Home' Community Care Review : CCR Nov 2016 Contents >
and his support worker Medhi visited the
Mount Druitt Swimming Centre in Sydney’s
West to participate in an annual fishing
event, which saw the pool stocked with
salmon trout and turned into a fishing
centre. A few weeks later, Tony and Medhi
took the train to visit the Sydney aquarium.
Next was the open ocean. In April 2016,
after an 18-year hiatus, Tony achieved his goal
of going deep sea fishing on a wheelchair
accessible fishing boat. McMichan organised
a friend, also a home care package client at
Uniting, to attend the fishing excursion with
him, alongside two support workers.
McMichan says Tony has his “mojo back”
and feels in control of his care and supports.
“He now sees he has the reins in managing
his home care package. He makes the
choices and can see where the money goes.
“He has a voice again – a voice he felt
he had lost.”
McMichan says Tony now thrives on the
companionship of the care team and his
emotional and psychological wellbeing has
She reports seeing the impact greater
choice and control through CDC is having
on her clients.
“As a support advisor our role is to
oversee [the client’s package] and give them
the support and independence to able to
do more things for themselves, rather than
taking things away from them.”
In another example of how clients are
being empowered, she says individuals
are being shown how to use a computer so
they can develop the skills to manage their
NEW FOCUS ON
QUALITY OF LIFE
Adam Schickerling, general manager –
business improvement, practice and quality
at annecto, says CDC has helped shift the
conversation to focus more on quality of
life, identity and overall wellbeing.
“We have seen a significant increase in
clients wanting to focus their supports on the
social components of what keeps them living
well and participating in their community,” he
tells Community Care Review.
While traditional supports such as
personal care and domestic assistance will
always be necessary, Schickerling says that
clients are looking at how these needs can
be met more efficiently through their own
networks so their package funds can be
directed to the things that “contribute to
their personal happiness.”
Staff work with clients to identify what is
most important to them and what obstacles
sit in the way, he says.
TOP TIPS FOR THINKING OUTSIDE THE SQUARE
Home Care Today says at the heart of flexible spending with consumer budgets are
the following points:
1. Functional and working knowledge of the objectives of Home Care Packages and
principles of consumer directed care
2. Aspirational goal setting and creative care planning with well-informed consumers
3. Flexible interpretation of the home care packages care and services schedule
4. Objectivity when it comes to considering spending requests
5. Clear parameters around decision-making for home care package spending
6. Creative solutions to client issues that may or may not have any financial
implications for the client’s package budget.
For one annecto client who has dementia,
being able to cook a meal provided a “sense
of place and identity within the home.”
However carpeting in the kitchen posed
a trip hazard and made cleaning up difficult.
This was replaced with new flooring and
new cooktops were installed to minimise
environmental risks. This enabled the client
to hold on to an activity that provided a sense
of identity, at the same time as reducing the
worry for the informal carer, says Schickerling.
Working with Aboriginal communities in
NSW, he says since the introduction of CDC,
a greater proportion of clients are using
their home care package to purchase case
management and advocacy support to work
through issues they have been unable to
navigate on their own.
For example, a client has used his
package to help him engage with the
public housing system to have his home
modifications needs addressed.
“It’s about building the skills and
confidence in those individuals to engage
themselves [with other services] in a way
that they felt safe,” he says.
Schickerling says an Aboriginal elder,
who is a member of the stolen generation,
is using his CDC package to help share his
story with his community and process his
“It is very important for him to tell his
story; however poor literacy skills posed a
barrier. To overcome this, we have used his
package to purchase an iPad and provide
training so he can use a voice dictation
application to capture his story in his words.
“That has been a really powerful exercise.
Not only does that allow him to deal with his
own trauma and share his life story but it has
a much broader impact in allowing others
to understand and learn from his story.”
FITTING IN WITH
Jacqui Borg, assistant manager at
BaptistCare home services in South West
Sydney, says CDC has turned traditional
agency-directed service delivery on its head.
“It’s about delivering a service to fit in with
the person, not making the person fit in with
the service,” she tells Community Care Review.
Harry, who has early onset dementia,
recently lost his wife of 54 years. Adding
to this deep loss, his driver’s licence was
also recently removed. To keep Harry active
and engaged, a social program of activities
based on his interests and preferences has
been developed, says Borg.
Harry and his family have identified a
range of ideas for his support including
participating in woodwork at home with his
care facilitator, trips to a local boat ramp
and walks along the waterside.
Through a process of getting to know
Harry and his interests, his care facilitator
has also broadened his social activities
to include an outing to a reptile park to
engage with his love of animals and coastal
activities, which reconnect him with his
time spent on a trawling boat.
Harry was also an avid motorbike rider
and has travelled around Australia on his
prized motorbike with his wife. To maintain
this part of his identity, Harry is supported
to attend motorbike and trucking shows
with his care facilitator, says Borg.
By valuing the independence and
individuality of the person and working
in partnership with the client and their
family, service delivery is moving away from
standardised offerings, she says.
“We have seen a
significant increase in
clients wanting to focus
their supports on the
of what keeps them
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