Written Assessment
CHCHCS001 Provide home and community support services

Provide Home and Community Support services

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Assessment 1:

1. Describe 2 ways a Support Worker could ensure they accurately interpret an individual’s Care Plan.

2. Provide 3 reasons an aged care /disability Support Worker should read and interpret an individual’s goals.

3. Describe 3 reasons why home-based support workers must follow workplace policies and procedures and instructions carefully when reading, interpreting and implementing an individual’s Care Plan.

4. a. Name 3 different types of equipment that may be used by a person who needs help with personal support or mobility.

b. Name 3 different types of equipment that may be used by a person who cannot speak.

c. Name 3 different types of equipment that may be used by a person who has poor bladder and bowel control.

5. a. Where can you seek help if you do not know how to use a piece of equipment?

b. What action should you take if a piece of equipment is faulty?

6. a) Give 2 reasons why it is important that a Support Worker confirms the time and purpose of the home visit with their Client.

b) Give 3 ways how you could do this?

7. List in point form, 4 things that a home based Support Worker should do when planning to visit a person in their home.

8. Whilst working in a Client’s home, what are 3 situations that could ‘go wrong’ that would require you to ring your Coordinator/Line Supervisor; for example, an unexpected event, Client related circumstance or emergency.

2. Establish relationship in the home

2.1 Follow organisation’s procedures to assure the person of your identity before entering the house
2.2 Communicate with the person to provide information, clarify purpose of visit and confirm the person’s consent

2.3 Provide opportunity for the person to identify and express any issues or concerns in relation to the visit and/or associated matters 2.4 Engage appropriately with others in the place of residence in accordance with organisation policies

2.5 Check for hazards to own and others’ health and safety and implement controls to manage risk

Assessment 2:

1. Identify 2 ways a home based worker could confirm their identity to a Client before entering their home.

2. Where could you find written guidelines that would help you clarify procedures of how you could assure the Client of your identity before entering the house?

3. Please mark the following as True or False.

a. If a family member greets you on your first visit rather than the Client, there is no need to repeat your introduction to the Client themselves.
TRUE FALSE

b. After your first visit to a Client’s home, there is no need to remind them again of your name and why you are there.
TRUE FALSE

c. When visiting a Client’s home, it is important to confirm the Client’s consent to enter their home.
TRUE FALSE

4. Describe 2 ways you could communicate respectfully to clarify the purpose of your visit.

5. Describe 5 types of information support workers may need to communicate with a person during a home visit.

Read the following scenario and answer the question that follows.

Scenario

Mr Rodgers is a regular home visit Client. When you attend his home visit he tells you that he wishes to make a complaint about the home Support Worker that visited him last week when you were on annual leave. He tells you that she was a bit rude and didn’t introduce herself to both himself and his wife on arrival.

6. What would you do to ensure Mr. Rodgers’ complaint was acknowledged according to a typical workplace Complaints Resolution process? Give 5 examples.

7. Describe what a home Support Worker should do if it is outside their role to resolve a service user’s complaint.

8. Describe 4 ways that home based workers can build rapport and engage appropriately when conducting a visit to Clients in their homes.

Read the following case study and answer the questions that follow:

Case study

Anne, a coordinator is doing an initial visit to Bill, a new Client to provide wound care. Anne found the front passage floor of his house was badly damaged by white ants. A risk assessment identified this as high risk (likely to cause a major injury). As it was not possible to eliminate the problem (this would have been a very high cost to Bill) the hierarchy of control was considered.

Agreement was reached for Bill to receive his treatment in the rear sunroom, which had a concrete floor and safe rear access. Bill’s Support Worker, Jill, was informed of this and it was recorded in his care folder. When the solution was reviewed it was found that to enter the rear door to the sunroom Jill had to walk through tall grass, and as the weather was getting hot this presented a further hazard (assessed as a high risk – unlikely but could cause a fatality from a snake bite and also slip/trip or a fall). Anne then arranged for Bill’s son to cut the grass regularly. These simple solutions allowed Jill to be safe while providing Bill’s treatment.

9.

Identify 4 hazards in the above case study

1 2 3 4

10. List3possiblehazardstoyourownandotherpeople’shealththatmayexistinahome visit environment.

11. a)Consideroneofthehazardsyouhavenotedabove.Ifyoucanimmediatelymanagethe hazard, what are 2 actions you would take?

c) If you are unable to immediately manage the risk of the hazard you have identified, what do you do?

b) Provide 2 examples of hazards you cannot manage.

3.Operate respectfully in the home

3.1 Negotiate how to best implement the individual plan to suit the person within organisation procedures and respecting that the work setting is the person’s home and personal space
3.2 Comply with duty of care requirements of role in relation to the person and any other people

3.3 Demonstrate respect and sensitivity toward the person and their place of residence
3.4 Deal with ethical dilemmas, behaviours of concern, possible abuse and/or neglect in accordance with relevant policies and procedures

3.5 Maintain confidentiality in accordance with legislation and organisation policy and procedures

Assessment 3:

1. List 4 ways in which you can ensure that you demonstrate respect for the Client and the Client’s home.

2. List 4 ways in which you can ensure that you demonstrate sensitivity for the Client and the Client’s home.

3. List 3 ways in which you can negotiate how the Client would like you to carry out their Care Plan.

4. You have been working with the same Client for three months. After finishing your allocated hours, the Client asks you to stay for an extra hour and complete some cleaning that is not included in the care plan, the Client offers you ‘extra money’ to complete this work.

How would you respectfully tell the Client why you need to decline this offer?

Read the following case study and answer the questions that follow.

