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Question 2

What is consumer-directed care? Give an example.

Answer

When customers are flexible and they can direct the process of care delivery it is known as customer-directed care (COTA, 2023). For example, the cost of the package can be chosen as per the financial condition of the patient and care plan can be developed by the patient as per their requirement. 

References 

COTA, 2023. What is CDC? [online]. Available at: https://cota.org.au/information/aged-care-for-providers/home-care-today-providers/consumer-directed-care/what-is-cdc/#:~:text=Consumer%20Directed%20Care%20(CDC)%20is,older%20people's%20rights%20are%20protected. [Accessed 07 November 2023]. 

Marking

Question 15

Explain why dignity of risk should be considered when providing services in people’s homes. 

Answer

Dignity of risk is an important aspect because it prioritises the patient. The patient is well-informed and they can make informed decisions about their lives. Moreover, as per dignity of risk, individuals are expected to fail. Such experiences can further help them to achieve dignity at a higher level (Maple Community services, 2023). 

References 

Maple Community services, 2023. Dignity of Risk in Aged Care. [online]. Available at: "https://mapleservices.com.au/dignity-of-risk-in-aged-care/#:~:text=Dignity%20of%20risk%20is%20an,higher%20level%20of%20human%20dignity">https://mapleservices.com.au/dignity-of-risk-in-aged-care/#:~:text=Dignity%20of%20risk%20is%20an,higher%20level%20of%20human%20dignity. [Accessed 07 November 2023]. 

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Question 27

What program has replaced the Home and Community Care (HACC) program?

Answer

Commonwealth Home Support Programme (CHSP) has replaced HACC program. This program offers similar services including help with household chores, personal care and many more (Government of Western Australia, 2023). 

References 

Government of Western Australia, 2023. Home and Community Care (HACC) transition. [online]. Available at: https://www.healthywa.wa.gov.au/Articles/F_I/HACC-Home-and-Community-Care#:~:text=Commonwealth%20Home%20Support%20Programme%20(CHSP),-As%20of%201&text=The%20CHSP%20provides%20similar%20services,allied%20health%20and%20home%20maintenance. [Accessed 08 November 2023]. 

Marking

Feedback

All questions must be satisfactorily answered by the candidate as per the marking guide in the Trainer’s and assessor’s guide. The questioning assessment has been confirmed:

Please include recommendations for future training / action in cases where the candidate has not satisfactorily achieved all criteria:

Declaration

I declare that this questioning assessment has been conducted as per the training organisation’s assessment procedures and the instructions provided for this assessment task, and that I have provided appropriate feedback to the candidate.

Assessor name

Assessor signature

Date marked

Read the case study, then answer the questions that follow.

Case study (questions 1–17)

Rowan is a support worker and is planning to visit Mr Tomlinson in his home for the first time. Mr Tomlinson is a 65-year-old Vietnam Veteran who lost both his legs during the war. Mr Tomlinson uses a wheelchair for mobility and he is currently living in a modified flat. Rowan reads Mr Tomlinson’s individual plan and identifies one of his personal goals is to exercise daily for one hour to maintain a healthy body. Rowan phones Mr Tomlinson to confirm an appointment time of 9.30 am on Wednesday. He tells Mr Tomlinson that the purpose of his visit is to discuss how Rowan can support Mr Tomlinson to achieve the personal goals listed in his individual plan. Mr Tomlinson agrees to the time and day of the visit and tells Rowan over the phone that he read about a wheelchair exercise class in his local paper that runs three mornings per week and includes transportation. Mr Tomlinson knows that most members of the class have their conditions as a result of illness or accident, so he is likely to be the only double amputee participating. Previously the exercise classes did not cater for his condition and he is aware that there is a risk that not all of the exercises may be suitable for him. Rowan says he will look into it before his visit. Before hanging up, Mr Tomlinson mentions that he owns an old dog who does not like strangers. 

