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. 2.2 Meals and refreshments Special diet not normally provided. 2.3 Emotional support Emotional support to, and supervision of, care recipients.
Division 1—Care and services that may be provided 4 - Care services The following table specifies the care services that an approved provider of STRC may provide if the care is provided in a home care setting. Care services Item Column 1 Service Column 2 Content 4.1 Personal services Personal assistance, including individual attention, individual supervision and physical assistance, with: (a) bathing, showering including providing shower chairs if necessary, personal hygiene and grooming, dressing and undressing, and dressing aids; and (b) toileting; and (c) dressing and undressing; and (d) mobility; and (e) transfer (including in and out of bed). 4.2 Activities of daily living Personal assistance, including individual attention, individual supervision and physical assistance, with communication including assistance to address difficulties arising from impaired hearing, or speech, or lack of common language, assistance with the fitting of sensory communication aids, checking hearing aid batteries, cleaning spectacles and assistance in using the telephone. 4.3 Nutrition, hydration, meal preparation and diet Includes: (a) assistance with preparing meals; and (b) assistance with special diet for health, religious, cultural or other reasons; and (c) assistance with eating utensils and eating aids and assistance with actual feeding, if necessary; and (d) providing enteral feeding formula and equipment. 4.4 Management of skin integrity Includes providing bandages, dressings, and skin emollients. 4.5 Continence management Includes: (a) assessment for and, if required, providing disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas; and (b) assistance in using continence aids and appliances and managing continence. 4.6 Mobility and dexterity Includes: (a) providing crutches, quadruped walkers, walking frames, walking sticks and wheelchairs; and (b) providing mechanical devices for lifting, bed rails, slide sheets, sheepskins, and pressure relieving mattresses; and (c) assistance in the above aids. 5 – Support services The following table specifies the support services that an approved provider of STRC may provide if the care is provided in a home care setting. Support services Item Column 1 Service Column 2 Content
Type of place under the Aged Care Act 1997 Flexible Care. Not Applicable. Flexible Care. Residential Care. Type of support High intensity multidisciplinary short term early intervention support. (Usually) low intensity (low volume) long term support. Goal-oriented, and therapy focused (low intensity) following a hospital stay. High level or low level respite care. Type of Assessment ACAT assessment in a home care setting. RAS assessment in a home care setting. ACAT assessment in an acute or setting. ACAT Assessment in a home care setting. Types of reablement provided Multidisciplinary team care / support and services could include GP / geriatrician and allied health professionals. Aimed at actively promoting and self-sufficiency by providing interventions that support the care recipient to make the most of their own capacity and achieve their full potential. Supports provided to the recipient in home, could include training in a new skill, modification to a person’s home environment or having access to equipment or assistive technology. Services may include: in-home or community linked exercise and daily activity programme strategies to reduce falls education on the use of medication information to manage chronic disease, including improved ways of self-management. Transition care provides people, at the conclusion of a hospital episode, with a package of services that includes low intensity therapy such as physiotherapy and occupational therapy, as well as social work and nursing support or personal care. The services are designed to meet a client’s daily care needs and provide additional therapeutic care to enable the client to maintain or improve their physical, cognitive and psychosocial functioning after hospital discharge. Any services provided through full time residential care are available in residential respite. The services can include hotel services, assistance with daily living, recreational therapy, meals and refreshments, access to treatments and assistance in obtaining further services. limited
Core Eligibility Requirements An elderly person who is experiencing ‘functional decline’ that is likely to be reversed and/or slowed by STRC. A frail, older person who has difficulty performing activities of daily living without help due to functional limitations. An elderly person, who has completed an episode of acute and/or sub-acute care, and has the capacity to benefit from additional care to complete their restorative process and optimise their physical and cognitive functional capacity. People who meet the eligibility criteria for approval for residential care and who need respite care are eligible for approval for residential respite care. Period of care Time-limited Up to 8 without extension. Not time limited. NB: CHSP restorative care service type is time-limited as a targeted short-term intervention to address a particular functional deficit. Time-limited Up to 12 weeks with possibility of extension. Time-limited 63 days can be used per financial year (with the possibility of an extra 21 days accessible via ACAT re-assessment). Care Environment Provided in a home care setting or a residential care setting, or a combination of both. Provided in a home care setting. NB: CHSP restorative care service type can also be provided in a clinic, at a day centre, a group environment or other community setting. Provided in a home care setting or a residential care setting, or a combination of both. Provided in a residential care setting. Time Out Provisions Care recipients can take up to 7 days leave from the placement. No leave arrangements. No leave arrangements. Not applicable due to care type. Approval Extension Provisions No extension provisions. No extension provisions. Must be re-assessed by ACAT as requiring an extension which can be up to a maximum of 6 weeks. Must be re-assessed by ACAT as requiring an extension which can be up to a maximum of 21 days.
Approval Lapsing Provisions Approval and entry eligibility will lapse six months from the date of the ACAT approval. No lapsing provisions. Approval and entry eligibility will lapse if care isn’t utilised within 4 weeks of approval. An approval for residential respite care will not lapse but can expire if it is time or revoked. Core Ineligibilities A person is ineligible if they already receiving aged care provided under the Act; or has received flexible care in the form of transition care within the six months prior to the date of assessment. Generally CHSP services should not be provided to people who are already receiving other government-subsidised services that provide similar service types to those funded through CHSP. A person is ineligible if they are not entering the programme directly upon discharge from hospital. Permanent residents of a residential aged care service cannot be approved for residential respite care in another aged care service. ATTACHMENT C - Examples of possible Multidisciplinary Team Members Either a GP or a Geriatrician must always be on the Multidisciplinary Team so as to identify any underlying medical condition. professionals can include (but are not limited to) Registered Orthotist Audiologist Pharmacist Community health worker Physiotherapist Dental hygienist Podiatrist Certified Accredited Dietitian (or if a dietitian cannot be available physically or via a telehealth conference link, a nutritionist). Optometrist Exercise physiologist Psychologist Occupational therapist Social worker Osteopath Speech pathologist