Case study

Mrs Blogs lives alone; she is a regular Client you visit each week. When you arrive and knock on the door there is no answer. You can hear someone calling out that the door is open. When you enter the house, you cannot immediately see Mrs Blogs but you can hear her calling out from the hallway. When you investigate she has fallen when getting out of bed and has gashed her forehead and has a very painful right leg.

5. What are your responsibilities in relation to duty of care in helping Mrs Blogs?

6. Identify 3 actions you could take in order to comply with your duty of care within your role.

Read the following case study and answer the question that follows.

Scenario

You arrive at a Client’s home and check the Care Plan, which has been updated. Recent instructions are that the Support Worker is to assist the Client to take their medication. You have not been trained in this area and even though it is listed on your job role it has not been part of the duties you have been performing with your current Clients.

7. Describe what you think may be 2 correct actions to take when you have not received the required training for this procedure while maintaining your duty of care.

8. What are three ramifications of undertaking tasks for which you have not received training? Use bullet points.

9. You are going to be providing support for a lady who has mild dementia. She moved to Australia from Italy 25 years ago. Identify 3 ways you can find out information about her cultural and religious beliefs. Please use bullet points.

10. A Client and her family have difficulty with English. List three ways you can demonstrate respect and sensitivity toward the person and her family.

11. Consider the following dilemmas and explain what you do in each of them while maintaining workplace guidelines.

a. The Client has asked you for a favour (that is not in their Care Plan) or insists you accept a small gift from them to indicate their appreciation of your help. It is very hard to say no, without hurting their feelings. Wouldn’t it be easier just to accept, as long as the item isn’t too big or valuable?

What would you do/say in this situation?

b. Is it acceptable not to do some of your tasks if a Client won’t notice that you haven’t done them? Give reasons for your answer.

c. You have a Client who is 70 and wants to access a sex worker and you don’t believe this is right. What would you do/say in this situation?

Read the following case study and answer the question below.

Case study

Peter works as a home based Support Worker in a home and community care service. In his personal life, Peter is having trouble finding a place to live as the lease on his flat is ending next week. He cannot afford the rent on the places he has found so far. When he is working with Mr. Woodley, he mentions that he is worried he will be homeless soon if he cannot find somewhere to live. Mr. Woodley says that he has a spare room and that Peter would be welcome to stay there, for no rent, until he finds somewhere else to live. Peter accepts the offer.

12. From your understanding of relevant policies and procedures: a) Has Peter overstepped the boundaries of his role?

b) Explain the reasons for your answer.

13. a. Describe 2 types of behaviours of concern that may be a threat to home based worker’s safety when conducting a home visit.

b. Choose one from the above and explain how you would deal with it in accordance with your organization’s policy and procedures.

14. Outline what you would do in the following scenario.

Scenario 1:

You are employed as a home based worker visiting Gustaf to help him with his showering and dressing needs. While helping Gustaf you observe bruises on his back and arms.

15. Outline what you would do in the following scenario.

Scenario 2:

You are visiting Nasrin to provide some basic household domestic services as a home based worker. Though often confused Nasrin clearly tells you she is concerned that all her money seems to have gone missing and doesn’t know why.

16. When working with a Client in their own home. What are 3 examples of how you could breach a Client’s confidentiality?

4.Completereportingand documentation

Assessment 4:

4.1 Comply with the organisation’s reporting requirements, including reporting observations to supervisor
4.2 Complete and maintain documentation according to organisation policy and protocols and using technology required in the workplace

4.3 Ensure any arrangements for follow up visits are recorded and implemented

1. Describe the value of the following three types of documentation that might be used within an organisation.

Verbal report:

Written report

2. Describe 4 factors a Support Worker must adhere to when reporting and completing documentation.

3. If you observed that a Client had unmet needs, that is, had needs that were not provided for in the Care Plan, what would you do and how would you record this?

Assessment 5:

1. What is an example of a code of practice that you must follow when providing home and community care services?

2. What is your duty of care when working in a Client’s home?

3. In the event of a fire in a Client’s home, what telephone number would you call to notify emergency services?

4. What are 2 reasons why smoke alarms must be routinely checked and tested?

5. What does it mean if the smoke alarm is making beeping/chirping sounds?

6. Give 2 reasons why dignity of risk should be considered when providing services in people’s homes.

7. What are 2 situations when are you legally allowed to disclose private and confidential information?

8. a) What is the name of the accreditation standards for aged care services provided in a Client’s home?

b) In this accreditation/practice standard, what is Standard 3 about?

9. List 4 examples of what a Client may ask you to do that is considered outside your job role boundaries.

10. If you are working in a Client’s home, how are you likely to be able to access the organisation’s policies and procedures that you work for?

11. List 3 issues you could be faced with that could endanger your personal safety and/or security when working with Clients in their own home. How could you reduce the risk of injury/harm?

Issue How could you reduce the risk?

12. What equipment could be used to ensure personal safety when providing services in people’s homes? Give 3 examples.

13. What do the following programs provide to people receiving these services? a) Commonwealth Home Support Packages (CHSP)

b) Department of Veterans Affairs (DVA) – Veterans’ Home Care (VHC) packages

c) Home Care Packages (HCP)

14. Briefly explain in your own words the ‘person centred’ service model of care.

15. Briefly explain in your own words the ‘consumer directed care’ service model of care which Home Care Packages are based on.

16. Describe 3 ways in which a Support Worker can use an empowerment approach to provide home support services.

17. Describe 3 ways in which a Support Worker can disempower a Client when providing home support services.

18. Identify 2 indicators of: a. physical abuse.

b. sexual abuse.

c. psychological/emotional abuse.

d. financial abuse.

19. If you observed any signs of abuse, what would you do?