On Wednesday morning at 9.30 am Rowan knocks on Mr Tomlinson’s door, introduces himself, and is invited inside. Rowan is impressed with the tidiness and orderliness of Mr Tomlinson’s home. Mr Tomlinson said he has been an organised person ever since joining the military. Rowan completes his hazard assessment of Mr Tomlinson’s flat. Rowan notes that cooking appliances are electric and that there is a functioning smoke alarm that was checked within the last two months. Rowan and Mr Tomlinson exchange in small talk before sitting down at his dining table with a coffee, to discuss Mr Tomlinson’s individual plan.

Mr Tomlinson shows Rowan a piece of exercise equipment that he was given previously by a physiotherapist. Rowan is unfamiliar with this equipment and informs Mr Tomlinson that before he assists him with using it he will need to have some training from the physiotherapist on the safe use of the equipment. Mr Tomlinson discloses that he was not happy with the services provided previously as he felt that he was not allowed enough input into what he wanted and felt that the previous support worker viewed him as a complaining old man. Rowan encouraged Mr Tomlinson to fill in a complaints form and explained the process for raising a complaint. Mr Tomlinson was hesitant to do this as he felt that he would get a reputation for being ‘difficult’. Rowan assured him that the complaints procedure was kept confidential and other than his supervisor, no information regarding it would be disclosed unless Mr Tomlinson agreed to this. Rowan also gave Mr Tomlinson the contact details for his supervisor if Mr Tomlinson wanted to discuss any of the issues further. At the end of the visit, Rowan clarifies the tasks that he will now carry out for Mr Tomlinson. These include:

Rowan returns to the office and enters a case file note in Mr Tomlinson’s file. Rowan also files the complaint form and gives a copy to his supervisor for review. Documentation for funding of equipment and updating of Mr Tomlinson’s individualised plan is also updated to reflect Mr Tomlinson’s input and goals. Rowan also puts in a request for training for the equipment that Mr Tomlinson uses that he is not familiar with.

CS Question 1

Explain why it was important for Rowan to interpret and follow the instructions in Mr Tomlinson’s individual plan.

Answer

Listening to the individual plan can help Rowan to understand the need of Mr Tomlinson. This can add value to the process of caregiving. Moreover, Mr Tomlinson introduced Rowan to an exercise equipment and he wants to use this equipment correctly. Such information can only be gathered with the help of active listening. 

Marking

CS Question 2

Why did Rowan phone Mr Tomlinson to confirm the time and purpose of his visit?

Answer

Rowan called Mr Tomlinson to demonstrate the process in which he can support Mr Tomlinson to achieve his personal goals that are listed. 

Marking

CS Question 3

What next steps should Rowan take to source specialist exercise equipment for Mr Tomlinson?

Answer

Rowan does not know the process of using the exercise equipment. Therefore, he should communicate with a specialist who can help him to learn the use of the equipment. Moreover, Rowan should make sure to customise exercises, as per the need for Mr Tomlinson. The manual guide could have also helped Rowan to communicate the process and steps of caregiving as per Mr. Tomlinson’s individual plan. 

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CS Question 4

What resources could Rowan have brought along with him to the home visit with Mr Tomlinson?

Answer

Rowan could have kept a learning guide with him. This could have helped him to understand the working pattern of the exercise equipment. 

Marking

CS Question 5

What documentation could Rowan have taken with him to his first home visit with Mr Tomlinson?

Answer

While visiting Mr Tomlinson, Rowan could have taken a daily or weekly visit note. This note could have helped Rowan to track his visit and progress of the patient. 

Marking

CS Question 6

How could Rowan plan for contingencies should Mr Tomlinson’s dog become a risk to Rowan’s safety?

Answer

The objective of a contingency plan is to handle any kind of critical situations. In case of Rowan, safety from the dog of Mr Tomlinson can only be possible with the help of a proper contingency plan. Rowan must identify an escape route. This route can help him to escape, if he gets attacked by the dog. Moreover, he should also request Mr Tomlinson to keep the dog in another room in order to avoid any kind of attack. 

