act or Regulations that cover requirements for smoke alarms in your state or territory?

QUESTION 13

Explain the procedures you must follow when entering a client’s home to ensure them of your identity.

QUESTION 14

    Bunty has cancer.

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

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

  1. Should Bunty do what her family and oncologist want her to do? Explain your answer.
  2. The family approach you and ask if you can talk some sense into Bunty.

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

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

  3. What should you do in this situation?

QUESTION 15

What is meant by ‘emotional abuse’? Provide examples of emotional abuse that older people and people with disabilities are commonly subjected to.

ASSESSMENT TASK 2: CASE STUDIES

TASK SUMMARY:

You are to read the case studies and complete the questions that follow.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Access to textbooks and other learning materials
  • Access to a computer and the Internet (if you prefer to type your responses).

WHEN DO I DO THIS TASK?

  • You will do this task in the classroom or as homework – your assessor will advise.
  • Write in the due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

  • Answer the questions that were incorrect in writing. Answer the questions that were incorrect verbally.

CASE STUDY 1: BERNIE AND GLENYS

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

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

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

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

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

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

  1. You sympathise with Bernie’s situation, but what should you do in this ethical dilemma?
  2. Identify two possible solutions that will assist Bernie to address his concerns and be comfortable to take different ‘end-of-life’ action.
  3. How would you demonstrate respect and sensitivity to Bernie – imagine that your views are very different from his in this situation.
  4. The workplace grapevine quickly becomes active. One of your colleagues comes rushing up to you, ‘Oh my goodness, I can’t believe that Bernie was going to murder his wife!’ she exclaims. ‘What did he say to you? Is he going to be arrested? Poor old Glenys – he kept on saying he wanted to care for her at home but all this time he just wanted to get rid of her.’

  5. Explain how you would respond while still maintaining confidentiality.

CASE STUDY 2: CANDICE

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

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

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

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

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

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

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

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

  1. What are three types of abuse that Candice may be subject to?
  2. What action do you need to take? Remember to write down the documentation you may need to complete.

CASE STUDY 3: ALBERT

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

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

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

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

  1. What action should you take in this situation?
  2. What type of psychological damage may Albert have caused to the school children who are now in their 50s and 60s?

ASSESSMENT TASK 3: OBSERVATION TASK

TASK SUMMARY:

There are three parts to this task:

  • Part A: You are to prepare for a home visit, including discussing policies and procedures with your assessor.
  • Part B: You are to be observed by your assessor working with two clients in a home support setting.
  • Part C: You are to answer a set of verbal questions about the clients and your home visits.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

  • Workplace policies and procedures relating to home and community support activities.
  • Two clients who are in a home and community support setting.
  • Approval from their work placement supervisor to work with the clients.
  • Approval from each client to be a part of this task.
  • Client care plans for each client.
  • Access to resources and equipment specific to each home visit.

WHEN DO I DO THIS ASSESSMENT?

  • You will do this task during your assessor’s work placement visit.
  • Write in the date of your assessor’s visit:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor sees that you have not shown appropriate skills or knowledge, they will give you some feedback and you will need to do the specific task again. If you answer any of the verbal questions incorrectly, your assessor will give you another opportunity to answer them.

INSTRUCTIONS:

You are to work with two ageing clients in a home and community support setting.

The type of support to be provided will vary depending on the service and the needs of the client. Examples of support could include:

  • personal care
  • food services
  • home maintenance
  • social support
  • home care support – cleaning, cooking, shopping, business affairs, laundry.

You must visit each client in their home at least once.

Your assessor will observe you during these visits. You will be supervised at all times during your work with these clients.

You must obtain permission from your work placement supervisor to work with each of these clients. You must also obtain permission from each of the clients. Use the permission forms at the end of this task.

PART A: DISCUSS CARE PLANS AND PREPARE FOR VISITS

Prior to your visit to each client, you will need to have a discussion with your assessor in which you talk about the following topics.

  • Your work placement service’s policies and procedures about providing care in a home and community support setting.
  • Discuss each care plan with your assessor. Your assessor will ask you to explain the care plans to them. They may ask some additional questions.
  • Show your assessor how you prepare for each home visit.

Your assessor will ask you questions about the policies and procedures and also the client care plans.

Make sure you can access these documents during the discussion.

Your assessor will be looking to see that you:

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

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

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

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

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

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

PART B: CLIENT VISITS

Your assessor will observe your home visits and how you support each of the clients.

After the second visit your assessor will ask you a set of verbal questions (refer to Part C).

Your assessor will be looking to see that you:

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

PART C: VERBAL QUESTIONS

After both home visits are complete, your assessor will ask you a set of verbal questions about your work with the clients. Your assessor will tell you if a question is relevant to only one of the clients by referring to them as Client 1 and Client 2.

Home and Community Support (observation) Client 1 Consent

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

Dear

My name is

and I am studying the Certificate III in Individual Support.

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

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

Please sign below to show your agreement.

Name:

Signature:

Date:

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

I,

<supervisor’s name> approve

<student’s name> to undertake this assessment with

<client’s name>.

Approval is dependent on the following conditions:

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

▪ The student’s assessor must be present.

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

Supervisor’s name:

Signature:

Date:

Home and Community Support (observation) Client 2 Consent

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

Dear

My name is

I am studying the Certificate III in Individual Support.

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

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

Please sign below to show your agreement.

Name:

Signature:

Date:

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

I,

<supervisor’s name> approve

<student’s name> to undertake this assessment with

<client’s name>.

Approval is dependent on the following conditions:

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

▪ The student’s assessor must be present.

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

Supervisor’s name:

Signature:

Date: