Home and Community Support

CHCHCS001 Provide home and community support services

QUESTION 1
a) What is the purpose of the Community Care Common Standards?
To effectively manage the home and community care services, to grant appropriate access and
service delivery to community and to defend user rights and responsibilities. Also, to establish
rights and limits of the people who has conditions but also the people who take care of them

b) What are the three Community Care Common Standards?

Standard 1: Effective management

Standard 2: Appropriate access and service delivery

Standard 3: Service rights and responsibilities

c) List five documents that must be kept providing evidence of compliance against the Standards.
Document 1: Policy of confidentiality and user privacy

Document 2: Risk management guidelines

Document 3: Service contracts and receipts

QUESTION 2
Briefly explain the purpose of the following community care programs. For each program list the
services available.

Program Purpose Services

Home and To help elderly on Australia with different Helping clients with casual
Community Care disabilities. Also, young people with care chores at the house. They
(HACC) needed and these services help people to provide domiciliary nursing and
be independent as they can be in general they do activities that
normally the clients do for
themselves
Program Purpose Services
Community Aged To help older people to do their day to day Home cleaning, personal care,
Care Packages activities or disabled people too transport, garden maintenance,
(CACP) meal prep, etc.

Extended Aged They give supply individual care needs, Social support, personal care,
Care at Home generally they are medical and practical clinical care, home help, etc.
(EACH)
 Program Purpose Services
Department of To help veterans in terms of repatriations Income support, health
Veterans’ Affairs and war graves. To help them by giving programs, Remembrance Day,
(DVA) program them health and social support, they take commemorations, etc.
social responsibility of them

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).)
In the plans of the government they want to ensure older Australians the support that they need.
They plan expansion and flexible arrangements for living in the community. They plan to establish
a new information system to assist people to access services easily. Lastly the government is
working on creating workable standards so there is confidence and consistency on care provided
QUESTION 4
a) Briefly explain the term ‘duty of care’.

Is the responsibility or the legal obligation of individuals or enterprises to avoid acts that can cause
damages towards clients or other individuals. It is the duty or responsibility that is directly linked
to the rights of the disabled community and public in general. That duty is expected to be
accomplished every time that a situation that involves responsibility is presented.

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.

d) Has Marco demonstrated his duty of care to Kim? Explain your answer.
No, if he oversees Kim, he must take care of her and if he sees that she is under the influence of
drugs he has to take care of her and be with her. So, no he hasn’t demonstrated his duty of care
with her. To demonstrate duty of care is necessary to take care not only of the person but of the
situation generated or the problem that has popped up.
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: Perform the required tasks in one less cluttered room

Control 2: Provide gloves, tissues/masks infused with small amounts of essential oils, and
antiseptic hand wipes or gels

Control 3: Visit on a regular basis to develop a relationship before gradually incorporating

services such as help with shopping and garden clean-ups

Control 4: Engage the assistance of Council EHOs if assistance is refused.

Control 5: Enlist the help and support of family where possible

QUESTION 6
a) List the legislation (title and date) that regulates privacy in your state or territory. Briefly outline
the purpose of this legislation.
Legislation: Privacy act and privacy law of Australia

Purpose: To regulate how personal information is handled in the country. It regulates the
privacy components of the consumer credit reporting system, tax file numbers, and
health and medical research.

e) What are the key points of privacy legislation in relation to home and community care?
That privacy legislation allows the patients in home and community care to keep their information
private although they receive external help, they also keep their privacy respected.
The privacy legislation establishes the limits of privacy and the rights of an individual-
The privacy legislation states the obligations and responsibilities for those who offer services for
the purpose of not violating privacy.
f) What are the major consequences of breach of confidentiality?
Depending on the information the risk can be economic, of health it can be a threaten to life, but it
all depends on the kind of information that has been mis spread. The breach of confidentiality can
lead mainly to personal problems for those implicated. If it escalates the problem can be
economical and in a further step the life of the person implicated might be in danger.

g) To whom should you refer breaches of confidence or other standards?

To the office of the Australian information commission in the Australian government. Also, every
responsible company has to dedicate one department or some sort office in charge of the privacy,
confidentiality and rights of the clients and costumers
QUESTION 7
a) Write down the responsibilities of employers and employees in relation to WHS in a home and
community services environment.
Employers:
-take reasonable care to protect their own health and safety
-not put clients or other workers at risk
-assess the workplace for hazards and develop safety and health policies and manuals
-control any hazards or incidents within the workplace

Employees:
-Be capable of taking care and developing the responsibilities in charge
-use the equipment provided by the employer to protect their own safety
-follow manuals and policies of health and safety established by the company
-follow instructions on health and safety
h) Provide two examples of how you would meet work health and safety requirements in the
following areas.
Maintaining personal hygiene
Example 1: for a doctor wash his hands every time he performs surgery

Example 2: for a chef washing the foods before cooking them

Wearing appropriate personal protective equipment (PPE)

Example 1: For a nurse using gloves every time she touches a patient

Example 2: For a chef the use of a hat to protect the food from hair falling on it

Ensuring safe manual handling

Example 1: For a doctor using the instruments previously sterilized and cleaned in surgery