Marking

CS Question 7

Why is it important that Rowan seeks clarification of the tasks he must carry out at the end of his home visit with Mr Tomlinson?

Answer

When Rowan visits the house of Mr Tomlinson for the first time, he must seek clarification for enhancing the quality of her work. Clarifications can help him to understand the exact need of the customers. 

Marking

CS Question 8

How could Rowan develop a relationship of trust and confidence with Mr Tomlinson in the home environment? 

Answer

Rowan must encourage and empower his patient to share their thoughts and opinions. These thoughts can be further amalgamated in his caregiving process. This is how Rowan can strengthen the relationship with Mr Tomlinson. 

Marking

CS Question 9

Aside from telling Mr Tomlinson his name, how could Rowan assure Mr Tomlinson of his identity before entering the flat?

Answer

Rowan must make sure to carry his identity card while introducing himself to Mr Tomlinson. Moreover, a proper body language can help Rowan to demonstrate his professionalism. 

Marking

CS Question 10

Describe two types of information Rowan should provide to Mr Tomlinson during his first home visit.

Answer

Marking

CS Question 11

Describe two ways that Rowan could communicate respectfully to clarify the purpose of his visit with Mr Tomlinson.

Answer

Marking

CS Question 12

In order to comply with professional codes of practice how could Rowan ensure he obtains Mr Tomlinson’s informed consent before carrying out support tasks on his behalf?

Answer

Rowan must focus on paperwork. He should make an agreement where Mr Tomlinson provides his consent. The paper should be signed by him along with date. 

Marking

CS Question 13

Describe two interpersonal skills Rowan can use to listen to Mr Tomlinson’s complaints, issues or concerns about the services Rowan provides, and identify two key legal and ethical considerations for maintaining privacy, confidentiality and disclosure for Rowan to observe.

Answer

Active listening and problem-solving skills are two interpersonal skills that Rowan must use to listen to Mr. Tomlinson. 

Rowan must not keep any personal data-recording system with him, personal information should be kept in a different file that is designated for Mr. Tomlinson. 

Marking

CS Question 14

What could Rowan do to ensure he continues to engage appropriately with Mr Tomlinson in his home?

Answer

Rowan must continue his training and learn how the use the exercise equipment, perfectly. Moreover, Rowan should continuously empower his client. 

Marking

CS Question 15

Provide one example of a hazard Rowan might identify in Mr Tomlinson’s home. 

Answer

The dog can be a hazard in his client’s home. 

Marking

CS Question 16

What could Rowan do to prevent any hazardous situations from occurring?

Answer

Rowan must ask politely to his client, to keep the dog locked in a different room. 

Marking

CS Question 17

What hazards does Rowan need to check to ensure Mr Tomlinson’s flat is fire safe in line with legislation requirements?

Answer

Rowan must check whether the smoke alarm is working or not. Moreover, he should also gather information about the fire extinguisher in the flat of the client. 

Marking

Read the case study, then answer the questions that follow.

Case study (questions 18–24)

Ms Clapton is a 94-year-old woman who lives alone. Ms Clapton is in excellent health and enjoys being able to maintain her independence. Ms Clapton has been visited weekly by a home support worker for over ten years, to assist her with general household cleaning and maintenance, and complete her weekly grocery shopping. Sara is a support worker and has been asked to take on the case management of Ms Clapton. Sara reads Ms Clapton’s individual plan and case notes completed by the previous worker. The plan says that Ms Clapton was a gourmet chef for fifty years, working all over the world, specifically in Paris. Ms Clapton has been retired for three decades now, but still prepares nutritious gourmet meals for herself and her family when they visit. Ms Clapton enjoys cooking for leisure and is interested in taking Asian cooking classes at her local community centre to socialise with others who have the same interests.

