eating aids (including assisting resident to eat when necessary) (d) dressing, undressing, and using dressing aids (e) moving, walking, wheelchair use, and using devices and appliances designed to aid mobility, including the fitting of appropriate footwear, artificial limbs and other personal mobility aids (f) communication, including to address difficulties arising from impaired hearing, sight or speech, or lack of common language (including fitting sensory communication aids), and checking hearing aid batteries and cleaning spectacles Excludes hairdressing. Provision of related goods, including: Absorbent aids, commode chairs, disposable bed pans and urinal covers, disposable pads, over toilet chairs, shower chairs and urodomes, catheter and urinary drainage appliances, and disposable enemas. Mechanical devices for lifting residents, stretchers, and trolleys. Crutches, quadruped walkers, walking frames, walking sticks, and wheelchairs excluding wheelchairs and custom made aids. residents, which take into account pressure care and allow for optimum levels of mobility and participation. The fact that one resident needs full time use of a wheelchair should not deny other residents access or mean that the resident using the chair fulltime has to purchase a wheelchair in order to have use of one. If specified in the resident agreement and agreed by the resident/legal representative a resident may be charged for: custom made aids specifically made for a resident and only for the use of that resident—for example, tailor made arm, hand and/or leg splints. Approved providers must have sufficient lifting devices on hand to provide access for all residents who need this type of support and to ensure work health and safety obligations are met. Equipment must be fit for the purpose intended and staff trained in its use. An approved provider cannot charge a resident for: slings for lifting machines. An approved provider cannot charge a resident for: assessment by a qualified health professional registered under the National Law or other registration scheme acting within their scope of practice to ensure that the individual resident’s toileting and continence needs. If a resident is assessed as requiring continence pads or other equipment to manage their continence, then the provider must provide the pads/equipment at no additional cost to the resident. Stoma related products are available free of charge through the Stoma Scheme to residents who are ostomates. Where a resident receives assistance through the Continence
3.1 Clinical care [Existing 2.4, 2.6, 3.7, 3.8, 3.10, 3.11, 3.12] Assessment Initial, ongoing assessment and evaluation by a qualified health professional registered under the National Law or other registration scheme acting within their scope of practice for the development, with the informed consent of the resident or their legal representative, of a care plan to deliver health care services. Delivery of the Care Plan Meeting residents clinical care needs and providing specified goods and services that enable that care to be delivered safely and effectively. Where a resident has an advance care plan or directive and the provider is aware of that plan or directive, the provider must record it and, if it is in accordance with relevant State and Territory law, enact it when delivering the care plan. (Provider members support this option) OR Ask whether a resident has an advance care plan or directive, if so record it, and if it is in accordance with relevant State and Territory law enact it when delivering the care plan. [Sub-Group consumer, union & health professional members] Includes: Holistic assessment including bio-psycho-social elements. A multi disciplinary team approach incorporating data and information from the full range of aged care staff Assessment and evaluation decisions made by a qualified health professional registered under the National Law or other registration scheme acting within their scope of practice. obtaining the informed consent of the resident or their legal representative for the development of the care plan Includes: asking residents if they have an advance care plan or directive, [Sub-Group provider members recommend deletion, Consumers and others recommend having here or in the schedule content sighting and recording the existence of the advance care directive or plan if there is one, ensuring that relevant staff are aware where a resident has an advance care plan or directive and that they understand what they are required to do if it needs to be enacted obtaining the informed consent of the resident or their legal representative to the delivery of the care plan In drafting this section of the Manual DoHA needs to address and make explicit comment on: the legal context in which care plans or directives are created Duty of care issues Yes Yes
POSSIBLE ADDITIONAL SCHEDULE ITEMS Item and Service SCHEDULE CONTENT Residential Care Manual Content Cost Implications? Cultural, Spiritual and Ethical Needs Please note an alternative version (with this content worked throughout other relevant schedule items is being drafted for consideration) Assisting and supporting the resident to meet their cultural, spiritual and ethical needs. Note: All NACA members support assisting and supporting residents to meet these needs Some NACA members believe its already covered in the Standards and other legislation Other NACA members feel that this is important and is currently inadequately covered in other sources and should therefore be included in the Schedule as a requirement for all providers. DRAFT FOR DISCUSSION: Includes the provider endeavoring to provide: Brochures or other written material explaining basic service processes such as resident rights and responsibilities, complaints process, food menus, daily activity program in the residents preferred language Access to a set of cultural communication material which can be used by all Access to books, videos, music and other ethnic media in the residents preferred language Links to the residents community (outside of the facility) A direct care staff profile which approximates the language profile of the resident ( LASA has commented that this is desirable but unlikely) Training and access to cultural educational material for all staff. Still to be considered: Spiritual and ethical needs Does the concept of supporting the persons "identity” assist? CHA notes concern with the ‘aspirational’ nature of the word ‘endeavour’ and practicality of content. Uncertain