Example 2: For a chef using the right equipment to cook and use it in a safe way
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  Provide floor mats  Clean up spills quickly
 Breaks, sprains  Require use of non-slip shoes
 Use signs to warn of temporarily
slippery surfaces
Hazard Risks Control measures Preventative action/ reporting
Mechanical aids, -Accidents -Control and user manuals to regulate Only professionals and people with
including hoists and -The machine breaking the use of machinery on a safety way experience using machinery can use
transfer equipment them
Hazard Risks Control measures Preventative action/ reporting
Cleaning products, The chemicals are dangerous because if The cleaning products must be on a Have an extinguisher near to the
sanitisers combined with fire can produce a huge safe spot where there is not the danger chemical products
fire of fire
Some people can be allergic to them
Hazard Risks Control measures Preventative action/ reporting
Contact with public If the patient has a contagious sickness To keep the patient on the hospital Give him a mask when he is out
it can be dangerous for the public until the illness is treated
Or the reverse, if the patient is weak,
he can contract several illnesses
Hazard Risks Control measures Preventative action/ reporting
Items contaminated It can contain illnesses and if touched it To control all the blood residues in If an item contaminated is on the floor
with blood or body can be contagious spots dedicated specially to it it must be cleaned and sterilized
fluids It’s a sign of general slovenliness
Hazard Risks Control measures Preventative action/ reporting
Sexual harassment, Problems between employees Establish the limits of relationships Fire immediately who has abused
workplace bullying A bad work environment between workers through guidelines, sexually of someone
forums and policies
Sexual abuse victims in the company
Hazard Risks Control measures Preventative action/ reporting
Clients who are Violence If the patient is potentially violent the Techniques and methods to avoid
confused and/or Accidents best is to acknowledge this and treat violence on patients and to control it
violent him accordingly when it happens
That the patient become even more
violent
QUESTION 9
a) A person-centred support approach can contribute to the empowerment of people living
in the community. What is the advantage of this?
That the people on the community become more independent and this is an advantage
for them when facing limitations. The ability to not depend or depend in a small scale of
someone else is a very valuable life skill

i) In one to two sentences explain why older people, or people with disabilities, are
commonly disempowered.
Its common because their limitations have literally limited them through their life and this
has affected them socially, economically, etc. They are disempowered because society
don’t offer them power as naturally with people who is not disabled. But there lies the
real human strength of being capable of going against the river and navigate through the
riskier waters in order to achieve happiness and fulfillment
j) 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?

Because through services directed in the home of the patient it is a consumer-directed
care. It gives more choice and flexibility to patients. Alberto is going to receive services in
his home and those are specifically planned according to his needs.
  How do you think this approach has helped Alberto to recover from his
stroke?
A lot, because it is more flexible for him and he can recover on a more natural way from
his home. Naturally, his wife hasn’t helped a lot so its not the ideal scenario but the
approach of attending him from home is a idea that encourages him to be independent
and to recover effectively and faster.

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.

a) What action could you take to make sure Elsie is safe, balancing her wish to be
independent and be able to take risks?
I would advise her to buy a cell phone and give the number to the nearest neighbour in
case of emergency. Also, I would advise her to move to a closer place to the city. Also, I
would advise her to go and live with someone that takes care of her. Also, I would advise
her to go to a professional support centre for elderly in order to get done some tasks that
other people can do for her.
k) List four things that could be done to reduce risks to Elsie’s safety and security.

Action 1: Move to a closer place to the city

Action 2: Buy a cell phone

Action 3: Give the number of the cell phone to the nearest neighbour

Action 4: Contact a relative to help her in the roof leaking

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.

a) What safety and security risks does Gianni face?

 That he suffers an accident when going out. That someone can take advantage of him due
to his condition. Also is a good thing that he walks but in this condition the best is not to
do it. Another risk that Gianni is exposed to is the risk of developing more mental illnesses
due to the stress that involves living in such a problematic area

l) List four things that can be done to reduce risks to Giannis’s safety and security.
Action 1: Go driving

Action 2: Ask for the stuff online

Action 3: Ask someone else to buy him the things

Action 4: Move to a safer place

QUESTION 12
a) What procedures can be put in place to ensure fire safety in a client’s home?
Smoke detectors can be put on the house and check the gas and other factors of fire of
being correct and safe. Also to put extinguishers in the entry of the house or ensure that
there are extinguishers outside to deal with the fire if necessary.
m) Research the legal requirements in your state or territory for smoke alarms to be
installed in homes. Briefly explain the requirements.
In Colombia for example is only needed to report the installation of the smoke detectors
and this is done during the installation, anything else is needed to install smoke detectors
more than a professional that can install them in the house.

n) What is the name of the Act or Regulations that cover requirements for smoke alarms in
your state or territory?
There is no such act or regulation
QUESTION 13
Explain the procedures you must follow when entering a client’s home to ensure them of
your identity.
Showing them my identity and some proof like a worker ID that proves that I work for the
company that is supposed to offer the services the costumer is about to get or receive.

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.

a) Should Bunty do what her family and oncologist want her to do? Explain your answer.
 Is her personal freedom to decide whether she wants to live or die and how she wants to
do it, in my personal opinion you should always fight but that is in every person behalf but
is her decision to do what she wants with her life and that includes when to end it.

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.
o) What should you do in this situation?
Try to talk to Bunty and give her my opinion, but more from that cannot be done as the
personal freedom is untouchable. I would try hardly to convince her in several forms that
this is not the best decision and the only thing valuable in life is oneself and the moments
we must live.

QUESTION 15
What is meant by ‘emotional abuse’? Provide examples of emotional abuse that older
people and people with disabilities are commonly subjected to.
This is known also as bullying. Is when someone takes advantage of some condition of
other person and makes him or her feel terribly through offenses, jokes, etc. Elderly is
commonly abused because they seem week, so younger and stupid people in general
make fun of them or practice pranks on them. Disabled people have physical conditions
that are abnormal, stupid people make fun of those limitations.