Sarah visits Ms Clapton in her home. Ms Clapton lives in a three-storey home overlooking the ocean, with a large spiral staircase winding up the middle of the house. Ms Clapton is happy to see Sarah and in preparation for her visit, has made a batch of vanilla bean French macarons to enjoy while she is there. Over a cup of tea and a macaron, Ms Clapton tells Sarah that it is probably time for her to downsize and move into a smaller home that doesn’t have stairs.  

Whilst discussing Ms Clapton’s support needs, Sarah notices three urns sitting on Ms Clapton’s mantel piece. When she asks Ms Clapton about the urns, she tells Sarah that inside are the ashes to her three French poodles who all passed away at various times in the last five years. Ms Clapton tells Sarah that the poodles were like children to her and that she misses them dearly. Ms Clapton keeps a photo album containing pictures of her dogs on the coffee table at all times to reminisce. Before Sarah leaves, Ms Clapton asks if Sarah would accept a $50 voucher for a local department store that her granddaughter gave her, but that Ms Clapton does not intend on using.   

CS Question 18

How could Sarah implement Ms Clapton’s individual plan in a way that supports Ms Clapton’s strengths, interests and self-determination and allows Mrs Clapton dignity of risk?

Answer

Sarah must empower and respect, Ms Clapton’s wishes. She should be encouraged to make decisions. Moreover, Ms Clapton has been a chef for 50 years. Therefore, Sarah should encourage her to research more on her culinary skills. This can satisfy Ms Clapton. 

Marking

CS Question 19

In order to maintain practice standards how should Sarah ensure she respects Ms Clapton’s home and personal space while providing her with support?

Answer

Sarah must not share any personal information about her client to any third party. Moreover, while supporting her, she should make sure to avoid reading her personal documents. Finally, Sarah must know ask any personal questions, that puts Ms Clapton in an embarrassing situation.      

Marking

CS Question 20

Describe the duty of care Sarah owes to Ms Clapton.     

Answer

Sarah should ensure physical and mental well-being of Ms Clapton. She should support her, during her cooking sessions. Moreover, Sarah should respect her privacy. 

Marking

CS Question 21

How could Sarah demonstrate respect and sensitivity to Ms Clapton in her home?

Answer

Sarah must not touch any personal belongings of Ms Clapton. She should knock the door before entering in her room. She must not ask any questions that make Ms Clapton uncomfortable. 

Marking

CS Question 22

Explain how Sarah should respond to the offer of the $50 voucher by Ms Clapton to maintain her work role boundaries.

Answer

Primarily, Sarah should show gratitude and be thankful for the offer. However, she should politely decline the offer and help Ms Clapton understand her professional limitations. 

Marking

CS Question 23

Why is it important for Sarah to remain factual and objective when completing documentation relating to MsClapton?

Answer

Sarah must remain factual while documentation in order to keep a true record of her client. The documentation should be effective because it can further support the process of decision-making.  

Marking

CS Question 24

Provide two reasons why Sarah would need to arrange a follow-up visit with Ms Clapton. 

Answer

Marking

Feedback

All questions must be satisfactorily answered by the candidate as per the marking guide in the Trainer’s and assessor’s guide. The questioning assessment has been confirmed:

Please include recommendations for future training / action in cases where the candidate has not satisfactorily achieved all criteria:

Declaration

I declare that this questioning assessment has been conducted as per the training organisation’s assessment procedures and the instructions provided for this assessment task, and that I have provided appropriate feedback to the candidate.

Assessor name

Assessor signature

Date marked

Training organisation name

Candidate name

Unit code and title

CHCHCS001 Provide home and community support services, Release 1

Assessor name

Assessor email

Assessor phone number

Assessment tasks

Satisfactorily completed

Part A – Questions

Part B – Case study questions

Practical placement

Declaration

In completing this assessment, I confirm that the candidate has demonstrated all unit outcomes through consistent and repeated application of skills and knowledge with competent performance demonstrated in multiple instances over a period of time.

Evidence collected has been confirmed as:

Final result

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